Introduction Culture refers to characteristic patterns of attitudes, values, beliefs, and behaviors shared by members of a society or population.
In this section of the NCLEX-RN examination, you will be expected to demonstrate your knowledge and skills of cultural awareness and influences on health in order to: A Theory of Nursing" in Madeleine Leininger, herself, states that her theory is the only existing theory that "searches for comprehensive and holistic care data relying on social structure, worldview, and multiple factors in a culture in order to get a holistic knowledge base about care" Leininger,p.
Culture is a set of established beliefs that are held by a certain group of people that has been handed down from generation to generation and not held and shared by other groups or the members of other groups.
These beliefs, values and perceptions are unique to the particular culture. This cultural assessment and culturally oriented care enables the nurse to: In the Transcultural Nursing Theory, nurses have a responsibility to understand the role of culture in the health of the patient.
Leininger proposes that care is the dominant, unifying and distinctive essence of nursing. Caring, a universal phenomenon is primarily culturally driven as based on the variations among cultures in reference to their process, patterns and expressions.
These three nursing modes are: This sensitivity is particular important and vital to the quality of care because culture is so integral and intrinsic to who the client is as a unique individual.
Culture can greatly affect client health, as well as their reactions to treatments and care. The meaning of the mental disorder or illness to the client and their family members: The meaning of a psychiatric mental health disorder can be viewed as imaginary or it can be viewed as real; some can view these psychiatric mental health illnesses as a disorder of the mind, or the body, or both; and still more may view these illnesses as a stigma which promotes shame that at times can be quite severe and other cultures view these illnesses like all other kinds of illnesses.
Based on these views, different strategies and interventions are planned and implemented to accommodate for these various culture bound perceptions for the client and their significant others. The way with which the client relates their symptoms to the health care provider: Some cultures state that they are experiencing somatic and physical symptoms rather than emotional symptoms such as anxiety and distress.
For example, clients with an Asian culture may have somatic complaints rather than complaints relating to their mental health. It is, therefore, necessary that health care providers are cognizant of the fact that some subjective data given by the client during the assessment may be culturally driven and without any data about their psychiatric mental health signs and symptoms when indeed the client is adversely affected with a mental health disorder.
Culture also impacts on the ways which some cultures cope with stress: Some cultures cope with stress by openly expressing their feelings; other cultures avoid thinking about and expressing their feelings when confronted with stress.
These cultures suppress their feelings. For example, members of the Asian culture tend to suppress their feelings and discussions about their true feelings rather than expressing their feelings; and, on the other hand, African Americans actively confront their stress and, more often than other cultural groups, they tend to resolve their stress and distress on their own, often drawing on spiritual influences to assist them during stressful times.Nurses' practice must incorporate cultural needs and beliefs into their nursing practice to provide care that is individualized for the client and appropriate to the client's needs.
During the assessment phase of the nursing process, the nurse assesses the client's and family member's cultural background, preferences and needs, after which the nurse .
Transcultural nursing is an essential aspect of healthcare today. The ever-increasing multicultural population in the United States poses a significant challenge to nurses providing individualized and holistic care to their patients.
This requires nurses to recognize and appreciate cultural. The effects of organizational culture on nursing professionalism: implications for health resource planning.
Manojlovich M(1), Ketefian S. Author information: (1)University of Michigan, Ann Arbor, USA. The organizational structure of many hospitals conflicts with the practice of professional nursing, adversely affecting patient outcomes.
Cultural competence in nursing practice focuses on knowledge, attitude, and skill. Consistently working towards being culturally competent is an exercise in compassion and respect. Employ these techniques on a regular basis to grow your level of competency.
In order to effectively practice transcultural nursing, one must first understand the need for cultural competence.
It is vital for nurses to have a desire to become culturally aware, culturally knowledgeable, culturally skillful, and to seek cultural encounters.
The effects of organizational culture on nursing professionalism: implications for health resource planning. Manojlovich M(1), Ketefian S. Author information: (1)University of Michigan, Ann Arbor, USA. The organizational structure of many hospitals conflicts with the practice of professional nursing, adversely affecting patient outcomes.