cultural diversity in nursing practice

By exercising cultural competence, nurses and other health professionals can overcome language barriers, differing cultural beliefs and practices, unconscious and conscious medical bias, and low health literacy, thereby sidestepping the many racial and ethnic disparities that are prevalent in health care. not allowing a child to eat heated foods when they have certain illnesses), 2014 Jan;25(1):87-94. doi: 10.1177/1043659613503881. Clipboard, Search History, and several other advanced features are temporarily unavailable. Increasing diversity is challenging for many reasons, but one of the most glaring is the Individuals interested in exploring cultural competence in nursing should consider the benefits of an online Bachelor of Science in Nursing degree. Why Is Communication Important in Nursing? Copyright © 2021 Rider University. This is due to the fact that among the six goals of healthcare is provision of patient-centered care. doi: 10.1371/journal.pone.0240884. 2020 Mar 16;37(2):Doc25. Holist Nurs Pract. Possessing at least a general knowledge of the cultures they may engage will help nurses understand the attitudes and beliefs of their patients and their families. Cultural competence in nursing implies the ability of health care workers to give the best medical care to patients while demonstrating cultural awareness for their beliefs, race, and values. Nurses who understand and respect their patients’ cultural backgrounds are more likely to have success providing care to a diverse patient population. Additionally, nurses should be aware that while cultural competence has traditionally referred to racial and ethnic minority groups, it’s increasingly being used to include other groups, such as people with disabilities and members of the LGBTQ community. U.S. Centers for Disease Control and Prevention, “Reported Importance and Access to Health Care Providers Who Understand or Share Cultural Characteristics With Their Patients Among Adults, by Race and Ethnicity”. Cultural competence is the ability to collaborate effectively with individuals from different cultures; and such competence improves health care experiences and outcomes. Why Is Communication Important in Nursing? MedCity News, “The Need for Cultural Competence in Healthcare” Do you currently hold a valid US RN license. Cultural competence; cultural diversity; education; nursing research. Recommended Readings: It’s human nature for people to approach situations from their own beliefs and value systems, but in a clinical setting, this may be harmful. Keywords: Cultural competency of graduating BSN nursing students. Unable to load your collection due to an error, Unable to load your delegates due to an error. FOIA It entails having knowledge of patients’ cultural diversity and treating them with this in mind. Learn more about how Rider can help you pursue your professional nursing goals. Development of Tolerance in Nurses Operating in Culturally Diverse Environment In the mid-1950s she first observed that nursing practice lacked attention to cultural and humanistic factors. J Transcult Nurs. I believe diversity in nursing is an important issue, as minorities, which made up 38% of the U.S. population in 2014, are expected to become the majority by 2044. Cultural awareness, diversity, and inclusivity in nursing strive to combat differences in healthcare that lead to worse health outcomes for disadvantaged racial and ethnic groups. Privacy, Help doi: 10.3205/zma001318. For nurses and those pursuing a nursing degree, cultural competence is especially vital. In 1992, that number was 11 percent. Recognizing their own cultural attitudes and biases, both conscious and unconscious, and working to eliminate them is essential. A Model of Cultural Competence. Calvillo E, Clark L, Ballantyne JE, Pacquiao D, Purnell LD, Villarruel AM. Conclusion: In the September 2020 issue of the Journal of Nursing Education, Dr. Vernell DeWitty, AACN’s Director of Diversity and Inclusion, co-authored a guest editorial with Dr. Teri Murray, Professor and Dean Emerita at Saint Louis University, titled Influence of Climate and Culture on Minority Faculty Retention. Cultural competence changes in scope and depth over time based on individual and group experiences of cultural diversity, awareness or knowledge of ways in which groups and individuals are similar and distinct from one another, sensitivity or open attitudes toward self and others, and the acquisition and practice of skills. Cultural Competency in Baccalaureate Nursing Education. must incorporate cultural needs and beliefs into their nursing practice to provide care that is individualized for the client and appropriate to the client's needs. For example, recognizing how different groups communicate and divide roles in families can alleviate potential miscommunications related to consent and treatment. Edited by: Beverley Brathwaite - Middlesex University London, UK; Series: Transforming Nursing Practice Series. Increasing the cultural diversity of the nursing workforce begins in programs that educate the health care professionals of the future. View all blog posts under Master of Science in Nursing. Consequently, cultural competence in nursing is a critical component in reducing health disparities and achieving equity in quality of care among all populations. Bethesda, MD 20894, Copyright 2009 Apr;20(2):137-45. doi: 10.1177/1043659608330354. Educate Patients About Medical Practices. The number one most important thing you can do to promote diversity and inclusivity in your organization is to Harkess Kaddoura. By practicing cultural competence, nurses can help reduce health disparities and contribute to providing equitable care for all. The effect of a cultural competence educational intervention for first-year nursing students in Israel. 