Thursday, January 17, 2019
Culturally Competent Nursing in an Ever Changing Diverse World Essay
In breast feeding and wellness condole with the issue of culture is more pronounced than anywhere else. This is because galore(postnominal) people various ethnic, religious, racial and heathenish backgrounds lie with forth to hospitals and health aid centres in search of health solutions. Due to these heathenish disparities, feigned role roles often split up to receive quality operates because of practices that atomic number 18 lacking in heathenish competence. ethnic competence in treat and healthcare refers to the efficiency with which a healthcare provider is able to offer quality service in a cross- pagan setting thus enhancing the systems or institutions capacity to function in effective ingenuity (Dolhun, E. P. et al 2003). Culture influences an item-by-items values, perceptions, beliefs and opinions. It influences how forbearings respond to healthcare givers and the medicament prescribed to them. thitherfore it is very valuable that nurses and different medi cal practiti unmatchedrs hear to improve their awareness towards the issues raised by ethnic novelty in order to improve on service tar.This paper examines ways in which a nurse locoweed be more heathenly competent. It likewise examines the opportunities in the operate place and nursing school that requires heathenly pore health practices. Additionally the paper discusses the issues of self-assessment and client assessment that is geared towards the delivery of heathenly competent health solutions. Importance of Culture to Nursing. The US is comprised of the intimately culturally diverse population. A big percentage of the worlds ethnic, religious and cultural groups are represented in this population.This has created a around unique opportunity as come up as challenge to many another(prenominal) organizations in the service delivery sector. This is because people from all cultures get sinister at nonpareil point in time and they engage to look treatment. Nurses are thus presented with patients from very diverse cultural backgrounds. Culture influences how incompatible people will respond to the incompatible ways of health service delivery, interventions and treatment (Dolhun, E. P et al. 2003). It is therefore important for nurses to move towards achieving cultural competence in order to effectively deal with the challenges that come with the cultural reality.Because of the demographic situation in America service providers are under compel to provide more culturally correct services. The nursing profession stinkpotnot be left behind and therefore the need to comply with the changing unavoidably is overwhelming. Language limitations are also another issue of concern in attaining cultural competence. Ethical Factor One ethical principle that guides nurses in their endeavour to provide culturally appropriate care is the appreciating that everyone regardless of their cultural persuasion is entitled to receive quality health care.Cultura l differences can influence the caregivers prejudices and bias towards a patient (Galanti G. A. 1997). In a similar way a patient can misapprehend the caregivers actions and words. This can serve to lower the quality of care given to this particular patient. Professional ethics require that there be no form of discrimination in the provision of health care but in a situation where there is prejudice on either party, then the quality of care is compromised. Similarly what is considered ethical may arrive at serious consequences when viewed from a cultural context.A fitting grammatical case is when the doctor feels obliged to divulge some information to a patient or a certain member of the family, because in some cultures it is believed that large-minded certain information to a sick person is unacceptable, the doctors ethical actions may be viewed in very bighearted light Nurses responsibility Nurses are usually supposed to care for the general well being of a patient, they ou ght to be able to apprehend and empathize with the patient in order to cater for their physical and emotional needs. On an psyche level, a nurse has a responsibility to learn the practices that are in accordance to cultural competence.It is important that nurses should have an attitude that goes further than save learning acceptable cultural behaviours. Nurses must be motivated by compassion to the patients and driven by example responsibility (Tervalon M. Murray-Garcia J. 1998). This allows them to display a genuine concern and is thus motivated to internalize harmonious attitudes towards achieving cultural competence. In a hospital setting a nurse is needed to be able to anticipate the issues that may arise due to cultural disparities and lack of proficiency in certain languages.They are also to say the others points of view as well as appreciating the strengths and weaknesses of these points of view. In addendum to this, respecting the cultural differences is key to the ab ility to provide culturally appropriate care. Since the issues raised by cultural diversity are multi-faceted in nature, they require a holistic approach that calls for a total overhaul in the nurses ways of thinking. There is no one culture that is the standard of what is good or bad and therefore an open mind is important as nurses