...to pain is shaped by their total life experiences of beliefs, values, and customs, which they refer to as their own culture. Also, the nurses’ perceptions as well as the control of pain are influenced by the nurses’ cultures since it influences their stereotypes and interpersonal communication patterns (Al-Atiyyat, 2009). The nurses should be attentive and sensitive to the patients’ own cultural background especially when they work in diverse society. Cultural incompetency can result in inadequate or inappropriate care due to miscommunication and the possibility to make inaccurate assessments. Thus, cultural competence is linked to improving the quality of pain management as part of the patient care provided (Al-Atiyyat, 2009). Patients with cancer pain should be cared by nurses who are culturally competent and who refrain from stereotyping while providing holistic care to patients. Campbell, Edwards, and Fillingim (2005) showed that there are no racial or ethnic differences in sensation threshold but the expression of pain is culturally-driven. The care provider should not impose their beliefs on the patients and they should be aware to the cultural differences in reports and treatment of pain (Al-Atiyyat, 2009). Only a few studies have addressed cultural factors on pain among patients with cancer. In a cohort study, Rabow and Dibble (2005) explored ethnic and country of origin differences in pain among outpatients with terminal and end-stage chronic illness among patients...
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... 2 The Culture Beliefs and Practices of Hindu Childbearing Women Nurse's have a major role in providing safe and evidence-based care to promote optimal birth outcomes for all women. Maternity nurse's have a responsibility to be aware of the array of childbirth traditions practiced in America's societies. Although childbirth occurs in every culture, in each culture there are unique meanings and customs associated with pregnancy, childbirth, and neonatal period (Lewallen, 2011, p. 4). Because childbearing women cope with the stress of pregnancy and birth, as well as making the psychosocial and physical adaptations to motherhood, culturally diverse women particularly need expert, culturally sensitive nursing care (Corbett and Callister, 2012, p. 299). Hinduism is the world's oldest known religion, having been practiced over 8000 years as evidenced by ancient Hindu scriptures and is the largest Asian religion in the United States (Thrane, 2010, p. 337; Hodge, 2004, p.27). Without knowledge of Hindu child bearing woman’s practices and traditions effective nursing care is impeded and their cultural differences may affect patient-nurse interaction. To develop and improve culturally sensitive nursing care, interventions, and outcomes, it is important to explore woman’s beliefs and practices in regards to pregnancy, labor, delivery, and the neonatal period. In the United States, East Indians may feel...
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...Health Traditions and Practices as it Relates to Health Maintenance in The Culturally Diverse. M. Gabrielle Kuehl (aka Maria Kuehl) Grand Canyon University NRS-429V August 17, 2014 Promoting a health wellness plan to that effectively addresses the needs of a culturally diverse community, requires heritage based evaluations and considerations to address the varying diverse values, traditions or practices within the family unit. Understanding the family’s cultural heritage in addition to health promoting traditions is key to achieving positive outcomes in the development of an effective health maintenance, protection and restoration wellness plan. Gathering information specific to heritage health values, beliefs and traditions to assist in determining a current health practice baseline, is valuable information to be referred back to throughout the plan. Grand Canyon University substantiates the importance of cultural considerations as mentioned in their lecture regarding cultural competency in nursing by suggesting “Cultural beliefs and values influence health decisions and must be taken into consideration. Therefore, cultural diversity in health education is as important as any other sector of health maintenance.” (Grand Canyon University, 2011, p. 1.). Hence the importance in using an assessment tool in determining a health practice baseline within populations that possess beliefs differing from that of standardized western medicine. The basis for health traditions and...
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...Standards of Care According to the U.S department of Health and Human services Office of Minority Health, "Integrated health care approaches must respect the whole person, work across the life span, include prevention and early intervention methods, and be person-centered, strength-based and recovery focused," (Sanchez, Chapa, Ybarra, & Martinez, Jr., 2012, p. 5 ). In this healthcare model, the patient must be treated not only according to the standards of nursing practice but integrate into the care, respect for the individual's belief system as well as their culture. "Providers that respect the cultures, languages and worldviews of the people they serve are more successful in engaging and activating individuals, families and communities to be an active participant in their own health care," (Sanchez, Chapa, Ybarra, & Martinez, Jr., 2012, p. 5) By integrating into care the individuals beliefs and needs, the professional can create rapport with the individual in such a way that encourages the individual to be active in their own health decisions based on the professional's medical knowledge and the individual's belief system. Culturally competent care is care that is respectful of and responsive to an individual's health beliefs, practices, and needs. This type of care is sensitive to the individual's ethnic and religious beliefs as well as cultural beliefs that have been shown to engage individuals into participating in their healthcare. The skill to deliver culturally competent...
