Effects of culture in nursing homework help

 

Cultural competence helps nurses to understand, communicate and interact with patients better thus improving the relationship with their patients. The most common issues that arise for nurses involve faith and religious beliefs. Certain religious groups may refuse prescription medication, blood transfusions, operations, and other important life-saving treatments owing to their religious beliefs.

Effects of culture in nursing homework help

Effects of culture in nursing homework help

Cultural competence

It is developing an awareness of one’s existence, thoughts, sensations, and environment and demonstrating knowledge and understanding of the client’s culture while accepting and respecting their cultural differences.

How healthcare can be affected by diversity

In healthcare, diversity helps in ensuring that all backgrounds, ethnicities, beliefs, and perspectives are represented adequately in the medical field. This ensures that patients receive the best care at all times. Patients differ in many ways due to personality, illness, social-economic class, education, or cultural beliefs. Apart from treating patients with respect, knowledge of cultural customs can help avoid misunderstandings and help in providing better health care.

What are examples of cultural diversity?

Cultural diversity is the existence of a variety of cultural groups within a community.

They include:

  • Culture
  • Religion
  • Ethnicity
  • Geographic location
  • Gender
  • Age
  • Health differences
  • Disability
  • Sexual orientation
  • Class
  • Social-economic status

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 cultural differences in healthcare

In some cultures, it is believed that illness is the will of some higher power and thus people become reluctant to seek medical care. Culture influences health care at all levels including:

  • Communication and interaction with physicians and patients
  • Health care outcomes
  • Illness experience
  • Health disparities

What are examples of cultural barriers in healthcare?

 

These cultural barriers are diverse and they include:

  • Insecurity to engage with patients
  • Misunderstanding of patients
  • Negative impacts on shared decision making
  • More directive communication
  • More time-consuming communication
  • Perceived power distance between patients and physicians

Importance of diversity in the nursing workforce

 

  • It provides a direct connection between the diverse nursing workforce and nurses’ ability to provide culturally competent and quality healthcare.
  • A diverse nursing workforce helps nurses to learn from one another, hence building a better understanding of one’s background, experiences, and perspectives.
  • It helps alleviate health inequities in underserved communities thus enabling better access to healthcare.
  • When nurses are members of the communities they serve, they improve communication and trust among minority groups.
  • Nurses who are members of disadvantaged groups are likely to advocate for better services and programs in their areas because they understand the community’s needs.
  • When nurses come from the locality where they serve, they are likely to work in resource-poor communities facing a shortage of healthcare professionals which helps people to access healthcare.
  • It helps nurses to offer the best services to all patients hence improving satisfaction.
  • Prevents nurses from possessing stereotypes and being myopic in their thoughts.
  • Nurses can strengthen their cultural competence by pursuing continuing education and cross-cultural interactions to help in keeping their minds open and free of judgment.

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How can diversity in nursing help patient outcomes?

 

Some patients feel more comfortable when they share their ethnicity, race, and language with their healthcare providers. Improving diversity in healthcare is important because:

  • It strengthens trust between patients and nurses which helps patients to adhere to nurses’ recommendations.
  • When nurses from minority groups ascend to leadership positions, they represent those nurses of their culture in the overall structure which helps to reduce health disparities hence improving patient outcomes.
  • It also helps to understand the patient’s culture
  • Creates better awareness of patients’ needs
  • Leads to collaborative and effective care
  • Improves nurses’ insight into their patients’ treatments and decision-making process
  • Helps in fostering good communication and providing culturally competent healthcare
  • It makes the much-needed care more accessible to patients who might otherwise have been overlooked.
  • The more diverse the nurses are, the better they can respectfully and knowledgeably assist their patients.

Benefits of diversity in nursing

 

The benefits of nursing include:

  • Higher employee morale- diversity helps to include a stronger feeling of inclusion for community healthcare workers hence making the workplace more enjoyable and feel safer.
  • Provides better care for diverse populations- healthcare staff need to be as diverse as the patients they are treating if not more diverse than them. This helps to ensure that all patients have someone they can identify with, communicate with them, and serve their needs better.
  • Higher employee retention- the happier and safer employees feel at the workplace, the longer they are likely to stay.
  • Better recruitment- diversity helps when recruiting new healthcare workers and also the administrative staff. This helps to attract new talent and it offers a stronger hiring proposition for candidates who may consider working with you at the hospital.
  • Stronger individual motivation- in healthcare institutions where there is no diversity, minority health workers are unable to express their unique talents and personal talents. This is a natural inclination for people when they become more concerned with fitting in than being themselves.
  • Better results- diverse healthcare teams always get better results. Healthcare institutions that embrace diversity provide better health care.
  • Better problem solving – a wide range of perspectives can be of high importance when solving problems. Allowing new ideas and diverse perspectives leads to greater innovation and operational excellence.

