Improved levels of communication can be a critical factor in assessing patient needs and developing appropriate treatments and interventions. According to an article in Critical Care Nurse, cultural competence can help nurses establish better rapport with their patients. “Working in a place that has people with different cultures, beliefs, genders, race and ethnicity helps to foster an environment of belonging.”, “Self-awareness, respect, and knowledge are critical components of culturally competent care,” says Norman, adding that “it is difficult to provide culturally competent care without taking a self-assessment of your own beliefs.”, Knapik echoes this point, saying that it is important for nurses to “Understand [their] own strengths and weaknesses when it comes to cultural competency.”, According to Norman, “This is just a great way to build rapport with your patient and helps to break down preconceived barriers.”. What this paper adds • • There are many different definitions of cultural competence. Cultural competence in nursing practice is more than just about having the right information, though. Karen Luu is a board-certified psychiatric mental health nurse practitioner. Culturally competent care includes knowledge, attitudes, and skills that support caring for people across different languages and cultures. This guide discusses cultural competence and how it relates to health equity in the U.S., and includes insights from nursing professionals on how both nurses and their patients can benefit from culturally competent care. content to be insufficient for the proper mastery of the subject. What Is Cultural Competence in Nursing? Individuals interested in exploring cultural competence in nursing should consider the benefits of an online Bachelor of Science in Nursing degree. Cultural competence involves being conscious of one’s own biases and how that may affect how you interact with or provide care to others and understanding where differences may arise in the health care system related to culture so that those can be addressed during the provision of care for better patient experiences and health outcomes” (George Mason University [GMU] School of Nursing, … Cultural competence in healthcare refers to the ability for healthcare professionals to demonstrate cultural competence toward patients with diverse values, beliefs, and feelings. BACKGROUND: Cultural competence is a key component of culturally congruent nursing care. AJN, American Journal of Nursing: July 2017 - Volume 117 - Issue 7 - p 13. doi: 10.1097/01.NAJ.0000520925.34279.30. But how does a nurse become culturally competent? Health equity seeks to reduce and eventually eliminate health disparities by allocating resources based on need. Cultural competence is an important component of excellence in health care delivery and can contribute to the elimination of racial and ethnic health disparities. Cultural competence also involves somewhat adapting nursing care to the client's culture. In some American regions, for example, the average life expectancy can vary by decades from one neighborhood to another. Support the definition with a professional literature citation. Dr. Jamil Norman, a registered nurse and nursing instructor, has found in her research that Black mothers in the U.S. are 3-4 times more likely to die in childbirth compared to white mothers. View all blog posts under Master of Science in Nursing. Here are 5 ways to help you provide culturally competent nursing care. In order to improve cultural competence, nurses must move to the … Luu is currently working at a private practice which specializes in bipolar disorder, schizophrenia, depression, anxiety, and PTSD. View all blog posts under Articles | Cultural Competence. Reference this Share this: Facebook Twitter Reddit LinkedIn WhatsApp Diversity based on ethnic background, religion, race, language and sexual orientation is skyrocketing each day. Dr. Gregory Knapik is an assistant professor of nursing at Notre Dame College (NDC) in South Euclid, Ohio. Define culturally competent nursing care. “Until all health care disparities are eradicated, there is always more that can be done.”. Dr. Gregory Knapik, PMHCNS-BC, ANP-PC Currently, an appropriate instrument to assess cultural competence in clinical practice is limited. Everyone knows the Golden Rule: Treat others as you want to be treated. As the first point of contact for many patients, nurses are uniquely … Nurse Management Roles in Healthcare, Sources: Prior to joining NDC, Knapik taught nursing courses at Kent State University, the University of Akron, and Walsh University. What is Cultural Competence in Nursing? While nurses aren’t expected to become experts on every culture, they should seek to gain an understanding of the cultures in the communities in which they work. Cultural competency is a vital skill for delivering quality nursing care across culturally diverse groups. As nurse leaders, advanced practice nurses have a commitment to putting cultural competence principles into practice, and that sets the tone for others in various nursing departments. This process includes consideration of the individual social, cultural, and psychological needs of patients