In health care today, there are many different cultures found in our patient population. Patients often have difficulty conforming to medical regimens due to their cultural beliefs and practices. Completing a comprehensive cultural assessment is the key to understanding the specific components of their culture to facilitate effective and efficient nursing care. In this paper I will describe the key components of a comprehensive cultural assessment. Two of the components will be discussed in relation to the Afghan culture and how that impacts providing culturally diverse care. Finally, I will create two nursing diagnoses from an office scenario that reflect cultural diversity.
Key Components of a Comprehensive Cultural Assessment
There are eleven key components of conducting a comprehensive cultural assessment. They are communication, cultural affiliations, cultural sanctions and restrictions, developmental considerations, economics, education background, health-related beliefs and practices, kinship and social networks, nutrition, religion and spirituality, and values orientation (Andrews & Boyle, 2016). Communication involves assessing any language barriers and how to overcome them to provide care. Assessing what cultural group the patient identifies with or belongs to is cultural affiliations.
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This allows for more effective communication during teaching. The second intervention for this diagnosis is to supply education and instructions in Afghan language. This can be done with special software on the computer to translate for the patient. My evaluation will be done by having the interpreter determine if the patient understands the education by return demonstration of the glucose monitor and reciting the portions of one diabetic meal. Further evaluation will be done with ultrasound to check the growth of the
After taking the self-assessment survey for quality and culture, I would like to improve and understand how cultural competence can have a real impact on clinical outcomes. Taking from some of the questions I answered wrong, it make me wants to be cultural competent. There are a few questions I am surprised and shocked, that I answered them incorrectly. I do understand that with training, I will start to gain cultural competence but it will take consistent individual practice on my part to develop and maintain individual cultural competence. Cultural competence can lead to, health literacy, health equity, and fewer diagnostic errors, which might help the patient expand their choices and access high quality medical providers because patient
Cultural competency can be described as the ability to interact with different cultures in a positive manner. Many cultural differences can become apparent in a number of situations. According to Fadiman, doctors have a moral duty to save lives even if they don’t agree with the values or beliefs of someone else’s culture (1997). This paper will address the topic of cultural competency, with a concentration on the importance of cultural competency in the medical field. It is hard to imagine how frustrating it may be to come across a patient that resists a professional’s opinion because they have solid beliefs or do not understand what doctors are attempting to convey.
Cultural competency is increasingly important in healthcare today. In America today, we are facing a lot of tension between cultures today. America is a very diverse country with many cultures co-existing and in order to properly care for patients professionals need to be able to understand and tend to their cultural needs. Whether it be a difference in language, understanding that someone is a veteran and how that may affect them psychologically, or any other set of circumstances that surround a specific culture. Having the knowledge and resources that cater to different cultures makes for better experiences across the board and, consequently, makes for more effective healthcare visits.
For example, a nurse once told me that they had never had any exposure to people that did not look like them, talk like them, or think like them. I was not judgmental, but I was amazed that this is possible at this day and time. I felt like this person was missing out on so many cultural differences. I want nurses to have cultural awareness and cultural sensitivity and to have some knowledge and understanding that there are many different cultures that their patients bring to the health environment. Culturally competent nursing care helps ensure patients’ satisfaction and positive patient outcomes.
Individual cultures and belief must be recognized and respected. Cultural understanding is the extensive logic to be cognizance, attentive and application of information and knowledge associated with ethnicity, culture, gender, or sexual coordination in clarifying and appreciative circumstances and reactions of individuals in their environment. Critical assessment on each of the patient individually is very important and cultural assumptions concerning patient 's beliefs or health practices should be avoid. Several areas should be considered when assessing cultural beliefs of patients, such as individual insight of illness and management, the social organization comprising family, communication activities, pain expression, general health care beliefs, previous experience with care, and language. Cultural practices associated with nonverbal communication in the course of conversation are very important.
