Cultural Values And Health Care

The use of the theoretical framework known as Leininger’s Theory of Culture Care Diversity and Universality is emphasized in the nurse practitioner’s role. The theory’s 3 modes of care: culture care preservation and-or maintenance, culture care accommodation and-or negotiation, and culture care restructuring and-or repatterning are the basic components in providing culturally congruent care (51). The authors discuss being able to see the patient as a whole person, known as the Sunrise Enabler, assessing their situation, and other

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

Cultural competency is becoming essential in American healthcare with the increasing and diversification of immigration. The Department of Homeland Security, 2014 statistics indicates over 750,000 immigrants received naturalization in the US. These naturalized citizens represent over 20 countries varying from Hispanic, Indian, Asian, African, and Middle Eastern cultures. A change in the way American healthcare treats these cultures is necessitated to provide efficient care and achieve positive outcomes. Douglas et al. (2014) guidelines are to empower patients to help diminish the inequities of their own healthcare. The guidelines for culturally competent care are meant to guide the nurse, nurse educators, and nurse managers in their competent treatment of persons of other cultures. These guidelines mandate a nurse use education, self-assessment and reflection, and diversification of the workforce to meet the demands. The ten guidelines are knowledge of culture, education and training in culturally competent care, critical reflection, cross-cultural communication, culturally competent practice, cultural competence in health care systems and organizations, patient advocacy and empowerment, multicultural workforce, cross-cultural leadership, and evidence-based practice and research.

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 &

To provide our patients with quality care, increase access to care and to help them to understand and change behavior patterns that could put their wellbeing at risk, we need to develop our cultural competency skills as the lack of knowledge of other cultures can create obstacles. A diverse demographic also extends to workplaces and is the norm nowadays. Many healthcare providers are of a different cultural and ethnic background than the patients they are treating. Therefore every health service encounter is a cross-cultural experience. Sensitivity and understanding to others can prevent misunderstandings, assumptions and miscommunications that would otherwise leas to cultural complexities(6,

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 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

“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

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.

Nurses have to be culturally competent, they need to assess their individual values and beliefs about health and health care; otherwise, nurses might assume that all cultures share western premises and values. In order to be considerate to an individual, nurses must remember that beliefs and values influence individuals and families health care decisions. Nurses and healthcare providers should stay up to date on the diversity of patient culture, if they plan to be effective (Grand Canyon University. 2011).

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.

The premise of Madeleine Leininger ‘s Theory of Culture Care Diversity and Universality is that one must regard his or her patient both holistically and with respect to the patient’s given cultural background. Leininger aims to establish a nurse-patient relationship in which communication and collaboration are culturally congruent. Via such interactions, a nurse can hypothetically deliver individualized, culturally competent care. However, while Leininger’s theory has many benefits and clear applicability in a multicultural society, its execution may fall short due to the predominating social norms and values held by larger society.

Today when people move across continents with the help of technology their culture and heritage moves along with them. Almost each and every continent is populated with people from different nations who have diverse traditions and cultures. Thus knowledge of health traditions and culture plays a vital role in nursing. People from different cultures have a unique view on health and illness. Culture-specific care is a vital skill to the modern nurse, as the United States continues to consist of many immigrants who have become assimilated into one culture. I interviewed three families of different cultures: - Indian (my culture), Hispanic and Chinese. Let us see the differences in health traditions between these cultures.

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