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Cultural Competence Recognizing differences and building- up self awareness

Cultural Competence Recognizing differences and building- up self awareness An Inpatient Unit Initiative Paule Joseph, RN-BC, BSN, CRRN, ASLNC-C, Eric Diaz, BSN, RN-BC & Gretchen Hodge-Penn, MSN, RN-Clinical Nurse Manager The Mount Sinai Hospital ● New York, New York.

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Cultural Competence Recognizing differences and building- up self awareness

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  1. Cultural Competence Recognizing differences and building- up self awareness An Inpatient Unit Initiative Paule Joseph, RN-BC, BSN, CRRN, ASLNC-C, Eric Diaz, BSN, RN-BC & Gretchen Hodge-Penn, MSN, RN-Clinical Nurse Manager The Mount Sinai Hospital ●New York, New York DOCUMENTATION DEVELOPMENT/METHODOLOGY (Cont’d) IMPLICATIONS FOR NURSING PRACTICE BACKGROUND AND SIGNIFICANCE • It is said that by the year 2042 minorities will account for nearly half the population. Our country is increasingly more culturally and linguistically diverse and so are the patients we serve at Mount Sinai. Disparities in health care access, health outcomes, and health status are major issues. ( Swirsky, 2009) • Cultural Competence refers to the ability to provide health care measures that are congruent with patient needs by: accepting and respecting differences & not allowing one’s personal belief to have an influence on those whose worldview is different from one’s own ( Ginger et. al, 2007). • Increased awareness and sensitivity toward diverse patient populations is a first step in understanding culturally influences health behaviors at The Mount Sinai Hospital . • Development of Cultural Competence training and new initiatives for inpatient units can assist in improving the quality of care for diverse patients in New York City. • It will help to validate the role and importance of Cultural Competent Care in improving patient satisfaction scores • Development of Cultural Competence inpatient initiatives helps to respond to demographic changes; eliminate disparities in the health status of people of diverse, ethnic & cultural backgrounds; improving quality of services and outcomes;. UNITED NATIONS OF GP10 EAST The staff of GP 10 East is culturally diverse and represent the following countries: Puerto Rico Russia St. Kitts Spain Sri Lanka Trinidad & Tobago U.S Virgin Islands Ukraine USA British Virgin Islands Venezuela Ireland Israel Italy Jamaica Japan Korea Mexico Nigeria Panama Pakistan Philippines Poland Antigua Barbados China Colombia Costa Rica Dominican Republic Guyana Haiti Honduras Hong Kong India PURPOSE The purpose of this project is to incorporate cultural competence projects and create sub-cultural committee within an inpatient unit to promote culturally based care , continue to provide excellent patient care and staff teamwork. FUTURE GOALS REFERENCES • Development of researched based education materials for the GP 10 East based of the Population being served. • Research on the impact of culturally based care to provide effective pain management to the population being served. • Embracement of the Cultural Competence concept and adaptation of models/theories to provided Culturally Evidenced Based Care. • Giger, J. et al. (2007). American Academy of Nursing Expert Panel Report: Developing cultural competence to eliminate health disparities in ethnic minorities and other vulnerable populations. Journal of Transcultural Nursing. 18 (2): pp 95-102. • Leininger, M. M. (1990). The significance of cultural concepts in nursing. Journal of Transcultural Nursing, 2(1), 52-59. • Swirsky, L. (2009). Disparities. In covering Health Issues. 5th Eds. The Alliance for Health Reform. Retrieved from www.allhealth.org • The State of Health Care Diversity and Disparity : A Benchmark Study of U.S. Hospitals, Institute for Diversity in Health Management, October 2008. DOCUMENTATION DEVELOPMENT/METHODOLOGY • The project assessed the needs of the patients in 10 East GI/ Step-down Surgical Unit. • Assessment of demographic data for the population being served by Mount Sinai 10 East GI/ Step-down Surg. Unit. • Assessing knowledge and cultural experiences of the staff • Posting educational material for easy access when questions arise for a particular cultural group for the staff • A literature review was conducted to identify the current research in the influence of patient satisfaction and patient outcomes. • Survey our current staff to determine which country they were from. • Picture frame with each staff name and country flag was developed • Development of unit slogan: • “The United Nations of GP 10 East. We are united in caring for you” ACKNOWLEDGEMENTS • Marilyn Jaffe-Ruiz, EdD, RN for her continued support, encouragement and mentorship. • The Staff of GP 10 East for helping identify the needs to create a cultural competence sub-committee in GP10 East. • Sylvia, McBurnie, RN, MA & Virginia Defina, NP, RN, Nurse Educators for their continued support in these projects. • The Nursing Education Department of Mount Sinai Hospital for allowing current training of RNs and PCAs during orientation.

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