11, no. Prevention and treatment information (HHS). Please enable it to take advantage of the complete set of features! In the next few decades, the U.S. is projected to grow even more diverse, with minority groups expected to make up more than half the population by 2050, according to the U.S. Census Bureau. For nurses, the cultural competence path begins with awareness. Quality Interactions, “Cultural Awareness in Healthcare: A Checklist” 2008 May-Jun;24(3):143-9. doi: 10.1016/j.profnurs.2008.01.004. Using a method provided by Hawker et al. Earning an advanced degree, such as a Doctor of Nursing Practice, can prepare nurses to provide equitable, 2010 Sep-Oct;31(5):278-85. The National CLAS Standards are designed to “advance health equity, improve quality and help eliminate health care disparities by providing a blueprint for health care professionals to implement culturally and linguistically appropriate services,” according to the Health Department. 2020 Jul 14;17(14):5051. doi: 10.3390/ijerph17145051. While several theories and corresponding measures of cultural competency have been advanced and tried, much work remains, as many nursing professionals continue to call for greater evidence-based research and attention to patient perspectives and outcomes. Culture influences personal health care decisions at every level, including how patients perceive their illness, whether, where and how they seek help, and how they respond to treatment. Zarzycka D, Chrzan-Rodak A, Bąk J, Niedorys-Karczmarczyk B, Ślusarska B. PLoS One. Studies have consistently shown that health care professionals who practice cultural competence have better relationships with their patients, enjoying increased patient trust and engagement. Perspectives of Health Care Providers on the Role of Culture in the Self-Care of Patients with Chronic Heart Failure: A Qualitative Interview Study. While nurses aren’t expected to become experts on every culture, they should seek to gain an understanding of the cultures in the communities in which they work. 2012 Sep-Oct;26(5):243-58. doi: 10.1097/HNP.0b013e318263f2c9. National Library of Medicine Diversity and Cultural Awareness in Nursing Practice . All rights reserved. National Institutes of Health, Cultural Respect This article diverges from the traditional nursing practice of working with individuals to working with collectives, to community practice beyond individuals and families, beyond community as context, to community as client. Though nursing has made great strides in recruiting and graduating nurses that mirror the patient population, more must be done before adequate representation becomes a reality. According to Becker’s Hospital Review, nurses must learn to apply the “Platinum Rule”: Treat others as they want to be treated. Learn vocabulary, terms, and more with flashcards, games, and other study tools. Furthermore, the continuous cultural transparency in the world calls for the practice of Transcultural Nursing- Nursing in a manner that caters to the needs of individuals who represent a diverse cultural population within a society (Narayanasamy & White, 2005). Improved results and more realistic expectations in this area may require a closer understanding of the nature of the "culture" that underlies cultural competence. The concept of cultural competency has developed a substantial presence in nursing education and practice since first attracting widespread attention in the 1990s. Epub 2013 Sep 23. Cultural competence in nursing is rooted in empathy. MAS Medical Staffing, How to Strengthen Cultural Competence in Nursing Practice In some American regions, for example, the average life expectancy can vary by … “The development of cultural competence in the nursing practice first requires us to have an awareness of the fact that many belief systems exist,” says Lanette Anderson, executive director of the West Virginia State Board of Examiners for Licensed Practical Nurses. Cultural competency in baccalaureate US nursing education: hybrid course. A valid RN license is required for admission. 1 Despite these historic demographic shifts, the U.S. RN workforce is failing to reflect the population changes. “A lack of diversity among advanced practice RNs raises concerns about the ability of these nurse providers to meet the cultural and linguistic demands of 21st century patients, families and communities,” researchers said in “The Untapped Potential of the Nurse Practitioner Workforce in Reducing Health Disparities.” Ensuring that you are able to work effectively as a nurse with people from across the social spectrum and tailor your nursing practice to the needs of the individual. eCollection 2020. Nurses should also strive to adhere to the National Standards for Culturally and Linguistically Appropriate Services in Health and Health Care (the National CLAS Standards). The current state of cultural diversity in healthcare If the goal is to have a diverse group of healthcare providers that reflects the varying cultures, races and ethnicities of patients they serve, many medical facilities are still falling short. 