Concept of culturally competent care.
Factors Inhibiting Sensitivity to Diversity.
How to provide culturally competent care.
Culture: It is shared pattern of beliefs, values, and behavioral expectations in a social groups and it sets roles and influences relationship with others.
Cultural Diversity: Verity of cultures, belief, language, gender, race, disability, and socioeconomic status and so on. (Taylor, Lillis, Lynn & LeMone, 2011)
Stereotyping
Cultural imposition
Cultural blindness
Cultural conflict
Joint Commission defined cultural competence as
“The ability of health care providers and health care organizations to understand and respond effectively to the cultural and language needs brought by
the patient to the health care encounter.” (Joint Comission, 2010)
It requires culturally accurate assessment that includes, but is not limited to, patient and family’s unique practice, beliefs, perception and values.
Nursing plans of care and intervention must based on culturally accurate assessment to improve quality of care, outcome and satisfaction. (Smith, 2013)
Cultural self-awareness:
Know how your views and behavior is affected by culture.
Culturally aware nurses vs. Not Culturally aware nurses 1. Have more chances to look into closely different cultures among patients and do culturally accurate assessment . 2. More likely understand patients and how personal beliefs impact on patient care. 3. Better ability of recognition difference meaning of health in each culture.
(Sommer, Johnson, Robert, Redding, Churchill & Elkins, 2013)
Respect personal dignity and preferences.
Cultural respect benefits and supports positive health outcomes by influence health communication that includes behaviors, languages and beliefs.
Planning that doesn’t account principles of cultural respect, may lead to poor outcome.
(National Institutes of Health, 2016)
Use an Interpreter
Patients have right to get information they can understand.
Miscommunication might fall into missing critical information.
Professionally trained medical interpreters follow confidentiality guidelines, knowledgeable about healthcare language, and along with ethical and legal standards.
(Sommer, Johnson, Robert, Redding, Churchill & Elkins, 2013)
These days, our society is mixed with people from many different kinds of background. As nurses, we need to provide culturally competent care to provide quality of care and better outcome. The nurse who culturally aware and respect patients’ cultures, plan and provide better care to patients that will yield to quality of care and better outcome.