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...Running Head: CUTURALLY COMPETENT CARE Introduction Globalization has changed the way we live. The population demographic of United States is changing at a fast pace as every year people from different cultural and ethnic background are immigrating to the United States. By 2020, the number of ethnic minority in the United States will grow up to 35%. Immigration is an ongoing process and has brought a variety of culture and knowledge to the United States. The diversity of population is affecting the healthcare delivery system in the country. Nurses play a major role in the delivery of healthcare. Nurses are the direct caregivers to patients and spend maximum time with the patients and their family. “As the demographic composition of Western industrialized countries continues to diversify, the need for nurses to practice with cultural competence becomes essential” (Canales & Barbara, 2001, p. 103). Culturally Competent care Culturally competent care values diversity and respect individual differences regardless of one’s own race, beliefs, and cultural background. Culture can be defined as beliefs, values, customs and lifeway of a group of people that influence their choices in choosing health care practices. These behaviors are primarily learned in the family and are transmitted in the family. Culture is mostly unconscious and has strong influence on health practices. Subcultures, ethnic groups differ from the dominant culture and may......
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...direct caregivers to patients and spend maximum time with the patients and their family. “As the demographic composition of Western industrialized countries continues to diversify, the need for nurses to practice with cultural competence becomes essential” (Canales & Barbara, 2001, p. 103). Culturally Competent care Culturally competent care values diversity and respect individual differences regardless of one’s own race, beliefs, and cultural background. Culture can be defined as beliefs, values, customs and lifeway of a group of people that influence their choices in choosing health care practices. These behaviors are primarily learned in the family and are transmitted in the family. Culture is mostly unconscious and has strong influence on health practices. Subcultures, ethnic groups differ from the dominant culture and may have different values and beliefs. People from a given racial group may not necessarily share the same culture. Healthcare providers must recognize, respect and integrate patients’ beliefs and practices into planning patient care. Culture influences the healthcare providers. Each healthcare provider shares the responsibility of providing culturally competent care. It is essential for healthcare providers to understand their own behavior, communication skills, and their...
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...care and treatment solutions. The Nurse should have the cultural competency before she deal with patient from particular ethnic group. A better knowledge of the culture, race, view, traditions and expectation of the patient will help the Nurse to render a better care . Some Patients come from families, societies, that have different belief traditions, and we need to respect them. Culturally competent care consists of behavior, attitudes and skills to provide safe patient care to diverse patient population. Nurses need to be flexible and skillful to provide culturally competent care. Continuous learning is the only way to become culturally competent in healthcare business. According to ANA (American Nurses association) nurses need to have knowledge about cultural diversity. Cultural diversity affects both the patients as well as healthcare providers. Cultural diversity also affects the how the healthcare is delivered by healthcare providers. The Joint commission recommends that every patient has a right to be treated with respect and patients’ cultural beliefs and values must be incorporated in planning patient care. By knowing patient’s beliefs and values will help to provide appropriate care and will encourage patient...
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...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 Uhl......
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... 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 cultural care” and refined the specialty through the use of the “sunrise” model from 1955 to 1975 which marks a breakthrough in the field. The......
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...Understanding and implementing culturally competent and culturally congruent care are the key factors for effective and 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......
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...Acknowledgments .......................................................................................................... iv Executive Summary......................................................................................................... v Introduction .................................................................................................................... 1 Findings........................................................................................................................... 3 Defining Cultural Competence .................................................................................. 3 Barriers to Culturally Competent Care....................................................................... 3 Benefits of Cultural Competence ............................................................................... 6 Models of Culturally Competent Care ............................................................................. 7 Academia...