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...competency and health literacy “ To be culturally aware is to understand those aspects of the human condition that differentiate individuals and groups and to understand that these differences sometimes have a significant influence on their health and medical care” (Seidel, 2011). A definition of cultural competency in nursing: “The nurse becomes sensitive to the values, beliefs, lifestyle, and practices of the patient/client, and explores her/his own values, biases and prejudices. Unless the nurse goes through this process in a conscious, deliberate, and reflective manner there is always the risk of the nurse imposing her/his own cultural values during the encounter.” (American Association of Colleges of Nursing, 2008). As cited in the American Association of Colleges of Nursing’s Tool Kit of Resources for Cultural Competent Education for Baccalaureate Nurses, Madeleine Leininger's theory and the Sunrise Model that depicts her theory are perhaps the most well known in nursing literature on culture and health. “Leininger states that the theory of cultural care diversity and universality is holistic. Culture is the specific pattern of behavior that distinguishes any society from others and gives meaning to human expressions of care”. (American Association of Colleges of Nursing, 2008). The Cultural Competence Health Practitioner Assessment (CCHPA) is a self assessment tool that guides healthcare providers to become more culturally competent and to identify the areas they need...
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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 have...
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...Hypertension or High blood pressure is a prevalent cardiovascular disease in the United States and other nations around the world. It is estimated that 1 billion is affected with the disease and about 7.1 million hypertension related mortalities annually. It is a condition in which the long-term force of blood against artery walls is high enough to ultimately cause heart attack, aneurysm, stroke or left ventricular hypertrophy leading to congestive heart failure. Many people with hypertension do not realize they have because the symptoms are subtle and that it generally develops over a long period of time. Most often, vital organs like the kidneys and eyes may damage or other diseases may occur before it is detected; for this reason, it is often called the "silent killer (American Heart Association, 2014). According to Woo & Wynne (2012), a report from the World Health Organization indicates that suboptimal blood pressure higher than 115mm Hg (systolic) is liable for 62% of all cardiovascular disease and 49% of all ischemic heart disease. A normal blood pressure level is systolic reading of blood pressure (SBP) less than 120mmHg with diastolic level (DBP) less than 80mmHg. Hypertension disease has the following stages. A pre-hypertensive level is SBP 120-139, and DBP 80-89. Hypertension stage 1 is SBP 140-159, with DBP of 90-99. Hypertension stage 2 is SBP greater than or equal to 160 with DBP of 100 or more. Stress and emotional tension may temporarily increase blood pressure;...
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...Emerging Standards of Care Kassandra Snow NUR 531 May 25th, 2015 Greg Friesz Emerging Standards of Care In the United States, it is no secret that there are many differing cultures, ethnicities, religious and racial in an abundance. In the nursing field, we see many differing cultural diversities on a daily basis. Racial, religious, and ethnic differences are mostly easy to spot in the health care world. These differences are readily discussed in nursing education, and education is given on how to provide culturally competent care for many different backgrounds. While this is an amazing thing to have in the nursing world, my question is what about the culture of military Veterans? Veterans are typically overlooked when it comes to the concept of culturally competent care. They have their own way of thinking, own belief systems and even their own language along with the specific mental and addiction health disparities. It is important that nurses do not overlook the rising number of Veterans, and the specific care they need due to the differing culture. Culturally competent care for veterans, any vulnerabilities of the Veteran culture, standards of culturally competent care in the Veterans Administration, application of nursing theory, and solutions for providing culturally competent care for Veterans will be addressed in this paper. Culturally Competent Care and Standards The United States is widely known as the “melting pot” of the world, and that comes with many...
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...University of Miami Introduction This module consists of four (4) sections. After completing the training, you will take a short quiz on the training content. After completing the quiz, we ask you to answer a few optional questions to give your view of this training module. Learning Objectives By the end of this module, you should be able to: Describe the concept of Cultural Competence in Research Explain the importance of Cultural Competence in Research Describe ways to enhance the engagement of diverse populations and communities in research Identify cultural competence challenges faced by researchers when working with culturally diverse populations Cultural Competence in Research Culture is fundamental to everyone's perceived identity. It is a mix of one's values, beliefs, standards, norms, behaviors, language, communication styles, and thinking patterns.[1] Cultural competence refers to understanding the importance of social and cultural influence on the beliefs and behaviors of the patient, student, colleague or client.[2] Cultural competence in health care describes the ability of systems and health care professionals to provide high quality care to patients with diverse backgrounds, values, beliefs, and behaviors, including communicating effectively and tailoring delivery to meet patients' social, cultural and linguistic needs and perspectives.[3] By definition, diversity can include differences in race, ethnicity, age, gender, size, religion, sexual...