How can nurses achieve safe and quality outcomes of care for diverse health care populations?

There are a variety of things nurses can do to provide culturally sensitive care to an increasingly diverse nation which include:

  • Avoiding making assumptions
  • Creating awareness
  • Learning about other cultures
  • Building trust and rapport
  • Practicing active listening
  • Educating patients about medical
  • Practices

How to promote diversity in healthcare

 

Healthcare workers can play an important role in ensuring there is diversity in the in-healthcare institutions which include:

  • By creating a welcome environment- healthcare workers need to foster an environment of inclusiveness in every area of the institution. This helps to ensure that all workers are free to share their perspectives.
  • Helps to address issues of bias quickly and openly- most of the time, victims of discrimination become reluctant to come forward for fear of the repercussions. Reporting such cases quickly and transparently is important to creating a safe working environment.
  • Encouraging diverse applicants- casting the net wide by encouraging diverse candidate applicants can help in creating a diverse healthcare institution
  • Listening- sometimes listening can help in promoting diversity and creating an open work environment listening without interjecting helps to understand new perspectives.
  • Diversity for more than diversity’s sake- encouraging diversity in your hospital is not to have a diverse hospital. It helps to have a better hospital. A diverse workforce can provide an array of experiences and understanding which can enhance the patient-care experience.

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 the barriers created by cultural differences

 

There are many barriers created by cultural differences between the nurses and the patients and they include:

  • Language- when nurses do not speak the same language as their patients, providing quality medical care and making the patient feel comfortable and cared for can be challenging. This becomes difficult when trying to inform a patient about their medical report or be confident about consent given when the patient uses their mother tongue.
  • Health literacy- a difference in understanding of healthcare varies from culture to culture which affects health literacy. People of different cultures may not be aware of certain health conditions or how to take care of their health on daily basis. Nurses, therefore, have the job of informing them about their diagnosis and treatment in a way that is sensitive to their culture.
  • Cultural traditions- Many cultures have their perceptions about healthcare and some of them have traditions that go against western medicine. For example, a person born in China may not want to be treated in a hospital, instead may prefer using herbal medicines found in their locality instead of prescription drugs. Nurses who are not familiar with cultural traditions surrounding a community may have difficulty connecting with the patient. The patient too may not feel safe and recognized which is very important in treatment.
  • Cultural assumptions- most nurses have developed assumptions about some cultures because they lack accurate information about those cultures. Such kind of assumptions and lack of information about culture can create challenges for both the nurses and the patients.

 Steps nurses can take to provide culturally sensitive healthcare

There are several things nurses can do to provide culturally sensitive care to a diverse population:

  • Creating awareness- Many people in rural areas may not be aware that the medical sector needs culturally sensitive healthcare. As nurses strive to become a culturally sensitive team, they need to inform their co-workers why they are doing so and encourage their co-workers to provide culturally competent care.
  • Avoiding making assumptions- nurses should avoid making assumptions about cultures they know nothing about as this can lead to a breakdown of trust and relationship between nurses and their patients. To avoid this, nurses need to ask in case they are unsure about something and also be willing to listen as people of different cultures would be happy to educate them. They should also make sure that their body language communicates openness when asking questions.
  • Learning about other cultures- learning about a patient is one of a nurse’s responsibilities. This includes their medical history, list of medications, and symptoms. Nurses should make an effort to learn about their patient’s cultures by getting immersed in them by visiting where the culture is dominant and also treading about it in books and online sources.
  • Build trust and a good relationship- it is important for nurses to build trust in their patients and have a good relationship regardless of racial and ethnic background. Treating patients of diverse cultures requires a high level of trust which also can become more difficult when there is a language barrier. To achieve this, you can get a translator and speak while looking at the patient as if no language barrier existed.
  • Overcome language barriers- language barriers override all other challenges nurses face when providing care for culturally diverse patients. They should therefore struggle to break this language barrier by trying to communicate a patient medical history in their language. Make use of translators and also explore translation technology.
  • Educating patients about medical practices- it is important that every patient despite their cultural or racial background be constantly informed of any medical procedures. Nurses need to explain in detail why the procedure is needed during and after the procedure. Patients may also need to blend new practices with cultural traditions to maintain their health. Some may need education on how to manage at home, therefore education is the key component.