for effective cross-cultural communication with their health care providers. This compensation does not influence our school rankings, resource guides, or other editorially-independent information published on this site. It’s about establishing professional relationships with every patient, regardless of how weird or unusual their expectations may appear. Advanced practice nurses are key to integrating cultural competence in health care settings. Conversely, studies have shown that a care plan that incorporates cultural competence can increase patient engagement, use of preventive services, treatment adherence and overall health status. This article reviews some of the difficulties and challenges associate degree nurse educators face in providing culturally competent nursing education for today's community college nursing students. It incorporates the following: ^M. Info: 1976 words (8 pages) Essay Published: 11th Jul 2017 in Nursing. Nowadays, healthcare professionals worldwide deliver care for increasing numbers of culturally and linguistically diverse patients. Consequently, cultural competence in nursing is a critical component in reducing health disparities and achieving equity in quality of care among all populations. By understanding how you identify and how this self-awareness impacts your nursing care abilities, only then will you develop the respect and skills necessary to reduce the inequities that exist in health care. Download PDF View details. Why Is Communication Important in Nursing? Currently, he teaches community health, mental health nursing, holistic nursing, and global nursing at NDC. Provide one example the culturally competent nurse applies to each of the four (4) selected guidelines. Additionally, nurses should be aware that while cultural competence has traditionally referred to racial and ethnic minority groups, it’s increasingly being used to include other groups, such as people with disabilities and members of the LGBTQ community. A thorough cultural competent nursing assessment should incorporate patients’ age, sex, religion, heritage, beliefs. Cultural Competence. A U.S. Department of Health and Human Services study found that minorities placed greater importance on whether their providers shared or understood their cultures; if their providers did, then minorities were more likely to report having a positive relationship and more prone to follow health recommendations, which can lead to overall better health outcomes. Cultural competence in nursing promotes individual-centered care, and it enables a focused assessment of patients’ culture, social, and linguistics needs. Cultural competency is incredibly important in the field of medicine. After completing this chapter, you should be able to: • Define cultural competence. Cultural competence is one of the principal foundations of clinical nursing. Social benefits include fostering mutual respect, understanding, and trust; promoting inclusion and patient and family responsibilities for their health; and increasing community participation and involvement in health issues. Our communities need culturally competent nursing care. Cultural competence in nursing aids the growth and development of nurses while also incorporating relevant societal values. “First-hand exposure to other ways of being and doing is your best teacher,” says Ortiz. Agency for Healthcare Research and Quality, Cultural Competence and Patient Safety, Becker’s Hospital Review, “Platinum rule trumps the golden one for best patient experience”, DiversityNursing.com, “A Guide to Culturally Competent Nursing Care”, MAS Medical Staffing, How to Strengthen Cultural Competence in Nursing Practice, MedCity News, “The Need for Cultural Competence in Healthcare”, National Institutes of Health, Cultural Respect, Quality Interactions, “Cultural Awareness in Healthcare: A Checklist”, U.S. Census Bureau, “Demographic Turning Points for the United States: Population Projections for 2020 to 2060”, U.S. Centers for Disease Control and Prevention, “Reported Importance and Access to Health Care Providers Who Understand or Share Cultural Characteristics With Their Patients Among Adults, by Race and Ethnicity”. Cultural Competence. Share this: Facebook Twitter Reddit LinkedIn WhatsApp Diversity based on ethnic background, religion, race, language and sexual orientation is skyrocketing each day. Nurses should also possess an understanding of ethnopharmacology: the study of substances that different ethnic and cultural groups use medicinally and how those groups respond to different forms of medication. Perform a cultural competence self-assessment. Increasing the cultural diversity of the nursing workforce begins in programs that educate the health care professionals of the future. Cultural Competency in Nursing Practice Nursing practice is comparable to a puzzle, a multilayered culture of health care practice that modifies itself with every interaction. Cultural Competence in Nursing. Why Cultural Competence is Necessary in Nursing. The word “culture” refers to integrated patterns of human behaviors, including norms, traditions, and values that affect the thinking and behavior of members of particular groups. In the next few decades, the U.S. is projected to grow even more diverse, with minority groups expected to make up more than half the population by 2050, according to the U.S. Census Bureau. It’s about establishing professional relationships with every patient, regardless of how weird or unusual their expectations may appear. Culture influences personal health care decisions at every level, including how patients perceive their illness, whether, where and how they seek help, and how they respond to treatment. 