Cross-cultural practice requires a comprehensive assessment of the psychological, physical and cultural foci as the basis of care planning. Inherent in cultural desire is the willingness to be open to others, to accept and respect cultural differences, and to be willing to learn from others. To meet the needs of culturally diverse groups, health care providers must engage in the process of becoming culturally competent. There is no answer key with correct responses. This could be a low-cost way to help improve patient satisfaction.
Other health care problems that disproportionately affect minorities include provider biases, poor provider-patient communication, and health literacy issues. Transcultural diversity and health care. Experts identified cultural barriers, limited English proficiency and low health literacy as threats to effective health communication. The ability to provide culturally competent care is especially important for critical care nurses, who function in high-acuity, high-stress healthcare environments. Rising educational standards are emphasized to increase the quality of care that patients receive. The nurse may have recognized this incompetence by attending workshops on cultural diversity, reading articles or books on the topic, or having direct cross-cultural experiences with patients from culturally diverse backgrounds. Promoting Cultural and Linguistic Competency Self-Assessment Checklist for Personnel Providing Primary Health Care Services Directions: Please enter A, B or C for each item listed below.
The nurse must first listen to the patient's perception of the problem. Respecting the Cultural Background and Practices of the Client Like religious and spiritual beliefs, nurses remain respectful and accepting of all cultural beliefs, practices and perspectives, regardless of those that the nurse possesses. It is worth to mention that our culture affects how we interpret information, our perceptions and even behavior. Over-generalization and stereotyping can be prevented by gaining a deeper understanding of processes involved in the assessment of cultural patterns and factors that determine group and individual differences. Goode of the Georgetown University Child Development Center.
For health care experts like Patricia Prelock, Ph. Effective health communication is as important to health care as clinical skill. Minorities, now 37 percent of the U. Author Sarah Vogel specialises in producing well researched articles in the field of health and medicine. It influences the way patients respond to medical services and preventive interventions and impacts the way physicians deliver those services.
Treloar further states that many health care providers practice from an illness-based model of disability and are unaware of the shift toward looking at disability as a problem that exists within the environment rather than the person. Disparities in mortality among high risk pregnant women in Illinois: A population based study. Plain Language Writing that is clear and to the point, which helps to improve communication and takes less time to read and understand. Therefore, as a means to break down these barriers, they advocate for culturally competent nurses to better ensure patient safety. Cultural competence in healthcare systems and organizations Healthcare providers should provide resources and structures for purposes of evaluating and meeting the cultural needs of diverse patients.
During the assessment phase of the nursing process, the nurse assesses the client's and family member's cultural background, preferences and needs, after which the nurse modifies the plan of care accordingly. The religious belief most common in the United States, of course, is the Jehovah Witness who refuses transfusions. Census , up from one in six today. People with disabilities - the same, but different: Implications for health care practice. Questions and Answers Why is cultural respect important? Journal of the American Psychiatric Association, 8 16 , 183-187. Nurses must respond to changing patient demographics to provide culturally sensitive care.
The concept of cultural respect has a positive effect on patient care delivery by enabling providers to deliver services that are respectful of and responsive to the health beliefs, practices and cultural and linguistic needs of diverse patients. The progress in nursing towards creating cultural diversity in nursing has been slow and episodic. Cross-cultural communication skills provide a practical way to maximize a common understanding of the health-illness encounter of culturally diverse patients. The most effective way to decide whether or not the client language needs were met is to assess whether or not the client has gained an understanding and insight into their health care status, their care and their treatments. When I take my students to the hospital for their clinical rotations in acute care, I often assign those who are Spanish-speakers to Spanish-speaking patients. It is, therefore, necessary that health care providers are cognizant of the fact that some subjective data given by the client during the assessment may be culturally driven and without any data about their psychiatric mental health signs and symptoms when indeed the client is adversely affected with a mental health disorder.
It has the capacity to increase personal cultural awareness. In this article, I describe current population trends in North America, discuss the need for critical care nurses to develop cultural competence, present a model for development of cultural competence, and describe common pitfalls in the delivery of culturally competent care. Adapted with permission from Promoting Cultural Competence and Cultural Diversity in Early Intervention and Early Childhood Settings and Promoting Cultural Competence and Cultural Diversity for Personnel Providing Services and Supports to Children With Special Health Care Needs and Their Families June 1989; latest revision July 2000. This model provides a systematic method for assessing culturally and ethnically diverse persons. These suggested changes to the Healthcare organizational culture can initially turn into huge financial constraints.
The nursing workforce better represents the population. Respect for all cultures is fundamental in the nursing profession and it should be demonstrated. The word competence is used because it implies having the capacity to function effectively. The same applies to perceptions of locus of control. In addition, their infant mortality rates are generally higher, and their childhood immunization rates are lower. With our country growing more diverse each year, natural progression would suggest that so too should our fundamental institutions, such as our government, our schools and our healthcare facilities.