Summary

This document explores various aspects of cultural competence in nursing. It discusses cultural values, ethnicity, and cultural diversity in nursing care. The document also investigates cultural influences on illness care, assessments for culturally diverse patients, and the importance of transcultural nursing.

Full Transcript

What is Culture CULTURE - Is a norms and practice of particular group that are learned and shard and guide thinking, decisions and actions that are pass generation to generation. It include fundamental values belief attitude and customs including those related to health care and illness. CULTURAL V...

What is Culture CULTURE - Is a norms and practice of particular group that are learned and shard and guide thinking, decisions and actions that are pass generation to generation. It include fundamental values belief attitude and customs including those related to health care and illness. CULTURAL VALUES The individuals desirable or preferred way of action or knowing something that is sustained over a period of time and which governs action or decisions. ETHNICITY The sense of identification with a collective cultural group, largely based one the group common heritage. Include language and dialect, religious practice, literature, music, folklore, political interest, food preferences and employment patterns. CULTURALLY DIVERSITY IN NURSING CARE "An optimal mode of health care delivery it refers to the variability of nursing approaches needed to provide culturally appropriate care of that incorporates an individuals cultural Values, belief, and practices including sensitivity to environmental from which the individual comes and to which the individual may ultimately return.” CULTRAL INFLUENCE IN ILLNESS CARE People's values and belief about health illnes care for illness develop as a direct result of cultural and ethic influences direct result of cultural and ethnic influences. Illness are classified as natural & unnatural. Natural- Dangerous agents such cold air or impurities in air, water, or food cause natural illness. Unnatural- Illness are punishment for follow god's rules resulting evil forces or witch craft causing physical or mental health problem. CULTUAL ASSESSMENT IN NURSING:- When caring for patients who are from a different culture than nurse its is important to ask the patient how they want to be treated based on their cultural values and beliefs. Primary informant should be patient, if not responded family member or other informant. The nurse can anticipated a patient's values religion dietary practices family lines of authority family life patterns and belief and practice related to health and illness. EXAMPLE OF NANDA NURSING DIAGNOSIS FOR CULTURAL DIVERSITY. Impaired verbal communication related to inability to speak English and interpreter unavailable. Social isolation related to move away from neighborhood and friends of ethnic group. Impaired parenting related to use culturally based discipline considered inappropriate or abusive by current country of residence. Situational low self esteem related to language difficulties and inability to secure employment. GUIDELINE FOR NURSING CARE CULTURAL COMPETENCE - "Cultural competence is process in which the nurse continuously strives to achieve the ability and availability to effectively work within the cultural context of individual, family or community". CULTURALY COMPETENT NURSE A culturally competent nurse is able to adopt nursing care, culturally competent takes time it involves developing awareness, acquiring knowledge attitude and skills. COMPONENT FOR CULTUARA ASSESSMENT Were the patient was born & how long he/she resided in country. Ethnic and religion affiliation. Patient major support system. Primary and secondary language and non- verbal communication style. Food preferences and taboos. Economic situation and adequacy. Belief and practices related to health, illness, birth & death. ELEMENTS OF CULTURAL DIVERSITY Develop cultural self awareness. Develop cultural knowledge. Accommodate Cultural practices. Respect Culturally based family role. Avoid mandating change. Seek cultural assistance. STEREOTYPING AND GENERALIZATION Applying cultural awareness to individuals can be hazardous. Cultural blindness can be equally detrimental. The key is to acknowledge and be respectful of differences, and to ask patients to explain their perspective when in doubt. Kasama sa irereport itong pic nato TRANSCULTURAL NURSING Transcultural Nursing is a comparitive study of cultures to understand similarities(cuture universal) and differences(culture-specific) across human group.” IMPORTANCE OF TRANSCULTURAL NURSING 1) There is a marked increase in the migration of people within and between countries world wide. 2) There has been a rise in multicultural identifies, with people expecting their cultural belief, values, and lifeways to be understood and respected by nurses and other health care providers. 3) The increased use of health care technology sometimes conflicts with cultural values of clients. 4) World wide there are cultural conflicts, clashe and violence that have an impact health care as more cultures interact with one another. 5) There was an increase in legal suits resulting from cultural conflict, negligence, ignorance, and imposition of health care practices. 6) There is an increase in the number of people travelling and working in many different parts of the world. 7) There has been a rise in feminism and gender issues, with new demands on health care systems to meet the needs of woman and children 8) There has been an increased demand for community and culture based health care services in diverse environmental contexts.

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