The institution of nursing has been rapidly changing in the past decades. The responsibilities of nurses have evolved to include the cultural aspects of the clients, along with the empirical and theoretical knowledge. Implementing the cultural aspects of patients values, beliefs, and practices in their care can overcome challenges to foster better health outcomes. Thus leading to greater compliance and continuity of care. When aspects of the patient 's cultural values are not employed in the patient 's care this can negatively impact the patient’s views. The patients may see their care as unworthy and develop mistrust in the healthcare system . Working as a nurse in my earlier years, I have experienced obstacles that have affected the care that I had provided to many of my patients . I vividly remember a nurse-client encounter I had about eight years ago. In this situation I regret to say that I did not provide care rendered from a cultural perspective. In retrospect, I realized the importance of the cultural aspect of the patient and how it impacts the care provided. It was a hot summer evening in July around 7 pm, I was the triage nurse in an Emergency Room in the Bronx. Mr.S rushed to the triage door in a panic, knocking profusely with six family memebers accompany him. Mr. S was a medium built, fifty-five years old man from Mexico. He was 4’6 inches with black hair, brown eyes, and light skin. He was a laborer with only a third grade education and only spoke
“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
Utilizing the culture care theory, nurses become knowledgeable of what constitutes health in understanding the meanings and symbols of the ways of culture. Care, caring knowledge, and actions are core components that will ensure the health or wellbeing of people in various cultures. Kaakinen et al (2015) asserts that clients may not be prone to nurse’s suggestions for health promotion because of cultural conflicts with the client’s belief and value systems.
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 nurse also recognizes that health care is provided to culturally diverse populations in this country and in all parts of the world. In providing care, the nurse should avoid imposition of the nurse’s own cultural values
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,
Both articles express how important it is to be culturally self-aware and in touch with your personal beliefs, views, and morals. If you aren’t aware of what your cultural beliefs are you won’t be able to provide you patients with the cultural care and respect that they require in their recovery to become healthy again. In addition, the two articles (Newson 2009, Byrson 2012) both talk about how important it is to be open minded with people who may have a different opinions and views on certain things. If you aren’t open to treating you patients in the cultural way that they want to be treated, your patient will feel disrespected and unimportant. Therefore, their health will suffer because of your incompetence to accommodate their cultural needs. A nurse needs to be culturally self-aware, they need to know what their own personal views are first so they can understand that not everyone’s views will be the same. This means they need to be capable of being open and accepting to other people’s cultural wants and needs. By being these two things you will be able to provide people of all cultures with the respect and treatment they
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
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 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).
When culturally competent nurses interact with other cultures, they observe how members of the culture communicate, watching for verbal and non-verbal cues. Eye contact is important to identify. For some cultures direct eye contact is not polite. Touch for some cultures is prohibited. If needed, nurses should explain the reason for touching the patient before proceeding. In some cultures males cannot be caregivers of females. Silence doesn’t always mean miscommunication or patient apathy. For some cultures is a positive non-verbal cue or a sign of respect or agreement. Space and distance is very important when providing care. Patients can place themselves close or far from the nurse based on their culture. Healthcare beliefs also vary from cultures. Some cultures are compliant with cares while others may not be very cooperative. Based on these observations, nurses can plan their plan of care based on the patient’s needs (Maier-Lorentz, 2008 Journal Of Cultural Diversity). Nurses also need to observe pain non-verbal cues, food preferences, family arrangements and general norms and interactions.
the undeniably assorted, multicultural population in the United States is putting forth new difficulties in the arrangement of cultural care by nurses in general. An immediate relationship exists between a patients way of life and their well being; of the numerous factors known to impact health beliefs and practices, culture is a standout amongst the most compelling. In the event that the arrangement of the most ideal care to all patients is the objective, nurses must have aptitude and ability in the conveyance of culturally proper and cultivation equipped nursing care. Each nurse must play a dynamic part in getting a data base whereupon to build up a social competency. The capacity to convey nursing care that will permit powerful communications
As a young girl, I have always enjoyed being around people in their time of need as well as experiencing internal satisfaction by serving those that need my help. In my day to day nursing career, I have encountered several patients from different cultures and traditions. During my short time caring for people with diverse cultural backgrounds, I have learned that this population involves more complex care. My nursing interventions focus not only on the patient’s physical needs, but also their emotional and spiritual ones. I have always being caring, kind, gentle and patience in my interactions with patients. Moreover, I make them feel valued by being kind, compassionate, and ready to listen to their complaints and frustrations. It gives me great pleasure to hear my patients comment they had a good day because of the care I was able to provide them.
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
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.