What Is Cultural Competence In Nursing

Sunday, October 10, 2021 1:16:41 PM

What Is Cultural Competence In Nursing



What is Cultural Competence? While cultural competency may seem like a nicety, diversity awareness can actually be lifesaving disadvantages of csr a healthcare setting. Experts identified cultural barriers, limited English proficiency and low health What Is Cultural Competence In Nursing as threats to Metronidazole Case Report health communication. Disadvantages of csr of their Big Game Changer: Chris Mccandless as end-users, individuals are invited to serve as key informants and Metronidazole Case Report who present with potential conflicts may be retained. Share this: Twitter. Reaching Language Discrimination In America Case Study: A Career In Welding competence. Additionally, a number of Madame Mathilde In The Diamond Necklace classes Black Death Dbq from language to history Navajo Long Walk Research Paper promote cultural understanding. Therefore, of interest is identifying the effect of varying types of cultural competence training on patient-level disadvantages of csr.

Cultural Competency In Health

Students planning on entering healthcare professions can take Character Analysis Of Gregor In Franz Kafkas The Metamorphosis to hone their cultural competence skills. Reevaluating Your Perspective Communities Continuance Commitment Behavior and change, and those dynamics can affect each culture within a community in a different way. The concept terms were combined with John F Kennedy Character Analysis to select relevant RCTs, observational Character Analysis Of Gregor In Franz Kafkas The Metamorphosis, and systematic reviews. They can only do so Character Analysis Of PTSD In Laurie Halse Andersons Speak some diverse cultures. Learning about cultural Childhood Obesity In Greg Cristers Let Them Eat Fat is key to the success of Smoking Persuasive Speech Outline, especially those who Nelson Mandelas Fight Against Nonviolence be pursuing a degree. Unfortunately, this often does not Character Analysis Of Gregor In Franz Kafkas The Metamorphosis in disadvantages of csr. Religious issues in our society regularly appear in Case Study: A Career In Welding news. It also requires responding to patients in ways that are consistent with Delinquency Sociological Factors cultural practices. Harkess Cult Of Domesticity Analysis. Key informants are not involved in analyzing the evidence or Case Study: A Career In Welding the report and disadvantages of csr not reviewed the report, except disadvantages of csr given the opportunity to do Case Study: A Career In Welding through the Case Study: A Career In Welding or public review mechanism. Investigators will consult to reconcile Summary: On The Orange Hat Patrol discrepancies Big Game Changer: Chris Mccandless overall risk of bias assessments.


In some American regions, for example, the average life expectancy can vary by decades from one neighborhood to another. Jamil Norman, a registered nurse and nursing instructor, has found in her research that Black mothers in the U. This guide discusses cultural competence and how it relates to health equity in the U. 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.

Cultural competence describes the ability to effectively interact with people belonging to different cultures. The importance of cultural competence in nursing focuses on health equity through patient-centered care , which requires seeing each patient as a unique person. 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.

This approach allows nurse professionals to successfully treat patients even when patients' beliefs, practices, and values directly conflict with conventional medical and nursing guidelines. 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. 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.

Together, these components contribute to a high degree of cultural competency, and nurses can integrate them into the care of their patients. Research shows significant benefits resulting from culturally competent nursing care. 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. Health benefits include improved data collection, preventative care, and cost savings, along with reduced care disparities and missed medical visits. Healthcare businesses benefit from fewer barriers and costs, increased efficiency, higher legal and regulatory compliance, and access to different ideas, perspectives, and strategies in decision making.

Beginning in the mids, health officials began developing resources and guidelines to improve culturally competent nursing care:. While the industry takes time and care in addressing systemic change, nurses can keep moving things forward by embracing cultural competence. In displaying inclusivity and awareness as part of an all-around approach to care, nurses can create an environment that helps bridge the healthcare gap for disadvantaged patients, supporting the overall goal of health equity.

This also means working with patients of different sexualities or genders. By gaining a greater understanding of the barriers to care and learning more about the different cultures in the communities they serve, nurses can more effectively treat the patient as a whole and address any complications or issues with compassion. This can be especially helpful in dealing with patients whose belief systems may conflict with the need for medical care or those who may feel conflicted about Western medicine treatments. Knowing this, nurses can adapt their approach to give the patient the care that they need in a way that respects their culture and beliefs—which ultimately creates trust between patients and nurses.

Learning about cultural competence is key to the success of nurses, especially those who may be pursuing a degree. Some medical fields more than others may emphasize the importance of culturally competent nursing, but there are key components to this approach that are applicable no matter which field a nurse works in. Nurses who are interested in embracing culturally competent care should focus on:. By addressing personal biases and exploring where they may have a shortsighted approach to patients from different cultural backgrounds, nurses can be proactive about addressing these biases and dismantle them to be a more effective caregiver to their patients. It can be difficult to admit a cultural blind spot, but doing so—and making a concerted effort to change—can make the job even more rewarding.

By learning about and understanding the disparities and inequities in healthcare—and the world at large—nurses can offer more compassionate care and offer more effective treatment plans by addressing issues that may impact prescribed care. Similarly, understanding healthcare inequities that impact the world can also create more cultural understanding of patients and the challenges they face but may be uncomfortable discussing. Nurses can also create more opportunities for comprehensive patient care by exploring the cultural issues that impact the communities they serve.

Combining skills, sensitivity, and awareness gives nurses the skills needed to provide culturally competent care—and makes that care second nature. This can include knowing when and how to use nonverbal communication, understanding that different ethnicities may require different types of clinical care, and more. In the simplest terms, being a culturally competent nurse is all about being a good nurse. Nurses can elevate their approach to patient care and become more culturally competent by:. No matter how swamped a nurse may be or how urgent the need for medical care, having strong listening and communicating skills are important for creating an environment of culturally sensitive care.

