CULTURAL AND SOCIAL ISSUES IN NURSING

Key concept

Demographic and sociocultural variations of diverse groups

Variations in biological, social, environmental, and communications phenomena

Education, practice, and research issues that influence culturally competent care

Inherent in nursing is respect for life, dignity and rights of man. It is unrestricted by considerations of nationality, race, creed, colour, age, sex, politics or social status.

The nurse, in providing care, promotes an environment in which the values, customs and spiritual beliefs of the individual are respected.

Contd…

Each registered nurse is accountable for his or her practice, and, in the exercise of professional accountability shall take account of the customs, values and spiritual beliefs of patients/ clients.

Individualized programs of nursing care are designed to accommodate the psychological, social, cultural and spiritual needs of clients, as well as their biological needs.

Providing culturally appropriate nursing care can be very challenging, requiring much thought and caring concern, and a willingness to learn from those we nurse.

Not only nurses must be a ware of the clients cultural point of view his relation to the life , to realize his vision of his world, but be willing to look at health needs and problems in new ways, planning nursing interventions that are culturally acceptable and meaningful to the client

Contd…

Health Disparities

Life expectancy for whites is 75.2 years; for African-Americans, 69.6 yearsCauses of death for minority groups

CancerCardiovascular disease and strokeChemical dependencyDiabetesHomicides and accidentsInfant mortality

Reasons for Cultural Competence

Nurse’s culture often differs from client’s.

Culturally incompetent care is more costly.

Culturally incompetent care is ineffective.

Cultural Competence in Nursing Education

Beliefs and practices of various cultural groups

Disease prevalence and mortality rates

Cultural factors related to situations such as birth and death

Specific culture-bound syndromes

Roles and responsibilities of family members

Principles for Culturally Competent Care

Care designed for specific client

Care based on uniqueness of person’s culture

Care includes empowerment strategies.

Care is provided with sensitivity for the uniqueness of the client.

Standards for culturally competent and congruent care

Consumers of diverse cultures have a right to have Tran cultural care standards used to protect and respect their generic (folk) values, beliefs, and practices and to have health personnel incorporate.

nurses providing care to diverse culture or subcultures have a moral obligation to be prepared in Trans cultural nursing to provide knowledgeable, sensitive, and research-based care to the culturally different.

Nurses as caregivers have an ethical, morale, professional obligation and responsibility to study, understand, and use relevant research-based Trans cultural care for safe, beneficial, and satisfying client or family outcomes.

Providing culturally competent and congruent care should reflect the caregivers ability to assess and use culture-specific data without biases, prejudices, discrimination, or related negative outcome

Professional Journals Devoted to Cultural Issues

The Journal of Transcultural NursingWestern Journal of MedicineCross-Cultural IssuesJournal of Cultural DiversityJournal of Multicultural Nursing

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