...Culture and Diversity in Nursing Amanda M. Jones Trinity Valley Community College Associate Degree Nursing Level II January 16, 2015 Culture and Diversity in Nursing Cultural Assessment With there being such a plethora of cultures in the world, there are so many different beliefs and practices involving health and wellness, that almost everyone has a different definition of health, and different views on disease and illness in general. My definition of health involves many different aspects, but most importantly living a healthy lifestyle overall; being free from illness, and doing everything possible to stay that way. Eating a well-balanced diet, exercising regularly, and getting plenty of sleep along with protecting your body from the harsh outside world, and maintaining proper hygiene are the most beneficial in being healthy. In fact, I believe that the main cause of illness aside from harmful pathogens and stress is lack of proper diet, exercise, sleep, and basic hygiene. Those things are essential to maintaining health. Anytime I start to get symptoms of a cold or illness, I immediately start taking vitamin C and drinking plenty of water. I usually do not seek medical care unless I am certain that I need antibiotics, as I like to take more of a holistic approach before using medicines any time possible. The same can be said about my pain management. I have a fairly high pain tolerance, and try to avoid using pain medications. When I am in pain I usually try to...
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...Transcultural Nursing Model Transcultural Nursing Theory Transcultural Nursing Theory was developed by Madeleine Leininger. The theory first appeared in Leininger’s publication in 1991 but the theory itself was developed in the 1950s. Early in her nursing practice, Madeleine Leininger through observation, recognized that there was an important component of patient care that was missing. She noticed the lack of recognition and integration of patient’s cultural background into their plan of care. She recognized that patient’s cultural background influences their responses to health and illness and more importantly she believed that part of viewing the patient as a whole is taking into account their culture and cultural background in developing a plan of care. Her theory attempts to provide culturally competent nursing care through “cognitively based assistive, supportive, facilitative, or enabling acts or decisions that are mostly tailor-made to fit with individual, groups, or institution’s cultural values, beliefs, and lifeways.” The goal is to improve health outcome for people who are of different cultural backgrounds. Transcultural Nursing Theory has 3 components to it, the assessment, nursing care plan and evaluation. Leininger believed that a culturally friendly care for the patient begins with a culturalogical assessment which take into consideration the cultural background of an individual patient in relation to his or her health experience. This assessment also require...
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...excellent nursing care (Srivastava, 2007). However, health care provider’s roles and responsibilities in meeting health care needs of the clients in consideration to cultural perspective and diversity are getting more challenging and complicated due to increased number of people from a group of multi-ethnic and multi-cultural society, which, in turn requires health care providers to acknowledge and understand variations of cultural healthcare beliefs, values and practices. Transcultural nursing is essential in the process of nursing care because of the different factors, which includes increasing diversity and multicultural identities, emergent use of health care equipment that occasionally dispute the cultural ethics and beliefs of the clients and a rise in feminism and gender issues (Andrews &ump; Boyle, 2008). Maier-Lorentz (2008) states that the fundamental aspect of healthcare is transcultural nursing since culturally competent nursing care help guarantee patient satisfactions and health beneficial outcome. According to the Royal College of Nursing (2009), providing care with respect to health and illness based on the expectations of the people’s values, beliefs and practices corresponding with culture is the focal point of transcultural care. Influenced by the principles and theories of transcultural nursing, the author defines transcultural nursing as a discipline of culturally care for individuals, families, groups and communities representing different cultural lifestyle...
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...TANSCULTURAL NURSING SUBMITTED BY: HARUNA ABDULLAHI IBRAHIM, MSC. NURSING (1ST YEAR), GARDEN CITY COLLEGE OF NURSING. SUBMITTED ON: 13TH AUGUST, 2012 I. INTRODUCTION: In the health care delivery system, as in the society, nurses interact with people of similar as well as diverse backgrounds having different frames of references and varied preferences regarding their health and health needs. In the provision of care, nurses must acknowledge, respect and adapt the cultural needs of those patients and their significant others through identifying the differences between cultural groups that require health care providers to identify culture specific health and illness practices and caring behaviours that transcend cultural groups and appear to be universal care practices to enable the provision of care that is holistic, effective and culturally competent. The field of transcultural nursing which was pioneered by Madelein Leininger in 1975 represent a shift from the biophysiological and psychological models that dominated nursing in the 1950s as it advocates the recognition of each individual as a social being and must be handled as unique entity having cultural beliefs, norms, values and customs that influence his or her life in all ramifications including health, illness and treatment. Leininger, who was considered the leader and initiator in the field of transcultural nursing, postulated the theory of “diversity and universality of...
