Cultural competency becomes increasingly important in delivering a holistic, culturally sensitive care, and ensuring patient satisfaction and positive outcomes. With the escalating diversification of the population of the United States, the biomedical model of health care in which the western medicine roots its practices often fails to recognize the cultural differences. Healthcare, according to Putsch and Marley (1990), is a very complex issue which can be further complicated by cultural and language barriers. The strict use of scientific method in diagnosis and treatment has created an enormous gap between practitioners and the public they serve. The reality of the multiracial, multicultural population of the United States requires from health …show more content…
It is important for nurses to identify and meet the varied needs, to provide individualized care. Today, teaching all health care providers, the differences in the cultural and religious views, as well as the associated with it health care practices, is more important than ever before. According to the United States Census Bureau (2016), over 30% of the total population in the USA is comprised of various ethnicities, other than non-Hispanic Whites. That number is expected to grow by the year 2050 to 50% of the whole population. Despite this fact, approximately 90% of all Registered Nurses are Caucasian (Census.gov. …show more content…
There are many examples of nursing care, where not knowing about the patient cultural history lead to miscommunication and ultimately worsening of the condition of the patient. One of such examples of lack of acknowledging cultural differences and described by the American Colledge of Obstetrics-Gynecologist( 2011), is a scenario where a lesbian woman sees a gynecologist for the first time. She responds "yes" to the gynecologist inquiry about whether she is sexually active, and so the provider begins to lecture her on the use of birth control, which leaves the patient uncomfortable and upset. As a result, she refuses to return to the office again. In culturally sensitive approach, the doctor should not assume his patient heterosexuality, but question her about the gender of her sexual partner. Another example describes an elderly Chinese woman who is asked by her nurse to go to the laboratory to have her blood drawn. She takes the requisition form and never returns to the office. The nurse failed to see the woman 's hesitation and ask why she was worried. Had she done that, she would have learned that the woman believed that the blood taken from her body would never be replenished, which would make her feel weaker than she already is. The culturally sensitive approach would involve asking the woman about her fears, and after learning about them, explaining how blood is replaced in her human body, as well as the importance of the ordered tests. Bussy- Jones and Genao(
By the third year, their patient increased from 10% to 40%. Many are African Americans and Hispanics. The staff, however doesn’t reflect the patients’ diversity. The staff is 85% Caucasian, including nurses, laboratory technologies, pharmacists, and therapists. There are two African American and one Hispanic managers.
After reading Dr. Galanti 's articles about culturally competent healthcare please answer the following questions: What did you gain from reading Dr. Galanti 's article? Dr. Galanti provides insight into the relationship between cultural diversity and heath care providers. Dr. Galanti’s briefly states the difference between “stereotype and generalization”. The author recognizes that generalization may be a key factor used by workers in the health care community to bring awareness and a better understanding of cultural differences among patients. The article explains that although cultures differ in values, traditions, and beliefs, there are questions (the 4’C’s of culture) that may open up the line of communication, between provider and
Expressing this cultural safety can be demonstrated through empathy. When patients feel like there care is showed through their personal culture they will receive a “sense of security” (Kanchana & Sangamesh, 2016) because they will have a sense of acknowledgement showed through a LPNs use of their empathy. Another example of demonstrating cultural safety is through being aware of the differences in cultures. Knowing and understanding this will allow you to develop a care plan that is patient specific that follows all of the requirements that the individuals culture may require. Realizing that all your patients have individualized “various cultural differences” (Kanchana & Sangamesh, 2016) is a vital role every LPN must be able to recognize and perform.
In 2013, the registered nurse minority count was 9 percent in a study done by National Council of State Boards of Nursing and The Forum of State Nursing Workforce Center. In 2013, show that 47
Introduction: Due to the growing economy, population diversity is significantly increasing and it is urging health care providers to understand and communicate with diverse cultural and ethnic populations. From here, the term cultural competency was originated and it’s defined as a” set of congruent behaviors, attitudes, and policies that come together in a system, agency, or among professionals and enables that system, agency, or those professionals to work effectively in cross-cultural situations”.(1) Health care providers need to treat patients holistically with respect of their cultural values and traditions, which may interfere and sometimes complicate a recommended treatment, not to mention a significant disparities in oral and general health in these minorities of cultural population have been noticed.(2,3) It is important to mention that perception of seeking professional care varies significantly among different ethnic and cultural groups resulting in poor oral health and negligence of seeking professional care. Therefore, health care quality and effectiveness require a thorough understanding of traditions, cultural values, attitude and background of the diverse cultural groups seeking dental care.(2) Literature review:
These cultural expectations could affect relationships with clients and co-workers in the form of their families involvement, body language, gender preferences and so on. It is very important that health workers learn to be innovative and flexible when working with people from other cultural backgrounds. PROJECT 1
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.
In The Spirit Catches You and You Fall Down, Anne Fadiman made the point that a person's life can be ruined due to "cross cultural misunderstandings. " The text points out many issues between the patients and the doctors. It sheds light on many of the problems that the refugees faced after coming to America due to cultural displacement. From my understanding, the texts of Dettwyler and Fadiman show how medical limitations effects the health of the people whether they are in a foreign country or their own country and also the barriers they face due to lack of resources and knowledge.
As a healthcare provider you should give your patients the best care possible, and that can only be achieved when you are accommodating to different needs. There is no place for ethnocentrism in today's world, and healthcare
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.,
Cultural competence affects the patient and healthcare professional positively. Healthcare professionals can gain knowledge and skills to tailor to a patient’s satisfaction. A study by Soulé (2014), identified awareness, engagement, and application as the fundamental components of cultural competence in a health care workforce and health care system. Awareness can be likened to mindfulness of self and others. A health professional should understand their own culture, such as their naturally occurring stereotypes.
(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.
Leininger’s theory was effectively applied and incorporated in ANA scope and standard number eight culturally congruent practice. It is the application of evidence-based nursing that is in agreement with the preferred cultural values, beliefs, worldview, and practices of the healthcare consumers and other stakeholders. The theory demonstrates respect, equity, and empathy in actions and interactions with all healthcare consumers. Nurses and health care workers applied to practice by participating in lifelong learning to understanding cultural preferences, choices, and decision-making processes of diverse consumers. It also identifies the stage of the consumer’s acculturation and accompanying needs and engagement.
Culturally competent nurses advocates for patients regardless of cultural differences. Hollinger-Smith (n.d) “A health care professional who has learned cultural competence engages in assistive, supportive, facilitative, or enabling acts that are tailor-made to fit with individual, group, or institutional cultural values, beliefs, and lifeways in order to provide quality health care” (p. 2). Nurses look to profit from a better health care system and practice mutual respect, formality, thoughtfulness and overall good