Culturally Competent Care: Assessing Patient Beliefs for Improved Outcomes - Essay Sample

Introduction

Culturally competent care adapts care based on the requirements and preferences of a client, beginning with a cultural assessment that creates the foundation of the care plan. Nurses that assesses the cultural beliefs of the patient, practices, values individualize care and attain positive results better. Most healthcare providers are now aiming at issuing patient learning that is sensitive to culture (Giger & Haddad, 2020). Nurses and other healthcare providers have a massive task of familiarising themselves with the cultural chsnges of each ethnic group. Through cultural assessment, data obtained enables patients and nurses to come up with a treatment plan that resonates with the needs of the patient. The foundation of cultural assessment is that all clients have a right to their cultural notions, practices, and values. These aspects are grasped, considered, and respected when giving culturally competent care (Giger & Haddad, 2020). This essay analyzes Cultural care planning in nursing by exploring the different key components of conducting a comprehensive cultural assessment, culturally diverse care, and nursing diagnoses that reflect cultural diversity.

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Key Components of Conducting A Comprehensive Cultural Assessment

Conducting a comprehensive cultural assessment incorporates five realms: cultural desire, awareness, knowledge, skill, and cultural encounters, all of which are components based on Campinha-Bacote’s conceptual model of cultural competence. The constructs of cultural knowledge, awareness, encounters, skill, and cultural desire have a correlated association and when a healthcare provider enters the process (Campinha-Bacote, 2019). any of these five constructs can be utilized to enhance the balance of the others.

Cultural Awareness

Cultural awareness refers to the self-observation and extensive analysis of a person's executive and cultural background. The procedure incorporates recognizing an individual's biases, assumptions, and prejudices concerning distinct people (Campinha-Bacote, 2019). a healthcare provider needs to avoid the problems caused by engaging in cultural demand by being conscious of the influence of a person's executive and ethical values. Cultural imposition ca be interpreted as the proneness of an individual to impose their values, perceptions, and patterns of behavior on the culture of another.

Cultural Knowledge

Cultural knowledge entails looking for and obtaining sound learning concerning diversity in cultures and ethnicities. Obtaining this foundation of expertise ensures that a healthcare provider focuses on integrating three particular issues, including; cultural values, health-related beliefs, prevalence and treatment of disease, and efficacy in treatment (Campinha-Bacote, 2019). The worldview of a patient explains how they expound their disease and how it mentors their thinking, doing, and being. When obtaining cultural knowledge, a healthcare provider must get incidence and prevalence of disease through gathering knowledge based on the field of ecology. The third issue is treatment efficacy, and it involves gaining insights in areas including cultural pharmacology; that is, the study of distinctions in metabolism of among different ethnicities.

Cultural Skill

Cultural skills can be interpreted as the capacity to gather essential ethnical information concerning the presenting issue of the client, and also conduct a culturally-based physical assessment accurately. According to Campinha-Bacote (2019), a cultural assessment is a step by step inspection of people, groups, and societies as their values, cultural beliefs, and practices to identify unique requirements and interventions practices in the discourse of individuals getting served. When conducting a physical assessment on ethnically diverse clients, cultural skills in needed. The healthcare provider needs to be equipped with the client's biological, physical, and psychological distinctions and how they impact the capacity to perform a precise and appropriate physical evaluation, including; visible physical aspects, laboratory variances, skin color, and body structure.

Cultural Encounters

Cultural encounter incorporates the procedure of encouraging nurses and other providers of health to engage in cross-cultural associations with clients from distinct cultures directly. Direct interactions with patients ensure modification and refining of existing notions concerning a cultural group, which prevents occurrences of possible stereotyping (Campinha-Bacote, 2019). The healthcare provider needs to interact with as many people as possible from each cultural group to be an expert on each group's beliefs. I cultural encounters, a nurse can assess the patient's linguistic needs. The communication process requires a well-trained interpreter to facilitate the interview; this is because a lack of knowledge results in inaccurate and faulty data.

Cultural Desire

Cultural desire is interpreted as the stimulation of a healthcare provider to need to take part in the procedure of growing culturally aware, insightful, skilful, and familiar with cultural encounters. It incorporates the concepts of caring, keeping in mind that individuals care more about how much a person cares rather than how much they know (Campinha-Bacote, 2019). A healthcare provider must have in-built stimulation to provide care that responds to culture, rather than just saying they have respect for the patient’s values, practices, and beliefs. Cultural desire is the authentic passion for openness and flexibility with others, accepting their variations, and establishing similarities alongside the willingness of learning from others as one's cultural informants. Achieving this can be called cultural humility.

