Culturally Competent Nursing Care

Culturally Competent Nursing Care

Study of the complex integration of information, attitudes, and abilities required for culturally competent nursing care delivery.

The growing diversity in healthcare creates a plethora of opportunities and problems for nurses and healthcare organizations to provide culturally competent healthcare services. Handling patients from various backgrounds necessitates a complicated blend of unique skills and expertise, as well as an in-depth awareness of the many cultures (Andrews & Boyle, 2016). As a result, identifying the hurdles to culturally competent services begins with resolving cross-cultural challenges in professional nursing and developing effective communication skills. Excellent medical training in interaction skills and fluency in English facilitate successful communication between the patient and the medical team (Andrews & Boyle, 2016). Given the cultural differences, it is best to maintain a neutral and positive attitude toward a certain culture.

The conceptualization of cultural competency necessitates the incorporation of outstanding communication skills as well as open-mindedness free of bias. As a result, it entails incorporating culturally unique attitudes and values into the process of creating culturally competent healthcare. Multilingualism is important in cross-cultural situations where some patients are non-English speakers, as it allows for interpretation (Andrews & Boyle, 2016). Cultural awareness, broad cultural knowledge, and skills are thus required in this diverse society to preserve a positive cultural perspective as well as accept other people’s cultures for more culturally competent healthcare for all (Henderson et al., 2018).

The five steps in the process of providing culturally appropriate and competent care to clients from varied backgrounds are described.

Superior healthcare service delivery necessitates medical practitioners’ professionalism, with medical care providers adhering to proper procedures for ultimate patient satisfaction (Henderson et al., 2018). This procedure necessitates mutual understanding between nursing staff and patients. Individual competency thus necessitates the integration of cultural differences when performing any medical operation. Similarly, communication is critical in providing culturally appropriate and competent care to patients from varied backgrounds (Andrews & Boyle, 2016). Implementing the proper procedures increases the credibility of service delivery and promotes communication between medical staff and clients from various cultures. The following are the steps involved in providing culturally appropriate and competent nursing care: (Marion et al., 2016)

Phase 1: Assessment: – Individual examination of both the nurse and the client, involving both the patient and the nurse in self-reflection to assist in establishing a calm setting for mutual understanding. The engagement of many abilities is critical in generating a good picture of the parties’ unique cultures. This promotes a collaborative relationship between the nurse, the patient, and the family in order to provide better service.

Step 2: Joint goal setting: – Following a successful assessment and a clear understanding between the client and the nurse, a health framework for the patient is created. The framework is based on mutual agreement for a specific health goal.

Step 3: Development Strategy: – The fundamental healthcare strategy is designed here with the patient in mind. The plan is created with the patient’s healthcare needs in mind, as well as cultural diversity in mind.

Step 4: Implementation: After all of the planning has been completed and the framework has been provided, a culturally congruent and competent action is made based on the patient’s healthcare needs and in accordance with the framework produced.

Step 5: Evaluation: Upon execution, the patient and medical service providers analyze the healthcare plans and goals to determine their efficacy on patient health. An evaluation is performed to determine the success of previous treatments as well as their cultural and professional interactions.

Cultural baggage, ethnocentrism, cultural imposition, bias, and discrimination are all personal definitions of terms.

The term cultural baggage refers to the cultural influence on individual attitudes and relationships in nursing. When it comes to medical treatment, these cultural influences affect how we communicate and interact with others, creating a barrier to mutual understanding between medical service providers and patients.

Ethnocentrism is a cultural appraisal based on a prior understanding of a person’s cultural background and values. This is when people believe that their culture or a particular custom is superior to other people’s cultures, and any cultural thought or view is judged inferior and erroneous.

Cultural imposition is the tendency of an individual or a society to believe that their cultural traditions should take precedence over those of other cultures. As a result, it is an attempt to impose their cultural patterns and behaviors on others in order to establish a superior culture.

Prejudice is a preconceived notion about something or someone formed without information, factual experience, or reason regarding the issue.

Discrimination, on the other hand, refers to the unfair treatment of an individual or group of persons who differ from the control group due to cultural, ethnic, or demographic differences. Discrimination can thus be defined as the act of recognizing the perceived difference between people who are regarded as inferior based on certain qualities or backgrounds.

Individual and organizational cultural competence should be compared and contrasted.

The amount of cultural competency ranges from individual to organization. Individual cultural competence refers to healthcare providers’ cultural awareness in their service delivery (Henderson et al., 2018). Understanding a patient’s skills, traits, and habits is critical to providing better healthcare services that incorporate individual cultural variety. Organizational cultural competency, on the other hand, refers to the assimilation of cultural diversity by a specific organization as a whole, including its employees (Andrews & Boyle, 2016). An organization and its members’ collective cultural competency instills the acquisition and adoption of various cultural knowledge into the organizational structure, as well as the persons and communities to whom they provide services.

However, in both contexts, individuals and organizations maintain cultural competence while working toward a common goal of understanding their patients’ cultural differences in order to improve mutual understanding and service quality to patients while reducing the existence of healthcare disparities (Andrews & Boyle, 2016).

References

Andrews, M. M. & Boyle, J.S. (2016). Transcultural Concepts in Nursing Care (7th ed.). ISBN 978-1-4511-9397-8

Henderson, S., Horne, M., Hills, R., & Kendall, E. (2018). Cultural competence in healthcare in the community: a concept analysis. Health & social care in the community, 26(4), 590–603.

Marion, L., Douglas, M., Lavin, M., Barr, N., Gazaway, S., Thomas, L., & Bickford, C. (2016). Implementing the new ANA standard 8: Culturally congruent practice. Online Journal of Issues in Nursing, 22(1).

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In this written assignment, you have the opportunity to share your thoughts about how to deliver client-centered culturally competent care and work collaboratively with others.

The Case of Mrs. G.

Mrs. G. is a 75 year old Hispanic woman who has been relatively well all of her life. She had been married for 50 years and had five children. Her children are grown with families of their own. All but one of her children live in other states. Mrs. G.’s husband passed away last year, which was devastating for her. She had been very close to him and relied upon him for everything. He was “the life of the party” she always said and was a loving and caring man. Since his passing, Mrs. G. has continued to live in the house they shared for 35 years. In the last month, Mrs. G. has fallen twice sustaining injuries, though minimal. Her home health nurse comes weekly to check in on her. Mrs. G. likes her very much and wishes she could come more often. Mrs. G.’s daughter who lives in the next town over, has been worried and decided with the urging of her siblings and the doctor to start looking for an assisted living facility for her mother. She found one last week and talked with the Director who said she would be happy to help in whatever way was best. The daughter decided to tell her mother that it was time for her to move, so she can be cared for and be safe. When she told her mother, Mrs. G. cried and said, “This will not happen ever. I plan to stay in this house of loving memories for the remainder of my life.”

In 3 – 4 pages answer the following questions:

1. How would you best describe Mrs. G.’s feelings about her life, her family, her traditions, and her future?
2. Did Mrs. G.’s response to her daughter surprise you? Please explain your answer.
3. In what way do you believe her culture might be influencing her decision?
4. If you were Mrs. G.’s daughter what would you say to her that shows you are caring and have compassion for her situation? What nonverbal communication would support that level of communication?
5. Suppose Mrs. G. stands firm about not leaving her house. What resources and collaborations might be available and helpful so the daughter and other healthcare providers can keep her mother safe and make the most effective decision?
6. References are required, and should be in APA format, 7th edition. (these are required even if you are only using your textbook)