Cultural Care, Cultural Competence

The main ideas that Lisa Bourque Bearskin is stating in this article is that nurses need to be more sensitive to cultural care. They need to be aware of the issues in healthcare and strive to remove any barriers for certain groups, such as the first nations, and they need to disrupt any unequal relations in the social, political and historical aspect of healthcare. The way this can be done is by shifting their thoughts from cultural competence to cultural safety by way of relational ethics. Cultural competence is explained as the knowledge, skills, and attitudes that nurses need to use to care for cultural differences. Another framework described cultural competence as going through the stages of cultural awareness, cultural knowledge, cultural skill, cultural encounter, and cultural desire. Cultural competency works very well when making policies in an agency but this view fosters a view of culture that does not encourage nurses to ask questions. (Bearskin, 2011) Cultural Competence causes different cultures to be put in a box, which cannot be done because cultures are constantly changing and every person’s culture is different. Culture is individual. Lisa Bourque Bearskin goes on to say that cultural safety is what nurses should use for ethical practice. In cultural safety, a nurse must strive to improve health care and its access for all people, while recognizing that there are many different cultures that have a right to be recognized. Bourque

These religious and spiritual influences play a major role in the Hispanics health, illness and daily life. In much a similar manner, the Native American Indian family adopts the cultural beliefs to associate with illness and health. They believe that a person’s state of exists when he or she exists in harmony with nature and sickness occurs when an imbalance between the natural or supernatural forces and the sick individual exists (Askim-Lovseth & Aldana, 2010). Traditional health believes and practices involving healing ceremonies and rituals restore balance when illness happens. “These can be conducted by their traditional medicine men or women, who are thought to have compelling powers, the ability to read minds, and know-how in concocting medicine, drugs and poisons.” For the white young family, the cultural belief of invincibility and youth are the driving force behind health prevention (Askim-Lovseth & Aldana, 2010). “Focus on the temporary is regularised, while thinking about health is assigned to an adult person where family accountabilities pertain.” Protecting against illness or disease does not feature into their daily lives. Disease or illness is something that is insubstantial and distant, and unimaginable to their young, resilient bodies and thus irrelevant (Edelman & Mandle, 2010).

In the Dominican culture, when it comes to illness and health, there is no real explanation as to why people get sick. Some believe illness is caused by natural factors such as a dysfunction in the body; others believe illness is due to supernatural causes such as punishment from evil ancestral spirits or somebody sends the evil spirits after them to harm them. When asked about views of health and illness, she stated that most Dominicans interpret health as being up, active and not being in bed where one is unable to take care of his or her self. Many Dominicans believe that if you are not in bed, therefore you are healthy. Many Dominicans believe in folk practice to promote health, for example: a problems that are seen as natural and spiritual are treated with prayer and ritual. Problems that are believed to be supernatural are treated with the help of a witch, healer, or a voodoo priest. For instance, the Catholics practice Spiritism and Santeria by praying the saints to grant them favors and heal them. Some may consult a healer who usually enters in contact with the saint spiritually to ask the saints

Their health practices are expected to be humor when ill, it is one way family show love and concern because they are believed to be more emotional expressive. Hispanic are oriented society that may neglect preventive health care and may show up late for appointment or do not go at all. They believe in their religion catholic and argue that birth control methods other than rhythm are not allowed. Latin America view thinness as problem and well-rounded as the ideal; the advice that a patient lose weight is considered absurd and may not be followed because it would create a negative body image. They have their medical system which is coherent view to historical roots that combine Aztec, Spanish, spiritualistic, homeopathic, and scientific element. Their holistic

Acculturation refers to the process of individuals changing and adapting to the behaviors and values of a new group or culture (Strunk et al., 2013). Some older Hispanics may hold on to their cultural beliefs and values of which are far different compared to the traditional Western health care views, resulting in a failure to access care. One of the beliefs Hispanics have is the belief that the secret to achieving good physical and mental health is maintaining a balance between the person and the environment, and between hot and cold within the body (Taylor, Lillis, & Lynn 86). Illnesses and conditions deemed to be hot including pregnancy, hypertension, diabetes, and indigestion should be treated with interventions considered cold. Consequently, illnesses and conditions deemed to be

Understand cultural competence and why is it important especially for that have a diverse workforce.

Culture is a pattern of behavior and values shared by an ethnic group. Cultural heritage is a set of traditions within the culture that is hand down from the older generation to the younger generation within the family. These traditions influence the family’s decisions in relation to their diet, education, daily living activities, religious beliefs and practices and also health and illness beliefs. In this paper, the author will focus on the usefulness of applying a heritage assessment in evaluating the needs of a person as a whole. Three different cultures including authors will be discussed about the health maintenance, health promotion, and health restoration. The author will also evaluate health traditions which

Madeleine Leininger’s cultural care theory is one of the most influential modern day theories in nursing. Leininger describes her theory as one that is cultural sensitive that is tailored to address patients of different cultures, backgrounds, or origins. Leininger develops the cultural care theory due to the fact that she believes that nurses are caring for their patients as a one hat fits all, and not taking into consideration the patient 's background or their culture.

“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

Culture is a very important aspect for health care professionals to examine when interacting with their clients. By having an understanding of different cultural practices, a clinician can more effectively treat a patient. Kagawa-Singer, M. & Kassim-Lakha, S. (2003) theorizes that patients resist lifestyle changes, and culture forms lifestyle. Therefore, if physicians attend to the influence of culture on health behavior, outcomes of medical care might well be improved.

Immigrants bring their culture to the host country with different values and beliefs. Several studies reveal that immigrants’ culture can lead to numerous changes including health practices, physical activity, and dietary. The purpose of Jadalla’s research article is to promote a better understanding of acculturation and how it influences immigrants’ health practices.

'Unity in Diversity' has been the distinctive feature of Indian culture. Whatever health traditions people follow, they are very strict on their eating habits. They eat more healthy foods and include more vegetables in the daily servings. Also for maintaining health they spend some time for exercise. For protecting health, people use various methods like rituals for self protection, superstitions, oils or water (Holy water) and specific dietary taboos that must adhered to, for example, after child birth women will have some restrictions on

Nowadays, nurses not only need to know how to care of their patients, but they also must be able to care of patients from other cultures with many beliefs and values. Cultural views of individual influence the patient’s perception and decision of health and health care (Creasia & Parker, 2007). In order to care for people across different languages and cultures, nurses need to develop cultural sensitivity, knowledge, and skills.

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

Showing support and respect for cultural health beliefs creates a better interpersonal relationship between patient and physician. When implementing a wellness plan for the patient to follow the physician should take into consideration the beliefs of the patient. Health care providers should seek and obtain knowledge of their patient’s diverse cultures. Obtaining the knowledge of other cultures can be an valuable skill.