Title: N3036 Transcultural Nursing Diverse Populations and Health Care
1N3036-Transcultural NursingDiverse Populations
and Health Care
2Globalization Q How to define
globalization? A Princes Dianas death Q How
come? A An English princess with an Egyptian
boy- friend crashes in a French tunnel, in a
German car with a Dutch engine, driven by a
Belgian who was pissed on Scottish whiskey,
followed closely by an Italian paparazzi, on
Japanese motorcycles, treated by an American
doctor, using Brazilian medicines. And this is
sent to you by a Israeli, using Bill
Gates Technology which he stole from the
Taiwanese.
3Health Disparities
- Infant mortality,
- Cancer screening and management,
- Cardiovascular disease,
- Diabetes,
- HIV/AIDS,
- Immunization
4Problems with Health Disparities- with cultural
factors
- Flaskerud, J. et al (2002) a review of 79
articles in the past 5 decades - Ignorance of certain groups (indigenous peoples)
- Inappropriate lump together ie. Hispanic members
of disparate groups with their own cultural
identity eg., Prerto Ricans, Mexicans, Cubans,
Dominicans
5Impact of Cultural Competency
- More successful patient education
- Increases in pts health care seeking behavior
- More appropriate testing and screening
- Fewer diagnostic errors.
- Avoidance of drug complications
- Greater adherence to medical advice
- Expanded choices and access to high-quality
clinicians.
6Transcultural Nursing- Leininger, 1997
- Definition- A formal area of study and practice
focused on comparative holistic culture care,
health and illness patters of people with respect
to differences and similarities in their cultural
values, beliefs, and lifeways with the goal to
provide culturally congruent, competent and
compassionate care
7Cultural needs
- Equal access to treatment and care
- Respect for cultural beliefs and practices
- Leininger, (1995) Narayanasamy, (2003)
- Religious beliefs, taboos, customs
- Dietary, personal care needs, daily routines
- Dying needs
- Communication needs
- Cultural safety needs,
8Cultural needs (Contd)
- Pain
- Health practice
- Time orientation
- Space
- Family
9Equal access to treatment and care
- Ethnicity
- racial discrimination,
- racial harassment and
- oppression
- Secondary problems
- stress
- psychological trauma
10Communication needs
- Barrier
- Impede early detection
- delay prompt treatment and care
- Forms
- Language
- Non-verbal communication
- Translation services
- Interpreters
- Family interpreters
- Health condition acute illness crisis
11Cultural safety needs
- Engage clients as partners
- Respect rapport -gt self-esteem
- Cultural negotiation culture compromise
12Transcultural Care Practice
- Initiative
- Enthusiasm
- Commitment of individuals and groups
- Strategic planning
- Organization coordination of services
- Funding
- Education
- Recruitment research
13Giger-Davidhizar (2002) - Assessment Model
Communication
Culturally Unique Individual
Space
Biological Variations
Social Organization
Environmental Controls
Time
14ACCESS Model Narayanasamy, 2002
- Assessment
- Communication
- Culture negotiation and compromise
- Establishing respect and rapport
- Sensitivity
- Safety
15Campinha-Bacotes Cultural Competence Model
- Cultural awareness
- Cultural skill
- Cultural knowledge
- Cultural encounters
- Cultural desire
16Purnells Model
- Macro level global society, community, family,
individual, health - Cultural domains overview, communication,
family roles, workforce issues, biocultural
ecology, high-risk behaviors, nutrition,
pregnancy childbearing practices, death
rituals, spirituality, health care
practice/practitioners - Cultural consciousness
- Unknown phenomenon
17Culturally Competent Organization
- Ethnic minorities accounts for one fourth of the
nations population - In 2020, it will be near to 40
- 10 of RNs in the US are from racial/ethnic
minority background (2000)
18Organizational Diversity Competence
Model(Frusti, Niesen, Campion, 2003)
Drivers
measurements
Linkages
Commitment
Culture
19Negotiation Process
- Listen to the clients perspective
- Teach from your knowledge in language
appropriate for client family - Compare similarities differences, disagree but
do not devalue clients view - Compromise
- if client treatment not harmful, promote
- If harmful, explain harm and suggest alternatives
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