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...Cultural Diversity in Nursing Care Rhonda Dilks Grand Canyon University Family Health Promotion NRS 429V November 01, 2010 Cultural Diversity in Nursing Care Health in all cultures is an important aspect of life. A person’s cultural background, religion and/or beliefs, greatly influences a person’s health and their response to medical care (Spector, 2004). These diverse cultures guide decisions made in daily life; what food eaten, living arrangements made, medications taken and medical advice listened to. A nurse must be knowledgeable and respectful of these diverse cultures and understand their importance when providing care. This understanding helps to build a strong nurse/patient relationship, increasing patient compliance, which ensures positive outcomes are met. Patients who are satisfied with their care are more likely to continue their treatment especially when their cultural beliefs are considered (Flowers, 2005). This paper will discuss the importance of a heritage assessment, compare the differences of three different families’ cultural beliefs and address their health maintenance, protection and restoration. Heritage Assessments In 2008, 34 percent of America’s population claimed a minority or ethnic heritage (Minckler, 2008). The Census Bureau reports the U.S. population is becoming increasingly diverse with Hispanics and Asians the fastest growing minorities (Minckler, 2008). Heritage assessments are used to create cultural awareness. Understanding...
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...ASN Program Description Mission and Goals Our Mission Trinity College of Nursing and Health Sciences provides a quality higher learning environment preparing competent practitioners for health-care professions. Continuous quality improvement guides the educational process as students prepare to deliver culturally congruent health care, perform as responsible citizens within the global community and seek avenues for life-long learning. Our Goals Program goals for each department in the College derive from the philosophy of the College and the domain competencies, as follows: Knowledge • ability to examine and explain phenomena • ability to construct and organize knowledge • ability to integrate and synthesize knowledge • ability to apply quantitative and qualitative concepts Proficiency • ability to solve practical problems • ability to collaborate with multiple disciplines • ability to communicate effectively • ability to practice competently and skillfully in a changing health-care environment Culture Care Values • ability to preserve/maintain cultural identities • ability to accommodate/negotiate diverse life ways • ability to re-pattern/restructure health-care delivery methods • ability to apply ethical and legal principles to health care The Associate of Science in Nursing Program (ASN) is a two-year program of study combining didactic and clinical nursing courses as well as general education courses. The Program...
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...Chamberlain College of Nursing NR 302 Health Assessment: Part I REQUIRED UNIFORM ASSIGNMENT GUIDELINES PART 1: THE HEALTH HISTORY PURPOSE Before any nursing plan of care or intervention can be implemented or evaluated, the nurse assesses the individual through the collection of both subjective and objective data. The data collected are used to determine areas of need or problems to be addressed by the nursing care plan. This assignment will focus on collecting subjective assessment data, synthesizing the data, and on identifying health/wellness priorities based on the findings. The purpose of the assignment is two-fold: To recognize the interrelationships of subjective data (physiological, psychosocial, cultural/spiritual, and developmental) affecting health and wellness To reflect on the interactive process between self and client when conducting a health assessment COURSE OUTCOMES This assignment enables the student to meet the following course outcomes: CO 2. Utilize prior knowledge of theories and principles of nursing and related disciplines to integrate clinical judgment in professional decision-making and implementation of nursing process while obtaining a physical assessment. (PO 4, 8) CO 3. Recognize the influence that developmental stages have on physical, psychosocial, cultural, and spiritual functioning (PO 1) CO 4. Utilize effective communication when performing a health assessment. (PO 3) CO 6. Identify teaching/learning needs from...
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...but says she has some allergies which she treats with herbs. Her colleague who brought her to the emergency room also claims that Jane has recently had difficulty breathing while taking the stairs up to the martial arts studio and she no longer rides her bicycle to the studio. Jane is in her second year at the local University where she is studying cellular biology. Jane is a bright student who studies a lot and also works part time in the Universities’ research center which gives her extra cash. She admits that she has been having a dry cough for some months which she associated with allergies. She also relates her inability to ride her bike to her allergies. Jane smokes at least one packet of cigarettes on a daily basis, and during assessment appears to be in the pre-contemplation stage. Jane had six months earlier tested positive for hepatitis B. This surprised her a lot because she was asymptomatic. Though she denies drug use, she admits to having multiple sexual partners. She does not want to be in a long-term relationship because she claims it could complicate her life. She also admits to not using protection on a regular basis. Erikson (Burke, 2010) described eight stages through which an individual passes through to adulthood. Every phase is established on successful completion of earlier phases of development. If the challenge is not completed it is expected to re appear in future as a new problem. The psychosocial crisis in later adolescence is individual identity...
