They view caring to be an important aspect closely linked to their cultural, spiritual, social and above all their human needs (REFS). Chinese culture has its own set of norms as well. However, the reviewed literature overwhelmingly suggests underlying ethnocentric values does not only exist in the healthcare system but also present in nursing practice. Cultural diversity is an asset that is necessary for poverty reduction and the achievement of sustainable development. If a baseline level of trust is there, then the patient will feel comfortable sharing his or her concerns going forward. We live in an era of constant change and transformation, which in return paves the way for cultural transparency. In cross-cultural encounters, the need to demonstrate effective communication assumes a greater significance because there could be scope for misunderstanding and conflicts that can lead to miscommunication (DoH, 2001; RCN, 2007 and Thom, 2008). Bentley et al. Cortis and Kendrick (2003) argue that nurses have innate racism that prevents them acknowledging and fulfilling patient’s cultural needs. North Bellmore, NY. The healthcare industry has made some efforts to adjust to the needs and demands of culturally diverse patients, but more significant changes are … In this section of the NCLEX-RN examination, you will be expected to demonstrate your knowledge and skills of cultural awareness and influences on health in order to: Culture can be defined by group membership, such as racial, ethnic, linguistic or geographical groups, or as a collection of beliefs, values, customs, ways of thinking, communicating, and behaving specific to a group.As part of a cultural group, people learn communication rules, such as who communicates with whom, when and where something may be communicated, and what to communicate about. A long term solutions could be specific cultural competence modules for pre registration students in particular for areas where nurses are likely to interact with BME patients. Language presents perhaps the most significant single cultural barrier. (2001) also reported poor use of interpreting services by patients and staff, despite patients’ not being able to speak or read English. Nurse education in the UK must reflect the diversity that make up its population. Another key area is deciding on end-of-life preferences. Gerrish and Papadopoulos (1999) suggested innovative ways of teaching transcultural care practices in nurse education, which Higginbottom (2008) beliefs should be part of core educational curricula. Szczepura (2005) points out nurses may hold stereotypical views based on lack cultural awareness that can create barriers and generate resentment. Patients from diverse cultural backgrounds (including First-Nation Peoples) experience almost twice as many adverse effects as English-speaking patients (Multicultural Health Communication 2013). Author Information . Within a few decades, minority groups will become the majority. The belief that the nursing profession is ethnocentric can lead to ethnic stereotyping and prejudices against all BME specially the elderly in healthcare (Shaw and Wilson, 2005). It encompasses the things that differentiate people from culture to culture, and there can be both similarities and vast differences. Instead of using a one-size-fits-all approach, health care providers can work with their patients to create effective solutions that satisfy everyone involved. The U.S. population is nearing 400 million. Continuing Professional Development (CPD) could also be used as an appropriate learning tool as cultural competence is continuous and evolving process. Cultural competence is crucial in the nursing field, but many … (in Cortis 2004) and Wilson-Covington (2001 in (Cowan and Norman 2006) argue that the nursing profession and values are predominantly determined by western systems and knowledge. They found that at all points of the patient pathway, interpreter services were underused, thus increasing the risk of the patients receiving incorrect information or not receiving information at all. “There is a growing body of research to connect racism to poor health outcomes,” says Dr. Neil Maniar, professor of practice and director of the Master of Public Health programat Northeastern University. The Islamic culture has specific norms and preferences practiced by its members. Cultural diversity, communication and barriers to effective communication works hand in hand. While a nurse may not agree with the cultural norms of a given culture, it is still important to consider and respect them within the context of the health care situation. Language may also be a factor that leads to poor communication in nursing. Szczepura (2005) points out nurses may hold stereotypical views based on lack cultural awareness that can create barriers and generate resentment. Shock waves spread across the UK’s National Health Service foundation health trusts in response to the 2013 Francis investigation into the unnecessary deaths of up to 1,200 people between January 2005 and March 2009. Here’s an example. Failure to do so may result in patient neglect and denial of patient rights (Thom, 2008). This has a consequential effect specifically after discharge where patients are given little information about the available ‘aftercare’ services (Diver et al, 2003) with the assumption that own families have the resources to care for them (Anderson, 2001). Cultural respect benefits consumers, stakeholders, and communities and supports positive health outcomes. It may be one of the finer points of being a nurse, but ultimately it is no less important than doing rounds or assisting in surgery. Nevertheless, the findings of a study by Cortis and Kendrick (2003), which explored the expectations and experiences of 38 Pakistani patients, showed the participants felt that nurses did not facilitate a positive environment to develop a therapeutic relationship, which inhibited interaction at a social level and as a result nurses were not perceived as caring. Cultural Diversity plays a very important role and will continue to play an even greater role as we move into a more diversified world. Aims and objectives: To discover and describe challenges and barriers perceived by nurses in providing culturally competent care in their day-to-day encounters with diverse patient populations. To deliver or receive effective and fair learning strategies, nurse educators and students need to address their intercultural competencies. Background: Nurses are challenged in today's healthcare environment to provide culturally competent care to a diverse patient population. If this is the case then racism needs to be addressed and challenged at nursing staff level and appropriate mechanisms need to be put in place, implemented and enforced, if needed, at management, organisational and policy levels. A basic knowledge