Cultural Competency and Cultural Humility in Nursing Practice

ethnic Competency and Cultural lowliness in Nursing Practice Lisa Watson UMASS Boston Online captain Issues in Nursing NU 360 Ms. Carol Moran November 08, 2012 Abstract You whitethorn non like how the Presidential election off-key out, only when the victory of the Democrats was won partly by concentrate oning on going after the Latino vote. The Hispanic population who voted for President Obama put him oer the top to win. Hispanics identified with Obama. Somehow, he made a connection with this finale.Nursing flowerpot use that lesson to improve ethnic sensitivity and support respectful grapple of our legion(predicate) finales. Every the Statesn makes up this country dis disregardless of heritage. This country was built from immigrants from entirely over the world. America is referred to as the melting pot. The diversity of Ameri advise farming continues to grow. Each patient a breastfeed interacts with is of import, regardless of the color of their skin, the langu age they speak or the ethnical traditions they follow. The diversity of Americas population continues to increase.The challenges of providing pagan sensitivity to a multi ethnic America is an important variation health forethought organizations moldinessiness be cognisant of. In an attempt to standardize terms and concepts to beg off ethnic competency to student protects, the Purnell Model was demonstr qualified by Larry Purnell, PhD. The Purnell model is a guide to adapting billing that takes into account the diversity of beliefs from a variety of cultures. It is found on multiple theories and research. A circular established was developed that contains 12 domains (pieces of pie) or considerations.They include and see the persons heritage, language, family roles, issues in workforce, bio heathen ecology, graduate(prenominal) risk behaviors, nutrition, pregnancy, death rituals, spirituality, health c ar practices and health maintenance providers. Within the 12 domai ns it addresses sociology, psychology, anatomy and physiology, biology, ecology, nutrition, pharmacology, religion, history, economics, authorities and language. The inner 12 domains are encapsulated by a second circle that represents family, a third marge that represents society and finally an outer ring that represents planetary society.The saw tooth at the bottom of the diagram is heathen consciousness. ( see Figure 1. ) Nurses essential(prenominal) learn how to march on with a variety of multitude who speak opposite languages, induce other beliefs, and government agencys that cultures submit the people we care for. healthcare is becoming more and more personalized. People have more options of how to pursue their birth health wellness, where to obtain their care and with whom. Nursing care of a growing divers(a) population must be addressed. As nurses we have to make our hospitals hawkish and make people want to bring their care to our doors.Nurses need to learn how to fall in communicate with a variety of cultures and must know how to interact with these cultures in ethnic sensitive ways depicting that culture if we want to remain competitive. Cultural Competency and Cultural Humility in Nursing Practice must be addressed. It is not an easy task. The term competency means to be competent, adequacy, in possession of need skills, cognition, qualification, or capacity ( Dictionary. com, 1995). To have qualifications or knowledge in all cultures is an impossible venture.However, unimportance as described by Tervalon (1998), incorporates a lifelong inscription to self-importance- military rank and self-critique. , and to developing mutually beneficial. partnerships with communities on behalf of individuals (p. 117). A task that evict be accomplished in health care education is cultural lowliness. After all nurses do have a career spirit to develop this self-evaluation. Cultural competence is too wide-cut to tackle. The task of develop ing education to teach cultural competence is a vague remainder and has been called stereotyping. This goal is too large and not specific.According to Roux and Halstead, a phase of re billeted approaches in nursing education concluded that there is a lack of consensus on what and how it should be taught(p. 323). on that point are just too many cultures that healthcare provides care to. It would be impossible to become in force(p) at all of them. Nurses plunder learn the basic principle cultural beliefs and even learn to speak the language, but that alone does not make nurses competent. However, a nurse screwing continue to do self evaluation of how he/she perceives the patients differences. The nurse can try to go steady how the patients culture makes hem have certain views related to their healthcare. sensation of the best ways to learn near diverse cultures is to interact with people from those cultures. However, opportunity to become immersed in another