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...According to Queensland Health (2012) health services that are initiated, controlled and operated by the indigenous community have the potential to increase the number of Aboriginal and Torres Strait Islander people accessing the appropriate available services. Aboriginal Community Controlled Health Organisations (ACCHO) such as Aboriginal Torres Strait Islanders Community Health Services Mackay (ATSICHS) provides holistic and culturally appropriate care. This highlights that access to health services, may be affected by a variety of socioeconomic factors, such as low income, unemployment, second-rate housing and also socio-political factors like forced removal from land and/or family. These factors need be addressed to achieve continuous improvement in Aboriginal and Torres Strait Islander Queenslanders health status. Aboriginal and Torres Strait Islander primary health care services offer clinical care, screening programs, a wide range of preventative health care activities, health-related and/or community supported activities. Queensland Health (2010) focuses on the health status of Aboriginal and Torres Strait Islander people, which acknowledges the significant gap in life expectancy between Indigenous and non-Indigenous Queenslanders (approximately 10.4 years for males and 8.9 years for females). Community involvement is a founding principle of the World Health Organisation (WHO) 1978 Alma-Ata primary health care declaration (WHO, 2013). A significant reason for......
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...Emerging Standards 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......
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...Kridli, & Fitzpatrick, 2014). Appropriate care planning and interventions will be more effective if the patient’s cultural, values, and beliefs are understood and considered. In order for nurses to be competent, education and training needs to involve the following: ethnicity, language, culture, religion, gender, sexual orientation, and socioeconomic class. Cultural competency allows the patient and nurse to connect. Patients may be more comfortable in communicating and expressing themselves if the nurse speaks the same language as them. The nurse is able to address the patient and get a response therefore planning and interventions will be clearly understood by patient. It is important for the nurse and the health care organization to understand the culture of patients in order to provide cultural relevant treatment. For example, diet and nutrition is important and every culture has different foods of preference. A nurse may implement a nutrition plan for a diabetic patient based on the patient’s ethnic food groups or preference. The patient will most likely follow the diet if it is planed with foods that are familiar to them. When providing education and educational material it is important to educate in the language spoken and understood by patient. Patients will find the education more interesting and will be able to ask questions if needed. In order to deliver patient-centered care nurses must be culturally competent and be mindful of patients ethnic and cultural......
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...Cultural Competence The city of Milwaukee in Milwaukee County area is an extremely ethnically and racially diverse city in the state of Wisconsin (Milwaukee Citywide Policy Plan, 2010). According to the American Community Survey (ACS) in 2008 the city residents made up about 63% of Milwaukee County’s total population. However, the city of Milwaukee accounts for almost 88% of the county’s minority population and that number is slightly increasing yearly (Milwaukee Citywide Policy Plan, 2010). There are primarily Blacks, Hispanics, and Asian minorities found living in the area but there are still many more other minorities found in the streets of the city of Milwaukee. Graph 1 and Graph 2 below show the minority population in Milwaukee County compares to the minority population in the city of Milwaukee. Graph 1: Milwaukee County Population 2013 Sources: United States Census Bureau, 2010 Graph 2: City of Milwaukee Population 2010 Sources: United States Census Bureau, 2010 With the continuing rise of minorities, one of Milwaukee’s largest health care facilities, Aurora Health Care, needs to focus more on how they can increase cultural competence. Cultural competence is the ability of a health care system to be able to provide care to their patients of diverse values, behaviors, beliefs (Betancourt, Green, & Carrillo, 2002). It is a continuous attempt and ongoing process to understand the traditions, values, customs, and beliefs of a diverse group and......
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...Kridli, & Fitzpatrick, 2014). Appropriate care planning and interventions will be more effective if the patient’s cultural, values and beliefs are understood and considered. In order for nurses to be competent, education and training needs to involve the following: Ethnicity, language, culture, religion, gender, sexual orientation and socioeconomic class. Cultural competency allows the patient and nurse to connect. For example, patients may be more comfortable in communicating and expressing themselves if the nurse speaks the same language as them. The nurse is able to address the patient and get a response therefore planning and interventions will be clearly understood by patient. It is important for the nurse and the health care organization to understand the culture of patients in order to provide cultural relevant treatment. For example, diet and nutrition is important and every culture has different foods of preference. A nurse may implement a nutrition plan for a diabetic patient based on the patient’s ethnic food groups or preference. The patient will most likely follow the diet if it is planed with foods that are familiar to them. When providing education and educational material it is important to educate in the language spoken and understood by patient. Patients will find the education more interesting and will be able to ask questions if needed. In order to deliver patient-centered care nurses must be culturally competent and be mindful of patients ethnic and......
