NRS 429 What are the methods a nurse can use to gather cultural information from patients?
NRS 429 What are the methods a nurse can use to gather cultural information from patients?
Cultural information can be gathered through a good nursing assessment with motivational interviewing. The nurse can ask about the patient’s “preferences, values and beliefs, language, cultural traditions, barriers to care, family of origin, and socioeconomic conditions.” (Stubbe, D.E. 2020.) It is very important for the Registered Nurse to understand the scope of Cultural sensitivity and to design a plan of care which keeps interventions in a realistic context for the patient. Family members may assist with providing a history and social context, in addition to translating for the patient.
Cultural competence leads to better patient care because the patients feel heard and understood when the nurse is culturally sensitive. The nurse is prepared with interventions which have respect for the patient’s right to cultural practices and beliefs.
One example of an intervention is to offer to call Clergy for a family who is experiencing a trauma and in need of support. Clergy needs to be notified in a timely manner and nurses can assist with making the connections and contacting the patient’s pastor or priest. (Reed, C. 2017.) Diverse cultures have many different ways of preparing for the end of life, and nurses should be prepared with an open mind to respond to a patient or family member’s requests.
A nurse can demonstrate cultural competency by educating herself on the practices and major beliefs of different cultures and major world religions. The nurse can be prepared to answer questions and to consult Chaplaincy for spiritual support and guidance. Interventions can be very respectful of the patient’s cultural needs and timelines, such as mourning and burial timelines. Above all, the nurse should demonstrate respect and sensitivity to all cultures and seek guidance when needed.
- Stubbe D. E. (2020). Practicing Cultural Competence and Cultural Humility in the Care of Diverse Patients. Focus (American Psychiatric Publishing), 18(1), 49–51. https://doi.org/10.1176/appi.focus.20190041
- Reed, Cindy RN. Cultural Competence. AJN, American Journal of Nursing: July 2017 – Volume 117 – Issue 7 – p 13 doi: 10.1097/01.NAJ.0000520925.34279.30
In order to gather cultural information, nurses must perform a cultural assessment. A cultural assessment examines the cultural beliefs, values, and practices of the client. This type of assessment is done by asking culturally appropriate questions (Falkner, 2018). Questions should include how the client feels about becoming ill or having a chronic disease, what they may fear about an illness or treatments, and how the client feels it affects or may influence their daily life (Falkner, 2018). Social disparities of health should also be considered during the cultural assessment. Nurses need to be cognizant of the client’s income and health literacy. These two variables play a major role in the ability of clients to access and understand the health care system (Hurrell et al., 2021) Nurses need to be aware of family dynamics and make-up, as well as the client’s access to resources. Resources may include community or federal programs or financial assistance, free or low-cost clinics in the client’s neighborhood, and information available on reliable websites or in print. The combination of all of this information will help the nurse provide individualized care for each client and their family.
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Cultural competence relates to better client care by helping nurses become more aware of their clients. This helps the nurse provide holistic care of the client and their family. Holistic care includes the mind, body, and spirit. Nurses demonstrate cultural competency by respecting different cultures and their beliefs. Nurses also demonstrate cultural competency by adjusting the client’s plan of care in relation to those cultural differences. Nurses should be respectful of the client’s health care choices made based on their culture. Being a culturally competent nurse is a continuous process of self-awareness, education, and evaluation of both one’s own beliefs and biases, and the clients served (Falkner, 2018).
Falkner, A. (2018). Cultural awareness. In Grand Canyon University (Ed.), Health promotion: Health & wellness across the continuum. Grand Canyon University. https://lc.gcumedia.com/nrs429vn/health-promotion-health-and-wellness-across-the-continuum/v1.1/#/chapter/3
Hurrell, S. R., Cliff, T. L., & Robertson, C. L. (2021). School nurse cultural competency development using the national CLAS standards: A quality improvement project. The Journal of School Nursing: The Official Publication of the National Association of School Nurses, 37(6), 532–541. https://doi-org.lopes.idm.oclc.org/10.1177/1059840519877436
One of the methods that can be used to gather cultural information from patients is simply asking the patient about his/her cultural beliefs that the patient would like to be practiced while hospitalized. The other method is inquiring from the family members and the patient’s behaviors using non-verbal signs. When providing patient care, nurses must suspend personal biases and fully respect patients despite differences in culture. Cultural competency does not mean becoming an expert on every culture encountered, instead, nurses should recognize what they do and do not know to provide appropriate care (Falkner, 2018).