culture are n ot unceasingly available (Roux and Halstead, p. 325). Nurses can develop an mindfulness of cultural beliefs that guide patients to view healthcare in certain ways. This is an ongoing condemnation the nurse must make by building on cultural unimportance. Nurses may learn the basic cultural beliefs of the patients they care for, but this does not make them culturally competent.This is an ongoing growth that can hail byout the nurses career with cultural humility. Nurses must embrace trying to understand the beliefs of other cultures to understand how this guides that cultures healthcare and views. It may assistant to understand why people act the way they do. the perception, attitudes, and treatment approaches advocated by mental health professionals form the Western biological.. viewpoint precipitate mental health disparities among the older Afro-Caribbean population, (Ellis, p. 41). Many Afro-Caribbean elders may not trustingness the nurse of fear being judged.They may not u nderstand the questions on questionnaires and may take criminal offense in the way they are worded. Many beliefs occur from birth and throughout life and are instilled through our culture and upbringing. As things change in our lives, our beliefs can change and grow. Cultural beliefs can change as well. It is an ongoing process. These are lessons learned throughout a nurses career. It is achieved through constant learning, weighion and by keeping an open mind period using humility. When nurses are open minded they can understand how their get cultural beliefs can influence their understanding of others beliefs.As described by Levi, we need to realize that we are likely to have biases about how others should behave based on our own cultural norms, (p. 97). By using cultural humility nurses can continue to build on what they do know about a culture and reflect on how their own beliefs effect how they interact with patients of this culture. We must take ownership of our interactions with others while being aware of how we view cultural differences. The essential aspect is to become aware of our own values, so that we can better understand the values of another, (Roux and Halstead, p. 24). Nurses must be able to reflect on their own beliefs to realize how they view other cultures views. They must be able to compensate aside their own views to be able to provide care in the best interest of the patient. Of, cross nurses must abide by the law. However, there are interventions that nurses can provide for their patient, even if it is unconventional in the nurses belief. It may be disquieting to allow a comatose patients family to bath them, but it may what they have been taught. It can even be an ethical dilemma.In Chinese families they often do not tell the elder family constituent they have cancer. By trying to understand and allowing a family this cultural tradition it may be what is in the patients best interest. Cultural humility is a goal every nurse can work on throughout their career. It can be adapted as the nurses self reflection occurs. All healthcare professionals must be able to set aside their own beliefs to focus on the patient specific care require at that time. Questions must be asked of patients and of the healthcare providing the care to tailor care for that patient.wellnesscare must provide cultural sensitive care to their patients. Nurses should not be ingenious with providing the same care to every patient. The care must be patient centered and conscious about the whole patient and what their beliefs are. To obtain cultural humility every nurse should ask themselves have they look into their own beliefs at the door? Figure 1 The Purnell Model pic References American Association of Colleges of Nursing (AACN) and commission on Collegiate Nursing Education. (2003). Accreditation Standards.Retrieved November 8, 2012 from http// www. aacn. nche. edu. Dictionary. com. Dictionary. com, n. d. Web. 09 Nov. 2012. . Horace , E. , (2012). Mental Health Disparities in the Older Afro-Caribbean Population Living in the United States Cultural and Practice Perspectives for Mental Health Professionals. Journal of Psychosocial Nursing, 50, 37-44. Levi, A. (2009). The Ethics of Nursing Student world(prenominal) Clinical Experiences. The Association of Womens Health, Obstetric and neonatal Nurses, JOGNN, 38, 94-99 2009. DOI 10. 1111/j. 1552-6909. 008. 00314x. Purnell, L. (2002). The Purnell Model for Cultural Competence. J. Transcult Nursing 2002, 13 193. DOI 10. 1177/10459602013003006. Roux, G. , & Halstead, J. A. (2009). Issues and Trends in Nursing Essential association for Today and Tomorrow. Sudbury, MA Jones and Bartlett Publishers Tervalon, M. , Murray-Garcia, J. (1998). Cultural humility versus cultural competence A critical notation in Defining Physician Training Outcomes in Multicultural Education. Journal of Health Care for the woeful and Underserved May 1998, 9, 2 117-125.