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Module 1: Discussion 2

Providing culturally appropriate care is a challenge for the advanced practice nurse.. The phenomena of communication according to Giger and Davidhizar’s model can shape care.  Describe appropriate ways to communicate with patients from various cultures.

Post your initial response by Wednesday at midnight. Respond to one student by Sunday at midnight.  Both responses should be a minimum of 150 words, scholarly written, APA formatted, and referenced.  A minimum of 2 references are required (other than your text) for both posts.  Refer to the Grading Rubric for Online Discussion in the Course Resource section NSG-556-IKG – Health Pers Div-Rural-Unds Pop.

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As in all relationships, communication is the key to understanding and respect.  For health care professionals it is particularly a challenge.  Our health care language itself can be confusing in any culture.  The use of translators can have a powerful impact on dialogue and safety and it is vital to be aware of non-verbal and societal cues as well.

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• • Jeff MahoneySubscribe
  • Jeffrey Mahoney posted Aug 31, 2021 11:28 AM
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  •  For instance, an advanced practice nurse may notice that an Amish child may exhibit the physical symptoms of pain but not express it verbally (Davidhizar et al., 2006). A provider may also note that some Asian cultures consider avoiding eye contact as respectful (Davidhizar et al., 2006). It is also interesting to consider how language directs cultures. For example, Davidhizar et al. (2006) illuminates the German wording for a job is the English equivalent to vocation. As such, Germans view their work as a calling and are far less likely to leave their workplace. Davidhizar, R., Giger, J. N., & Hannenpluf, L. W. (2006). Using the Giger-Davidhizar transcultural assessment model (GDTAM) in providing patient care. The Journal of Practical Nursing, 56(1), 20-5.less5 UnreadUnread13 ViewsViews
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  • View profile card for Francesca Provencher
  • Last post September 6 at 10:48 AM by Francesca Provencher
  • Giger, J. N., & Davidhizar, R. (2002). The Giger and Davidhizar transcultural assessment model. Journal of Transcultural Nursing, 13(3), 185-188. https://doi.org/10.1177/10459602013003004
  • References
  • As a provider, we must be mindful of these differences in culture. Additionally, it can be helpful to obtain a medical dictionary of commonly encountered languages, educational material in those languages, and utilizing a translator whenever possible (Davidhizar et al., 2006).
  • According to Giger and Davidhizar’s transcultural assessment model (2002), the culturally competent advanced practice nurse must keep in mind that patient’s will vary in terms of environment, biological variations, time, space, social organization, and communication. Similarly, communication can vary by dialect, language style, volume of speech, touch, context of speech or tone, and kinesthetics (Davidhizar et al., 2006).
  • Module 1Subscribe
  • Frances Hall posted Aug 30, 2021 3:22 PM
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  • Intercultural communication in nursing is face-to-face, verbal or nonverbal communication that occurs between people of different cultures. Its defining attributes are (1) meeting between language and culture for a specific purpose and (2) face-to-face (in-person or virtual) human interaction between individuals from different cultures (Mosed et al., 2021).The LEARN (Listen, Explain, Acknowledge, Recommend, Negotiate) model is a framework for cross-cultural communication that helps build mutual understanding and enhance patient care (Ladha et al., 2018). I liked this model as it helps in better communication, and it starts by listening and bringing an attitude of curiosity and humility to promote trust and understanding. I also feel that negotiating with patient and their families regarding culturally relevant approaches also creates trust and forms a better partnership. Albougami, A. (2016). Comparison of four cultural competence models in transcultural nursing: A discussion paper. International Archives of Nursing and Health Care, 2(4). https://doi.org/10.23937/2469-5823/1510053Mosed, H., Periord, M., & Caboral‐Stevens, M. (2021). A concept analysis of intercultural communication. Nursing Forum. https://doi.org/10.1111/nuf.12622more1 UnreadUnread6 ViewsViews
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  • View profile card for Jerrica Goins
  • Last post September 5 at 10:01 PM by Jerrica Goins
  • Ladha, T., Zubairi, M., Hunter, A., Audcent, T., & Johnstone, J. (2018). Cross-cultural communication: Tools for working with families and children. Paediatrics & Child Health, 23(1), 66–69. https://doi.org/10.1093/pch/pxx126

