Nurses need to be culturally sensitive to provide competent care. The cumulative diversity within the healthcare workforce itself has received much less attention; yet without attending to increasing diversity in both groups, it is doubtful that efforts to improve cultural competence will be successful. One may be aware of many different cultures, but due to one’s biases, he or she will still not provide the appropriate care. In order for healthcare providers to become culturally competent they need to have the desire, skills, awareness and knowledge. Cultural competence among primary care givers is crucial to identify problems and create proper plans of care for the patient.…
In our day to day job as nurses, we come across patients from different ethnic and cultural backgrounds. It is our duty to make them feel at ease with the care they are receiving and to be able to do so, it is imperative that nurses become culturally competent by understanding how the patients’ culture influences their views on health protection, maintenance and restoration. Culture is a pattern of behavior and values shared by an ethnic group (Winkleman, 2001). The Heritage Assessment Tool (HAT) is a guide to understanding the individual’s cultural beliefs in relationship to the biological, social, environmental, spiritual and psychological factors that influence their acceptance and adherence to treatment plan. Cultural heritage is a set of traditions within a culture that is handed down from the older to the younger generation within a family. These traditions influence the family’s decision in relation to their diet, education, day-to-day activities, spiritual beliefs (Christianity, Judaism, Islam or non believers) as well as health traditions. In our household, we raise our children based on our religious and cultural beliefs even though they were born here in the United States. We speak our native language to them on an ongoing basis to ensure that they can communicate with our relatives when we visit them.…
Flowers, D. (2004). Culturally Competent Nursing Care A Challenge for the 21st Century. Critical Care Nurse, 24(4), 87-87. Retrieved February 10, 2015, from http://ccn.aacnjournals.org/content/24/4.toc…
Saccomano, S., & Abbatiello, G. (2014). Cultural considerations at the end of life. The Nurse Practitioner. 39(2), 24-31. doi: 10.1097/01.NPR.0000441908.16901.2e…
As nurses we come in contact with a wide variety of individuals, they all come from different backgrounds whether it is related to education, social class, ethnicity, or religion. Each individual has their own culture beliefs and it is our duty as nurses to recognize and investigate what those beliefs are to have a better understanding of them and to help guide us in providing the best possible care we can for each patient we encounter. The Heritage Assessment Tool is a great way to bridge the cultural gap between nurse and patient; by gaining cultural competence there can be a greater understanding of patient’s needs thus promoting patient centered care.…
The Heritage Assessment device is considered to “give nurses an understanding of the patient’s traditional health and illness beliefs and practices so that culturally appropriate interventions can be initiated. The tool is a series of twenty nine questions. These twenty nine questions are designed to determine a patient’s ethnic, cultural, and religious background, “For example, “Hispanic culture combines religion with a strong belief in spirituality and the supernatural. Saints represent many specialized needs and there are specific ones for cancer, dying, and bodily ills. These spiritual and religious influences play an important role in their health, illness, and daily life”. The United States is home for diverse culture. Culture is defined as “the learned, shared, and transmitted values, beliefs, norms, and lifeway practices of a particular group that guide thinking, decisions, and actions in patterned ways” “Cultural competence refers to the ability of nurses to understand and accept the cultural backgrounds of individuals and provide care that best meets the persons’ needs—not the nurses’ needs” In some strict Islamic societies where girls and women are segregated and allowed to appear in public only if totally covered from head to toe, deprivation of sunlight can impair the cutaneous synthesis of vitamin D, causing a deficiency of this vitamin and putting the women at risk for rickets or osteomalacia”. “Knowledge and respect for various cultural world views, customs, values, and traditions are needed to negotiate different approaches in developing a health-promotion plan with families”. Cultural care is a comprehensive model based on one’s believes and practices.…
In American there are a variety of cultures within our country. We as nurses will come across many patients who's culture differs from our own. In our practice it will benefit our patients and ourselves to have a broad knowledge base of other cultures and how our care will need to be modified to their cultural beliefs. We will discuss the culture of the Siberian Reindeer tribes and how nursing care will be carried out to their beliefs.…
