The Importance Of Cultural Competence In Cultural Care

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

Cultural safety is a concept that is integral to providing best care to patients in nursing practice. The CRNBC defines cultural safety as a process requiring RNs to reflect on their cultural identity, and develop their practice in a way that allows them to affirm the culture of their patients; cultural unsafety can be defined as any actions which demean, diminish, or disempower the cultural identity and well-being of people; this also addresses the dynamics of the power relationship between the Health Care Provider and the patient (p17). Although an environment of cultural safety is a standard that we are held to as nurses, this ideal is not always reached. In this paper I will discuss one such incidence, as well as some of the changes that will assist myself as a nurse, as well as others members of the healthcare team to create an environment of cultural safety.

64). Reflecting one owns practice is the first principle, and it is a critical part for nurses because it is a vital characteristic for achieving professional competence (Mann, Gordon & MacLeod, 2009). While minimising the power gaps between the nurses and the Indigenous patients is the next principle (Atkins, De Lacey & Britton, 2014). An Indigenous client view nurses to have more power more than them, thus acknowledging the Indigenous practices lessen the power imbalance (Durey & Thompson, 2012). Thirdly, in implementing cultural safety it is actually engaging sensitively with the patient to gain understanding of their viewpoint (Atkins, De Lacey & Britton, 2014). Some health care providers lack true engagement to the Indigenous clients in the health care settings (Ware, 2013). For an instance, the use of medical jargons and abbreviations while talking, a culturally safe nurse includes simple language or explanation that the patient can understand easily (Skellet, 2012). Additionally, having an Aboriginal and Torres Strait Islander health workers in health care facility can excellently build trust and can promote better engagement among Indigenous client (Hepworth et al,

Cultural competence in health care describes the ability to provide care to patients with diverse values, beliefs and behaviors, including tailoring health care delivery to meet patients’ social, cultural and linguistic needs. The need for healthcare systems to increase cultural competence and personalize care for ethnic patient minorities should not be ignored. Healthcare systems should promote better understanding and communication between diverse ethnic patients and caregivers. Hospitals should design a system that caters to the needs of all the populations they serve and not just apply a one-size-fits-all approach. Becoming a culturally competent health care organization is a critical component in reducing health care disparities.

Culture has more than one definition. It can be defined as the language spoken throughout a group of people or even the beliefs practiced. In the professional field of nursing, nurses are required to do more than administer medication or change bandages on a patient. To be able to fulfill a nurse’s job requirements, a nurse must learn to be culturally competent. Cultural competency in the professional field of nursing means to care and respect the patient whether or not the health care provider is in agreement with the patient’s decisions.

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

Who is the person the nurse is caring for? Where is that person from? Does this person speak English, or understand what the caregiver is saying? What is this person’s cultural background? What are the health beliefs of this person, what are their illness beliefs and practices? These questions are answered differently depending upon the person and their heritage. As healthcare providers it is important to have a broad knowledge base in regards to different cultures and people’s practices to deliver effective health care. In 2006, the population of

Remote communities such as those in northern Canada consistently experience a shortage of healthcare providers (HCP) including nurses (Place, Macleod, Moffitt & Pitblado, 2014). Due to the cultural and geographical uniqueness of these areas, challenges are inevitable, however, it can be undoubtedly rewarding. Nurses can particularly gain valuable experience regarding the importance of cultural competence and its implementation.Therefore, this paper will discuss the context of northern Canadian communities as well as three challenges and three benefits faced by nurses working there. Considering the populations in these communities are culturally diverse, it is especially essential for the nurses to have the appropriate cultural knowledge and skills in working with these populations. Consequently, we will also explore the definition of cultural competence, other terms used to describe this concept and how nurses can ensure they have the necessary cultural competence to work with these communities.

Cultural Competency can be described as one’s ability to learn about cultures other than their own. It speaks to the value one places on diversity and their desire to foster an open exchange of ideas between dissimilar cultures. While in a perfect world, cultural competency would be of heightened importance in all aspects of life, there are certain industries where cultural competency factor more heavily; one of those being health care. This is especially true in areas with increased diversities of cultures, ethnic groups and a variety of languages.

The United States Census Bureau has predicted that the minorities will become the majority by 2042. Unfortunately, the minorities collectively live below poverty level and are uninsured for healthcare, even though there have been many attempts to improve as mentioned in the above post. Some studies have also proved that the minorities have a tendency to live a shorter life, which in turn means that they have a higher percentage of loss of life, and have little knowledge about health care and available resources.

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).

Cultural Competency, widely known as the ability to understand the differences between cultures and how one can assess and effectively respond to each patient’s cultural diversity. Cultural competency is something that can be applied far and wide to many different professions, but its importance is strongly present in the healthcare industry.

Cultural safety wasn’t an area of focus until the late 1900’s, according to the National Collaborating Centre for Aboriginal Health. Cultural safety focuses on building an environment where health care professionals respect all cultures, beliefs and practice. Cultural safety’s focus is that no one will be treated unfairly or discriminated against because of their identity of who they are and what culture they come from. We as potential workers in the health care system need to understand the concept of cultural safety and be aware of cultural differences that we will face. Living in a country with such ethnic diversity, nurses of Canada need to understand the matter of cultural safety, so patients feel they are accepted no matter their cultural

Cultural and linguistic competence is an essential component in the work towards addressing and eliminating health disparities because it will allow everyone to truly understand exactly what the problem is and have common goals. According to the U.S. Department of Health and Human Services, definition of linguistic competence is “the capacity of an organization and its personnel to convey information in a manner that is easily understood”. This means that everyone is on an equal level if they are illiterate, speak a different language, have a disability, etc. Treatment is half of healthcare, but the interactions between doctors and patients is the other half, and arguably more impotent. Patients will be less likely to follow the instructions their physician gives them if they do not feel respected. It is a fact that black and Latinos

The health environment can often seem foreign, unusual and alienating for the care-receiving patient and their whanau. They may feel vulnerable, nervous or anxious, and find it difficult to feel empowered. This is especially true if a patient’s cultural needs are not being acknowledged (Medical Council of New Zealand, 2013). Culture is not restricted to ethnicity, religion or spiritual beliefs. It includes age, generation, gender, sexual orientation, occupation, socioeconomic status, and disability (Nursing Council of New Zealand, 2011). In order to deliver culturally safe practice, nurses must take time to reflect on their own cultural identity and take into consideration that his or her personal culture can affect their professional practice (Nursing Council New Zealand, 2011). The act of being culturally safe means that the nurse provides care that expands beyond cultural awareness and sensitivity. The nurse enables the patient to provide input on nursing practices and contribution towards achievement of positive health outcomes and experiences (Nursing Council of New Zealand, 2011). Cultural safety is focused on the patient’s own cultural needs and can only be identified as safe by the patient receiving the care or by their whanau (Richardson, 2010). These cultural safety customs are identified and outlined in the Nursing Council of New Zealand’s cultural safety principles, which all nurses must comply with while practicing their profession in Aoteora (Nursing Council of