TRANSCULTURAL NURSING: Culturally competent care by design

1. TRANSCULTURAL NURSING:Culturally competent care by design Suad Ali

2. OBJECTIVES • Define transcultural nursing and understand importance of cultural competence • Understand steps toward attaining cultural competence for nursing care • Gain a better understanding of what leads to lack of cultural competence • Understand the importance of education in providing transcultural nursing care • Know the importance of quality and safety improvements

3. WHAT IS TRANSCULTURAL NURSING? • “A substantive area of study and practice focused on comparative cultural care (caring) values, beliefs and practices of individuals or groups of of similar or different cultures” (Murphy, 2006).

4. INFLUENCE OF CULTURE • What is culture? • Culture is complex and broad • Includes: race, ethnicity, religion, socioeconomic status • Cultural competence

5. STEPS TOWARD CULTURAL COMPETENCE • Adopt attitudes to promote transcultural nursing care • Develop awareness for cultural differences • Perform a cultural assessment

6. STATISTICS • Compared to Whites: • Blacks received worse care for 41% of quality measures • Hispanics received worse care for 39% of quality measures • Asians and American Indians/Alaska Natives received worse care for 30% of quality measure

7. IMPORTANCE TO NURSING • Helps reduce health disparities • Improve patient safety & communication • Foster trust between nurses and their patients • Allows nurses to individualize care • Promotes patient advocacy for diverse populations

8. CULTURE CARE THEORY • Developed by Leininger • Highlights need for culturally competent nurses

9. THEORY OF REASONED ACTION • Developed by Fishbein and Ajzen • States, “Intention and intentionality are determined by the attitude toward behaviors and subjective norms for behaviors”(Lowe & Archibald, 2009)

10. HEALTHCARE ENVIRONMENT • American Nurses Association • U.S. Department of Health & Human Services • Spectrum Health Organization

11. ROOT CAUSE ANALYSIS Language Barriers Education Lack of cultural competence Ethnocentrism Minority in Nursing

12. QUALITY & SAFETY IMPROVEMENTS • QSEN • Patient/family-centered Care • Safety • Evidence-based practice • ANA Standards • Ethics • Education • Communication

13. REFERENCES • Agency for Healthcare Research and Quality, . (2012). Disparities in Healthcare Quality Among Racial and Ethnic Groups. In AHRQ. Retrieved April 4, 2014 • American Nurses Association. (2001). Code of ethics for nurses with interpretive statements (pp. 7-25). Silver Spring, MD: Nursebooks.org • American Nurses Association. (2010). Nursing scope and standards of practice (2nd ed., pp. 32-62). Silver Spring, MD: Nursebooks.org • Capell, J., Dean, E., & Veenstra, G. (2008). The relationship between cultural competence and ethnocentrism of health care professionals. Journal of Transcultural Nursing, 19(2), 121-125. doi:10.1177/1043659607312970 • Delgado, D., Ness, S., Ferguson, K., Engstrom, P., Gannon, T., & Gillett, C. (2013). Cultural competence training for clinical staff: measuring the effect of a one-hour class on cultural competence. Journal of Transcultural Nursing, 24(2), 204-213. doi:10.1177/1043659612472059 • Lowe, J., & Archibald, C. (2009). Cultural diversity: The intention of nursing. Nursing Forum, 44(1), 11-18. doi:10.1111/j.1744-6198.2009.00122.x • Maier-Lorentz, M. (2008). Transcultural nursing: its importance in nursing practice. Journal of Cultural Diversity, 15(1), 37-43. Retrieved April 4, 2014 • Murphy, S. (2006). Mapping the literature of transcultural nursing. Journal of Medical Library Association, 94(2), 143-151. Retrieved April 4, 2014 • QSEN, . (2014). Competencies. In QSEN Institute. Retrieved April 4, 2014 • Sederstrom, J. (2013). Culture of compassion. Healthcare Traveler, 20(9), 10-15. Retrieved April 4, 2014 • Spectrum Health, . (n.d.). Our Commitment. In Spectrum Health. Retrieved April 4, 2014 • State of Michigan, . (n.d.). Cultural Competency. In Michigan.gov. Retrieved April 4, 2014

14. THANK YOU