Unit V: Cultural Influences

NURS 2210 Roles IINancy Pares, RN, MSN

Cultural diversity◦ Skin color, religion, geography◦ Confront self deception, bias and acknowledge

one’s own cultural influences

Cultural competent care◦ Effective individualized care that demonstrates

respect, personal rights, preferences, beliefs and practices of the client

◦ Dynamic process the requires sensitivity and cultural specific care

Discuss cultural concepts of nursing care

Learned from birth thru language Shared by members of the same cultural

group Influenced by conditions related to

environmental and technical factors and availability of resources

Dynamic and ever changing

Ethnic culture

Become aware of your own heritage Become aware of client culture as described

by the client Know of adaptations client made to live in

N. America Form a culturally congruent care plan

Kittler: Four step process to cultural sensitivity

Technology Religion Philosophy Social Culture Political education

Healthcare influenced by elements of social structure

Madeline Leininger◦ Sunrise model

Stresses the importance of providing culturally congruent care Ex: bringing culturally appropriate foods in hospital

Culture care accommodation Professional actions to satisfy healthy outcomes

Ex: negotiating with client to see curandero and MD Culture care restructuring

Professional activities to help clients change behaviors toward healthier life patterns Ex: if client refuses traditional Western medicine—use

massage, music, etc…..then negotiate for meds if required.

Transcultural Nursing

Aculturation

Cultural blindness

Cultural imposition

Cultural taboos

ethnocentrism

Space and distance

communication

Time

Social organization

Environmental control

Biological variations

Culturally mediated characteristics

Nuclear

Extended

Attenuated

Incipient

Blended

Family

Folk medicine

Biologic effects

Food preferences

Health habits of major ethnic groups in the US

Cultural Assessment◦Systematic appraisal of beliefs, values

and practices Cultural considerations: (see Osborne

special features section –back of text)

Know your client..

Culturally inappropriate/biases Noncompliance Impaired verbal communication Impaired social interaction Deficient knowledge Disturbed thought processes Powerlessness

Nursing Diagnosis

Nurses need to know◦Cultural group perspectives on life

processes◦How the culture defines health◦How the culture maintains health◦Use of healers◦Own influence

Planning and outcome identification

Self awareness

Non judgmental approach

Client education

Nurse must view client as part of health team

Implementation/Evaluation