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Unit V: Cultural Influences. NURS 2210 Roles II Nancy Pares, RN, MSN. Discuss cultural concepts of nursing care. Cultural diversity Skin color, religion, geography Confront self deception, bias and acknowledge one’s own cultural influences Cultural competent care
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Unit V: Cultural Influences NURS 2210 Roles II Nancy Pares, RN, MSN
Discuss cultural concepts of nursing care • Cultural diversity • Skin color, religion, geography • Confront self deception, bias and acknowledge one’s own cultural influences • Cultural competent care • Effective individualized care that demonstrates respect, personal rights, preferences, beliefs and practices of the client • Dynamic process the requires sensitivity and cultural specific care
Ethnic culture • Learned from birth thru language • Shared by members of the same cultural group • Influenced by conditions related to environmental and technical factors and availability of resources • Dynamic and ever changing
Transcultural Nursing • Madeline Leininger • Sunrise model pg 130 of Brunner • Stresses the importance of providing culturally congruent care • Culture care accommodation • Professional actions to satisfy healthy outcomes • Culture care restructuring • Professional activities to help clients change behaviors toward healthier life patterns
Aculturation • Cultural blindness • Cultural imposition • Cultural taboos
Culturally mediated characteristics • Space and distance • communication • Time • Social organization • Environmental control • Biological variations
Health habits of major ethnic groups in the US • Folk medicine • Table on pg 102 Daniels • Biologic effects • Table on pg 103 Daniels • Food preferences • Table on pg 103
Know your client.. • Cultural Assessment • Systematic appraisal of beliefs, values and practices • See chart 8-3 pg 131—questions to ask • Cultural assessment interview guide- • Daniels pg 106
Nursing Diagnosis Culturally inappropriate/biases • Noncompliance • Impaired verbal communication • Impaired social interaction • Deficient knowledge • Disturbed thought processes • Powerlessness
Planning and outcome identification • Nurses need to know • Cultural group perspectives on life processes • How the culture defines health • How the culture maintains health • Use of healers • Own influence
Implementation/Evaluation • Self awareness • Non judgmental approach • Client education • See strategies pg 108 • Nurse must view client as part of health team