Cultural Competency in Nursing Care
Dorcas Jacobs
Grand Canyon University: NRS 429V Family Centered Health Promotion
September 29, 2013
Cultural Competency in Nursing Care
As the United States becomes more and more culturally diverse one cannot help but be exposed to various cultures and worldviews. America has long been called the melting pot, and that term has never been truer than it is today. According to Green and Reinckens (2013) the U.S. Census Bureau estimates that by the year 2041 the U.S. population will be a majority minority. In other words, less than half of the population will be non-Hispanic, single race Caucasian. This growing diversity makes cultural competence in healthcare a necessary
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We will consider three families of differing cultural heritage, and explore how each of these cultures influences perceptions of health care.
The first family interviewed consists of a husband, wife, and two elementary aged daughters who came to the U.S. from Nigeria five years ago. The marriage was arranged between the husband’s father and siblings and the wife’s parents. Because of the great sense of community in this culture, the residents of the couple’s two villages also had to agree to the marriage. It was clear to this author that family and community relationships are highly valued in this family, and great emphasis is placed on valuing the opinions of, and deferring to elders. In Nigeria, health maintenance or protection is not highly considered, yet the residents of the villages generally have excellent health with very few incidents of the chronic diseases we face in the U.S. The reason for this relates to the physical activity involved in daily life, such as walking great distances, and manual labor working in the fields. Another reason for the health of the community is the diet they eat. Each family grows fresh vegetables and fruits. Beans are a primary source of protein, and meat is a special treat that is consumed only a few times per year. Processed or sugary foods are not a part of the diet. As a matter of fact the wife mentioned
The increasing population of immigrants in the United States has contributed to health disparities in the health care system. Cultural competence can remove health disparities by eliminating personal biases, and treating every person with respect. Simply recognizing and accepting different cultures is not enough, one must be able to consistently recognize and understand the differences in order to be culturally competent. Knowledge and culturally competent practices are a must for nurses to deliver quality care in our rapidly changing multicultural world (Edelman, 2014 p. 25).
With the United States becoming increasingly diverse, healthcare professionals face a multicultural clients and it
I am a Brazilian black male with military experience and diplomatic knowledge who grew up in a low-income household in a developing country. In addition, I have traveled to about 35 countries and am acquainted with people from different socioeconomic backgrounds, religions, ethnic groups and nationalities. These characteristics and experiences allow me to see the world from perspectives that are unusual for most people. Besides being open-minded and non- judgemental toward all my future patients, I personally understand the difficulties faced by people of color, immigrants and individuals from low-income families. In sum, my background and my cultural literacy will allow me to be a sensitive and culturally aware patient-centered care.
In America, the number of federally identified tribes is 562 with every tribe having its own culture, belief system and practices. That is why there seem diverse type of behaviors among this population related to healthcare seeking and healthcare attitudes. Amongst the most common components that lead to this diversity in healthcare seeking behaviors is the role of culture which affects healthcare intervention, prevention, and care. So, it is very important to understand the diversity of culture in particular
Health protection pertaining to the individual families cultures was also addressed in the interviews. The families were asked if there were any types of clothing that they were permitted to wear based on their culture to address their physical health protection and the African American family did not have any but both the Hispanic American and European origin American families had restrictions to clothing that the were to wear including no shorts that were too short or shirts that show the midriff or do not have sleeves and no tight fitting clothing or revealing clothing in anyway. For the mental aspect they were asked if there where people that they were taught to avoid the African American family was taught to avoid “druggys”, the Hispanic American family was taught to avoid all strangers, and the European origin American family was taught that they should love everyone and give everyone a chance but to be careful of all
Department of Health,” 2011). The United States is composed of many different groups of people and diverse cultures. It is unfortunate that even today someone’s culture or race is a factor in determining the health care they receive and the quality of the care they receive (“Eliminating
America is melting pot; there are an enormous variety of cultures and ethnicities represented in our general population. This population diversity is also reflected in healthcare participants. With the diverse amount of backgrounds, there also becomes a need for transcultural health care and acknowledging that not every culture views
