Culturally Appropriate Care Planning
As a nurse, the ultimate achievement of professional care is empowering patients to live at the highest level of health and wellness possible. Hence, nurses do not simply treat the acute healthcare needs of patients, but instead, nurses must also incorporate details that define what health and wellness means to each individual patient. According to Marzilli (2016), patients viewpoints are intertwined in their cultural upbringings, cultural expectations, and cultural lifestyles. Therefore, through anticipatory planning, the competent nurse can effectively assess and plan within the cultural context of a patient’s specific healthcare needs. By conducting culturally competent nursing care, patient outcomes
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Key components of the cultural assessment include exploring what is important to the patient along with the cultural aspects that encompasses the patient and their overall health. According to Andrews and Huber (2016), a total of twelve components can be included in the comprehensive cultural assessment. These key components include: communication; health-related beliefs and practices; kinship and social networks; and religion and spirituality. Communication can vary among patients including the ability to speak the same language as the nurse, if any hearing or speech deficits exist, or if nonverbal communication is forefront. Furthermore, health-related beliefs and practice variations can be evaluated through by the way the patient and their support systems view health and illness. For some cultural groups, mental health is an off-limits subject to address; whilst, some cultures may feel illness is a punishment or a spiritual lesson. Kinship and social associations also differ among groups. Some patients may rely on family leaders to help make health decisions; while, some patients may include traditional healers in their treatment plans. Lastly, as a key component in the cultural assessment is religion and spirituality. For some patients, spirituality is vital to the healing process. Rituals, spiritual objects, and treatment alternatives may have a high impact on the patient’s view of …show more content…
Hence, many healthcare workers provide care to patients in a way that is acceptable from medical viewpoints along with what is socially acceptable from past patient experiences. Likewise, individual experiences also construct how a nurse cares for patients in ways that are deemed normal and acceptable. For example, spirituality and spiritual rituals can be perceived as significant components in the healing process (Hemberg, & Vilander, 2017). As a nurse, with a strong Christian background as a former Mennonite, healing practices that my culture embraces include anointing one’s head with holy oils, large prayer groups, and fasting as spiritual ways to combat bodily ailments. My cultural background views this physical body as a weak entity with the belief that a person’s physical body may decline and die, but the spirit lives on forever. Hence, as a nurse, I promote and encourage any spiritual rituals or practices that a patient may use to develop a sense of faith, hope, and perseverance of spirituality throughout their
In “The Spirit Catches You And You Fall Down,” Anne Fadiman provides us with her book about two different cultural worlds and how they collide. 1. Quag Dab Peg in Hmong culture is caused by a bad spirit (dab’s). Hmong’s believe dab’s steal souls and cause sick illnesses.
This article is related to Unit 1 lecture on Ethics and Values taught by Mrs. Townes. To provide optimal care for individuals of different religious cultures, practices and beliefs nurses must be skilled in identifying best practices when caring for patients. Understanding a patient’s religious beliefs and values will determine if that patient receives efficient and standard care based on their own beliefs. Buddhist may deny certain medication based on the make-up or components of the medication and whether medications will alter their normal state of mind. The best care for a patient of Buddhist ethnicity is to provide them with a calm environment that will allow patients to meditate, practice relaxation techniques, and chanting rituals.
It entails an awareness of the physical, social, spiritual and cultural needs of the patient. By so doing, it can help facilitate a more perceptive approach to the expectations of the patients. Hence, it will lead to the provision of a more culturally sensitive approach to the delivery of care. As a result, it will lead to an enhanced understanding and improved patient care.
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.
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.