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...Journal of Transcultural Nursing http://tcn.sagepub.com/ Standards of Practice for Culturally Competent Nursing Care : 2011 Update Marilyn K. Douglas, Joan Uhl Pierce, Marlene Rosenkoetter, Dula Pacquiao, Lynn Clark Callister, Marianne Hattar-Pollara, Jana Lauderdale, Jeri Milstead, Deena Nardi and Larry Purnell J Transcult Nurs 2011 22: 317 DOI: 10.1177/1043659611412965 The online version of this article can be found at: http://tcn.sagepub.com/content/22/4/317 Published by: http://www.sagepublications.com On behalf of: Transcultural Nursing Society Additional services and information for Journal of Transcultural Nursing can be found at: Email Alerts: http://tcn.sagepub.com/cgi/alerts Subscriptions: http://tcn.sagepub.com/subscriptions Reprints: http://www.sagepub.com/journalsReprints.nav Permissions: http://www.sagepub.com/journalsPermissions.nav Citations: http://tcn.sagepub.com/content/22/4/317.refs.html >> Version of Record - Sep 26, 2011 What is This? Downloaded from tcn.sagepub.com by Marty Douglas on September 27, 2011 412965 ouglas et al.Journal of Transcultural Nursing TCN22410.1177/1043659611412965D Commentary Journal of ranscultural Nursing T 22(4) 317–333 © The Author(s) 2011 Reprints and permission: sagepub.com/journalsPermissions.nav DOI: 10.1177/1043659611412965 http://tcn.sagepub.com Standards of Practice for Culturally Competent Nursing Care: 2011 Update Marilyn K. Douglas, DNSc, RN, FAAN1, Joan...
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...of Care: Cultural Competence in a Long Term Care / Skilled Nursing Facility Susan Mateo NUR/531 Tracey Lane Emerging Standards of Care: Cultural Competence in a Long Term Care / Skilled Nursing Facility Of the many challenges facing the nursing profession, cultural competence is an area of great need across all settings from educators, to students, bedside nurses, nurse managers, and nursing leadership. Cultural competence for a given entity, be it an educational institution or healthcare facility, is best measured by an appraisal of that entity, with respect to the cultural diversity of its staff and customers, along with its policies, procedures and actual practices. The focus of this paper is the evaluation of the cultural competence of a local long term care / skilled nursing facility (LTC/SNF) located in Harker Heights, Texas. The inability to access numerical or percentage totals of the demographics of either the staff or residents directly resulted in observational assessments by this writer as the basis for this evaluation. The observations took place during the clinical experiences of students from the local public school district’s CNA course. Based on the various readings associated with the nursing 531 course, a definition of cultural competence includes several components. One of the most easily understood and incorporated is Campinha-Bacote's model of cultural competence. This model consists of five concepts, namely: cultural desire, cultural awareness...
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...Running head: PRACTICUM EXPERIENCE 1 Nursing 740 Practicum Experience Ginger VanDenBerg Ferris State University PRACTICUM EXPERIENCE Abstract 2 Orienting to the role of an academic nurse educator is a dynamic and challenging process. While engaging in this role with a preceptor, this novice nurse educator was guided by the core competencies developed by the National League for Nursing to teach Bachelor’s of Science in Nursing (BSN) degree students. Utilizing teaching, assessment, and evaluation strategies learned throughout the Master’s in Nursing Science program, this educator developed a didactic presentation on building cultural competence for Health Assessment nursing students, demonstrated and assisted in the development of essential skills to conduct an adult physical examination, and coordinated a perioperative clinical rotation for senior level nursing students. This practicum experience has played a pivotal role in strengthening this novice educator’s ability to assist students in identifying their learning needs, strengths, and limitations, while providing opportunity to experience the teaching-learning environment of the academic arena. Keywords: nursing students, learning, practicum learning, nurse educator PRACTICUM EXPERIENCE Nursing 740 Practicum Experience New nurse educators transforming into their new role often discover they are not as prepared as they would hope to be (Poindexter, 2008). Being an experienced or expert nurse is not sufficient...
