This essay will require you to demonstrate your understanding and application of Cultural Competency to health care practice.
The following will be included in the essay
Identify your cultural values, and privileges regardless of your culture, race, or ethnicity
A reflection on your cultural values, privileges and why it is important to reflect upon yourself before approaching diverse clients
The application of a strengths-based approach for culturally competent care. This includes the rationale. It demonstrates respect for diversity, celebrates differences and is compatible with the discussion below.
Cultural needs should be considered when providing culturally competent healthcare to someone from the following groups who are preparing for a general health exam.
(The person is in the waiting room for the assessment and has not completed the actual general medical assessment).
One of the most critical aspects of healthcare is culturally competent nursing.
As every country has become more accepting of people from other parts of the globe, it has become a concern in the healthcare industry.
With the increase in diversity, healthcare professionals have to be able respect the cultural needs of patients from different cultures. They must also be able provide care that is compatible with their cultural preferences.
According to Gallagher and Polanin (2015), cultural respect is essential for reducing health disparities.
They believe that culturally competent nursing can help improve access to high-quality healthcare. This will in turn make it more accessible and respectable.
In all of these cases, nurses should be sensitive to cultural differences in patients and respond accordingly (Noble et. al.
This assignment will highlight the many components that nurses should incorporate into their care practices to provide the best possible care for multicultural clients.
The case scenario will be used to illustrate how nurses should respond to culturally diverse patients who are admitted onto the wards.
After falling in her garden, a married woman from the Islam religion was admitted into the ward.
Her injuries had caused her to sustain a large amount of bleeding, including a cut on her hand and bruising on her head.
While she was partially unconscious, her brain was still functioning and she could respond and talk slowly.
Her husband brought her to the emergency department, complaining of similar symptoms such as vertigo and nausea.
The male healthcare worker who was in charge of the emergency room advised her to receive blood transfusions because she had lost a lot of blood.
To be able to stitch her skin tears and to dress the wounds, she had to remove her hijaab.
The husband and wife of my nurse colleague prevented us from participating in many activities on the ward.
First, they complained that they could no longer allow the patient to expose their bodies in the place of a male health care provider. This was against the norms.
Another concern was the fact that she was not permitted to receive blood from anyone not belonging to her religion.
We found both of these issues to be very disturbing as they disrupted our normal treatment.
We had to work hard to get the husband or patient to understand the seriousness of the situation, as they couldn’t communicate in English.
They also complained later that we were not respectable as we had used eye contact to communicate with them, which they did not like.
Eight members of his extended family arrived at the hospital to meet the patient after one hour. However, they were not allowed to because emergency patients can’t have more than one family member.
These made them angry and said that they didn’t feel respected for their religious beliefs.
We were extremely upset about the whole situation. The entire episode with the patient and his family members was frustrating because we faced many interruptions in all areas of the health assessments.
Cultural Competency is Important:
After being harshly criticized by our nursing mentors for the way she had approached her assessments, we were able understand the mistakes that we made.
Different cultures have different norms and traditions. This is why the nursing profession’s core emphasizes the importance to respect patients’ cultural preferences so that their care can be provided with dignity, autonomy and respect for the culture of each patient (Long 2014 pp. 475).
Research defines culture as “the thoughts, communications and beliefs of people from different ethnicities, religions or social groups.
The development of cultural competency is essential for nurses to be able acquire certain skills, behaviors, attitudes and policies that allow them to perform well in a cross-cultural setting.
According to Roberts et. al., nurses who have the ability to communicate with patients in a culturally competent manner can help improve patient satisfaction and health outcomes.
It is important to have self awareness through reflection
Researchers have created a variety of strategies that can be used to help nurses develop cultural competence.
They first recommend the development of self awareness.
Each human being has been raised in an environment that has influenced their culture and beliefs.
They integrate these cultural preferences and inhibitions into their own lives while evaluating the morality and effectiveness of their actions (Diaz et. al.
Through socialization, culture is learned and transmitted from generation to generation.
Research has also shown that the ability to judge others’ actions under the light of one’s own cultural morals and rights is a human habit.
These rules prevent healthcare professionals from being unable to justify actions taken by others that are in line with their own cultural values (Almutairi McArthy, Gardner 2015 pp. 20).
