CULTURAL AND SOCIAL ISSUES IN NURSING

1. CULTURAL AND SOCIAL ISSUES IN NURSING

2. Demographic and sociocultural variations of diverse groups • Variations in biological, social, environmental, and communications phenomena • Education, practice, and research issues that influence culturally competent care Key concept

3. Inherent in nursing is respect for life, dignity and • rights of man. It is unrestricted by considerations of • nationality, race, creed, colour, age, sex, politics or • social status. • The nurse, in providing care, promotes an • environment in which the values, customs and • spiritual beliefs of the individual are respected.

4. Contd… • Each registered nurse is accountable for his or her practice, and, in the exercise of professional accountability shall take account of the customs, values and spiritual beliefs of patients/ clients. • Individualized programs of nursing care are designed to accommodate the psychological, social, cultural and spiritual needs of clients, as well as their biological needs.

5. Contd… • Providing culturally appropriate nursing care can be • very challenging, requiring much thought and caring • concern, and a willingness to learn from those we • nurse. • Not only nurses must be a ware of the clients cultural • point of view his relation to the life , to realize his • vision of his world, but be willing to look at health • needs and problems in new ways, planning nursing • interventions that are culturally acceptable and • meaningful to the client

6. Health Disparities • Life expectancy for whites is 75.2 years; for African-Americans, 69.6 years • Causes of death for minority groups • Cancer • Cardiovascular disease and stroke • Chemical dependency • Diabetes • Homicides and accidents • Infant mortality

7. Reasons for Cultural Competence Nurse’s culture often differs from client’s. Culturally incompetent care is more costly. Culturally incompetent care is ineffective.

8. Cultural Competence in Nursing Education • Beliefs and practices of various cultural groups • Disease prevalence and mortality rates • Cultural factors related to situations such as birth and death • Specific culture-bound syndromes • Roles and responsibilities of family members

9. Principles for Culturally Competent Care • Care designed for specific client • Care based on uniqueness of person’s culture • Care includes empowerment strategies. • Care is provided with sensitivity for the uniqueness of the client.

10. Standards for culturally competent and congruent care • Consumers of diverse cultures have a right to have Tran cultural care standards used to protect and respect their generic (folk) values, beliefs, and practices and to have health personnel incorporate. • nurses providing care to diverse culture or subcultures have a moral obligation to be prepared in Trans cultural nursing to provide knowledgeable, sensitive, and research-based care to the culturally different.

11. Nurses as caregivers have an ethical, morale, professional obligation and responsibility to study, understand, and use relevant research-based Trans cultural care for safe, beneficial, and satisfying client or family outcomes. • Providing culturally competent and congruent care should reflect the caregivers ability to assess and use culture-specific data without biases, prejudices, discrimination, or related negative outcome

12. Professional Journals Devoted to Cultural Issues • The Journal of Transcultural Nursing • Western Journal of Medicine • Cross-Cultural Issues • Journal of Cultural Diversity • Journal of Multicultural Nursing

13. THANKYOU