2020, Teaching and Learning in Nursing. He holds a doctor of nursing (ND) from Case Western Reserve University as well as two advanced certifications in PMHCNS-BC and ANP-PC. Cultural competence is the integration and transformation of knowledge about individuals and groups of people into specific standards, policies, practices, and attitudes used in appropriate cultural settings to increase the quality of services; thereby producing better outcomes. cultural competence. • Identify challenges in defining spirituality. Cultural competence in health care is defined as “the ability of systems to provide care to patients with diverse values, beliefs and behaviors, including the tailoring of health care delivery to meet patients’ social, cultural and linguistic needs,” according to the American Hospital Association. Campinha-Bacote and Munoz (2001) proposed a five-component model for developing cultural competence in The Case Manager. Identify four (4) guidelines the registered professional nurse may use to enhance the ability to provide culturally competent nursing care. Culturally competent care consists of four components: awareness of one’s cultural worldview, attitudes toward cultural differences, knowledge of different cultural practices and worldviews, and cross-cultural skills. It requires being aware of one’s own cultural values and world view and their implications for making respectful, reflective and reasoned choices, including the capacity to imagine and collaborate across cultural boundaries. Support the definition with a professional literature citation. “These health disparities for childbearing Black women have persisted despite overall improvements in pregnancy-related outcomes,” Norman says. This process includes consideration of the individual social, cultural, and psychological needs of patients for effective cross-cultural communication with their health care providers. Learn more about how Rider can help you pursue your professional nursing goals. As the first point of contact for many patients, nurses are uniquely positioned to practice cultural competence at the earliest stages of care, setting the tone for a patient’s entire health care experience. The Role of Cultural Competence in Nursing, Master of Arts in Organizational Leadership, Developing People and Organizations Concentration, Higher Education Leadership Concentration, Bachelor of Science Business Administration, Bachelor of Science in Allied Health Studies, Bachelor of Science in Business Administration in Organizational Psychology, Bachelor of Arts in Organizational Psychology. Copyright © 2021 Rider University. Attitude Attitude plays a large role in the ability to become and serve as a culturally competent caregiver. There is, therefore, a wide gap . • Cultural competence is affected by the immediate financial, political, social, historical, and cultural context. Studies have shown that culture plays a crucial role in the development of perceptions that … Cultural competence: A guide for nursing students By Linda S. Smith, PhD, MS, RN, CLNC The following article is the second in a two-part series on culturally competent nursing education (CCNE). Cultural competence is nursing is the ability to interact appropriately with people from various cultural backgrounds. By exercising cultural competence, nurses and other health professionals can overcome language barriers, differing cultural beliefs and practices, unconscious and conscious medical bias, and low health literacy, thereby sidestepping the many racial and ethnic disparities that are prevalent in health care. Jamil Norman, Ph.D., RN, CNE, and academic coordinator for Walden University’s RN-to-BSN program, has more than 16 years of experience as a registered nurse and 12 years in higher education. Research has shown that minority patients are more comfortable in settings where their providers share or understand their cultures and are more likely to adhere to treatment guidelines, thereby reducing the risk of adverse events when providers adapt care to address patients’ unique social, cultural and language needs. For nurses and those pursuing a nursing degree, cultural competence is especially vital. Take the opportunity to learn from colleagues and peers around you,” Knapik says. Cultural Competency Toolkit for Graduate Nursing Students This toolkit provides resources and exemplars to facilitate implementation of cultural competencies in graduate nursing education. Nurses can develop the ability to tailor and explain treatment plans according to patients’ needs, which may be influenced by cultural practices that don’t fall within the parameters of conventional medicine. “Work from a place of humble partnership