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Cultural Competence in Nursing Management
Transcript of Cultural Competence in Nursing Management
Nursing Management Andrew Hammond
Michael Bird What Is Cultural Competence? Cultural Competence
The ability to engage effectively with people of different cultures and socioeconomic backgrounds Culture
The learned, shared, transmitted values and beliefs and practices of a particular group that guide the thinking, actions, behaviors, interactions, emotions and view of the world. Relevance Today A Culturally Competent Nurse:
Cares for patients of all ethnicities, backgrounds, beliefs and values
Assesses patients without stereotyping
Provides care based on need Health Disparities Minorities experience increasing disparity in health care
Minorities suffer more from cardiovascular disease, diabetes, asthma, TB, HIV/AIDS and cancer
Health care provider decisions are influenced by patients’ perception of care
Disparity causes are multi-factorial and related to social determinants external to the heath care system Relevance to Nursing Cont. Lack of an ongoing relationship with a provider reduces the use of specialty services and preventative care
Increased use of ED as a regular place of care
Geographic isolation, transportation, child care may be problematic
Non-English speaking patients may be reluctant to seek treatment in a timely manner The number of uninsured Americans is growing.
Cost for low income uninsured families
Confusion and fear inhibit immigrants from obtaining insurance coverage Addressing Cultural Competence Healthy People 2020
United States Department of Health and Human Services
The Joint Commission
Expert Panel on Global Nursing and Health
There are clear links between cultural competence and quality improvement and overcoming disparities Managers Role in Maintaining Cultural Competency System-wide, managerial-level task force to manage diversity-related issues
Establish a budget to support culturally appropriate care
Hiring of interpreters
Multi-language patient education materials
Adding signage in different languages
Cultural competence requirements in job descriptions and performance measures and promotion criteria
Orientation and annual in-service training in cultural competence for all levels of staff
Obtain patient/client feedback Quick Tips Speak clearly and slowly without raising your voice
Avoiding slang, jargon, humor, idioms
Use Mrs., Miss, Mr.
Avoid first names
Avoid gestures and sign language– they may have a negative connotation
Respect individual's beliefs
illness is caused by supernatural or environmental factors
Many carry or wear religious symbols Final Words There are many different cultures in our health system
Nurses must identify cultural differences and adjustments their care
We want the delivery of the best health care possible
The goal is to provide patient centered care regardless of the culture Case Study Hispanic woman had to sign an informed consent form for a hysterectomy
The patient spoke no English and the hospital staff relied on her bilingual son to serve as the interpreter
When the son explained the procedure to the mother, he appeared to be translating accurately and indicating the proper body parts
His mother signed the consent form willingly
The next day, however, when she learned that her uterus had been removed and she could no longer bear children, she became very angry and threatened to sue the hospital
Because it is inappropriate for Hispanic male to discuss her private parts with his mother the embarrassed son had explained that a tumor would be removed from her abdomen and pointed to the general area
The woman became quite angry and upset because a Hispanic woman's status is derived in large part from the number of children she produces Question A nurse who provides culturally competent care would expect to:
a. Involve social service in the plan of care
b. Schedule treatments around the clients need to pray at certain intervals c. Find out where the client used to lived.
d. Be knowledgeable about ones foreign language b. Schedule treatments around the clients need to pray at certain intervals Question What influencing factors have contributed to implementing transcultural communication?
a. Group communication patterns have developed because of the increase in ethnic, racial, and cultural diversity in America
b. There has been an increase in cultural, ethnic, and disenfranchised populations who seek health care
c. The settings for health care delivery are requesting health professionals be culturally sensitive
d. Health care professionals seeking to provide high quality care often face communication barriers. b. there has been an increase in cultural, ethnic, and disenfranchised populations who seek health care References Douglas, M. K., Pierce, J. U., Rosenkoetter, M., & Callister, L. C. (2009). Standards of Practice for Culturally Competent Nursing Care: A Request for Comments. Journal of Transcultural Nursing, 20(5), 257-269.Steefel, L. (n.d.). Cultural Competency Challenges. Nursing Spectrum- Career Fitness Online. Retrieved March 5, 2013, from http://nsweb.nursingspectrum.com/Articles/CulturalCompetency.htmOffices of Minority Health and Health Disparities: About Minority Health. (2007, June 6).
Centers for Disease Control and Prevention. Retrieved March 5, 2013, from http://www.cdc.gov/omhd/AMH/AMH.htmU.S. Department of Health and Human Services. (2012).
Healthy people 2020. Retrieved from www.healthypeople.gov.
National Standards on Culturally and Linguistically Appropriate Services (CLAS) - The Office of Minority Health - OMH. (2007, April 12). Office of Minority Health - OMH - Home Page. Retrieved March 5, 2013, from http://minorityhealth.hhs.gov/templates/browse.aspx?lvl=2&lvlID=15 Relevance to Nursing Contributing Factors