According to Barry and Edgman-Levitan (2012), healthcare providers should consider their patients’ culture and beliefs most seriously (p.780). Generally, the advances within medicine and changes that involve the U.K. healthcare system place greater emphasis on patient-centred care to enhance the quality of care. Therefore, in assisting patients to assume their role, nurses should be prepared to work with patients from diverse backgrounds and promote diversity and equality. Therefore, this study helped me to gain a better understanding relating to issues about cultural diversity within a multicultural society. Beyond this, I have received a better insight about the importance of culture and the role that culture plays in ensuring successful nursing interventions.
Providing care that is culturally competent ensures that interventions are tailored specifically to the patient and the result is an increase in positive
Madeline Leininger’s Cultural Care Diversity and Universality Theory, deals with the impact of culture on health and healing. In health care today, a nurse must deal with people from many backgrounds, cultures, and ethnic origins. Transcultural nursing is practiced throughout nursing when caring for people from different cultures. The purpose of Leininger’s theory is to produce knowledge related to nursing care of people from diverse nationalities, who value their ethnic heritage and culture. Leininger’s theory recognized and understood cultural differences and similarities while caring for patients of different backgrounds.
Introduction Patient-centered care and cultural competence stem from different platforms, however used together ensures that patients receive the best medical care possible. Beach, Saha and Cooper (2006) noted, “health care that is patient-centered is likely also to be culturally competent, and culturally competent care is likely to be patient-centered” (p.4). Patient-centered care was implemented in US in the 1960s with the goal of changing the way physicians and nurses deal with patients on an individual basis. Comparison between Patient-Centered Care and Cultural Competence Patient-centered care involves “understanding the patient as a unique person, exploring the patient’s experience of illness, finding common ground regarding treatment through
(Universities Australia, 2011). The term cultural competence in health care refers to both the actions of the practitioner and their duty of care for the patient. This means that the care provided must be considered safe by the person receiving the care not the person providing it. (Victorian Government
Cultural competency: Indians Culture competency is defined as one has the knowledge, the abilities and the skill to deliver care congruent with the patient’s cultural beliefs and practices (Purnell, 2013). As a nurse or a health care provider, increasing ones consciousness of culture diversity improves the possibilities for health care practitioners to provide competent care (Purnell, 2013). Nurses and all health care providers should be aware of other cultures to provide the best care that they can for that individual. Developing a relationship with diverse cultural groups involves good interpersonal skills and the application of knowledge and techniques learned from the physical, biological, and social sciences as well as the humanities (Purnell, 2013). I am choosing to select the Indian culture for my first assignment.
Beach, Saha, and Cooper (2006) concisely summarize the prominence of cultural competency in the following manner: “Both patient-centeredness and cultural competence aim to improve health care quality, but each emphasizes different aspects of quality. The primary goal of the patient-centeredness movement has been to provide individualized care and restore an emphasis on personal relationships. It aims to elevate quality for all patients. Alternatively, the primary aim of the cultural competence movement has been to increase health equity and reduce disparities by concentrating on people of color and other disadvantaged populations” (p. 7).
Providing culturally competent healthcare is an important part in today's diverse population. The increasing demands placed on caregivers are intended to increase quality of care, retain new customers from minority ethnic groups and increase overall satisfaction. This paper will describe the components of culturally comprehensive care and nursing diagnoses with examples of individuals of Asian descent. “Asian” is a broad term, that respectfully include people from many countries and nations. For the purpose of this paper this cohort is considered as one group.
Overview: The purpose of this analysis report is to show any findings on the effect of cultural backgrounds on student admissions to college using IBM Watson Analytics. In this report, we focus relationships on student’s high school GPA and ethnicity. Also, included in this report is the connection between a student’s ethnicity and their various placement test scores. Parents level of education and their children’s level of success is also examined in this analytical report.
Therefore, this cultural identity would be a valuable factor for a health care professional as the acceptance of other cultures and aware the difference of the specific culture is essential to provide optimum care for the best interests of the patient (Jeffreys,