• References NSG-556-IKG – Health Pers Div-Rural-Unds Pop

• • According to Giger and Davidhizar, there are six dimensions common to every culture: communication, space, social organization, time, environmental control, and biological variation(Albougami, 2016). The first dimension is communication, which is the holistic process of human interaction and conduct. The use and preservation of communication takes several forms verbal, nonverbal, and written and differs in terms of expression, language and dialect, voice tone and volume, context, emotional implication, facial expression, gestures, and body language. Language can become a barrier to quality healthcare due to simple misunderstandings and failure to communicate as intended (Albougami, 2016).
  • Module 1: Discussion 2Subscribe
  • Jerrica Goins posted Sep 1, 2021 9:09 PM
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  • Communication is a foundational principle that connects people and allows interactions to take place. Communication is a crucial component in all steps of the health care process. Improved awareness helps eliminate assumptions made during care and gives voice to patients, so they can adequately express their concerns. Cultural competence includes providing effective health care across diverse cultures by working collaboratively and communicating effectively (Ladha et al., 2018). Understanding cultural diversity in nursing also helps close the gap in health equity, reducing health disparities affecting minority populations such as higher morbidity rates and lower-quality care. Crosscultural communication includes strategies that acknowledge individual cultural traditions, avoid generalizing a patient’s beliefs or values based on cultural norms, and take into account one’s own beliefs, values, and experiences (Brown et al., 2016). Using shared language during conversation is an effective strategy when communicating across cultures. Another communication strategy is the ask-tell-ask which engages in culturally competent communication. This framework encourages a two-way conversation, in which the patient is first asked for their input that will provide the clinician with an understanding of the kinds of information desired and ways to communicate the information. Finally, the patient will teach back what they have heard to ensure that the clinician gave information in a way that is easily understood. Additionally, being aware of non-verbal communication is equally as important as it can be interpreted in different ways by other cultures.References Ladha, T., Zubairi, M., Hunter, A., Audcent, T., & Johnstone, J. (2018). Cross-cultural communication: Tools for working with families and children. Paediatrics & Child Health, 23(1), 66–69. https://doi.org/10.1093/pch/pxx126less1 UnreadUnread2 Views Views
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  • View profile card for Emily Meeks
  • Last post September 5 at 4:01 PM by Emily Meeks
  • Brown, E. A., Bekker, H. L., Davison, S. N., Koffman, J., & Schell, J. O. (2016). Supportive Care: Communication Strategies to Improve Cultural Competence in Shared Decision Making. Clinical Journal of the American Society of Nephrology, 11(10), 1902–1908. https://doi.org/10.2215/cjn.13661215
  • Module 1, Discussion 2Subscribe
  • Donna Wrobel posted Sep 1, 2021 1:21 PM
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  • Giger and Davidhizar developed the Transcultural Assessment Model in order to guide patient care to culturally diverse populations. The model illustrates that all individuals are unique and that their care should be determined based on their distinct needs and beliefs. They determined that culture is based on beliefs and experiences in six areas: communication, time, space, social organization, environmental control and biological variations. According to the model, communication refers to the methods and means that beliefs and customs are exchanged among people in a specific cultural group. Communication occurs from verbal and nonverbal interactions and often can be the cause of difficulties in working with patients from different cultural backgrounds (Giger & Davidhizar, 2002).Communication also is important when the spoken language is the same, but the patient is a member of a different culture, such as with patients who have a mental illness or patients who identify as gay or transgender. Providers must be sensitive to the needs of these populations and utilize verbal and body language that is inclusive and respectful. Providers should be especially sensitive to socioeconomic and psychological needs regarding employment, housing and income as these can affect access to care (Safran et al., 2009). When discussing behaviors and beliefs with the patient, the provider must exhibit compassion so that the patient does not feel criticized. They should encourage and assist clients to participate in their own care in order to establish health-related goals, plans and interventions so that health outcomes can be improved (Okeya, 2021).

ReferencesMcElfish, P., Long, C. R., Rowland, B., Moore, S., Wilmoth, R., & Ayers, B. (2017). Improving culturally appropriate care using a community-based participatory research approach: Evaluation of a multicomponent cultural competency training program, arkansas, 2015–2016. Preventing Chronic Disease, 14. https://doi.org/10.5888/pcd14.170014

Safran, M. A., Mays, R. A., Huang, L., McCuan, R., Pham, P., Fisher, S., McDuffie, K. Y., & Trachtenberg, A. (2009). Mental health disparities. American Journal of Public Health, 99(11), 1962–1966. https://doi.org/10.2105/ajph.2009.167346less1 UnreadUnread3 ViewsViews

