Ramont and Niedringhaus, Comprehensive Nursing Care

- 3 Click to edit Master text styles Second level Third level Fourth level Fifth level Click to edit Master title style 2010 by Education, Inc. All rights reserved. CHAPTER Comprehensive Nursing Care Second Edition 2010 by Education, Inc. All rights reserved. Click to edit Master text styles Second level Third level Fourth level Fifth level Click to edit Master title style Click to edit Master text styles Second level Third level Fourth level Fifth level Promoting Culturally Proficient Care Contents Classroom Response System Lecture Notes Question 1 Question 1 Choices Stereotypes. Ethnocentrism. Acculturation. Cultural awareness. Question 1 Answer Stereotypes. Ethnocentrism. Acculturation. Cultural awareness. Question 1 Rationale Question 1 Rationale Question 2 A Caucasian nurse raised in the American culture and viewing Western medicine as the only option can be said to be Question 2 Choices Prejudiced. Culturally sensitive. Ethnocentric. Culturally competent. Question 2 Answer Prejudiced. Culturally sensitive. Ethnocentric. Culturally competent. Question 2 Rationale In health care, ethnocentrism includes the view that the only valid healthcare beliefs and practices are those held by healthcare professionals. Question 3 When a nurse makes a statement based on ethnic stereotyping, the nurse assumes Question 3 Choices All members of an ethnic group are alike. All members of a cultural group have the same health beliefs. Commonalities occur among cultures. Individuals of specific groups respond to medical treatment differently. Question 3 Answer All members of an ethnic group are alike. All members of a cultural group have the same health beliefs. Commonalities occur among cultures. Individuals of specific groups respond to medical treatment differently. Question 3 Rationale Question 4 Question 4 Choices _ _ Question 4 Answer _ _ Question 4 Rationale Learning Outcomes Develop an understanding of the history of transcultural nursing. Define terminology of transcultural nursing. Describe the 12 domains of culture. Identify the effect of healthcare disparities among members of various cultural groups. Learning Outcomes Discuss the role of communication in the delivery of culturally proficient care to hospitalized clients and their families. List the components of a cultural assessment. Discuss the subculture of health care, including cultural diversity among nurses. Terminology of Transcultural Nursing H Development of Transcultural Nursing Development of Transcultural Nursing Theoretical Basis of Transcultural Nursing Nursing theories based on four concepts Nursing Person/client Health Environment Twelve Domains of Culture Overview, inhabited localities, and topography Communication Family roles and Organizations Workforce issues Biocultural etiology High risk behavior Nutrition Pregnancy and Childbearing practices Death rituals Spirituality Healthcare practices Healthcare practitioners Segregation and Discrimination Racial and Ethnic Disparities in Health Care Racial and Ethnic Disparities in Health Care Sources of disparity range from client-level, provider-level, and system level factors Education may be the tool for elimination Culturally Based Communication Intercultural communication Verbal communication What language is used Dialect differences may result in inaccuracies Culturally Based Communication Nonverbal communication Cultural variations influence nonverbal communication and interpretation of body language Cultures differ on acceptable touch Personal space needs vary Transcultural Communication and Client Concerns Transcultural Communication and Client Concerns Reduce client stress and anxiety by providing adequate communication Conducting the Cultural Assessment Box 3-5 (continued) Data Collection Subculture of Health Care Nursing education and training affect their values Insight into ones own thinking improves client interactions using empathy and acceptance Subculture of Health Care Healthcare facilities provide training and policies to encourage culturally proficient care Facility must regularly assess staff attitudes and take steps to correct those who do not deliver culturally proficient care Cultural Empathy Cultural Empathy Cultural Diversity Among Nurses Nursing population closely resembles population as a whole Nurses must learn to work with others from different cultures Nurses may be foreign educated Cultural Diversity Among Nurses Prioritizing Care Nurses responsible for delivery of culturally proficient care Must understand own cultural values and biases Both nurse and client influenced by cultural identity, ethnic history, values, kinship, and family Prioritizing Care Illness and stress may cause aspects of life to be more pronounced Philosophical points of view influence client-nurse relationship Assessing Diagnosing, Planning, and Implementing Evaluation Discharge planning is a nursing responsibility Areas of special importance for clients from diverse cultural backgrounds Figure 3-2. Nurses today are of many backgrounds and cultures. It is important both for the needs of clients and for the success of institutions for nurses to make adaptations to account for the differences in culture. Source Photoedit Inc. - 3 - 3 Click to edit Master text styles Second level Third level Fourth level Fifth level Click to edit Master title style 2012 by Education, Inc. All rights reserved. CHAPTER Comprehensive Nursing Care Revised Second Edition 2012 by Education, Inc. All rights reserved. Promoting Culturally Proficient Care - 3 - 3 Promoting Culturally Proficient Care Click to edit Master text styles Second level Third level Fourth level Fifth level Click to edit Master title style 2012 by Education, Inc. All rights reserved.