Cultural Competency and Cultural Humility in Nursing Practice

cultural Competency and Cultural Humility in halt do Lisa Watson UMASS Boston Online Professional Issues in nursing NU 360 Ms. Carol Moran November 08, 2012 twinge You may not like how the Presidential election turned out, nevertheless the victory of the Democrats was won partly by foc utilize on vent after the Hispanic vote. The Hispanic population who voted for President Obama put him over the top to win. Hispanics identified with Obama. Somehow, he made a connection with this subtlety.Nursing deal use that lesson to improve ethnic sensitivity and render respectful administer of our numerous polishs. Every the Statesn packs up this expanse regardless of heritage. This coun study was built from immigrants from all over the world. the States is referred to as the melting pot. The sort of Ameri privy culture continues to grow. Each unhurried a absorb interacts with is important, regardless of the color of their skin, the language they speak or the heathen cu stoms they follow. The diversity of Americas population continues to increase.The challenges of providing heathenish sensitivity to a multi cultural America is an important variation health portion out organizations must be aw ar of. In an attempt to standardize terms and concepts to explain cultural competency to educatee nurses, the Purnell Model was developed by Larry Purnell, PhD. The Purnell model is a guide to adapting c atomic number 18 that takes into account the diversity of beliefs from a variety of cultures. It is based on binary theories and research. A circular schematic was developed that contains 12 domains (pieces of pie) or considerations.They hold and represent the persons heritage, language, family roles, issues in performanceforce, bio cultural ecology, high pretend behaviors, nutrition, pregnancy, death rituals, spirituality, health care practices and health care providers. Within the 12 domains it addresses sociology, psychology, anatomy and physiology, biology, ecology, nutrition, pharmacology, religion, history, economics, politics and language. The inner 12 domains are encapsulated by a second circle that represents family, a third rim that represents society and last an outer ring that represents global society.The saw tooth at the bottom of the plat is cultural consciousness. ( see witness 1. ) Nurses must learn how to communicate with a variety of nation who speak other languages, prepare other beliefs, and shipway that cultures influence the people we care for. healthcare is becoming to a greater extent and more personalized. People have more options of how to pursue their consume health wellness, where to halt their care and with whom. Nursing care of a growing several(a) population must be addressed. As nurses we have to make our hospitals competitive and make people want to bring their care to our doors.Nurses need to learn how to give communicate with a variety of cultures and must get along how to interact w ith these cultures in cultural metier ways depicting that culture if we want to watch competitive. Cultural Competency and Cultural Humility in Nursing Practice must be addressed. It is not an easy task. The term competence representation to be competent, adequacy, in possession of required skills, knowledge, qualification, or capacity ( Dictionary. com, 1995). To have qualifications or knowledge in all cultures is an hopeless venture.However, humility as described by Tervalon (1998), incorporates a livenesslong commitment to self-importance-evaluation and self-critique. , and to developing reciprocally beneficial. partnerships with communities on behalf of individuals (p. 117). A task that can be well-bred in health care education is cultural humility. After all nurses do have a career lifetime to develop this self-evaluation. Cultural competence is too broad to tackle. The task of developing education to teach cultural competence is a vague goal and has been called stereoty ping. This goal is too round and not specific.According to Roux and Halstead, a number of reviewed approaches in nursing education reason that there is a lack of consensus on what and how it should be taught(p. 323). There are just too many cultures that healthcare provides care to. It would be impossible to become proficient at all of them. Nurses can learn the fundamental principle cultural beliefs and even learn to speak the language, but that alone does not make nurses competent. However, a nurse can continue to do self evaluation of how he/she perceives the patients differences. The nurse can try to understand how the patients culture makes hem have plastered views related to their healthcare. One of the best ways to learn active diverse cultures is to interact with people from those cultures. However, opportunity to become immersed in another culture are not always available (Roux and Halstead, p. 325). Nurses can develop an ken of cultural beliefs that guide patients to view healthcare in certain ways. This is an ongoing reflection the nurse must make by building on cultural humility. 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 harvest-time that can occur throughout 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 help to understand why people act the way they do. the perception, attitudes, and treatment approaches advocated by mental health professionals take form the Western biological.. viewpoint precipitate mental health disparities among the older Afro-Caribbean population, (Ellis, p. 41). many Afro-Caribbean elders may not trust the nurse of fear being judged.They may not understand the questions on questionnaires and may take offense in the way they are worded. Many beliefs occur from birth and throughout li fe 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 unalterable learning, reflection and by keeping an open mind while using humility. When nurses are open minded they can understand how their own 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 move 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 answer how they interact with patients of this culture. We must take ownership of our interactions with others while being certain 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 set aside their own views to be able to provide care in the best interest of the patient. Of, line of products 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 uncomfortable to allow a comatose patients family to bath them, but it may what they have been taught. It can even be an honorable dilemma.In Chinese families they often do not tell the elder family outgrowth 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(prenominal) 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 needed at that time. Questions must be asked of patients and of the healthcare providing the care to tailor care for that patient.Healthcare must provide cultural sensitive care to their patients. Nurses should not be happy 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 checked their own beliefs at the door? Figure 1 The Purnell Model pic References American experience 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 race Living in the United States Cultural and Practice Perspectives f or Mental Health Professionals. Journal of Psychosocial Nursing, 50, 37-44. Levi, A. (2009). The Ethics of Nursing Student International 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 Knowledge for right away and Tomorrow. Sudbury, MA Jones and Bartlett Publishers Tervalon, M. , Murray-Garcia, J. (1998). Cultural humility versus cultural competence A critical distinction in Defining Physician Training Outcomes in Multicultural Education. Journal of Health Care for the Poor and Underserved May 1998, 9, 2 117-125.