Importance Of Culture In Nursing

“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

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)

Care and culture are the key constructs that make up the Culture Care Theory. This theory differed from other nurses’ work or mindset because nurse leaders relied heavily up on the four metaparadigm concepts of person, environment, health, and nursing to explain nursing (McFarland and Wehbe-Alamah, 2015). Leininger realized that those four metaparadigm concepts were to limited in its scope regarding nursing and culture and care ideologies. Interestingly, care and culture were excluded from the metaparadigm. “It is not logical to use nursing to explain nursing” (McFarland and Wehbe-Alamah, 2015). That is definitely a contradiction in terms and represents scholarly research

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.

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

The practice of nursing in today’s multicultural societies calls for nurses to identify and meet the cultural needs of diverse groups of people; to understand the social and cultural reality of the client, family, and community; to develop expertise in the implementation of culturally acceptable strategies for the provision of nursing care, and to identify and use appropriate resources for health teaching that is acceptable to the client. Undeniably, this cultural diversity necessitates that the care provided be compatible with the needs of the culturally diverse population. Madeleine Leininger is recognized worldwide as the founder of transcultural nursing,

Cultural competence is defined as possessing the skills and knowledge necessary to appreciate, respect, and work with individuals from different cultures. It is a concept that requires self-awareness, awareness and understanding of cultural differences, and the ability to adapt to clinical skills and practices as needed

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 &

To be a successful culturally competent nurse, nurses should assume attitudes to promote transcultural care. Nurses need to be aware of their patient’s cultural differences - taking time to understand and value patient’s cultural needs and perspectives. Nurses should show respect and concern for patients. Nurses should also be empathic with their patients.

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

I consider myself to be a fairly traditional American white woman, with non-denominational Christian beliefs. My ethnicity is sort of a mixture of Irish, German, Native American and a few others, but my main cultural background is traditional American. I do not put a lot of emphasis on my ethnicity, because in my opinion and the opinion of many others as well, Caucasian American can be race and ethnicity. I celebrate traditional American holidays such as Christmas, Independence Day and Thanksgiving. I do eat traditional American foods, but I also love ethnic foods of all kinds. According to McKinney, James, Murray, Nelson and Ashwill (2013), “Belief in Jesus Christ as the son of God and the Messiah comprises the central core of Christianity” and “Study of biblical scripture; practicing faith, good works, and sacramental rites (e.g., baptism, communion, and others); and prayer are common among most Christian faiths” (p.44). I am non-denominational; however, I do believe this statement sums up the main core of my beliefs. I pray, I have been baptized, I believe in good deeds, and attending church. The only difference is that I do not believe that you must attend church or partake in communion to have a relationship with God; I believe that relationship is rather personal. Now in terms of American culture in the healthcare setting, Euromed Info Online indicates that Western industrialized societies such as the United States, which

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.

The development of the Giger and Davidhizar Transcultural Assessment Model (GDTAM) came about because of nursing students’ need to provide culturally diverse care for patients. The model acknowledges that each culture is individually unique and assesses them according to six phenomena: communication, space, social organization, time, environmental control, and biological variations. In this model “nurses must use transcultural nursing knowledge as a skill and an art to provide care to diverse populations in a culturally appropriate and competent manner” (Sagar, 2012, p. 57). It goes on to discuss how the model sees cultural competence as “a dynamic process implemented by an individual or health care agency by using significant interventions based on the client’s ‘cultural

Cultural Framework Joyce Giger and Ruth Davidhizar developed the Transcultural Assessment Model in 1988 to guide nursing students through assessment and interventions when