move towards delivering health care that exemplifies cultural competence.Achieving this kind of competence is only viable if one comes to self-awareness and recognizes their own values, beliefs, opinions, prejudices and biases (Dolhun, E. P. 2003). From here, they can be able to understand how they respond to different points of view from other. Inorder to come to self-awareness one needs to examine their own cultural and environmental backgrounds. An underlying ethnocentricity is part most people where one is contraceptive and to an extent defensive when it comes to cultural differences (Switzer, G. E et al 1998).However in the nursing practice each nurse should be flexible and work towards developing skills of responding to varied cultural settings and situations. Nursing Schools Similarly in nursing schools one is required to meet most of the aforementioned standards. In addition to that communication skills are developed in school. Learning to communicate effectively in a cultural context have in minds being open-minded, respectful and turning away any form of prejudice or bias (Robins, L. et al 1998). It is a great opportunity to learn form and about other cultures. other(a) communication skills that are essential are listening skills that enable one to establish a rapport with the others. Language skills also play an important role in communication and as such each bookman nurse has a responsibility to learn other languages. Ofcourse it is not possible to learn all the languages there are but one can do their best and that is what is required of them. In the same way nurses should have skills that would enable them to as sess the patient in a cultural context. This would entail finding out as much detail on the patient as possible.It would help to understand their ethnic background, socio-economic class, religion, age group and other social entities that they identify with. Learning about their experiences could also aid in establishing biases. Impact of culture on health care In the socio-economic class 2010 more than 45% of all patients in the US will come from minority cultures. This is due to immigration that is the greatest contributor to the cultural diversity (Tervalon M. Murray-Garcia J. 1998). The health sector has realized the reality of these facts and medical practitioners are outright given incentives to encourage them to take up learning on cultural diversity.This is changing the entire medical profession. Many initiatives have been put in place in order to bridge health differences that exist betwixt minority groups and the white Americans. The existence of cultural difference may carry on negatively on the care given. Cultural factor do affect the retort to the different methods of treatment and diagnosis. Some ideas are perceived differently in different cultures and in some extreme cases family members can controvert in ways that may seem bizarre in the western world. ConclusionThe issue of culture is increasingly attaining great importance with the dynamical cultural mixture. The provision of healthcare is now taking cognizance of the make of culture on the delivery of these vital services. It has been realized that cultural differences have been an impact on the quality of care given. Nurses and other medical practitioner are now under increased pressure to attain cultural competence in order to achieve high standards of quality. This paper opines the operation of an all round cultural competence is a long journey. It will take a collective as well as an individual effort to achieve.Nurses have a personal responsibility to seek to understand the cultural factor. Additionally each one of them needs to appreciate their moral duty to seek self-awareness inorder to understand their own behaviour in response to other people with a differing opinion. Respect and a non-judgemental attitude are important if one is to overcome the ethnocentricity that is part of every human being. This awareness cultivates interest and inquiry. Once this point has been reached cultural differences will be viewed as learning opportunities that will spur personal growth. ReferenceDolhun, E. P. Munoz, C. and Grumbach, K. (2003). Cross-cultural rearing in U. S. medical schools Development of an assessment tool. Academic Medicine. Galanti G. A. (1997). Caring for Patients from diverse Cultures Case studies from American hospitals. 2nd ed. University of Philadelphia Press. Philadelphia, PA. Riddick S. (1998). Improving access for limited English-speaking consumers A review of strategies in health care settings. J health Care Poor Underserved. Supp vo l 9 Robins, L. S. Alexander, G. L. , Wolf, F. M. , Fantone, J. C. , & Davis, W. K. (1998).Development and evaluation of an promoter to assess medical students cultural attitudes. Journal of the American Medical Womens Association, Switzer, G. E. Scholle, S. H. , Johnson, B. A. , & Kelleher, K. J. (1998). The Client Cultural Competence Inventory An instrument for assessing cultural competence in behavioral managed care organizations. Journal of Child and Family Studies, Tervalon M. Murray-Garcia J. (1998). Cultural humility versus cultural competence A critical distinction in defining physician training outcomes in multicultural education. J health Care Poor Underserved.
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