Avoiding the patient’s beliefs and judging their activities can lead to conflicts.
In addition to making it harder for nurses to care for patients, being dominant in judging their cultural beliefs can also lead to conflict (Ndiwane Koul & Theroux 2014).
Self reflection is essential for nurses to be able to evaluate their own actions and beliefs in order to improve cultural awareness and cultural sensitivity.
Researchers believe that effective reflection, where professionals observe and are conscious of the similarities and contrasts between different cultures can lead to cultural awareness. (Baker and Began 2014 pp. 560).
Different people have different ways of healing, health, and illness. Knowing about these differences will help nurses avoid judging them by their own culture.
Reflection can also help nurses develop cultural sensitivity. It helps them to understand the deeper feelings and perceptions that are tied to their own culture (Yang Lim and Lee 2013 pp.187).
This would allow the nurse to be aware of and also help with cultural sensitivity.
The case would have been different if we had taken the time to reflect on our own cultural beliefs, practices, and beliefs as well as linking them with the beliefs and culture of the Muslim patient. Their actions would not be deemed immoral, and their complaint and suggestions would have been justified.
Instead, if we were culturally conscious and culturally sensitive we could have understood their perspectives and been able offer culturally safe practices to them.
We wouldn’t have attempted to compare their perspectives with ours, which would not have exacerbated the situation.
My own cultural values and virtues
I did not know I had cultural stereotypes.
I used to think that I was open to all cultures, and I regarded all cultures with the same respect as my own.
Because I didn’t have any cultural interactions with other cultures during university, I thought that there was no bias towards them.
However, I discovered that my internal attitude towards Islam was not open to change when I had to deal with certain patients.
I was neither open to learning about other cultures nor did I have the proper attitude for handling sensitive cases.
In addition, I discovered that I was culturally dominant in the way I judged cultural traditions based on my own cultural preferences.
I was able to learn from my mentor and reflect on the cases.
The following three components can help you develop cultural competence skills.
These components involve developing positive attitudes, improving knowledge, and developing skills to deal with patients coming from diverse backgrounds.
The first component of this is the development and maintenance of cultural knowledge.
It is up to nurses to learn about the culture, habits and preferences of different patients, who may be admitted to the healthcare facility.
They should incorporate this knowledge into the development of care plans to ensure that interventions are tailored to the patient’s preferences and don’t become a hindrance in their care.
It is crucial to know the patient’s ethnicity and the genetic elements they share.
We could have developed ways and options to evaluate the patients if we knew about their preferences and cultures.
Knowing their preferences would have allowed us to approach them as female nurses.
We could have cut only the areas where there were wounds without asking her to open her hijab.
We wouldn’t have made eye contact and would also not have allowed large numbers of relatives in a strategic way.
Researchers suggest that we use the internet to search for demographic information and do research within cultural groups. Visiting the library at the university library can help us gain knowledge about other cultures.
Every individual must incorporate the second essential component, which is to develop proper attitudes that will help them become culturally competent caregivers.
Nurses should have an open mind and be able to respect other cultures. (Mareno, Hart 2014 pp. 85).
If a nurse is self-biased, she will have a hard time caring for patients.
It is important that she has a positive attitude and no negative feelings about any culture. This may affect the patient’s care.
Positive attitudes that emphasize the identification and debunking stereotypes are crucial (Seio, Kwon 2014 pp.420).
Negative attitudes can be interpreted as a lack of empathy and inability to understand the impact on patients.
Kim and Kim (2013): 166. It is therefore important to be aware of one’s own cultural beliefs so that any stereotypical tendencies do not impact the patient’s care.
As you can see, from the beginning, we held a dominant mentality that did not allow us to fully understand the Muslim patient’s viewpoints and was judgmental about their actions.
This attitude reflects our negative outlook.
Next, you need to develop the right set of skills that will allow you to be culturally competent.
Language learning is the best skill to develop cultural competency.
Also, it is essential to have the flexibility and ability to adapt to changing situations in the healthcare wards.
It is also essential to develop close relationships and relax patients with patients from different cultures to avoid them feeling uncomfortable in the hospital setting (Kohlbry 2016, pages: 313).