Being culturally competent is essential in caring for the lives of others. As a nurse you will be caring for individuals and families who may or may not have the same beliefs and values and yourself. Despite the differences the nurse must be able to ask the appropriate questions, seek out tools that are going to help the client and family understand the importance of their care, and feel comfortable when giving care to others whose values and beliefs are different.…
Kamaromy, C. (2004). Cultural diversity in death and dying. Nursing Management, 11(8), 32-36. Retrieved from http://search.proquest.com.library.gcu.edu:2048/docview/236983296?accountid=7374…
Getting prepared for death can be an exhausting experience for the patient and their family. It is very important that the patient not only knows what they want as far as their right to receive or reject treatment and medications or knowing whether they want to receive palliative care at home or in a hospital setting to include the advantages and disadvantages of each. The main focus of this paper is to give the reader an in depth look on how an end of life crisis affects a patient and their family. Ella is a breast cancer patient who just came out of remission and is at the end of her life. Her and her husband John along with other members of her family are not in agreement with her end of life plans because of cultural indifferences. The reader should be aware of the importance of patient’s rights and how these rights tend to bring about psychological and social changes with the patient and their caregivers especially when dealing with a chronic illness like breast cancer. This paper will focus not only on Ella’s beliefs regarding her end of life care and how her decisions and this situation will affect her family but it will also consider the biological makeup of her and her condition. It will also analyze how cancer affects the people involved in Ella’s care at the micro, mezzo, macro levels, and her lifespan development.…
Kemp, C., & Bhungalia, S. (2002). Cultural perspectives in healthcare. Culture and the end of life: a review of major world religions. Journal Of Hospice & Palliative Nursing, 4(4), 235-242. retrieved from http://ehis.ebscohost.com.library.gcu.edu:2048/ehost/pdfviewer/pdfviewer?vid=18&sid=18f3e2fd-4b14-4a0b-81a6-7e0fdd68cdc8%40sessionmgr15&hid=116…
As nurses embark on the journey towards cultural competence, they must enhance their knowledge of the practices of the cultural groups they care for. By understanding the concepts of different cultures, nurses are able to keep the lines of communication open and make the end-of-life experience as comfortable as possible. This idea is further supported by the ANA position statement (1991) on cultural diversity in nursing practice that states “ Knowledge od cultural diversity is vital at all levels of nursing practice…nurses need to understand how cultural groups define health and illness; how healers cure and care for members of cultural groups; and how nurses’ cultural backgrounds can influence care delivery.” (ANA,…
We as part of the health care team need to understand all cultures in order to provide holistic Nursing care. Being culture competent is more than just knowing what each culture traditional norms are, it is knowing one’s own beliefs and values and being able to put these aside when providing care. Since each culture and religion perceives diseases, treatments and value of life differently we as nurses need to make sure our care is delivered around these. By tailoring when possible our interventions to respect their culture we also help to gain their trust. Example of this can be ensuring we give the patient who is Muslim his medications first so he can pray on time we show him respect for his religion and him.…
According to the National Institute of Health, palliative care is "treatment of the discomfort, symptoms, and stress of serious illness. It provides relief from distressing symptoms including pain, shortness of breath, fatigue, constipation, nausea, loss of appetite, problems with sleep, and the side effects of the medical treatments you are receiving." Palliative care is also known as comfort care.…
End of life care is one of the most taboo topics in American society as it requires those involved to acknowledge that their lives will eventually come to an end. Planning for such an outcome can be difficult but ultimately it is necessary in order to save others from dealing with the burden of end of life care while unprepared. As a nurse it is especially important to have a firm grasp of the many different factors that weigh in decisions related to end of life care and be ready to assist both the patient and his or her family in any way needed when that time may come. A careful examination of the resources available in a community to assist with this care, the gaps in care prevalent in American society today, the cultural…