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  • View profile card for Jahenein Nagel
  • Last post September 5 at 12:12 PM by Jahenein Nagel
  • Okeya, O. E. (2021). A critical analysis of transcultural nursing. International Journal of Scientific Development and Research, 6(1), 31–34.
  • Giger, J., & Davidhizar, R. (2002). The giger and davidhizar transcultural assessment model. Journal of Transcultural Nursing, 13(3), 185–188. https://doi.org/10.1177/10459602013003004
  • In general, communication can dictate the patient’s perception of whether the care they receive is appropriate and can influence their health outcomes. Providers should make every effort to learn and understand the practices and beliefs of their patients in order communicate effectively as this is ultimately their responsibility.
  • As the US becomes more culturally diverse, it is important that healthcare providers make every effort to practice culturally competent care. The first step that providers should take is to examine their own beliefs and practices in order to uncover any hidden biases. One study discovered evidence of racial bias in interpersonal interactions between providers and patients of Hispanic culture undermined the care relationship resulting in decreased health outcomes (McElfish et al., 2017). Healthcare providers should learn about the cultural beliefs of the populations in their areas and make behavioral changes to facilitate better communication between themselves and their patients. Some techniques include learning and incorporating knowledge of cultural beliefs such as the significance of foods and natural medicines in plans of care. Understanding family dynamics when discussing health issues with the patient and utilizing visual cues such as body language or tone of voice may indicate when a patient is experiencing discomfort. Written materials and signage should be translated into commonly utilized languages to be more accessible to patients and healthcare interpreters can be utilized to ensure that patients can easily communicate with the provider, rather than relying on family members to communicate for them. Training is available for providers to learn basic medical terminology in other languages, which indicates a willingness to learn and to help facilitate better communication (McElfish et al., 2017) NSG-556-IKG – Health Pers Div-Rural-Unds Pop.
  • Module 1- Discussion 2Subscribe
  • Julie Robichaud posted Aug 30, 2021 4:00 PM
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  •           There are many ways to communicate with patients from various cultures. The Giger and Davidhizar Transcultural Model provides a framework for assessing and assisting with communication (Giger & Davidhizar, 2002). There are six cultural phenomena: communication, time, space, social organization, environmental control, and biological variations (Giger & Davidhizer, 2002). Communication encompasses the patient and provider interaction. Communication should be clear, both verbally and nonverbally. The specific culture needs are important in making this happen. Space is another consideration regarding different cultures when it comes to personal distance. This should be assessed prior to the interaction because it can deter treatment or upset the balance that has already taken place. Social organization and family structure need to be assessed. Many cultures live as a family structure and want everyone involved in their care. Time is an important consideration because different cultures can be past, present, or future oriented (Gigor & Davidhizer, 2002). This could impact preventative care. Environmental control may be different in many cultures. There should be a variety of clinical settings available for healthcare services related to cultural preferences. This will create a safe and comfortable space. Biological variations are prevalent among racial groups (Giger & Davidhizer, 2002). Culture, genetics, and race all need to be recognized when providing healthcare. Giger, J.N. & Davidhizer, R. (2002). The Giger and Davidhizer transcultural assessment model. Journal of Transcultural Nursing, 13(3). https://doi.org/10.1177/10459602013003004Jongen, C., McCalman, J. & Bainbridge, R. (2018). Health workforce cultural competency interventions: A systemic scoping review. BMC health services research, 18(1). https://doi.org/10.1186/s12913-018-3001-5less2 UnreadUnread9 ViewsViews
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  • View profile card for Emilia Rodriguez
  • Last post September 5 at 2:06 AM by Emilia Rodriguez
  • Gopalkrishnan, N. (2019). Cultural competence and beyond: Working across cultures in culturally dynamic partnerships. The International Journal of Community and Social Development, 1(1). https://doi.org/10.1177/2516602619826712
