Professional Communication Cultural Sensitivity Guide
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
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Numbering roughly 250,000, the Navajo reservation covers approximately 25,000 square miles. Window Rock located in the North Eastern part of Arizona is the capital of the Navajo Nation. As one of the poorest regions in the country, isolation, culture, traditions, as well as economic status affect the Navajo communities’ wellbeing and healthcare. While the elderly Navajo population grows about three percent a year, life expectancy is “73.7 years compared to 76 years for the general population” (Mercer, 1996, p 184). Elderly Navajo members are revered due to their wisdom and life experience. Other things that negatively affect the healthcare of the Navajo are little running water or electricity, no phones, rough rugged terrain and most must drive more than one hour to a facility that provides health care. The Navajo home or hogan entrance must face east to welcome the sun for daily blessings. Made of tree bark, mud and wooden poles, the hogan is windowless. The majority of the Navajo population has no indoor plumbing. Merely 38% of Navajo people actually have electricity, heat and plumbing (McCauley, 2004, p. 47).
Blending old with new, traditional and modern Western medicine and treatment give the Navajo the best of both worlds culturally. Medicine from the Navajo perspective is about healing people by restoring balance and harmony to the spirit. Prayer as well as balance healing rituals like “Walking in Beauty” (O’Brien,
The Navajo creation story explains that medicine was brought to the people by an ancient owl. This owl sent down a magic bundle containing the powers of healing to the new world. For thousands of years Navajo people have used this knowledge to heal and live in harmony with each other. As a product of two worlds, Dr. Lori Alvord was one of the first people to combine modern medicine with Navajo beliefs by overcoming cultural differences.
There are many legends in the Navajo for example, the creator is a legend of the creation of the Navajo. The mythology is the creation story it involves the first world, the second world, the third world, and several other things. The stories are passed down generation to generation they did not write down the history it is spoken to them.The traditions of the Navajo tribe are thing like ceremonies for illnesses and deaths. The ceremonies last at least two days it includes chanting, prayer,and song. The Navajo houses are hogans which are made of wooden poles, mud, and tree bark. The women wore a simple two piece apron and the men wore breechcloths. In winter they wore animal skin to keep warm, or woven yucca,which is a shrub that has a
The Native American culture is the original culture of the United States. Members of Native American tribes live throughout the country. “There are an estimated 4.9 million persons, in 565 federally recognized tribes who are classified as American Indian or Alaska Native (AI/AI), alone or in combination with one or more other designated racial classifications. This demographic group compromises 1.6% of the U.S. population” (Horowitz, 2012). Wisconsin is home to the Ho-Chunk (Winnebago), Ojibwa (Chippewa), and the Potawatomi tribes (“American”, 2014). It is important for nurses within this state, as well as any other state, to understand the Native American belief system in order to provide a quality healthcare experience. Nurses are the primary point of contact in the healthcare setting. Client advocacy is one of the nurse’s major roles. Therefore, the nurse should have the highest level of diversity understanding for the cultures within the local region.
Cultural competence in nursing is imperative for effective patient care. A nurse must know his or her own values and beliefs as well as knowing about a patient cultural practices in relation to healthcare. Cultural competence is defined by some as: “the learned, shared and transmitted values, beliefs, norms and lifeways of a particular group that guides their thinking, decisions and actions.” Also it is noted that an important change to this definition is “the recognition of the dynamic,
Critically analyse one of the main challenges, barriers, and enablers for cultural competence in health care when working in a cross-cultural environment.
Every culture has their own way of life, their own religious beliefs, their own marriage beliefs, their own values and feelings on life and the options it has to offer. Each culture has their own way to run things within their own government, and own way to keep their economy up to their standards. Also each culture and society have their own primary mode of subsistence that makes them unique. Among the Navajo culture their primary mode of subsistence are pastoralists. Pastoralists have an impact on different aspects with in the culture. The aspects that I will be discussing will be the Navajo’s beliefs and values, economic organization, gender relations and sickness and healing.
The development of the Giger and Davidhizar Transcultural Assessment Model (GDTAM) came about because of nursing students’ need to provide culturally diverse care for patients. The model acknowledges that each culture is individually unique and assesses them according to six phenomena: communication, space, social organization, time, environmental control, and biological variations. In this model “nurses must use transcultural nursing knowledge as a skill and an art to provide care to diverse populations in a culturally appropriate and competent manner” (Sagar, 2012, p. 57). It goes on to discuss how the model sees cultural competence as “a dynamic process implemented by an individual or health care agency by using significant interventions based on the client’s ‘cultural
The times have changed, but the spirit lives on. The Navajo are a Native American tribe that resides as their own nation in the southwestern part of the United States. The land consists of desert and mountains, so the Navajo had to learn many skills to live and adapt with the land. They gathered plants and nuts to eat, hunted animals for meat, and used the skins to keep warm at night as the temperature in the desert drops to below freezing. As times changed the Navajo adapted their skills to benefit them. They got herds of goats and sheep and used wool from the sheep to weave amazing blankets. Today, the Navajo tribe teaches their cultural traditions and beliefs to their children and followers. They believe nature is sacred and they give thanks to the animals and plants they use for food. The Navajo passed on their beliefs that the people emerged into the world to escape a flood in the lower world. The Navajo also tell many stories to show respect for nature and the spirits and neglect the ones of being treated unlawfully. The Navajo Nation allows these people to try and maintain the lifestyle that their ancestors lived, with some modern exceptions. Most Navajo people live on the reservations, but sadly, they are poverty stricken. However, it is a place where they are sheltered from a growing society. Due to all of this, the Navajo’s unique traditions and beliefs, along with its prior mistreatment, justify the formation of their own nation.
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 &
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
The Navajo, also known as the Diné, are one of the largest Native American Tribes in the world. Their culture is made up of very distinct and unique characteristics that have been passed down from generation to generation. They have been taught to adapt to their surroundings and to the land. Each moral, standard, belief and value are what make the Navajo so unique to the Native Americans. In the following, their primary mode of subsistence, kinship system, beliefs, values, and economic organizations will be briefly examined to gain a better knowledge of the Navajo culture.
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
“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.
Cultural competence is the ability to interact well with people of different cultural backgrounds (Rundle, 2002). It provides the best ways of meeting the needs of diverse patient population which is always on the increase, as well as ways of effectively advocating for them. This means that cultural competence has the benefit of enabling nurses to deliver services that respect and effectively respond to health beliefs and practice needs of diverse patients. Through the process of globalization, nurses are moving to places of nursing shortage to offer their knowledge and skills beyond their home