about each group utilizing the hospital is foundational to managing cultural diversity and enacting treatment protocols that satisfy the needs of each patient. Here are some cultural misunderstanding examples you can learn from. Navajos feel that order and harmony are disrupted by receiving negative information (Baile, Lenzi, Parker et al., 2002) receiving an unfavorable diagnosis and prognosis is seen as curse (Mitchell, 1998). Communication difficulty between the patient and healthcare professionals can cause misdiagnosis and ineffective treatment plans (Vydelingum, 2000; Age Concern, 2001; RCN, 2006 and Divi et al, 2007). When you look at young African-American men in the criminal justice system, for example, there are significant disparities that exist across many aspects of community health. This essay should not be treated as an authoritative source of information when forming medical opinions as information may be inaccurate or out-of-date. Cortis (2000) and Patel (2001) point out such barriers can have a negative impact on patients and can lead to isolation, anxiety and fear while in hospital wards. allowing a family member to speak for and dictate all medical care and decisions for an aging parent), or disrespectful/suspicious to a Caucasian (e.g. The compounded effect of these findings is failure to deliver a care that is individualised and culturally appropriate. There has been patients with an Egyptian background believe that dignity, identity, and security are conferred by belonging to a family and dealing with illness within a family context (Butow, Tattersall and Goldstein, 1997), Navajo culture provides another example of diverse cultural attitudes toward illness. A health care provider should watch for signs that a Chinese patient is making such adjustments to their medications and tactfully advise against doing so while explaining the necessity of the full dosage for optimal benefit. Beishon et al. The student nurse population is increasingly culturally diverse as a result of growing access to nursing courses and increasing numbers of students from overseas. Managing Cultural Diversity in Healthcare. Gammon & Gunarathne (2007) suggest that nurse education and training will be more effective if sufficient time was assigned on improving nurses’ assessment and care-planning skills, which many nurses believe to be lacking. Discuss barriers by an organizational culture that can be encountered by nursing leaders that can make them feel powerless. Chevannes (2002) found in her study that little attention was given to the healthcare needs of BME groups in nurse education programmes and she concluded that nurses need to develop knowledge and skills in caring for these communities. Owing to cultural differences between people, ... For example, people from rich families may find a communication gap in interacting with people from the middle or lower middle class. Study for free with our range of nursing lectures! Resolving these differences can have instant and long term benefits. While doing this, they must adhere to ethical principles of providing nursing care. These days, it’s not uncommon for people from Muslim countries, Asian countries, African descent, Latino regions, etc., to all be living in one neighborhood and using the same hospital. In traditional Chinese medicine, a balance of “yin” and “yang” is crucial to good health. 11th Feb 2020 Nursing Essay Overall there is a common agreement in the literature that educators have a key role in endorsing and promoting transcultural cultural care education. Another way to overcome cultural barriers is to ensure there is an inclusion of people of different cultural backgrounds in the workplace. The dilemma with this belief and approach is that it may not be congruent with the expectations of BME communities in today’s multicultural society. In som… A common stereotypical view held by nurses along with other healthcare professionals, about BME elderly groups, is the myth that they ‘look after their own’ (Toofany, 2007). Asian caregivers are often reserved and might not appear to be as personally supportive. In these examples, the nurse is displaying something known as cultural competence, where expansive healthcare knowledge and skills merge with respectful awareness of cultural backgrounds. Using untrained interpreters can cause errors of understanding that can confuse the patient about their condition (Gerrish, 2001, Gerrish et al, 2004 and Thom, 2008) and can jeopardise patient confidentiality or may impede open communication (Caldwell et al, 2008). If both the nurses and the patients cannot understand each other due to use of different language, it will lead to many problems and misunderstandings. Cultural competence involves having sensitivity to the values and beliefs of each cultural group encountered in the course of one’s job. Some of the examples of stereotypes held by nurses include that Asian patients have lower pain thresholds, playing the ‘sick role’ and have large visitor numbers (Sawley, 2000; Cortis, 2004; Khattab et al, 2005). VAT Registration No: 842417633. A qualitative study by Gerrish (2004) examined the utilisation of interpreting services through 13 focus groups consisting of healthcare professionals, interpreting services and patients, concluded that interpreting services were inadequate and healthcare professionals relied heavily on family members to act as interpreters. BARRIERS TO CARE Practitioner Barriers. The initiative to access interpreting services should be instigated by those providing care (DoH, 2006). so the differences in their values and beliefs are also an example of cultural barriers. 8 Healthcare providers who are equipped with better cultural competencies and awareness can reduce healthcare disparities. Cortis (2000) points out that nurses normally considered communication problems to be more of the patients’ problem rather than a joint deficit. To break cultural barriers and open the lines of communication, some healthcare organizations have been working to attract individuals from a more diverse range of ethnicities and economical backgrounds. One of the foundational elements to being a successful healthcare provider is instilling trust in the patient. Our nursing and healthcare experts are ready and waiting to assist with any writing project you may have, from simple essay plans, through to full nursing dissertations. A qualitative study by Chevannes (2002) focusing on the views of 22 healthcare professionals for the purpose of improving care for BME groups found that participants’ biggest obstacle that effected their care giving was the inability to communicate with patients who spoke no/little English. Every country has numerous religions practised by its people. For example, West Indian cultures often speak in loud voices. 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