instead of from an imbalanced hierarchical notion of care-giver/care-recipient,” says nursing faculty member Caroline Ortiz. They can accomplish this by researching a community’s demographic information and reaching out to different cultural groups in the community. NurseJournal.org is an advertising-supported site. Cultural competence is a term that has been saturated in the news, in journals, and in the learning arena. As Dr. Gregory Knapik, DNP and assistant professor of nursing, explains, “Nurses must be able to understand and appreciate different cultural backgrounds in order to do their job effectively and with the highest degree of care.”, Norman specifies that “cultural competence is the willingness to understand and interact with people of different cultures, race, ethnicity, gender, and sexuality.”. • Cultural competence is affected by the immediate financial, political, social, historical, and cultural context. Together, these components contribute to a high degree of cultural competency, and nurses can integrate them into the care of their patients. Knowledge Learning about the culture base of those in your area is the first step to strengthening your cultural... 2. The Qualities of a Good Nurse in Action The consequences of cultural competence were … Evidence suggests, however, that when providers make cultural sensitivity a hallmark of care, the likelihood increases that their patients will be more satisfied and, ultimately, healthier. She has seven years of nursing experience, which includes working at the Level II Trauma Center, community hospitals, mental health urgent care, and private practice. She is on the faculty of Pacific College of Health and Science’s Holistic Nursing Program and is a Ph.D. candidate investigating the traditional healing practices of Mexican-American women. “Utilizing cultural competence appropriately will allow for deeper connections with patients,” says Knapik. A company may practice or exhibit cultural competence by accepting the behaviors, attitudes and policies described earlier that define their employees, clients and customers. While there is no typical day in the life of a nurse, there is one constant: the focus on patient care. This knowledge can help nurses determine the appropriate interventions that fit a … Caroline Ortiz, MSN, MPH, RN, NC-BC Increasing Cultural Competence in Nursing Practice 1. Jeffreys (2010) refers to cultural competence as “a multidimensional learning process that integrates transcultural nursing skills in all three dimensions (cognitive, practical, and affective), involves transcultural self-efficacy (confidence), and aims to achieve culturally competent nursing care” (p. 36). Home / Nursing Articles / Improving Cultural Competence in Nurses Updated/Verified: Oct 23, 2020 | RegisteredNursing.org Staff Writers In a world moving toward globalization more than ever before, nurses must strive to connect to not only patients of differing cultural beliefs, but to colleagues as well. Cultural competence is about our will and actions to build understanding between people, to be respectful and open to different cultural perspectives, strengthen cultural security and work towards equality in opportunity. Minority Nurse: 5 Ways to Improve Cultural Competence in Nursing … Define culturally competent nursing care. The importance of cultural competence is evident in terms of the quality of healthcare, and more knowledge is needed about different educational models and approaches that aim to increase cultural competence. Earning an advanced degree, such as a Doctor of Nursing Practice, can prepare nurses to provide equitable, inclusive care that promotes a healthier, less stressful experience for patients and their families. Nursing as a career is versatile—from caring for the sick, providing treatment plans, taking care of the elderly in a home, and more. among professionals that enables effective work in cross-cultural situations It requires being aware of one’s own cultural values and world view and their implications for making respectful, reflective and reasoned choices, including the capacity to imagine and collaborate across cultural boundaries. National Partnership for Action to End Health Disparities, Registered Nurses Rank 1st for Access to Childcare, Paid Family Leave, and Employee Wellness Benefits, Using language and terms patients understand, Respecting patients’ cultural and religious beliefs that conflict with treatment plans, Recruiting health professionals from underserved, diverse, and, Analyzing the ethnic composition demographics of patients currently served, Identifying patients in underserved populations and communities, Forming a committee of diverse nursing staff members to promote and coordinate, © 2021 NurseJournal.org, a Red Ventures Company. As the diversity grows, cultural awareness and sensitivity will be essential skills in virtually every profession. 1 Culture influences not only health practices but also how the healthcare provider and the patient perceive illness. Cultural competence is the ability to participate ethically and effectively in personal and professional intercultural settings. 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