2020 Oct 16;15(10):e0240884. How diverse is the current nursing workforce? These studies reported a general improvement in competency among students, though generally only to a level of cultural awareness, and admitted being constrained by several common limitations. It’s critical that every patient, regardless of their cultural … The importance of cultural competence is evident in terms of the quality of healthcare, and more knowledge is needed about different educational models and approaches that aim to increase cultural competence. Nursing’s leaders recognize a strong connection between a culturally diverse nursing workforce and the ability to provide quality, culturally competent patient care. Problem: Diversity in Practice The National Advisory Council on Nurse Education and Practice formally identified increasing racial/ethnic diversity of the RN workforce as one measure needed to ensure a workforce that’s able to meet the U.S. population’s nursing needs. J Prof Nurs. Diversity in Nursing includes all of the following: gender, veteran status, race, disability, age, religion, ethnic heritage, socioeconomic status, sexual orientation, education status, … Cuellar NG, Brennan AM, Vito K, de Leon Siantz ML. Conversely, studies have shown that a care plan that incorporates cultural competence can increase patient engagement, use of preventive services, treatment adherence and overall health status. Multicultural Health Communication 2013, Fast Facts on Language Culture and Patient Safety, Multicultural Health Communication, viewed 9 July 2019; Narayanasamy, A 2002, ‘The ACCESS Model: A Transcultural Nursing Practice Framework’, British Journal of Nursing, vol. As the nation becomes more diverse, the risk increases that cultural differences between patients and providers will lead to negative outcomes. The Embracing Cultural Diversity in Health Care: Developing Cultural Competence BPG does not focus directly on cultural competence as it relates to patients, but rather on cultural competence as it relates to the workplace and workforce. Cultural competence in nursing is rooted in empathy. As the first point of contact for many patients, nurses are uniquely positioned to practice cultural competence at the earliest stages of care, setting the tone for a patient’s entire health care experience. J Transcult Nurs. Becker’s Hospital Review, “Platinum rule trumps the golden one for best patient experience” Cultural Diversity and it Influence on Nursing Practice Culture can be defined as a way of life of a group of people such as, belief, behavior, values, customs that they accept and can be passed on from one generation to another. Jönsson A, Cewers E, Ben Gal T, Weinstein JM, Strömberg A, Jaarsma T. Int J Environ Res Public Health. Cultural competence in health care is defined as “the ability of systems to provide care to patients with diverse values, beliefs and behaviors, including the tailoring of health care delivery to meet patients’ social, cultural and linguistic needs,” according to the American Hospital Association. U.S. Census Bureau, “Demographic Turning Points for the United States: Population Projections for 2020 to 2060” Everyone knows the Golden Rule: Treat others as you want to be treated. In order to provide patient-centered care, it is important to understand all the needs of the patient. In the nursing practice, cultural diversity is paramount. 643-50, viewed 10 July 2019. Findings: Methods: Would you like email updates of new search results? Measures to improve cultural competence and ethnic diversity will help alleviate healthcare disparities and improve health care outcomes in these patient populations. For nurses, the cultural competence path begins with awareness. Accessibility Kardong-Edgren S, Cason CL, Brennan AM, Reifsnider E, Hummel F, Mancini M, Griffin C. Nurs Educ Perspect. Agency for Healthcare Research and Quality, Cultural Competence and Patient Safety, Becker’s Hospital Review, “Platinum rule trumps the golden one for best patient experience”, DiversityNursing.com, “A Guide to Culturally Competent Nursing Care”, MAS Medical Staffing, How to Strengthen Cultural Competence in Nursing Practice, MedCity News, “The Need for Cultural Competence in Healthcare”, National Institutes of Health, Cultural Respect, Quality Interactions, “Cultural Awareness in Healthcare: A Checklist”, U.S. Census Bureau, “Demographic Turning Points for the United States: Population Projections for 2020 to 2060”, U.S. Centers for Disease Control and Prevention, “Reported Importance and Access to Health Care Providers Who Understand or Share Cultural Characteristics With Their Patients Among Adults, by Race and Ethnicity”. Cultural Diversity and it Influence on Nursing Practice Culture can be defined as a way of life of a group of people such as, belief, behavior, values, customs that they accept and can be passed on from one generation to another. Start studying NClEX-RN Practice Questions Cultural Diversity and Health Practices. Careers. Disregarding the role of culture and language in health care can result in adverse effects for patients, including diagnostic errors, missed screenings and unexpected negative responses to medication. 9, pp. Further, tolerance and acceptance of groups that differ from one’s own is essential in nursing care for many reasons. They can accomplish this by researching a community’s demographic information and reaching out to different cultural groups in the community. This study examines the perceptions of nurses … Nurse Cultural Competence-cultural adaptation and validation of the Polish version of the Nurse Cultural Competence Scale and preliminary research results. The Process of Cultural Competence in the Delivery of Healthcare Services Model is a model of cultural competence that defines cultural competence as "the process in which the nurse continuously strives to achieve the ability and availability to effectively work within the cultural context of a client individual, family or community" (Campinha-Bacote,1998, p. 6). This site needs JavaScript to work properly. Agency for Healthcare Research and Quality, Cultural Competence and Patient Safety Culture and ethnicity are defined to set the stage for discussion of theory and its application to practice. As the nursing profession requires the delivery of individualised care that is based on holistic approach and ‘culture’ cannot be separated from the individual, transcultural competence plays an important role in nursing education, practice, research and administration (Rosenjack Burchum, 2002). As the diversity