Nursing continues to strive towards excellence in delivering culturally competent healthcare. Through this journey of excellence, improvements can be made by continued education and awareness. Awareness of areas I need growth in builds on my existing knowledge and skills. In this paper, I will identify areas of weaknesses and strengths in my cultural competency skills as well as strategies that will improve my transcultural nursing care. I have identified these areas using the Cultural Diversity Self-Assessment. Achieving a total score of 104, this tool has allowed me to target my weaknesses and create a plan to increase my competence in those areas. I have also been able to identify my strengths in cultural competence.
The self-assessment tool specially evaluated my personal culturally competent abilities. Two areas of weaknesses I targeted are as follows:
1. The appreciation of other cultures and honoring their holidays and events.
2. I believe there are policies and practices in place that negatively impact people outside the majority culture.
I regard my own culture as the correct and moral way of life. These pervasive beliefs led to the lower scores in these areas. My unconscious beliefs are imposed on my day-to-day life, including my professional life. Critical thinking requires a nurse to be open minded, she must question everything and assume nothing. When a bias exists it clouds these thinking skills, opinions are developed based on beliefs, instead of
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
The world has become ethnically diverse owing to the increase in global mobility of the general population. Nevertheless, the nursing principles regarding the care of patients advocate for the development of cultural competence. While working with students from other programs, I realized the need for hospitals and health care agencies to accommodate the special needs of the culturally diverse populations. This is especially because we all as a team act as advocates for the
Theories of transcultural nursing with established clinical approaches to clients were founded in the mid-1960s and are an essential aspect of healthcare today. The ever-increasing multicultural population in the United States poses a significant challenge to nurses providing individualized and holistic care to their patients. Accurate assessments identify factors that define transcultural nursing and analyze methods to promote culturally competent nursing care.” (Maier-Lorentz, 2008)
Critically analyse one of the main challenges, barriers, and enablers for cultural competence in health care when working in a cross-cultural environment.
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
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
After completing the “cultural competence checklist: personal reflection designed by T.D. Goode” for the first time, I was not surprised by my results. The results were a reflection of my personal understanding how culture impacts holistic care and my continuous need to improve my care. I have strived to become non-judgmental. I work to not let my personal beliefs and values influence my nursing care on decisions. When I practice this philosophy it provides better patient outcomes and promotes an improved understanding of cultural differences. This also enhances a safe and caring environment. “It is important for health care providers to recognize that care must be individualized and considerate of the cultural. Racial, and ethnic identity of the patients and their families” (Broome, 2006, p. 486) .There is much diversity in the beliefs and practices of the Indian culture and we should grant these individuals complete freedom to practice their personal cultural variations and the religion they choose.
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
Below, I will discuss the results of a multicultural self-assessment that I took. I will describe a time in which I felt “other”. I will then proceed to explain my personal feelings regarding each. I will discuss a course of action I plan to take as a result of the multicultural assessment. I will develop a counseling identity statement. Finally, I will explain why multicultural awareness and cultural competency are important in the field of counseling.
Engaging into the importance of multicultural competence, awareness of such competency has become a significant necessity in the area of mental health, and various fields of psychology (Hayes, 2008). It is essential for a counselor to be multicultural competent in order to develop a therapeutic alliance with a client, while understanding their cultural identity. Therefore, culturally competent knowledge, attitudes, and skills of diverse culture, is necessary, in proper treatment and diagnosis. Nonetheless, the complexity of cultural diversity can contribute to challenges in assessment, diagnosis and or treatment. It is further understood; by understanding one’s social history, psychosocial history, presenting problems, along with other pertinent information regarding a cultural responsiveness in a diagnosis, and how it would be beneficial to individuals of various social, ethnic, and other minority groups in order to make a treatment plan based on the findings of a cultural assessment (Sue & Sue, 2013). Nonetheless, cultural influences, often neglected, are needed to incorporate the challenges cultural groups face when seeking treatment. Therefore, I have found it applicable to use “ADDRESSING,” framework in therapy as a resource for developing cultural and relevant assessments in addition to the onset symptoms presented in the client in the case study of Mrs. Hudson. The use of “ADDRESSING” acronym is designed to obtain age, developmental and physical disabilities
To be a successful culturally competent nurse, nurses should assume attitudes to promote transcultural care. Nurses need to be aware of their patient’s cultural differences - taking time to understand and value patient’s cultural needs and perspectives. Nurses should show respect and concern for patients. Nurses should also be empathic with their patients.
The nursing profession has a long history of assessing and placing patient needs first when giving care. The tenets of nursing practice include meeting those needs using individualized care by collaborating with the patient, family, and health care team members. (American Nurses Association, 2010). The concept of transcultural nursing aligns with these tenets because it calls on nurses to provide patient-centered care by taking into account the patient’s background, beliefs, culture and values. In this paper, I will identify the factors that made it necessary to develop the transcultural nursing theory, describe the meaning of diversity and its relationship to the field of nursing, and explain three ways that I provide culturally sensitive care to my patients.
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
I consider myself to me a female, daughter, college student, Catholic, friend, sister, and a future nurse. From the list of identities above, I think being a student and a friend to be the most important in my life at this time. Every day I go to school and work hard to achieve my goal of being a nurse. Along with going to class, I spend a lot of time with my friends.