effects of Lack of diversity in nursing

Biases whether conscious or unconscious and stereotypes of patients based on their cultural backgrounds have the following consequences:

  • Less effective patient health care
  • Poor communication between healthcare providers
  • Low patient ratings in terms of services
  • Poor communication between patients and healthcare providers due to language barriers
  • Lack of patient trust in the healthcare system

 

Risks of lacking healthcare diversity

There are major risks that are attributed to the lack of diversity and they include:

  • Communication breakdown- language barriers, differences in cultural practices, differences in philosophies, and lack of diversity can all lead to communication barriers and communication breakdown with patients. When patients cannot be fully understood, and cannot fully communicate and express their needs, dangerous mistakes can occur.
  • Limited perspectives- lack of healthcare diversity often leads to limited perspective when providing patients with medical care, social support, or medical care. This can stunt innovation and creative thinking, and above all, it can impede critical observations surrounding a patient’s medical history, social-economic factors, and a patient’s medical history. All these factors can affect a patient’s health and well-being.
  • Lack of role models- in the medical sector, mentorship plays a very important role. Be it physicians, doctors, nurses, or medical assistants, they all need the support of a mentor to guide them in their respective roles.

They all need role models they can look up to and emulate throughout their careers. Lack of diversity can make it difficult for minority healthcare workers to find mentors with whom they identify and learn from.

  • Lack of future diversity- diversity is important to the future success of any healthcare organization. The less diverse the medical staff is today, the harder it will become to foster diversity within the team tomorrow.
  • Bias- bias can impact decisions made for patients when it is based on the policies and procedures of a healthcare organization and this is often referred to as an implicit bias within a system. Bias does not necessarily have to be explicitly expressed within a healthcare setting for it to become a problem. Greater diversity can reduce such destructive effects of implicit bias in inpatient care.

Approaches to improving cultural competence

 

Healthcare providers’ cultural competence has the potential to decrease patient safety disparities. Approaches to cultural competence include:

  • Language assistance- it is usually a strategy used to overcome language barriers and can take the form of bilingual clinicians and staff and also qualified language interpreters. Successful language assistance normally relies on the adequacy of the supply of interpreter service and training on how to access and work with interpreters.

Healthcare providers also might try to get by with the limited English skills of patients, their inadequate knowledge of foreign language skills, or the unqualified interpreters who might be the patients’ relatives or untrained staff. Lack of timely language assistance can lead to an Xray being performed on the part of the body, falling of patients due to the patient not knowing how to ask for assistance, and also the inability to treat emergency room patients due to failure to obtain proper medical history leading to loss of lives.

 

  • Use of cultural brokers- using cultural brokers is a potential strategy to enhance cultural competence in healthcare. It is the mediation between the traditional health beliefs and practices of a patient’s culture and the healthcare organization. Community health workers, interpreters, health workers, and patient navigators can all play the role of cultural brokers by providing context and serving as a partner for both the provider and the patient.

The role of the cultural provider can vary depending on the needs of the patient and the provider. Cultural brokers must be knowledgeable about the cultural group they serve so that they can be able to successfully navigate the healthcare system. A cultural broker should be someone who can be a trusted and respected member of the community who does not necessarily have to be a healthcare professional.

  • Cultural competence training- cultural competence training program aims to increase cultural awareness, skills, and knowledge which can lead to cultural competence. Most cultural competence training often concludes that training has positive impacts on provider outcomes but as a standalone concurrent systemic and organizational changes.

Conclusion

 

Culture represents the identity of people because it shows the values and knowledge shared by a society. The healthcare work environment entails nurses working in culturally diverse communities. Nurses rely on their cultural competence as a tool that helps them to help their patients achieve quality health care services. Nursing as a profession to helps nurses achieve their goal of providing quality nursing healthcare. To make this difference, nurses need to be culturally sensitive and culturally aware of those patients in their communities. Culturally competent nurses play an important role in the exchange of information within a multi-cultural community.

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