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Cultural issues in nursing
Overcoming cultural barriers in healthcare
Cultural issues in nursing
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The CLPNBC Professional Standards relates to culturally safe nursing in many ways, specifically in the fourth professional standard which is labeled Ethical Practice. One of the indicators that is a good representation of this is “Respects and protects client worth, dignity, uniqueness and diversity” (CLPNBC, 2014). This indicator expresses that as LPNs we have the obligation to understand that different patients have a different backgrounds and this shouldn’t influence the proper and respectful care they deserve. A patient’s care (regardless of their personal preferences or ethical choices and backgrounds) should receive healthcare that shows their importance with no kind of segregation represented through a respectful and accepting manner. Another indicator is “Identifies the effect of own values, beliefs and experiences when providing nursing
In nursing school, students were introduced to the idea of cultural competence. It is a concept that I am familiar with due to my cultural background. Being respectful and aware of the beliefs and values of other traditions cannot be neglected and ignored. We are all global citizens that hold different views and perspectives, therefore leaders must equip themselves with the understanding that people expect and will act differently based on their cultural beliefs.
If nurses lack of understanding regarding community demographics and cultural differences, they can have unintentional bias, and stereotype patients due to a lack of awareness of the cultural demographics of the community they serve (Camphinha-Bacote, 2011). Cultural competence is the understanding of different cultures and how that impacts the provision of patient care. Cultural competence in nursing is defined as one willingness or the desire to understand a patient’s culture, the ability to learn about a defined cultures belief system, and to work effectively as a healthcare provider understanding the dynamics of the patient’s culture as it relates to their relationships and care (Kardong-Edgren et Al.,
The Appalachian cultural group has faced many adversities related to low levels of education, poverty and health issues. In the following discussion, the Appalachian disparities will be examined and how these inequalities affect their health status, employment and education. Finally, two nursing interventions will be addressed to decrease the health disparities and the biggest nursing challenge that occurs when implementing these nursing interventions. There is a fairly large Appalachian population in Ohio and the Appalachia region extends crossing thirteen states within the United States. According to Giger & Davidhizar (2013), nine of the states have a large Appalachian culture with high rates of poverty, unemployment and low income.
Hi Moncy, I agree with you as you noted the increasing diversity of the nation brings opportunities and challenges to health care system, on the other side a culturally competent health care system helps to improve health outcomes and quality of care, which eliminate racial and ethnic disparities. foster advocacy for social justice and increase focus on global healthcare, the cultural competence class benefit diverse population to receive more satisfactory patient care, uplift social justice and increase global health as well cultural competency skills , make self-awareness among nursing workforce also provide an opportunity to staffing to learn and experience life from different perspectives and able to recognize each person has their own
The evolution of the United States healthcare delivery system has significantly influenced many areas of nursing practice, education, and leadership. The evolving healthcare delivery system impacts nursing practice because nurses have assumed expanded roles and responsibilities, including care coordination, patient education, and advocacy, and are adopting evidence-based practice and quality improvement initiatives to enhance patient outcomes. Another way the healthcare delivery system enhances nursing practice is by emphasizing cultural competence and addressing disparities in healthcare access and outcomes to create optimal outcomes for all patients, regardless of population. The evolution of our healthcare delivery system impacts nursing education by adapting to meet the demands of a changing healthcare workforce.
Provision 1 states, “The nurse practices with compassion and respect for the inherent dignity, worth, and unique attributes of every person” (ANA 2015a, p.1). This provision means that nurse must respect their patients and families in terms of their culture, beliefs, and values without any bias or prejudice. It is irrefutable that nurse in the course of their career would work with people from different backgrounds, but just because they are not familiar with that culture does not mean that they can disrespect them. This provision emphasizes on the fact that nurses must show compassion and provide quality care to everyone regardless of race, background, culture, and beliefs. Provision 3 states, “The nurse promotes, advocates for, and protects the rights, health, and safety of the patient” (ANA 2015a.
Healthcare disparity can be explained as the gap created in the delivery of healthcare to communities which causes some communities to receive better healthcare than others. Some factors that can cause these disparities include race, socioeconomic status, location, and gender. Because of health care disparities, there are a lot of patients who are and will be at risk for many diseases such as diabetes, obesity and hypertension. These disparities negatively affect the overall cost of delivering quality healthcare and are issues that must be addressed by the people who know them best, the health care workers. Through the NURSE Corps Program I hope to help address these imbalances in underserved communities in various ways.
Cultural awareness allows a nurse to develop interventions that will decrease the health disparities with this cultural group. A nurse that strives in building a nurse/patient relationship that focuses on facts, spending time to understand their true illness, and seeks the opinions and advice of the family will overcome a history of mistrust with outsiders (Giger, 2013, p. 264). A second nursing intervention would be to provide dietary education and changes to their diet to decrease and treat problems associated with high blood pressure and diabetes. The biggest challenge to implementing these goals is the limited time to educate and teach these health illiterate individuals of the factors contributing to disease and health problems. This cultural group has limited knowledge and understanding of medical explanations of how illness occurs or how to prevent cardiovascular illness or diabetes (Giger, 2013, p.
Madeline Leininger’s Cultural Care Diversity and Universality Theory, deals with the impact of culture on health and healing. In health care today, a nurse must deal with people from many backgrounds, cultures, and ethnic origins. Transcultural nursing is practiced throughout nursing when caring for people from different cultures. The purpose of Leininger’s theory is to produce knowledge related to nursing care of people from diverse nationalities, who value their ethnic heritage and culture. Leininger’s theory recognized and understood cultural differences and similarities while caring for patients of different backgrounds.
Cultural competency: Indians Culture competency is defined as one has the knowledge, the abilities and the skill to deliver care congruent with the patient’s cultural beliefs and practices (Purnell, 2013). As a nurse or a health care provider, increasing ones consciousness of culture diversity improves the possibilities for health care practitioners to provide competent care (Purnell, 2013). Nurses and all health care providers should be aware of other cultures to provide the best care that they can for that individual. Developing a relationship with diverse cultural groups involves good interpersonal skills and the application of knowledge and techniques learned from the physical, biological, and social sciences as well as the humanities (Purnell, 2013). I am choosing to select the Indian culture for my first assignment.
Health care practitioners need to stay abreast of patients cultures(Boyle,200).Nurses should provide respectful
Health Care Disparities Health care disparities are unfortunate and being culturally competent is an essential step toward eliminating these inequalities. In this discussion, I will review what disparities are associated with the Appalachian culture and how they affect health status, employment, and education. I will also identify two nursing interventions that could be taken to help decrease the affect that health disparities have on the Appalachians and review what the biggest challenge would be when implementing the interventions. There are about 27 million people that live in the area defined as the Appalachian region, which spans 13 states.
Culturally competent nurses advocates for patients regardless of cultural differences. Hollinger-Smith (n.d) “A health care professional who has learned cultural competence engages in assistive, supportive, facilitative, or enabling acts that are tailor-made to fit with individual, group, or institutional cultural values, beliefs, and lifeways in order to provide quality health care” (p. 2). Nurses look to profit from a better health care system and practice mutual respect, formality, thoughtfulness and overall good
Nursing is a responsibility to provide the finest care regardless of the patient’s age, race, religion, sex, disability, ethnicity, sexual orientation, or their past. Nurses must keep up to date on education, new processes, policies and keep informed about new laws and regulations in healthcare, so outstanding healthcare can be administered. As a nurse, you have undertaken a responsibility to provide people the finest quality care that can possibly receive. It is a nurses’ duty to follow the code of ethics, to act