In other words, to be culturally competent, professionals must provide superior, respectful medical care to all patients. This must start with building an understanding of basic philosophies and value systems of different population groups. This is especially critical in the nursing field where much time is spent providing hands on care with each patient. A nurse must be sensitive to language differences, social cues and personal lifestyle choices
Cultural competency is vital when working with diverse populations in health care because of all of the different cultures and ethnicities prevalent in our country. America is a true melting pot, and the acculturation which inevitably occurs, is an important aspect of assimilation. Since communication is a key objective in the prognosis of various ailments, the healthcare experience is reliant on today's health professionals to have an adept understanding of a multicultural environment. A regulatory dilemma which is common in today's culture, is the alienation of groups that are not understood by our healthcare system. These patients often resort to self care , which often leads to serious complications and other health issues as a result
In this article, researchers suggest minority in population remain at higher risk and danger for diabetes than the social majority. According to National Information Center on Health Services Research and Health Care Technology (NICHSR, 2016), Healthcare disparities denote variations in access or availability of health amenities and services. Health status disparities denote to the difference in proportions of disease incidence and incapacities among socioeconomic and/or geographically defined population groups. Structural violence is unique means of labeling social measures that place people and populaces in harmful condition. It is structural in as much it is surrounded in the political and economic society of our social domain; it is
Generally, most of the interventions that that initially provided effective patient cultural education should therefore be highly considered by nurses, for example, one where a brochure about healthy dieting in another language can be provided. Other examples can also include requesting for a translator, or even discussing the patient’s distinctive diet. These simple interventions become part of the initial step to provide culturally harmonising care that is capable of enhancing the quality of
The healing, then, is focused on the person, and not on the symptoms or the disease (Anonymous, 2008). They tend to view illness as something that comes from evil spirits or punishment for not carrying out personal rituals or perhaps a curse from the dead (Carteret, 2013), it is because of these beliefs that they would turn to specials rituals and seek council with an elder. The steps they might take are to participate in drumming, go into a sweat lodge, talking circles, ceremonial tobacco smoking, Shamans [healers], vision quests, smudging [the burning of herbs], chants or ceremonies, or the person might abstain from food and water, once deemed illegal [now legal as The Freedom of Religion Act 1978] to rid the disease or evil spirits, or a fusion of Western medicine and Native American healing for a synergistic effect (Anonymous, 2008). Other cultural practices are that the healing process chosen last over days, is kept secret from outsiders, and to have anything removed during a surgical procedure back to them, so that they cannot be used on another family member. Autopsy is not allowed as the body needs to be whole to cross over to the spiritual world (Abbott,
To work effectively in a foreign community, it is crucial that short-term nurses have an understanding of culture, belief system, and their lifestyles. Nurses needs to be culturally competence to provide patient centered effective healthcare. Culture competence is the ability of healthcare professionals to understand the social, cultural and linguistic needs of patients to provide effective health care (Georgetown University Health Policy Institute, 2004). A lack of culture competence can lead to poor patient outcome. For example, if a nurse has a poor understanding of a diabetic patient's diet, and food preference, that could inhibit the nurse's ability to educate patient to manage the disease.
If nurses lack of understanding regarding community demographics and cultural differences, they can have unintentional bias, and stereotype patients due to a lack of awareness of the cultural demographics of the community they serve (Camphinha-Bacote, 2011). Cultural competence is the understanding of different cultures and how that impacts the provision of patient care. Cultural competence in nursing is defined as one willingness or the desire to understand a patient’s culture, the ability to learn about a defined cultures belief system, and to work effectively as a healthcare provider understanding the dynamics of the patient’s culture as it relates to their relationships and care (Kardong-Edgren et Al.,
The world is a diverse population, with people coming from various ethnic and cultural backgrounds. A person’s views, values, and traditions determine their daily needs and practices. So, healthcare providers face certain challenges and restrictions because a patient’s belief may inhibit professionals from providing the most effective care. Therefore, cultural competence is an important idea for healthcare providers to consider when understanding and respecting patients. Balcazar, Suarez-Balcazar, and Taylor-Ritzler (2009) noted in “Cultural competence:
Christian nurses are given the unique ability to provide compassionate and spiritual care to a variety of patients. The purpose of this paper is to explain my definition of nursing as a caring art, describe how Christian faith impacts caring, describe my personal philosophy of nursing while identifying my own personal values and beliefs, and discus how my beliefs impact my nursing practice. To me, nursing as an art of caring, is defined as caring for the whole person, building meaningful relationships, and providing compassionate care. Holistic nursing care involves healing a person physically, emotionally, and spiritually. I believe the art of nursing is embedded in the steps we take to address problems that are not simply physical.
The narrator talks about patients’ needs of spirituality during health crisis. Many studies have shown that spiritual well-being makes an impact on how patients respond to illness. Nurses are primary care givers, thus responsible of patients’ spiritual needs and