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Unit V: Cultural Influences

Unit V: Cultural Influences. NURS 2210 Roles II Nancy Pares, RN, MSN. Discuss cultural concepts of nursing care. Cultural diversity Skin color, religion, geography Confront self deception, bias and acknowledge one’s own cultural influences Cultural competent care

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Unit V: Cultural Influences

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  1. Unit V: Cultural Influences NURS 2210 Roles II Nancy Pares, RN, MSN

  2. Discuss cultural concepts of nursing care • Cultural diversity • Skin color, religion, geography • Confront self deception, bias and acknowledge one’s own cultural influences • Cultural competent care • Effective individualized care that demonstrates respect, personal rights, preferences, beliefs and practices of the client • Dynamic process the requires sensitivity and cultural specific care

  3. Ethnic culture • Learned from birth thru language • Shared by members of the same cultural group • Influenced by conditions related to environmental and technical factors and availability of resources • Dynamic and ever changing

  4. Kittler: Four step process to cultural sensitivity • Become aware of your own heritage • Become aware of client culture as described by the client • Know of adaptations client made to live in N. America • Form a culturally congruent care plan

  5. Healthcare influenced by elements of social structure • Technology • Religion • Philosophy • Social • Culture • Political • education

  6. Transcultural Nursing • Madeline Leininger • Sunrise model • Stresses the importance of providing culturally congruent care • Ex: bringing culturally appropriate foods in hospital • Culture care accommodation • Professional actions to satisfy healthy outcomes • Ex: negotiating with client to see curanderoand MD • Culture care restructuring • Professional activities to help clients change behaviors toward healthier life patterns • Ex: if client refuses traditional Western medicine—use massage, music, etc…..then negotiate for meds if required.

  7. Aculturation • Cultural blindness • Cultural imposition • Cultural taboos • ethnocentrism

  8. Culturally mediated characteristics • Space and distance • communication • Time • Social organization • Environmental control • Biological variations

  9. Family • Nuclear • Extended • Attenuated • Incipient • Blended

  10. Health habits of major ethnic groups in the US • Folk medicine • Biologic effects • Food preferences

  11. Know your client.. • Cultural Assessment • Systematic appraisal of beliefs, values and practices • Cultural considerations: (see Osborne special features section –back of text)

  12. Nursing Diagnosis Culturally inappropriate/biases • Noncompliance • Impaired verbal communication • Impaired social interaction • Deficient knowledge • Disturbed thought processes • Powerlessness

  13. Planning and outcome identification • Nurses need to know • Cultural group perspectives on life processes • How the culture defines health • How the culture maintains health • Use of healers • Own influence

  14. Implementation/Evaluation • Self awareness • Non judgmental approach • Client education • Nurse must view client as part of health team

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