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Understanding Cultural Competence in Nursing
Cultural competence is a crucial ability for providing excellent nursing care to diverse groups of people. Our guide offers insights from nursing professionals about how to incorporate it into nursing practices.
What is Health Disparity?
Health disparity refers to differences in health that occur due to factors like economic, environmental, and social disadvantages. It leads to certain groups facing greater challenges in achieving good health. Health equity aims to address and eliminate these disparities by providing resources based on need.
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Addressing Health Inequality
Cultural awareness, diversity, and inclusivity in nursing strive to combat differences in healthcare that result in worse health outcomes for disadvantaged racial and ethnic groups.
For instance, in some parts of the U.S., life expectancy can vary by decades between different neighborhoods. Research by Dr. Jamil Norman, a registered nurse and nursing instructor, has found that Black mothers in the U.S. are 3-4 times more likely to die during childbirth compared to white mothers.
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“This disparity for childbearing Black women persists despite improvements in pregnancy-related outcomes,” Norman explains.
This guide explores cultural competence and its connection to health equity in the U.S. It also provides insights from nursing professionals on how both nurses and patients can benefit from culturally competent care.
Understanding Cultural Competence in Nursing
The term “culture” refers to patterns of human behavior, including norms, traditions, and values that influence the thoughts and actions of different groups. Cultural competence is the ability to effectively interact with people from various cultures.
The significance of cultural competence in nursing centers on health equity through patient-focused care, which requires recognizing each patient’s uniqueness.
Dr. Gregory Knapik, an assistant professor of nursing, emphasizes that “Nurses need to understand and appreciate diverse cultural backgrounds to perform their duties effectively and with utmost care.”
Norman adds that “cultural competence means being willing to understand and engage with individuals of different cultures, races, ethnicities, genders, and sexualities.”
This approach enables nurses to provide effective care even when patients’ beliefs, practices, and values differ from traditional medical guidelines. Nurses can adapt and explain treatment plans according to patients’ needs, influenced by cultural practices that may not align with conventional medicine.
“Using cultural competence appropriately establishes deeper connections with patients,” Knapik notes. “By showing empathy for their differences and unique requirements, you can earn patients’ trust.”
Components of Culturally Competent Care
Culturally competent care comprises four components: awareness of one’s cultural perspective, attitudes toward cultural differences, knowledge of various cultural practices and viewpoints, and cross-cultural skills. Combining these aspects fosters a high level of cultural competence that nurses can incorporate into patient care.
Increasing Awareness
Nurses should recognize their own biases and reactions to people from different cultural backgrounds. For example, acknowledging biases related to immigrants is a step toward cultural awareness.
Shaping Attitudes
Once awareness is established, nurses can examine their beliefs and internal systems. Using the immigrant example, they can explore their background, values, and beliefs to understand their cultural bias.
Acquiring Knowledge
Often, personal beliefs don’t align with behavior. Nurses should acknowledge this disparity and consider knowledge an essential aspect of building cultural competence.
Applying Skills
Nurses put awareness, attitude, and knowledge into action by practicing culturally competent behaviors in daily interactions. This involves effective communication and respectful body language. Nonverbal cues like gestures can have different meanings across cultures.
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Benefits of Providing Culturally Competent Nursing Care
Extensive research underscores the significant benefits that arise from delivering culturally competent nursing care. From a societal perspective, such care fosters an environment of mutual respect, understanding, and trust. It also plays a pivotal role in promoting inclusivity, engaging patients and families in taking responsibility for their health, and fostering active participation of communities in addressing health-related matters.
On the health front, culturally competent care yields multifaceted advantages. It enhances data collection, facilitates proactive preventive measures, contributes to cost savings, boosts patient compliance, and ultimately leads to improved patient outcomes. Importantly, cultural competence contributes to the reduction of healthcare disparities and the minimization of missed medical appointments, which collectively enhance the overall quality of healthcare delivery. In addition, healthcare institutions stand to gain by experiencing fewer operational barriers, enhanced operational efficiency, improved legal and regulatory compliance, and the acquisition of diverse perspectives for informed decision-making processes.
Concrete Examples of Cultural Competence in Nursing
1. Language Usage: Employing language that patients can comprehend is a fundamental aspect of cultural competence. It ensures that medical information and instructions are conveyed effectively, thus minimizing misunderstandings.
2. Professional Interpreters: Ensuring the availability of proficient medical interpreters for patients who speak languages other than English is paramount. Relying on family members or friends for translation might inadvertently lead to miscommunications or inaccuracies.
3. Respect for Cultural and Religious Beliefs: Acknowledging and respecting cultural and religious beliefs that may differ from standard treatment plans is essential. This fosters a partnership approach between healthcare providers and patients, promoting open communication and shared decision-making.
4. Diverse Recruitment: Actively recruiting healthcare professionals from a wide range of cultural backgrounds ensures that the healthcare team better reflects the diverse patient population. This approach enhances patient-provider communication and understanding.
5. Demographic Analysis: Regularly analyzing patient demographics provides insights into the composition of the patient population. This information helps healthcare institutions identify underserved groups and tailor care to their unique needs.
6. Diverse Committees: Establishing committees composed of diverse nursing staff members can drive initiatives to enhance cultural awareness. Such committees can implement measures like translating forms and information into various languages and engaging in community outreach.
Strategies for Enhancing Cultural Competence in Nursing
1. Shifting Perspectives: Adopting a practitioner/patient perspective that considers diverse viewpoints is a cornerstone of cultural competence. Recognizing that cultural backgrounds influence perceptions and behaviors helps nurses build rapport and establish trust with patients.
2. Shared Experiences: Building common ground with patients through sharing personal cultural experiences creates a connection that bridges gaps and fosters understanding. This approach encourages open dialogue and relationship-building.
3. Learning from Colleagues: Collaborating with colleagues from diverse backgrounds contributes to an inclusive work environment. Exposure to varied perspectives and experiences nurtures cultural competence among team members.
4. Language Acquisition: Acquiring a basic understanding of medical terminology in other languages is a valuable asset. While professional interpreters are crucial, using familiar medical terms in patients’ languages enhances communication and trust.
5. Continuing Education: Numerous organizations offer cultural competence training for healthcare professionals. Participating in such programs equips nurses with practical skills to navigate culturally diverse healthcare settings effectively.
6. Engaging with Clergy: Building relationships with faith leaders provides insights into how different faith communities perceive health-related issues. This understanding informs culturally sensitive care and communication.
7. Community Partnerships: Collaborating with local community leaders and organizations creates opportunities for nurses to learn from community members. Such partnerships foster empathy, trust, and the co-creation of effective healthcare solutions.
Cultural competence in nursing goes beyond transactional interactions; it builds the foundation for trust, empathy, and respect. The continual pursuit of cultural competence not only enhances the reputation of healthcare institutions but also leads to tangible improvements in patient outcomes and overall healthcare experiences.
Sources:
– Cultural competency training (n.d.) https://cancer-network.org/cultural-competency-training/
– Distance learning (n.d.) https://nccc.georgetown.edu/resources/distance.php
– Education. (n.d.). https://thinkculturalhealth.hhs.gov/education
– Karliner, Leah S. (2018). When patients and providers speak different languages. https://psnet.ahrq.gov/web-mm/when-patients-and-providers-speak-different-languages
– Shamsi, Hilal Al et al. (2020). Implications of language barriers for healthcare: a systematic review. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7201401/
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