Patient satisfaction is increased when they are able to know their needs and can be provided with the right care using modified techniques.
If we had been able to communicate with our patients and their family members effectively, they would have understood the urgency of the situation.
We could have handled the situation more responsibly if they would have allowed us to establish a trusting relationship that made them feel comfortable and included in the healthcare system.
To ensure the best possible care, healthcare professionals need to be culturally competent.
Healthcare professionals must be able to see beyond their own prejudices and stereotypes to ensure patient satisfaction.
To be able to respect the cultural preferences and beliefs of their patients, they must reflect on these cultural beliefs.
The professionals who ensure cultural competence can develop cultural self awareness and cultural sensibility by reflecting on their own cultural beliefs.
Importantly, it is important to ensure that the appropriate knowledge, attitudes, skills, and abilities regarding the development cultural competency are maintained.
Healthcare professionals can ensure that these components are met in order to provide the best possible care and satisfaction for patients.
The case scenario is used to determine how cultural awareness could have helped the patient receive the best possible care.
Almutairi A.F. McCarthy A., and Gardner G.E. 2015.
The experience of Saudi Arabian registered nurses on understanding cultural competence in a multi-cultural nursing workforce.
Journal of Transcultural Nursing 26, pp. 16–23.
Nursing for ethnic minority patients: An mixed method study of nurses self-assessment on cultural competency.
Today’s nurse education, 34(6), pages.999-1004.
Baker, K. and Beagan B. (2014).
Making assumptions, making room: An anthropological critique on cultural competency and its relevance for queer patients.
Medical anthropology quarterly. 28, 4, pp.578-598.
Gatua M.W. (2015)
Cultural competence in rural nurse education: are you there yet?
Nursing Education Perspectives, 36(1): pp.22-26.
A meta-analysis of educational programs that enhance cultural competence among professional nurses and students in nursing.
Nurse education Today, 35(2), pages 333-340.
Cho Chung, H.I.
The development of a scale to assess cultural competence in nursing students.
Journal of Korean Academy of Nursing, 45(5) pp.684-693.
Kim, D.H. (and Kim, S.E.), 2013.
Cultural competence and factors influencing culture competence in nursing students.
Journal of Korean Academy of Psychiatric and Mental Health Nursing. 22(3): pp.159-168.
International Service?Learning’s Impact on Nursing Students’ Cultural Competency.
Journal of Nursing Scholarship 48(3), pp.303-311.
The influence of international service-learning upon nursing student selfefficacy toward cultural competence.
Journal of Nursing Education, 53(8). pp.474-478.
Mareno, N., and Hart, P.L. (2014)
Cultural competence among nurses who have completed undergraduate and graduate nursing degrees: Implications on nursing education.
Nursing Education Perspectives, 35(2): pp.83-88.
Montenery S.M. Jones A.D. Perry N. Ross D. Zoucha R.
Cultural competence for nursing faculty: A journey and not a destination.
Journal of Professional Nursing 29(6), pages e51-e57.
Robertson A.S. 2017,
An interprofessional assessment of cultural competence education: Strategies to improve healthcare management education for preparing culturally competent health care managers.
Journal of Health Administration Education, 34(2) pp. 319-343.
Ndiwane A. Koul O. and Theroux R.
To teach cultural competence to graduate nursing students, we use standardized patients.
Clinical Simulation in Nursing 10(2), pp.e87–e94.
Noble, A.; Nuszen E.; Rom M.; Noble L.M.
An educational intervention in cultural competence for first-year Israeli nursing students.
Journal of Transcultural Nursing 25, pp.87-94.
Roberts S.G. Warda M. Warda M. Garbutt S. and Curry K.
High-fidelity simulation to teach nursing curriculum cultural competence.
Journal of Professional Nursing 30(3), 259-265.
Kwon Y.C., 2014.
Factors that influence cultural competence in nursing students.
Journal of Digital Convergence (12(6), pp. 415-423.
Truong M., Paradies Y. and Priest N.
An analysis of the literature on interventions to increase cultural competency in healthcare.
BMC health services research 14(1), P.99.
The study of the relationship between cultural competency, empathy and nursing students.
The Journal of Korean Academic Society of Nursing Education (19(2)), pp.183-193.