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...Heritage Assessment Grand Canyon University 7/5/2014 Introduction Many times the United States is referred to as a melting pot of people, but this description of the diverse cultures and heritages that make up our nation fails to recognize the extreme individuality of the people here. Perhaps a better description would be a salad bowl, with each part and piece amazingly unique from the rest. Culture is a learned way of thinking and acting. “The behavioral, intellectual, and emotional forms of life expression represent a cultural heritage that is passed on from generation to generation” (Smith, 2009). Culture and heritage greatly influence all aspects of a person’s health. One’s heritage may determine a persons beliefs relating to the physical and /or spiritual approaches that people use to maintain, protect and restore health. The Heritage Assessment tool A heritage assessment tool is a set of 29 questions that address a person’s heritage. It looks at family connections, use of original language, religion, attendance of cultural functions and dietary habits and how closely an individual follows these practices from their cultural roots. Within this paper the author will examine the results of three families from India, Holland and Korea who took the assessment. It will look at how the heritage assessment ties in to help evaluate how closely an individual may follow common health traditions and practices such as health protection, maintenance and restoration from...
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...Vulnerable Populations Nursing 2312 2/13/12 The School of Health Sciences Division of Nursing RN-BSN Option I will discuss two theories and apply them to different vulnerable populations. Vulnerability is an important factor for nurses to consider when working with clients across the lifespan. Vulnerability is a result of uncontrollable individual factors over which the patient has no influence (Creasia & Feiberg, 2011). Vulnerability is a general concept meaning “susceptibility” and has a specific connotation in health care “at risk for health problems” (Chesnay & Anderson, 2012). The first theorist is Lydia Hall’s care, cure, and core theory. It refers to patients as having three needs of care: the physical, the medical, and the social needs. Nurses can easily provide the care, cure, and core theory to meet the needs of patients with congestive heart failure. Nurses using Lydia Hall’s theory assist with education, medical management, and provide physical, emotional or social support for congestive heart failure patients. The medical management and education offered by nurses increase patients knowledge, and the ability to manage their disease. They can prevent exacerbations, and reduce hospital readmissions (Davood, 2009). The care model dominates when nurses provide hands on care to the heart failure patients produces an environment of comfort and trust. It promotes open communication between nurses and patients. Open communication encourages...
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...The Holistic Assessment: Psychological, Physiological, Cultural, Spiritual and Psychosocial Wilfredo Mamaril Sternberg College The holistic assessment is an essential component of quality care that allows a psychiatric nurse to identify, diagnose and treat their patients based on every individual’s specific needs. A comprehensive assessment of a client’s health across multiple dimensions, such as their physiological, psychological, spiritual, cultural and psychosocial domains, are important “prerequisites for formulating an appropriate nursing diagnosis and plan of care” (Carniaux-Moran) particular to each patient. This assessment is achieved through interviews and assessments between the nurse and the client that “[varies] according to the state of the participants and the context in which the interview takes place” (Carniaux-Moran). It assists a nurse towards a more proficient and thorough diagnoses. For one, it is vital to consider a client’s past and present physical condition in order to determine if any of these medical disorders have an impact on their mental health. For example, patients who present symptoms for some common psychiatric illness such as nervousness, irritability and insomnia, can actually be suffering from underlying medical condition such as hypothyroidism or low lithium levels. In order to overcome the shortcomings of the visual observation of symptoms, nurses often perform a medical workup to rule out organic illnesses and ensure that the client...
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...Centered Health Promotion: Heritage Assessment Tool Janice Ward NRS-429V May 31, 2015 Family Centered Health Promotion: Heritage Assessment Tool A critical skill in nursing is to assess multicultural patients in the USA today. The culturally competent nurse is able to evaluate the needs of clients and families through the use of a Heritage Assessment Tool. The successful completion of a Heritage Assessment Tool will provide the basis for understanding traditional health and illness beliefs and practices. The incorporation of the patient’s The Journal of Transcultural Nursing states as it’s 6th standard of practice for transcultural nursing the following: Nurses shall recognize the effect of health care policies, delivery systems, and resources on their patient populations and shall empower and advocate for their patients as indicated. Nurses shall advocate for the inclusion of their patient’s cultural beliefs and practices in all dimensions of their health care. (Lauderdale, Milstead, Nardi, Purnell, Douglas, Pierce, Rosenkoeter, Pacquiao, Callister, Hattar-Pollara, 2011) In order for the nurse to support their patient in receiving the best of health care it is imperative the nurse understand their patient’s heritage. “Health care organizations should ensure that patients receive from all staff members effective, understandable, and respectful care that is provided in a manner compatible with their cultural health beliefs and practices and preferred...
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