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...CULTURAL COMPETENCY Policy: SCOPE: This policy impacts all staff and departments in National Psychiatric Care and Rehabilitation Services PURPOSE: This policy demonstrates a commitment to a comprehensive linguistic and cultural competency plan and describes how it will meet the linguistic and cultural needs of the residents it serves. The objectives of this policy include the following: 1. To ensure that National Psychiatric Care and Rehabilitation Services is aware of and identifies enrollees who may need additional resources to meet their cultural and linguistic preferences. 2. To ensure that National Psychiatric Care and Rehabilitation Services meets the language requirements of its client health plans and their State mandated requirements to provide enrollee materials in easily understandable formats, including special attention to the reading level requirements set forth. 3. To ensure that National Psychiatric Care and Rehabilitation Services meets the needs of enrollees who may require materials in additional formats such as large font, braille, audio recordings, etc. 4. To ensure that National Psychiatric Care and Rehabilitation Services meets the needs of enrollees in providing access to interpreters, onsite and offsite when speaking with National Psychiatric Care and Rehabilitation Services staff. POLICY: National Psychiatric Care and Rehabilitation Services has developed a Cultural Competency Plan and training program to create an awareness of and......
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...Steps to Writing a Grant Proposal 1. Brandy D HSM/270 September 16, 2014 Instructor: Bonita Comer 2. One of the most important tasks of a successful program planning process is to know exactly what is needed and clear, concise grant writing is the way to achieve this. A grant proposal is a written program plan aimed at obtaining financial assistance from a funding source. Understanding the programs target population and that populations needs are a vital part of a successful grant proposal. “In writing a grant proposal, the applicant agency is making an argument that it has the understanding of the identified problems and knows how to address the problems. The grant proposal is then the agency’s plan of intervention that follows the argument Moore (1998)” (Chapter 2, Practical Grant Writing and Program Evaluation, Yuen/Terao - © 2003 Brooks/Cole). A grant proposal consists of three parts: 1. a group of premises. 2. a conclusion. 3. An implicit claim. The premises are the beliefs that support the program proposal. The conclusion is the services the program intends to offer and the claim is the expected outcome of the services provided by the program. Usually the first step in grant writing is a needs assessment. Qualitative and quantitative are both ways to identify the needs of the program and those that should be expressed in the grant proposal. The grant proposal process normally begins with a Request for Proposal (RFP) or a...
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...becoming a standard. It brings various productivity and improved performance but great challenges, misunderstandings and conflicts might be introduced in an organization if not properly managed. The key to successful business lies in the managers’ ability to motivate their staff and to achieve this, an understanding of what drives their staff is necessary. Reactions and interpretations of managers’ actions and decisions by staff could be astonishing especially when people from very different cultures work together. Hence the need for organisations to train their managers to become inter-culturally competent in order to ensure their staff continues to be motivated and productive has become pertinent. The main issues to be discussed in this report are: * How culture influences working styles * Different management styles * The importance of training managers to become inter-culturally competent HOW CULTURE INFLUENCES WORKING STYLES According to Hofsted (1980; cited in Alessandra Vecchi &Louis Brennan, 2009, p.11), managers’ approach to quality and the need for change is greatly associated with cultural factors which he grouped into four main parts: power distance, individualism, uncertainty avoidance and masculinity. Looking at masculinity from Wacker and Sprague (1998; cited in Alessandra Vecchi &Louis Brennan, 2009, p.4) point of view, it is seen that masculine nationals depend on the projected effectiveness of competitive advantage in decision......
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