grows, cultural awareness and sensitivity will be essential skills in virtually every profession. Patients from certain cultures may be more likely to take traditional medicines, such as herbal remedies, which can have harmful interactions with physician-prescribed medications. In an increasingly diverse society, patients want to feel that their culture is understood and respected when seeking medical care. DiversityNursing.com, “A Guide to Culturally Competent Nursing Care” Of the many nursing theories used in the United States today, the one most associated with culture and cultural values is Leininger’s Culture Care Diversity and Universality: A Theory of Nursing. View all blog posts under Articles | Gender as social category of diversity training in health profession education - a scoping review. eCollection 2020. According to the 2014 U.S. Census Bureau, 27 percent of employed registered nurses came from racial or ethnic minority groups. Does diversity go beyond sex and gender? avoiding direct eye contact), or curious to a nutritionist (e.g. The American Nurses Association includes factors such as gender, sexual orientation, mental health, socioeconomic status, ethnic heritage, age, disability, and physical characteristics. Diversity in nursing is about more than ethnicity, however. The need for cultural competence in nursing has never been greater. to appraise articles, this paper compares nine recent (2008-2013) studies (including two composite studies) related to cultural competency, undergraduate curricula, and teaching strategies in nursing to assess the state of the art in this important area of care. Research has shown that minority patients are more comfortable in settings where their providers share or understand their cultures and are more likely to adhere to treatment guidelines, thereby reducing the risk of adverse events when providers adapt care to address patients’ unique social, cultural and language needs. Far from being merely an exercise in politeness, cultural competence can have a direct impact on quality of care and eventual health outcomes. Start a free trial of Quizlet Plus by Thanksgiving | Lock in 50% off all year Try it free 8600 Rockville Pike Evidence suggests, however, that when providers make cultural sensitivity a hallmark of care, the likelihood increases that their patients will be more satisfied and, ultimately, healthier. Every healthcare facility and provider is determined to provide patient-centered care. The studies applied phenomenological, study abroad, online, and service learning strategies, four of which relied on some version of Campinha-Bacote's IAPCC© model. GMS J Med Educ. Simple steps such as communicating with patients in layperson’s terms — using clear, descriptive words that align with the communication practices of a patient’s culture — are critical elements of a culturally competent care plan. Cultural Diversity and its Influence on Nursing Practice The nursing profession has a long history of assessing and placing the needs of patients first when giving care. Numerous case studies have shown that minority groups are often at a disadvantage both in terms of their access to health care and the level of care they receive. The meaning of cultural diversity in its broadest sense is the recognition that every person belongs to specific individually chosen as well as socially constructed groups. Nowadays, healthcare professionals worldwide deliver care for increasing numbers of culturally and linguistically diverse patients. Nurse Management Roles in Healthcare, Sources: Cultural competence in the undergraduate nursing curriculum. The Bureau also reports that male nurses only account for 10 percent of all nurses. disrespectful/suspicious to a Caucasian (e.g. If you’re interested in exploring cultural competence in nursing, consider pursuing Rider University’s online Bachelor of Science in Nursing degree, which offers a course, Cultural Diversity in a Global Society, that puts nursing students on the path to becoming culturally competent. Nurses who understand and respect their patients’ cultural backgrounds are more likely to have success providing care to a diverse patient population. Culture and Cultural Competence in Nursing Education and Practice: The State of the Art Improved results and more realistic expectations in this area may require a closer understanding of the nature of the "culture" that underlies cultural competence. As part of a cultural assessment, nurses should also ask patients about spiritual or religious practices and other customs that may be relevant to a patient’s clinical situation. Nurses should also possess an understanding of ethnopharmacology: the study of substances that different ethnic and cultural groups use medicinally and how those groups respond to different forms of medication. The Qualities of a Good Nurse in Action The Role of Cultural Competence in Nursing, Master of Arts in Organizational Leadership, Developing People and Organizations Concentration, Higher Education Leadership Concentration, Bachelor of Science Business Administration, Bachelor of Science in Allied Health Studies, Bachelor of Science in Business Administration in Organizational Psychology, Bachelor of Arts in Organizational Psychology. A U.S. Department of Health and Human Services study found that minorities placed greater importance on whether their providers shared or understood their cultures; if their providers did, then minorities were more likely to report having a positive relationship and more prone to follow health recommendations, which can lead to overall better health outcomes. Cultural diversity ; education ; nursing research benefits of an online Bachelor of Science nursing! Chrzan-Rodak a, Cewers E, Hummel F, Mancini M, Griffin C. Educ. 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