Giger And Davidhizar's Transcultural Assessment Paper

Cultural consideration must be taken into account when discussing end-of-life issues with patients and family members. One cannot assume that cultural affiliation equals a deep connection to cultural beliefs and affiliation with one or more groups should not be used as an assumption about

Theories of transcultural nursing with established clinical approaches to clients were founded in the mid-1960s and are an essential aspect of healthcare today. The ever-increasing multicultural population in the United States poses a significant challenge to nurses providing individualized and holistic care to their patients. Accurate assessments identify factors that define transcultural nursing and analyze methods to promote culturally competent nursing care.” (Maier-Lorentz, 2008)

Leininger (1988) defined nursing as a transcultural phenomenon requiring knowledge of different cultures to provide care that is congruent with the clients’ life ways, social structure, and environmental context. This definition from the founder of transcultural care would support applying a cultural sensitive nursing care in the clinical setting, and highly linked to her definition of transcultural nursing as a legitimate and formal area of study focused on culturally based care beliefs, values, and practices to help cultures or subcultures maintain or regain their health (wellbeing) and face disabilities or death in culturally congruent and beneficial caring ways (Leininger, 1970, 1978, 1995). Moreover Leininger summarized the process of applying transcultural care as providing care that fits with cultural beliefs and life ways. From a professional perspective, it refers to the use of emic (local cultural knowledge and life ways) in meaningful and tailored ways that fit with etic (largely professional outsiders’ knowledge), in other words care should be individualized according to patient’s culture to promote holistic and effective nursing care.

Despite the high demand for nurses, and all those who wants to be a nurse, there still is a high dropout rate in the nursing program. Virginia Peterson notes in 2009 that “30% of students who enter a baccalaureate of nursing education program do not graduate, and of that 30% “approximately 82.3% leave in the first semester (411).” The dropout rate led Virginia Peterson designed a study to test to see if certain variables led up to the high dropout rate. However, the study concluded that variables such as how

Health in all cultures is an important aspect of life. A person’s cultural background, religion and/or beliefs, greatly influences a person’s health and their response to medical care (Spector, 2004). These diverse cultures guide decisions made in daily life; what food eaten, living arrangements made, medications taken and medical advice listened to. A nurse must be knowledgeable and respectful of these diverse cultures and understand their importance when providing care. This understanding helps to build a strong nurse/patient relationship, increasing patient compliance, which ensures positive outcomes are met. Patients who are satisfied

(London et al. 2003). In the Orthodox Jewish community, there are many strict cultural guidelines that the women must adhere to. Within the following paper I will provide examples that demonstrate why cultural competency is important in nursing.

Culture is a strong determinant of people's views of the very nature and meaning of

2.4 Explain how beliefs, religion and culture of individuals and key people may influence end of life care

When culturally competent nurses interact with other cultures, they observe how members of the culture communicate, watching for verbal and non-verbal cues. Eye contact is important to identify. For some cultures direct eye contact is not polite. Touch for some cultures is prohibited. If needed, nurses should explain the reason for touching the patient before proceeding. In some cultures males cannot be caregivers of females. Silence doesn’t always mean miscommunication or patient apathy. For some cultures is a positive non-verbal cue or a sign of respect or agreement. Space and distance is very important when providing care. Patients can place themselves close or far from the nurse based on their culture. Healthcare beliefs also vary from cultures. Some cultures are compliant with cares while others may not be very cooperative. Based on these observations, nurses can plan their plan of care based on the patient’s needs (Maier-Lorentz, 2008 Journal Of Cultural Diversity). Nurses also need to observe pain non-verbal cues, food preferences, family arrangements and general norms and interactions.

Hispanics are the fastest growing minority in the United States, and the majority of them are Mexican in origin (Kemp, 2001). The Roman Catholic Church plays a vital role in the culture and daily life of many Mexican Americans. Consequently, healthcare personnel must become culturally competent in dealing with the different beliefs possessed by these individuals. Nurses must have the knowledge and skills necessary to deliver care that is congruent with the patient’s cultural beliefs and practices (Kearney-Nunnery, 2010). The ways that a nurse cares for a Mexican American patient during the process of dying or at the critical time of death is especially important. The purpose of this paper is to examine

Nurses have the responsibility of caring for a diverse group of people. These people come from different cultures, races, and religious backgrounds. Religion plays a major role in patient care and has for many years. Cultural competency is a major component of nursing practices. Understanding culture is imperative in knowing what is important to a patient and how to address his or her healthcare needs. Understanding culture is also important when determining what suggestions to make about interventions for treatment. Culture is defined as many people interacting and sharing with one another their patterns of behavior, beliefs and values (Burkhardt, G. & Nathaniel, A., 2014).

The profession of nursing is more than caring for the physiological health of an individual. It also includes caring for their spiritual, mental, and overall wellbeing. Nurses, and all health care workers, need to take into consideration a patient’s cultural preference in order to maintain their spiritual well-being. This paper will address Native American cultural considerations relating to end of life using the Giger and Davidhizar assessment model as explained in chapter 4 of Sagar (2012) Transcultural Nursing Theory and Models: Application in Nursing Education Practice, and Administration. It will overview the assessment model, then apply it to death in the Native American culture as well as present nursing implications.

In the profession of nursing, an essential aspect is the ability for a nurse to provide culturally competent care to each one of his/her patients. This requires the nurse to understand how a person’s culture can affect the way they care for them. The focus of this paper will be on a model put together to assist nurses in providing care to culturally diverse patients, specifically caring for patients a part of the Chinese culture in the children and family transition of life. The summary and application of the six phenomena in the relation to the Chinese culture followed by the nursing implications of those cultural variances are described below.

Health is defined a state of wellbeing which is equally viewed by many different cultures. However, the definition of wellbeing is seen differently among cultures, in relationship to their beliefs and values. (DeNisco & Barker, 2015). Cultural care in nursing is a very important part of nursing care, whether the nurse is a bedside RN or a practicing primary care NP. There are many theories in nursing related to cultural care. Most encompass the need for nurses to take into consideration the cultural caring behaviors and values of individuals and families to provide culturally competent nursing care.

Throughout this paper I will be pulling information from the Giger and Davidhizar Transcultural Assessment Model. It is pertinent for health care workers to be familiar with this model because of the growing affects that culture has on a patient’s view of disease prevention and health restoration. This model focuses on six cultural phenomena: communication, time, space, social organization, environmental control, and biological variations. It is important for nurses to utilize this tool while performing assessments on patients because of the substantial effects that each one has on a patient’s perspective. Every person is unique and knowing that no one perspective is universal will aid the nurse in treating each patient with culturally competent care.