ANALYSIS OF REVIEW FOR ENHANCING CULTURAL COMPETENCY IN NEW NURSING GRADUATES Cultural competency is an indispensable in nursing practice so that nurses can deliver optimal care for patients from diverse cultural backgrounds. Therefore, insufficient knowledge and skills of cultural competency have continued to increase racial and ethnic inequalities in health care service for minority groups (Dunagan et al. 2013; Long, 2012). As nurses interact with clients they provide nursing care, education and advocacy at any point in need. Cultural awareness remains the basis for nurses to develop interest and continue to advance in knowledge and skills to deliver culturally competent care (Calvillo, 2009). To complete the critical analysis of the …show more content…
RESULTS To discuss the result of the integrative review, studies selected consist of articles that used multiple research methods. The essence to combining different research methods was to improve the strategies to enhance data collection and extraction (Whittemore & Knaffle, 2005). The primary focus was to enhance the rigour of the critical analysis to discuss current of knowledge on enhancing the cultural competency of new graduates (Whittemore & Knaffle, 2005). DATA REDUCTION Although seven studies included in the review, two of the study used qualitative methods (Hart & Mareno, 2014; Kokko, 2014). The research methods were found suitable for the designs of each study. Chircop et al., (2013) used quantitative research designs which are supposed adequate for obtaining measurable data on student competence and knowledge acquisition. While the two mixed method designs (Alpers, & Hanssen, 2014; Dunagan et al., 2013) are considered effective for exploration of self-assessment for to enhance cultural competency. Two other studies used quasi-experimental research methods (Mareno and Hart, 2014; Noble et al., 2014). The summary of the selection process is illustrated in Appendix II. DATA DISPLAY To describe the pattern and relationships between the primary data sources, the extracted data are displayed in Appendix III In “Caring for ethnic minority patients” published in 2014, Alpers, & Hanssen, concluded that
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).
Cultural competence is the ability to interact well with people of different cultural backgrounds (Rundle, 2002). It provides the best ways of meeting the needs of diverse patient population which is always on the increase, as well as ways of effectively advocating for them. This means that cultural competence has the benefit of enabling nurses to deliver services that respect and effectively respond to health beliefs and practice needs of diverse patients. Through the process of globalization, nurses are moving to places of nursing shortage to offer their knowledge and skills beyond their home
The term culture is defined as “the thoughts, communications, actions, customs, beliefs, values, and institutions of racial, ethnic, religious, or social groups” (Potter & Perry, 2013). With the increase of culturally diverse populations in the United States, it is important for nurses to practice cultural competence. Cultural competence is the ability to acquire specific behaviors, skills, attitudes, and policies in a system that permits “effective work in a cross-cultural setting” (OMH, 2013). Being culturally competent is essential because nurses who acknowledges and respects a patient’s health beliefs and practices are more likely to have positive health outcomes (OMH, 2012). Every culture has certain views and attitudes concerning
The process of embedding culturally relevant teaching skills in faculty development should be an ongoing process (Haviland and Rodriguez-Kiino, 2009). The excitement about learning new material and the importance of cultural awareness can lose its momentum if it is not reinforced throughout the school year (Boyle et al., 2005). One dose of training is not a cure-all for instilling a new method of teaching.
It have been proven effective in providing services to individuals from a wide spread of diverse backgrounds. Cultural competence is understanding a set of congruent behaviors, knowledge, attitudes and policies that enable effective work in cross-cultural situations (Bazron, Cross, Dennis, & Isaacs, 1989). This means that an individual trains to understand different cultural groups. Cultural competency training is beneficial to all human service organizations because it aims to increase the knowledge and skills to improve one’s ability to efficiently serve different cultural groups therefore eliminating biases and
I have learned that it is important that educators and health providers be trained on cultural competency to understand the population they are serving. Marks, Sims, and Osher (King, Sims, & Osher, n.d.) define cultural competency as a set of congruent behaviors, attitudes, and policies that come together in a system, agency, or among professionals and enables that system, agency, or those professionals to work effectively in cross–cultural situations" ( as cited in Cross et al., 1989; Isaacs & Benjamin, 1991). Health providers and educators should investigate demographic patterns or trends in the place where they live and work. This brings awareness of the types of cultures that they might come across when they are working with people. Organizations should integrate and implement policies that promote the value of diversity, self-assessment, manage the dynamics of difference, acquire and institutionalize cultural knowledge, and adapt to diversity and the cultural contexts of communities they serve (Georgetown University, 2004). Georgetown University (2004) also stresses that culture competency grows gradually and is always open for improvement.
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 &
For us to develop cultural competence we need to have a level expertise, knowledge and attributes. When I mention Expertise I am referring to professional skills such as, being able to communicate correct information for culturally different people and their communities, the skill to candidly discuss racial and ethnic issues and to react to culturally based signs, the skill to understand the meaning that traditions/culture has for each person, Interviewing skills that help to understand and accommodate the role of language in a person’s culture and the skill to use the idea of empowerment on behalf of culturally different people and communities.
With the large increase multicultural population in the United States, nurses encounter patients with differences in healthcare beliefs, values and customs. To provide adequate nursing care, nurses must be aware of these differences. They must respect and acknowledge the patient’s culture. To do this, nurses need education on cultural competence to ensure patient satisfaction and better patient outcomes.
The progress I have made on building cultural competence is I met this guy while I was at work, and he was telling about how his insurance won’t be able to cover for his visit to campus health. I suggested to him that maybe he change health care providers to someone who can possibly help cover more things than the one he has now. Also in one of my public health classes one of my teachers is having a luncheon with people who have HIV and I know if I go to the event I can get a better insight on what they are dealing with and find out ways to help them, since the luncheon is ran by an organization that helps people who live with HIV, or I could just give them support
Some of the author’s major points are the lack of understanding of what cultural competence really means which is bringing confusion about ways it can be utilized in the social work field. The confusion of the utilization of cultural competence is leading to the lack of consensus concerning the effective training that providers should obtain and the population being served with the cultural competence skills lack clear description. According to the author, the most popular cultural competence intervention in the healthcare system is the cultural competency training which is for health care providers and the two approaches that have been utilized in creating the intervention are; the programs aimed at improving knowledge which is group specific,
Hart and Mareno (2013) wrote in their article, Cultural challenges, and barriers through the voices of nurses, nurses are being tested in today 's healthcare environment to provide culturally competent care to their patients which consist of a diverse population. Nurses, according to Hart
Nursing is a dynamic field that is frequently evolving with the changing demographics of the world we live in today. It is important for nurses to have the ability to provide culturally competent care with every patient encounter. Providing culturally competent care is not possible unless the nurse has an understanding of the ethnic background (Flowers, 2014).
Being culturally competent and delivering culturally sensitive care is imperative for anyone in the medical profession. It is important because of the many diversities faced every day in the health care field. However, simply understanding the fact that there are so many health disparities is not enough. In order to reach out and effectively care for patients of different backgrounds and cultures one must understand the importance of cultural competency. In order to be culturally competent, a nurse must have knowledge of the different cultures, and
Campinha-Bacote constructed a model that depicts cultural competence into five different areas: cultural awareness, cultural knowledge, cultural