Cultural competence relates to better patient care in the sense that knowing the diverse feelings, values, and beliefs of patients leads to increased respect and mutual understanding from patients and increased participation from the local community, which consequently results in improved health outcomes. Cultural competence has been defined in a variety of ways but usually is understood as one possessing the attitudes, knowledge, and skill necessary for providing quality care to a diverse population; in other words, the capacity to deliver culturally appropriate care. To promote culturally competent health care, nursing leaders have developed a clearly articulated set of standards necessary for providing culturally appropriate nursing care. The twelve standards have been designed to serve as a guide for nurses by emphasizing culturally competent care as a priority for all patients (Hines, 2013).
There are various ways to demonstrate cultural competence in nursing practice, one of them being the way the nurse speaks to the patient. The nurse should speak to the patient in a way that is easy to follow and understand. The nurse should not disregard or judge the belief or religious backgrounds of a patient. Instead, the nurse should encourage the patient to do what works best for he/she thinks works best.
Hines, D. (2013). Cultural competence: Assessment and education resources for Home Healthcare Now. LWW. Retrieved March 16, 2022, from https://journals.lww.com/homehealthcarenurseonline/Fulltext/2014/05001/Cultural_Competence__Assessment_and_Education.3.aspx
Falkner, A. (2018). Cultural Awareness. CCC web books by AWS & CDD. In Grand Canyon University. Retrieved March 16, 2022, from https://lc.gcumedia.com/nrs429vn/health-promotion-health-and-wellness-across-the-continuum/v1.1/#/chapter/3
Cultural competence is the ability to understand and effectively interact with people from cultures different from our own. It means been able to negotiate across cultural differences to accomplish a practical goal. The American Association for Health Education defined cultural competences as the ability of an individual to understand and respect values , attitudes , beliefs and mores that differs across cultures and to consider and respond appropriately to these differences in planning, implementing and evaluating health education and promotion programs and interventions. Cultural competence is the ability to give the best medical care to patient while demonstrating cultural awareness for patients beliefs, race and values
The nurse utilizes nursing assessment tool and questionnaires to gather cultural information.. The cultural assessment includes, ethnic background, religious preference, family patterns, food preference, eating patterns and health practices.
Cultural competence fosters good interpersonal relationship between the nurse and patient which results in good communication and improved client outcome.
Cultural competence results in patients satisfaction
It helps to eliminate professional inequality and ensures professional equity
It promotes quality professional nursing care
It promotes patient centered care
The nurse demonstrates cultural competence by:
Acknowledging and respecting the cultural beliefs of the patient
Accommodating and educating the patient
Acknowledging and accepting patients culture
By not be judgmental or stereotyping
- Falkner, A. (2018). Cultural Awareness. Health Promotion: Health & Wellness Across the Continuum. (Chapter 3). Grand Canyon University. https://lc.gcumedia.com/nrs429vn/health-promotion-health-and-wellness-across-the-continuum/v1.1/#/chapter/3
- U.S. Department of Health and Human Services. (2021, July 7). Cultural respect. National Institutes of Health. Retrieved October 18, 2022, from https://www.nih.gov/institutes-nih/nih-office-director/office-communications-public-liaison/clear-communication/cultural-respect
Cultural competence can be defined as cultivating an awareness of one’s own existence, thoughts, beliefs, and environment without allowing this awareness to have an excessive impact on people from other backgrounds. A cultural assessment tool or questionnaire can be used by a nurse to gather cultural information from patients. A nurse must be aware of cultural trends while respecting the preferences of patients because research shows that the majority of behavioral traits seen in patients are partially influenced by their cultural background. The first and most crucial method by which a nurse can obtain cultural information from a patient is through a thorough cultural assessment, asking questions about a patient’s culture and preferences. This means the nurse is getting first had information from the patient. This ensure that the patient’s needs are met by the care plan. A nurse should not make assumptions about a patient’s culture, beliefs, literacy level, or values. This is one way a nurse can demonstrate cultural competency in nursing. Every patient has the right to know the specifics of their care, so it’s important to explain the plan of care in detail and avoid using medical terms. If there is a language barrier, use an interpreter to make sure the patient understands. Communication is made easier with cultural competence, which ensures patient’s safety. Healthcare providers are able to gather accurate information through open communication. It fosters lively discussions in which patients and providers can clarify misunderstandings, ask questions, and cultivate trust.