The Sunrise Enabler Framework Is Developed By Madeleine M. Leininger

“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

Cultural diversity in the health care setting is increasing each year. Knowing how to care for patients of different religious and spiritual faiths is essential to providing high-quality, patient-centered care. The author of this paper will research three lesser-known religions; Taoism, Sikhism and Shamanism. Through this paper, she will provide a brief background on each of the three religions and present information regarding spiritual perspectives on healing, critical components of healing and health care considerations associated with each religion.

In today’s world, where globalization and the internet has shrunken spaces and reduced distances, it is only natural that we come across people of different cultures living in harmony. As a nurse practitioner, one experiences several circumstances where the patients are from different cultural backgrounds, varied religious beliefs and also from the other part of the world. While a nursing practitioner has a challenge of treating every patient with utmost care and concern, there are times where our strengths and beliefs come in between our duty (Maier-Lorentz, 2008). A nurse practitioner might have to face situations where they might not have any control over, and still should show their best face. This is where their values, beliefs and behaviors might help them to achieve the impossible.

The Republic of Indonesia is a land full of many different cultures, ethnicities and beliefs. It consists of five large islands, and thousands of smaller islands, of which six thousand are inhabited (“Indonesia”, 2016). Indonesia is a little over nine thousand miles away from the United States, and with all that distance comes some distinct differences in lifestyle, beliefs, and social norms. As a nurse working in the healthcare field, it is our responsibility to be respectful of other people’s beliefs and values and to encourage diversity, even with our patients. Allowing our patients to continue their normal routines as much as possible and to feel comfortable decreases stress, which enables healing. It is hard to be respectful of another’s beliefs without first having an accurate data base of information about said person’s beliefs. This essay outlines detailed information about several different aspects of Indonesian culture including; family patterns, communication, space and time, nutritional patterns, health beliefs and practices, spiritual practices, and biological variations.

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 United States has always been the symbol of freedom of religion and health care today has needed to increase its knowledge in incorporating the many different religions/spiritual beliefs in order to provide a more holistic approach to care. As health care providers we should not look in validating our own practice in regards to religion or spirituality but to comprehend and learn to see the patterns of similarities and differences in order to provide holistic care to our patients. As religious and spiritual beliefs are never permanent and are constantly changing and/or influenced by government, thinkers, historical events, technology and the shifting values of cultures the study of religions/spirituality should be continuous for all health care providers. The Native American, Buddhism, and Sikhism have some similar traits and values imbedded in their practiced religions that resemble the Christian Faith and medical providers needs to be aware and able to accommodate them in order to provide holistic care.

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

The nursing profession is known for being a caring and compassionate career path that is loving and accepting of all individuals. The traits of many of us are based on our cultural background and therefore it is important to be culturally aware of different traditions and preferences pertaining to cultures that we directly interact with. Both taking into consideration the patient’s culture and recognizing the impact of one’s own personal beliefs are competencies that a nurse should demonstrate and are listed under the first standard of practice according to the American Nurses Association (ANA, 2015).

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).

In today’s society, it is very important for the healthcare professional to be educated about the culture of their patients. It can be seen that the number of patients who are Muslim are increasing throughout the healthcare system. It is challenging for healthcare workers to care for the needs of Muslim patients when they don’t understand their cultural beliefs. Muslims don’t necessarily have the same health beliefs, outcomes, or priorities that their providers have, therefore making it more difficult to come to a final healthcare decision (Al-Oraibi, 2009.) “This intercultural gap in understanding between clients and providers may result in poor care services and low levels of satisfaction” (Al-Oraibi, 2009.) Muslims are

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

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.

India is a nation of many different individuals, each with their own beliefs and way of life. The different beliefs that are held by these people and the traditions they follow can have a significant impact on how they view modern healthcare. The beliefs and moral values which are a part of human nature can have positive impacts on an individual, but can also bind them and cause negative impacts on mental and physical health (Worthington & Gogne, 2011). It is necessary for health professionals to be aware of the cultural beliefs and influences so that they can effectively provide healthcare services. A lack of cultural competence in care leads to poor patient outcomes, low compliance, and higher disparities regardless of the services and systems available ("Diversity & Cultural Competency in Health Care Settings").