The United States is a diverse accumulation of cultural backgrounds which can often set the stage for feelings of confusion, anger, mistrust, and a host of other emotions when dissimilar cultures disagree. Cultural competence in nursing can help eliminate these barriers and provide a platform for nursing to follow in the quest to understand a patient's culture and background. When a nurse takes the time to learn about a given culture prior to providing care, it conveys she respects the patient's right to their beliefs, customs, and culture. It does not necessarily mean the nurse agrees with their practices but
In this great nation we live in today that has been vastly increasing diversity bring so many great opportunities. But with these great opportunities there are also challenges that are continually looked over constantly. One of the challenges is our health care system that fails to deliver culturally competent services. Cultural competency helps to enable providers to deliver services that are respectful to diverse patients. This helps with patients own health beliefs, practices and cultural and linguistic needs. This is why this training is needed in every health facility. Many doctors go through this problem not understanding their patient’s needs. If I were a doctor I would use this skill. Certain racial and ethnic minorities receive poorer
Cultural competence, or the ability of health care providers to function well in different cultural contexts [7], has increasingly become a focus in U.S. medical schools. More schools are recognizing the growth in national diversity and the importance of having a health care workforce armed with knowledge of how to remain culturally sensitive and aware to provide the best possible care for all patients. According to Kripalani et al., research shows that cultural competence can improve communication and collaboration efforts between the patient and physician, thereby improving clinical outcomes, and eventually reducing health disparities [14]. Additionally, cultural competency has been shown to correlate with quality care to minority populations [15]. However, the strides made towards cultural competence of physicians have not been consistent across all medical schools as some medical students are trained extensively in this field while others are not trained at all. It would not be an easy task as it would require changing the entire curriculum and getting support from administrators [13], but the hope is to integrate cultural competence into all medical school curricula to arm future physicians with the tools they need to care for those of all different
The United States is a country of diversity represented by many different cultures. It has been proven that culture has a significant impact on health beliefs and behaviors (Edelman, et al, 2014), therefore it is imperative that health care providers, especially nurses, be culturally competent in their delivery of care. It is not enough to merely be aware of the prominent origins and statistics of different cultures and ethnicities, but rather it is crucial to be inquisitive and focus on the family and individual as practices differ and evolve over time. Rachel Spector developed a Heritage Assessment interview as a useful tool to aid in understanding how strongly an individual or family subscribes to specific cultural traditions and
Cultural competency is especially important in health care because there is an increase immigrant. In 2015 the UK alone received 558,000 immigrants. (Full Fact Charity 2015). The increase in diverse cultures brings about new
According to the results of a survey conducted, by 2050 the population of the United States will predominantly (more than fifty percent) consist of the non-whites. With this fact in mind, it would be highly advisable to meet the anticipated changes. in order to ensure a fully competent and ethnic-minded workforce. Different ethnic backgrounds come with their particular cultural specifications, which call for a person with an in-depth knowledge of these specifications in order to accord satisfactory attendance to the patients and clients (Mason, 2012). Furthermore, many patients and customers feel more at ease with someone they can relate to, be it ethnically, in terms of gender, background or even religion. It remains an unquestionable fact
The concept of globalization, which is the increasing integration and interdependence of different countries from one another in terms of economic, communication, and technological aspects, leads one to address the concept of cultural diversity or multiculturalism. Cultural diversity in the health-care system touches lives of many Americans in one way or another. No matter what our own cultural background is, when we go receive medical care, we may encounter a care giver who comes from a different cultural background than ours(Naylor 1997,291).. In the concept of cultural diversity, it can be recognized that two terms are equally important. The first concept is culture, which refers to the total way of life of individuals, and the unique
Today when people move across continents with the help of technology their culture and heritage moves along with them. Almost each and every continent is populated with people from different nations who have diverse traditions and cultures. Thus knowledge of health traditions and culture plays a vital role in nursing. People from different cultures have a unique view on health and illness. Culture-specific care is a vital skill to the modern nurse, as the United States continues to consist of many immigrants who have become assimilated into one culture. I interviewed three families of different cultures: - Indian (my culture), Hispanic and Chinese. Let us see the differences in health traditions between these cultures.