Human Nature And Cultural Competent Care

“Health is influenced by culture and beliefs” (NRS-429V, 2011, p. 1). In order for the nurse to properly care for the patient, she must know and understand the patient’s culture. “Cultural care is a comprehensive model that includes the assessment of a client’s cultural needs, beliefs, and health care practices” (NRS-429V, 2011, p. 1). It is not enough to just know where the patient lives or where he came from. The nurse must embrace the concept of cultural competence and cultural awareness. This requires not only the awareness of the cultural beliefs and values of their patients, but also

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.

Cultural competence in nursing is imperative for effective patient care. A nurse must know his or her own values and beliefs as well as knowing about a patient cultural practices in relation to healthcare. Cultural competence is defined by some as: “the learned, shared and transmitted values, beliefs, norms and lifeways of a particular group that guides their thinking, decisions and actions.” Also it is noted that an important change to this definition is “the recognition of the dynamic,

Culture is one of the most relevant elements that can define not only a society but also a country’s cumulative beliefs and system. Often noted as the origins of a country, culture is definitive in the sense that it harbors all the elements that can provide justification on the traditions and norms set by the society for its members. More often than not, the society members follow norms in order to create a harmonious community, and the beliefs and the traditions serve as the poles or grounding rules for each member to follow. Culture is very dynamic in the way that it can change over a variety of foreign influences but what is permanent about it is that original elements about it often lingers with the influences, therefore making it multi-faceted and broad. More importantly, culture serves as an individual and unique trait each society has, and therefore sets it apart from other countries and other societies.

Cultural competence can be defined as using the ability of one’s awareness, attitude, knowledge and skill to effectively interact with a patient’s many cultural differences. Madeline Leininger, a pioneer on transcultural nursing describes it this way; “a formal area of study and practice focused on comparative human-care differences and similarities of the beliefs, values and patterned lifeways of cultures to provide culturally congruent, meaningful, and beneficial health care to people” (Barker, 2009, p. 498). The importance of cultural diversity in healthcare allows for the delivery of appropriate cultural autonomy. Showing respect for others will lead to trust between nurse and

In order to deliver nursing care to different cultures, nurses are expected to understand and provide culturally competent health care to diverse individuals. Culturally competent care is tailored to the specific needs of each client, while incorporating the individual’s beliefs and values (Stanhope & Lancaster, 2006, p. 90). By being culturally competent, nurses are able to help improve health outcomes by using cultural knowledge and specific skills in selecting interventions that are specific to each client (Stanhope & Lancaster). Therefore, nurses “should perform a cultural assessment on every client with whom they interact with” (Stanhope &

Cultural aspects of holistic assessment is relevant in the provision of nursing care as it provides the care team with an overview of cultural needs of the patient as well as providing information in which the patients’ health problems have arisen. Culture is defined as values, beliefs, artifacts, behaviors, attitudes and customs influencing and regulating interactions between members of a social group (Stein-Parbury 2010: 91; Johnstone 2006: 67). It is the nurses responsibility to adhere to the ANMC, competency 2.3, ‘accepts individuals/groups to whom care is provided regardless of race, culture, religion, age, gender, sexual preference, physical or mental state’ (ANMC 2006, p. 4). Kozier & Erb (2012: 360) discuss that cultural sensitivity, appropriateness, competency and safety are all factors that are required to be taken into consideration so that the patient can be provided with the best possible health care. Kozier & Erb (2012: 360) also explain that conflicts in health care have been apparent due to cultural misunderstandings. An example of a cultural misunderstanding is the level of pain. In some cultures, it is normal to dramatically express ones level of pain whereas in other cultures people do

As nurses, we adjust our care accordingly to each patient. It is vital that we not only assess our patients physically, but assess all aspects of their lives, including their cultures. For this paper I will discuss the key components of a comprehensive cultural assessment. I will also choose two of the key components and discuss my own culture and how it affects my attitude to culturally diverse care. Last, I will identify two nursing diagnoses that would relate to a patient with a culture other than my own, as well as give proper interventions.

Culture competence is a quality that any nurse should have. The article that I decided to research refers to the impact that language and different cultures have on a patient’s health. It is the duty of health care professionals to attempt to learn about different cultures and to be sensitive to the way patient’s feel about their beliefs. Once the nurse understands a patient’s

Today’s society is a mix of all the nations, languages, traditions, beliefs and cultures. The diversity of values is what makes society stronger, interesting, more or less acceptable to some forms of foreign influence in one way or another. In general, the assimilation process into society goes with an intermittent level of success, cultural differences arise when dealing with certain aspects of life. In healthcare, people are interacting within very close physical distance, discussing intimate health details, present at the at happy (childbirths) or tragic (death) moments, where stress can bring patients and their families to an edge, those deep rooted cultural differences can be seen without any cultural shields.

After completing the “cultural competence checklist: personal reflection designed by T.D. Goode” for the first time, I was not surprised by my results. The results were a reflection of my personal understanding how culture impacts holistic care and my continuous need to improve my care. I have strived to become non-judgmental. I work to not let my personal beliefs and values influence my nursing care on decisions. When I practice this philosophy it provides better patient outcomes and promotes an improved understanding of cultural differences. This also enhances a safe and caring environment. “It is important for health care providers to recognize that care must be individualized and considerate of the cultural. Racial, and ethnic identity of the patients and their families” (Broome, 2006, p. 486) .There is much diversity in the beliefs and practices of the Indian culture and we should grant these individuals complete freedom to practice their personal cultural variations and the religion they choose.

This exposure to the cultural diversity has helped me through the process of developing culturally competent care. The various models described in chapter 4 are crucial to understand the continuum of the culturally congruent care. The model described by Campinha-Bacote (2002) define five essential constructs necessary for culturally

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.

The premise of Madeleine Leininger ‘s Theory of Culture Care Diversity and Universality is that one must regard his or her patient both holistically and with respect to the patient’s given cultural background. Leininger aims to establish a nurse-patient relationship in which communication and collaboration are culturally congruent. Via such interactions, a nurse can hypothetically deliver individualized, culturally competent care. However, while Leininger’s theory has many benefits and clear applicability in a multicultural society, its execution may fall short due to the predominating social norms and values held by larger society.

When providing nursing care to those of varied backgrounds, the nurse’s ability to practice cultural competence is critical. Soulé (2014) defined cultural competence as “an inclusive approach to health care practice that enables a health care professional or health care system to provide meaningful, supportive, and beneficial health care that preserves every client’s and every community’s human rights and dignity” (p. 48). The nurse must consciously and consistently assess their awareness, engagement, and application skills while speaking to and caring for the patient.