Components That Reflect a Christian Based Culture And How It Impacts Attitude Toward Those Aspects Of Providing Culturally Diverse Care

Knowledge of Distinct Cultural Practices and Worldviews

Diversity of religion within the population in the world results in challenges for nurses and healthcare systems in delivering culturally competent medical care (Campinha-Bacote, 2019). it is vital for nurses to at least have basic knowledge of Christianity when dealing with Christians, to deliver holistic care that meets the needs of the patients according to their belief’s practices and values. Christian values have implications for diet, dressing, and medication as well as procedure s that are followed at birth and death.

Awareness of One's Cultural Worldviews

Nurses are encouraged to check details of their patient’s religious practices and not to make any assumptions (Campinha-Bacote, 2019). A nurse dealing with Christian protestants must recognize that their beliefs and practices are varied and that the only generally accepted sacraments are Holy communion and baptism. A Nurse has to be aware that they do not have to over-rely on conventional medicine but should hold together with the client that they can be healed through prayers. The Christian church respects the work of a medical professional. It hardly forbids any utilization of medicine by its members, and those that choose to undergo medical treatment for a particular treatment suggest Christian science treatment for that treatment period (Swihart & Martin, 2020).

Nursing Diagnoses that Reflect Cultural Diversity

Non-Compliance

The nursing diagnosis, non-compliance is interpreted as the character of an individual or caregiver that does not correspond with a health-promoting therapeutic plan agreed on by an individual, family, or community and healthcare professional (Giger & Haddad, 2020). The effectiveness of treatment of the Latino patient will depend on their behavior in taking medications, following particular regimes, and dealing with lifestyle modifications. The presence of barriers to compliance emerges based on the distinctions in cultural beliefs between the Caucasian Christian and Latino patients. In this case, the Caucasian Christian might agree with the Latino. The family that will be involved in translations since most Latino families and relationships are essential, and carrying out a conversation to get to know the patient, including acknowledging the presence of the family members interested in participating in each element of healthcare practice, is vital. This is also the case for Christians who believe in attending to masses as an obligation. Latinos generally accept prayers with patients and families, and they appreciate prayers (Swihart & Martin, 2020). When attending to the Latino patient, the nurse can take advantage of the opportunity of acknowledging prayers and the presence of Jesus in the patient’s life, to make them comfortable in complying to all medical prescriptions. Most nurses tend to include the mislabeling phenomena that arise as cultural dissonance expressions rather than expressions of social, political, psychological, and economic factors.

Knowledge Deficit

Lacking in cognitive information and psychomotor ability that is required for restoring health is identified as a knowledge deficit. Knowledge plays a vital role in a patient's life and recovery. It might incorporate three domains, including; a cognitive area that combines problem-solving and intellectual activities, an affective domain that includes feelings and beliefs, and psychomotor domain that provides for procedures and physical skills (Giger & Haddad, 2020). the nurse must identify with the patient what to teach, when to teach and how specific matter and health concerns should be taught. The nurse has the goal of teaching the patient to be capable of meeting self-care needs. When designing a teaching plan, particular ethnical and religion groups have distinct perceptions and health practices that must be considered. Asking the patient and family some valuable questions to get relevant information is vital for the development of a teaching plan (Swihart & Martin, 2020). the nurse has to remember the individual interpretation of the patient’s illness than the view he/she has on the disease. Rather than attempting to impose some Caucasian Christian doctrines that might not be effective, the nurse should teach from the point of mutual understanding and collaboration for effectiveness.

Conclusion

Nations around the globe continue to bring opportunities to nurses, policymakers, healthcare systems and delivering culturally competent services with increasing cultural diversity. Cultural competence among healthcare providers ensures the provision of amenities that cater to the cultural, societal and lingual requirements of patients. A culturally competent centre enhances health results and quality care and donates to the ejection of racism and ethnicity gaps. Some techniques that progress healthcare structures towards these goals incorporate provision of essential awareness on cultural competence and cross-cultural issues to health providers and the establishment of policies that lower linguistic and administrative barriers to patient care.

References

Campinha-Bacote, J. (2019). Cultural competemility: A paradigm shift in the cultural competence versus cultural humility debate—Part I. Online Journal of Issues in Nursing, 24(1).

Giger, J. N., & Haddad, L. (2020). Transcultural Nursing-E-Book: Assessment and Intervention. Elsevier Health Sciences.