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As the dynamics of our world are continually changing and becoming more multicultural, healthcare providers are facing a challenge in providing cultural competent care to this multicultural population. Dr. Madeleine M. Leininger was the first to use the term “transcultural nursing” (TCN) in describing the blending of anthropology and nursing into a specialization in nursing. Anthropology is the scientific study of humans, past and present. Building on the physical, biological, social sciences and humanities, anthropologists use this knowledge to find solutions to human problems. Using the combined studies of nursing and anthropology, Dr. Leininger established TCN as a theory and evidence-based formal area of study and practice within nursing that focuses on people’s culturally based beliefs, attitudes, values, behaviors, and practices related to health, illness, healing and human caring (Leininger, 1991, 1995) Transcultural Nursing – Cultural Competence in the Health History and Physical Examination.
Upon completion of the module, students will be able to:
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For over 50 years nurses have recognized the necessity to provide culturally specific care to a population that is increasingly becoming more racially and culturally diverse. Based on the knowledge that various races and cultures have different needs and requirements the need to develop culturally competent nursing care continues. In order to provide nurses with the foundations to be knowledgeable about the various cultures being seen in their practices transcultural models have been developed. Perhaps the most notable theorist, Dr.Madeline Leininger has provided the basic foundation for cultural competency in nursing practice. Other models by Purnell, and Giger and Davidhizer are also commonly used nursing cultural models Transcultural Nursing – Cultural Competence in the Health History and Physical Examination.
Using any of these models allows nurses at all levels to gain knowledge and provide culturally competent care. Having a greater nursing knowledge of the culturally diverse needs of our patients is vital in improving the quality of healthcare.
In order for the nurse to begin the process of becoming a culturally competent provider, one must start with cultural self-assessment. Evaluation of their own unconscious biases, cultural stereotypes, prejudices, and tendencies to discriminate against those different than themselves will give them valuable insight. With increased study and education, these unconscious tendencies can be resolved. To aid in the educational process, the American Academy of Nursing (AAN) Expert Panel on Global Nursing and Health and Transcultural Nursing Society have developed guidelines for the practice of culturally competent nursing care. These include knowledge of cultures, education and training in culturally competent care, clinical reelection. Cross-cultural communication, culturally competent practice, cultural competence in health care systems and organizations, patient advocacy and empowerment, multicultural workforce, cross-cultural leadership, evidence-based practice and research. As universally accepted guidelines nurses worldwide have a framework for providing culturally competent care Transcultural Nursing – Cultural Competence in the Health History and Physical Examination.
A five step problem solving process is provide to assist nurses in delivering culturally competent care. This five step process consists of
Module 2 | |
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Discussion | The culture of the deaf and hearing impaired is often overlooked because it is characterized as a nonethnic culture. What cultural characteristics do deaf people have in common with other cultural groups? If your client is both deaf and identifies with another cultural group as well, how does this affect your ability to provide quality cultural care?
Gynecological Health Care for Lesbian, Bisexual & Transgender Individuals essayPost 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. |
Special Guidance on APA formatting in Discussion Posts APA formatting is required in discussion posts with the following two exceptions (due to limitations with the text editor in LIVE): double line space and indent 1/2 inch from the left margin. Discussion posts will NOT be evaluated on those two formatting requirements he Health History and Physical Examination. All other APA formatting guidelines should be followed. For example, in-text citations must be formatted with the appropriate information and in the correct sequence (Author, year), reference list entries must include all appropriate information following guidelines for capitalization, italics, and be in the correct sequence. Refer to the APA Publication Manual 7th ed. for each source type’s specific requirements. Please let your instructor know if you have any questions. |
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The culture of the deaf and hard of hearing is often overlooked because it is characterized as a nonethnic culture. What cultural characteristics do deaf people have in common with other cultural groups? If your client is both deaf and identifies with another cultural group as well, how does this affect your ability to provide quality cultural care?
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.
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Understanding the nuances of the patients culture as well as understanding the communication techniques for the Deaf culture is vital for providing competent care and a responsibility of the health care provider. Collaboration within our healthcare community may be key! Well done!
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