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...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 Pierce, PhD...
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...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 prepares beginning nurses who function as providers and leaders of direct and indirect nursing care for diverse individuals, families, and...
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...As a measurement tool, heritage assessment helps a person appreciate further his cultural background, find strengths in his personality (based from his specific cultural background), and work on weaknesses that he has. Unlike other assessment tools, this is a quantitative-based approach aimed at threshing out a person’s family, religious and ethnic background that Influences the healthcare delivered to that person or to their culture The greater the number of the positive responses shows the person’s greater identification with traditional heritage. (Spector 365) .Based from the writers experience, a person needs to answer questions in a heritage assessment tool and these questions are * Place of birth of one’s parents * Place of birth of their respective parents * His or her age when family migrated to the United States * Composition of one’s family * Number of family members which that person lives with * Degree of interaction with family members living outside one’s home. * Religion of one’s family * Religion of one’s spouse * Religion of one’s neighbors * Degree of belief in one’s religion and observance of religious holidays Based on these questions which was answered by the writer she found that she is Christian catholic, and was born and raised in India along with her family and parents. The Indians beliefs are very different than other culture. We still believes in strong family and have long families who lives together in...
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...World Religion and Healthcare Jane Smith Grand Canyon University Spirituality in Health Care HLT-310V No Name May 23, 2014 Abstract The goal of this paper is to educate healthcare providers on a few of the basic needs of patient’s practicing Hinduism, Shintoism, and Native American cultures. A theme develops as one expands their worldview and becomes competent at creating an open dialogue with patients. Learning to have respectful conversations regarding spiritual needs will prove fulfilling for the provider and patient. Once one understands needs and barriers to care we are able to provide a spiritual and holistic experience. Exploring spiritual needs such as prayer and meditation and giving patients the opportunity to practice those in a healthcare environment is respected. Exercising additional patience and being willing to think outside the box will be the difference between competent care and compassionate care. World Religion and Healthcare Throughout a career an American nurse will come across a diverse patient population. The Christian nurse will have opportunity to educate and be educated on many cultures and religions that exist in our country. Becoming culturally competent is not only encouraged but a necessity. A lack of understanding of one’s own and one’s clients’ world views results in frustration and anxiety for both the helper and the client (Richards & Bergin, 1997, p. 50). This paper will provide a comparison...
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...Model is a valuable and functional assessment tool that evaluates the different cultural variables and how those variables effect health, illness and behaviors (Giger, 2013). This philosophy considers the uniqueness of each individual, understanding that the individual is unique, a product of their culture, religion, environment socioeconomic status and diversity. Giger and Dividhizar propose that, as health care providers, we need an acute awareness of the ethnicity and culture of each individual, having the knowledge and understanding to care for them as their culture, religion, values and belief system necessitates (Giger & Davidhizar, 2002). This model of nursing assessment focuses on six factors, or phenomena, that address important areas of cultural influence which impact our ability to provide diverse clients with the most effective and efficient care. The six phenomena are communication; space; social organization; time; environmental control; and biological variations. This assignment involves the use of the Transcultural Nursing Assessment model in the care of Ms. B, an 82 year old, African American female. Introduction America has been called the melting pot of the world. The term indicates that America is a county made up of immigrant cultures, religions and various ethnic groups from all over the world; a land of opportunity where all are accepted. Emma Lazarus’s famous poem engraved on the Statue of Liberty states, in part, “Give me your tired, your poor...
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...Health Promotion Among Diverse Populations Kristi Donau Grand Canyon University Family Centered Health Promotion NRS-429V Dana McKay May 3, 2015 Health Promotion Among Diverse Populations The United States has seen much transformation within its healthcare advances and delivery system over the last century. It has also demographically transformed from a nation of a predominantly white population to an ever growing culturally diverse population. Many of these cultural groups are documented minority groups, which face many problems with accessing and receiving adequate health care. Looking at the 2010 U.S. Census, close to 36 percent of the population was a part of an ethnic or racial minority group. These minority groups include American Native Indian, African American, American Asian, Pacific Islander, and Latino or Hispanic. Some minority groups have increased risk factors and experience a greater and disproportionate burden of disease, preventable illnesses and disability and morbidity rates compared with non-minority groups ("Centers for Disease Control and Prevention," 2014). In this paper, the author will compare and contrast the health status for the minority group of Hispanic/ Latinos to the national average, describe how health promotion is defined and what barriers and disparities exist for this minority population, and will describe three levels of health promotion prevention and which would be optimal for teaching the Hispanic/Latino people. ...
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