Summary NSG4074

NSG4074 Week 2 Culturally Competent Nursing. Culturally Competent Nursing South University Health Promotion and Clinical Prevention NSG4074 Culturally Competent Nursing According to American Nurses’ Association (2016), culture is a population’s behavioral ways, values, beliefs, way of living, and family life. In addition, culture entails spiritual opinions, biology, economics, political, and psychological situations. These characteristics guide a people’s worldviews and influence their decisions including those that concern their health. Nurses should therefore be aware of how the said characteristics influence health care for them to provide health care that meets the cultural expectations. The outcome expected after this understanding will improve the quality of care given and acquire patient satisfaction. Cultural awareness is the acceptance of different cultures while culturally sensitive is respecting the diversity of the culture. Cultural competence therefore is a continuous process in nursing where the nurse understands and is able to work well with the patient’s cultural needs in mind. Health disparities which include, age, financial capability, comorbidities, lack of access to healthcare, racism, insurance, health literacy, symptom expression, language, expectations, and when to seek for health care, are present in different cultures (American Nurses’ Association, 2016). The Purnell Model for Cultural Competence This assessment tool is used in all levels of health care. it is based on the notion that all health care providers require similar information, but the information may vary depending on the patient’s culture. The model therefore uses twelve domains to help guide the health care provider in offering the best care to the patients based on his culture. It is based on various disciplines that include sociology, biology, geography, anthropology, economics, nutrition, political science, pharmacology, communication, family development and social support. The twelve domains look at the patient’s customs, language, role in the family, workforce, bio-cultural ecology, high- risk behaviors, nutrition, pregnancy and childbearing, and death. In addition to this, it also looks at spirituality, health care practices, and the health care practitioner (Purnell, 2013). Interview Based on the Purnell Model for Cultural Competence Name: A. M Age: 25 years 1. Heritage I am an American citizen, but I was born in Iraq. I came to America when I was twelve years old to join my father who was working here as a doctor. I have a diploma in nursing from a college in Iraq. I currently live in Hopeland, Ohio where I work as a nurse at a rehabilitation center for the elderly. 2. Communication I can fluently communicate in English and Arabic. The reason why I am able to speak Arabic is that we converse in Arabic when we are at home. 3. Family role and organization I am the first born in a family of six, I have two brothers and one sister, both of my parents are living. As the first-born child and a girl, I had the responsibility of helping my mother in taking care of my siblings. In my culture and religion, Islam, the girl-child does not have a lot of importance like the boy-child. Boys are treated with high regard as the protectors and providers in future. A man is allowed to marry a maximum of four wives if he feels that he can take care of them without favoritism. The girl is viewed as only fit for marriage and childbearing; but my parents changed this when they came to America and brought us up like the Americans did. This is why I got a good education and became a nurse, had I stayed in Iraq, I would probably have not achieved that. In our culture, children are supposed to take care of their parents including other elderly relatives. 4. Workforce Working as a nurse in the US has presented some challenges among them language barriers. The US is a country full of people of diverse origins. There are people who have come from abroad to visit their relatives who live here. Some of them cannot communicate effectively even though they understand English. This is because they cannot comprehend the American accent; this makes the work of a nurse difficult at times. 5. Bio-cultural ecology A Muslim woman is supposed to cover her whole body from head to toe; she should cover her head with a hijab. She is also not supposed to closely interact with members of the opposite sex unless they are her brothers. A married Muslim woman is not allowed to make eye contact with a man or shake his hand. We are allowed to decorate our skin with henna and tattooing is forbidden in Islam as it is considered an alteration of God’s creation which also causes pain. 6. High-risk behaviors Muslims do not indulge in alcohol and drugs. We are taught that alcohol and drugs have no benefit in our bodies, and they may lead us to sin when we become drunk. Allah forbids anything that intoxicates the body and it is declared unlawful. 7. Nutrition All Muslims are forbidden from taking pork as it is considered to be haram. Islam recommends that a Muslim must slaughter any animal meat that is to be eaten by a Muslim,