  •            Cultural competence is necessary in transcultural nursing. According to Gopalkrishnan (2019), there are three elements in cultural competence: the affective element, the cognitive element, and the behavioral element. The affective element helps build positive relationships through sensitivity, openness, and respect (Gopalkrishnan, 2019). The cognitive element includes becoming knowledgable about the culture and the behavior element involves learning the skills that are needed for the patient/provider relationship (Golpalkrishnan, 2019). To ensure cultural competence across the board, education and training in healthcare facilities have shown benefit (Jongen et al., 2018). More research with evidence-based knowledge is needed on the evaluation and application of knowledge, and the impact of cultural competent interventions (Jongen et al, 2018) NSG-556-IKG – Health Pers Div-Rural-Unds Pop.
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  • Gisselle Mustiga posted Aug 31, 2021 9:43 PM
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  • The patient’s cultural background has a significant impact on how they behave. Therefore, nurses need to be aware of and respect the culture of the patient they are caring for, even when it is different from theirs (Andrews et al., 2020). This is important because the patient will view the nurse as sensitive and exceptional and even incompetent in their work. The most appropriate way of communicating with patients from a different culture is to view them as individuals and not assume that all people from a particular culture behave and think the same way. In addition, nurses should find more information about the culture of the patient using a questionnaire or the culture assessment tool and record them to be used by other healthcare team members involved (Sagar, 2014). Notably, nurses could practice enhancing communication in patients with different cultures are; greeting the patient using their last name, using simple terms during an assessment, and using any word from a patient’s language that they know and is appropriate. Andrews, M., Boyle, J., & Collins, J.W. (2020). Transcultural concepts in nursing care (8th ed.). Wolters Kluwer. New York, NY: Pearson.Sagar, P. L. (Ed.). (2014). Transcultural Nursing Education Strategies. Springer Publishing Company.less1 UnreadUnread2 ViewsViews
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  • View profile card for Idida Aleman Musial
  • Last post September 4 at 10:08 PM by Idida Aleman Musial
  • Giger, J. N., & Haddad, L. (2020). Transcultural Nursing-E-Book: Assessment and Intervention. Elsevier Health Sciences.
  • References
  • Moreover, nurses should always prioritize modesty according to the patient’s cultural preferences when practicing their profession. For instance, some Islamic and Jewish women believe that clothing covering their legs, arms, and legs is modesty. Nurses should therefore respect their culture by ensuring that they remain covered during healthcare procedures and treatments. Also, the perspective of the patient and families might conflict with nursing guidelines when a patient does not want to be informed about their sickness and prefer the family to take the burden of making decisions for themselves. In as much as this conflict with the issue of full disclosure and informed consent, nurses should respect these opinions (Giger, 2020). They should not reveal the patient’s condition on their own, which will bring up the issue of cultural conflict NSG-556-IKG – Health Pers Div-Rural-Unds Pop.
  • M1 Discussion 2Subscribe
  • Emilia Rodriguez posted Sep 1, 2021 6:49 PM
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  • Culturally-Appropriate Communication            Another strategy is practicing active listening which is an important tool for improving cross-cultural communication. It involves summarizing or restating the words of the other person that the nurse communicates with to ensure that they have been understood correctly. It also involves frequent asking of questions in areas in which the nurse needs clarification (Li et al., 2017). This method of communication is essential for building a rapport in cross-cultural communication and in ensuring that crucial information is not missed or misunderstood. The final strategy is to be supportive in the communication process. Effective communication with members of different cultures is dependent on all parties feeling comfortable( Derrington, Paquette & Johnson, 2018). In engaging patients, it is necessary to be respectful and to encourage them when they give their responses which help in building their confidence and establishment of trust.
  • Betancourt, J. R., Green, A. R., & Carrillo, J. E. (2019). Cross-cultural care and communication. UpToDate, Waltham, MA Accessed, 7.Li, C., Son, N., Abdulkerim, B. A., Jordan, C. A., & Son, C. G. E. (2017). Overcoming communication barriers to healthcare for culturally and linguistically diverse patients. North American Journal of Medicine and Science, 10(3). https://doi.org/10.7156/najms.2017.1003103]more2 UnreadUnread1 Views Views NSG-556-IKG – Health Pers Div-Rural-Unds Pop