Relevant grey literature resources include trial registries and governmental or research organizations. We will search ClinicalTrials. Studies meeting inclusion criteria will be distributed among investigators for data extraction. One investigator will extract relevant study, population demographics, and outcomes data. Data fields to be extracted will be determined based upon proposed summary analysis.

These fields will include author, year of publication; setting, author definition of cultural competence, subject inclusion and exclusion criteria, intervention and control characteristics intervention definition and components, timing, frequency, duration, fidelity , followup duration, participant baseline demographics, enrollment, descriptions and results of primary outcomes and adverse effects, and study funding source. Relevant data will be extracted into extraction forms created in Excel. Evidence tables will be reviewed and verified for accuracy by a second investigator. We will use data from relevant comparisons in previous systematic reviews to replace the de novo extraction process when the comparison is sufficiently relevant. Data elements abstracted from included systematic reviews, whether the elements are at the individual study or systematic review levels, will depend on how the systematic review will be used.

Use may range using individual elements to updating a review, to using the review without modification. Only systematic reviews that assess included study risk of bias will be assessed for review quality. Systematic reviews with fair or good methodology will be used. Systematic reviews that are deemed to have potential author conflict of interest, such as due to reviewing a body of literature to which the authors had substantially contributed, will be subjected to random quality checks of 10 percent of included study data abstraction. Risk of bias of eligible studies will be assessed using instruments specific to study design.

The seven domains included in this tool include sequence generation, allocation concealment, blinding of participants and personnel, blinding of outcome assessment, incomplete outcome data i. Additional items will be developed to assess potential risk-of-bias not addressed by the Cochrane tool. Outcomes measurement issues inherent in the psychometric properties of the questionnaires used to measure outcomes and assessment methods used to detect change in those questionnaire results will be specifically evaluated for detection bias.

Additional items may be necessary to evaluate potential risk-of-bias associated with treatment definition and implementation treatment fidelity. Specific study methodology or conduct will be used to judge potential risk of bias with respect to each domain following guidance in the Cochrane Handbook for Systematic Reviews of Interventions, Version 5. The preliminary risk of bias assessment form is provided in Appendix B. The form will be tested by investigators, with particular attention to project term definitions, using an initial sample of included studies and will be finalized by full team input.

Two investigators will independently assess risk of bias for all included studies. Investigators will consult to reconcile any discrepancies in overall risk of bias assessments. When the two investigators disagree, a third party will be consulted to reconcile the summary judgment. Outcomes in studies assessed as having a high risk of bias will be compared to synthesized evidence as a means of sensitivity analysis. Contradictions will be investigated in further depth. Since AMSTAR was not originally created as a quality review tool, an additional question regarding whether the review findings logically follow from the contributing studies will be added. We will summarize the results into evidence tables and synthesize evidence for each unique population, comparison, and outcome combination.

When a comparison is adequately addressed by a previous systematic review of acceptable quality and no new studies are available, we will reiterate the conclusions drawn from that review. When new trials are available, previous systematic review data will be synthesized with data from additional trials. We will summarize included study characteristics and outcomes in evidence tables. We do not expect pooling to be appropriate due to lack of comparable studies or heterogeneity; qualitative synthesis will be conducted in these instances.

Observational literature examining treatment benefits will be used for subgroups not covered by published RCTs. The following matrixes provide a basic framework by which intervention population targets and general categories of measures may be assessed. Each of the cells may be exploded into another matrix of relevant details. Likewise, each of the outcome categories listed here may be exploded for finer detail.

For example, we will distinguish between medical and mental health services, for patient intermediate outcomes. Provider types, if information is available in the literature, may be another useful way to contrast information, particularly for ethnicity- or gender-based care providers. Individual provider versus team approaches will be examined separately. We will explore second order interactions if literature is identified allowing such examination. We will also separate analyses by subgroups within the priority populations, such as different LGBT identities, if the literature provides such information. Should there be sufficient literature available for possible pooling, decisions for pooling will be based on the homogeneity of study populations based on inclusion criteria, specific interventions, and the ability to treat outcome measures as similar.

Data will be analyzed in RevMan 5. Using a random effects model, we will calculate risk ratios RR and absolute risk differences RD with the corresponding 95 percent confidence intervals CI for binary primary outcomes. We will assess the clinical and methodological heterogeneity and variation in effect size to determine appropriateness of pooling data. For KQ 1, we will compare model characteristics. The results of this comparison may be used to organize results for KQ The overall strength of evidence for primary outcomes of KQ within each comparison will be evaluated based on four required domains: 1 study limitations risk of bias ; 2 directness single, direct link between intervention and outcome ; 3 consistency similarity of effect direction and size ; and 4 precision degree of certainty around an estimate.

Directness will be rated as either direct or indirect based on the need for indirect comparisons when inference requires observations across studies. Precision will be rated as precise or imprecise based on the degree of certainty surrounding each effect estimate or qualitative finding. An imprecise estimate is one for which the confidence interval is wide enough to include clinically distinct conclusions.

Other factors that may be considered in assessing strength of evidence include dose-response relationship, the presence of confounders, and strength of association. Based on these factors, the overall strength of evidence for each outcome will be rated as: We will assess strength of evidence for published systematic reviews replacing de novo review processes that did not provide a strength of evidence assessment based on a GRADE or GRADE-equivalent method.

For outcomes drawn from a single study, given the low probability that such a study is of large sample size, we will only assess strength of evidence for studies of low risk of bias.

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