Comparison and Contrast of Objectives, Questions, or Hypotheses Used in Quantitative and Qualitative Articles

Providing culturally appropriate care is a challenge for the advanced practice nurse. The phenomena of communication according to Giger and Davidhizar’s model can shape care. Describe appropriate ways to communicate with patients from various cultures.

Post your initial response by Wednesday at midnight. Respond to one student by Sunday at midnight. Both responses should be a minimum of 150 words, scholarly written, APA formatted, and referenced. A minimum of 2 references are required (other than your text) for both posts. Refer to the Grading Rubric for Online Discussion in the Course Resource section.

For instance, an advanced practice nurse may notice that an Amish child may exhibit the physical symptoms of pain but not express it verbally. A provider may also note that some Asian cultures consider avoiding eye contact as respectful. It is also interesting to consider how language directs cultures. For example, the German wording for a job is the English equivalent to vocation. As such, Germans view their work as a calling and are far less likely to leave their workplace.

References:

Giger, J. N., & Davidhizar, R. (2002). The Giger and Davidhizar transcultural assessment model. Journal of Transcultural Nursing, 13(3), 185-188.

As a provider, we must be mindful of these differences in culture. Additionally, it can be helpful to obtain a medical dictionary of commonly encountered languages, educational material in those languages, and utilizing a translator whenever possible. According to Giger and Davidhizar’s transcultural assessment model (2002), the culturally competent advanced practice nurse must keep in mind that patients will vary in terms of environment, biological variations, time, space, social organization, and communication. Similarly, communication can vary by dialect, language style, volume of speech, touch, context of speech or tone, and kinesthetics.

References:
Ladha, T., Zubairi, M., Hunter, A., Audcent, T., & Johnstone, J. (2018). Cross-cultural communication: Tools for working with families and children. Paediatrics & Child Health, 23(1), 66–69.
Giger, J. N., & Davidhizar, R. (2002). The Giger and Davidhizar transcultural assessment model. Journal of Transcultural Nursing, 13(3), 185-188.

Intercultural communication in nursing is face-to-face, verbal or nonverbal communication that occurs between people of different cultures. Its defining attributes are (1) meeting between language and culture for a specific purpose and (2) face-to-face (in-person or virtual) human interaction between individuals from different cultures. The LEARN (Listen, Explain, Acknowledge, Recommend, Negotiate) model is a framework for cross-cultural communication that helps build mutual understanding and enhance patient care. I liked this model as it helps in better communication, and it starts by listening and bringing an attitude of curiosity and humility to promote trust and understanding. I also feel that negotiating with patients and their families regarding culturally relevant approaches also creates trust and forms a better partnership.

References:

Ladha, T., Zubairi, M., Hunter, A., Audcent, T., & Johnstone, J. (2018). Cross-cultural communication: Tools for working with families and children. Paediatrics & Child Health, 23(1), 66–69.

According to Giger and Davidhizar, there are six dimensions common to every culture: communication, space, social organization, time, environmental control, and biological variation. The first dimension is communication, which is the holistic process of human interaction and conduct. The use and preservation of communication take several forms, verbal, nonverbal, and written, and differ in terms of expression, language and dialect, voice tone and volume, context, emotional implication, facial expression, gestures, and body language. Language can become a barrier to quality healthcare due to simple misunderstandings and failure to communicate as intended.

Module 1: Discussion 2

Communication is a foundational principle that connects people and allows interactions to take place. Communication is a crucial component in all steps of the health care process. Improved awareness helps eliminate assumptions made during care and gives voice to patients so they can adequately express their concerns. Cultural competence includes providing effective health care across diverse cultures by working collaboratively and communicating effectively. Understanding cultural diversity in nursing also helps close the gap in health equity, reducing health disparities affecting minority populations such as higher morbidity rates and lower-quality care.

References:

Ladha, T., Zubairi, M., Hunter, A., Audcent, T., & Johnstone, J. (2018). Cross-cultural communication: Tools for working with families and children. Paediatrics & Child Health, 23(1), 66–69.

Giger and Davidhizar developed the Transcultural Assessment Model to guide patient care for culturally diverse populations. The model illustrates that all individuals are unique, and their care should be determined based on their distinct needs and beliefs. Communication is the first dimension and involves the holistic process of human interaction and conduct, including verbal, nonverbal, and written forms of expression. Language barriers can hinder quality healthcare, so sensitivity to language differences is crucial.

References:
Giger, J. N., & Davidhizar, R. (2002). The Giger and Davidhizar transcultural assessment model. Journal of Transcultural Nursing, 13(3), 185-188.

Moreover, nurses should always prioritize modesty according to the patient’s cultural preferences when practicing their profession. For instance, some Islamic and Jewish women believe that clothing covering their legs, arms, and legs is modesty. Nurses should therefore respect their culture by ensuring that they remain covered during healthcare procedures and treatments. Also, the perspective of the patient and families might conflict with nursing guidelines when a patient does not want to be informed about their sickness and prefer the family to take the burden of making decisions for themselves. In as much

as this conflict with the issue of full disclosure and informed consent, nurses should respect these opinions.

References:

Giger, J. N., & Haddad, L. (2020). Transcultural Nursing-E-Book: Assessment and Intervention. Elsevier Health Sciences.
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