Cultural competence in nursing

Cultural Competence In Nursing
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CULTURAL COMPETENCE IN NURSING
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Cultural Competence In Nursing
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Cultural Competence in Nursing
Introduction
The beliefs, norms, and values that individuals develop are significantly influenced by
culture. Culture, therefore, plays a significant role in how people make meanings. Cultural
competence refers to the capability of individuals to communicate and interact in a succinct and
understandable manner with people from diverse cultural backgrounds. In the healthcare
industry, nurses are expected to provide health care services that take into account the cultural
backgrounds of patients and how they can affect the recovery of patients. Culturally competent
nurses can improve patient outcomes and enhance service quality perceptions among patients.
This is important in a health care sector that is becoming increasingly defined by cultural
diversity. Cultural competence also has both legal and ethical implications. This paper examines
the issue of cultural competence in nursing to establish its importance and its application to
improve patient outcomes. It uses a literature review approach to explore the topic.
Cultural Competence in Nursing: A Literature Review
The issue that many people do not seem to understand regarding cultural competence in
nursing relates to the core components of cultural competence. The study conducted by Jirwe et
al. (2009) examines core components of cultural competence to establish how nurses can provide
care more effectively to people from different cultural backgrounds. The study identified cultural
sensitivity as a key component of cultural competence. Nurses that are sensitive to cultural
diversity are in a position to provide culturally appropriate care. To this end, nurses should
become aware of their individual cultural identities, assumptions caused by cultural stereotypes,
and likely ethnocentrism to avoid being prejudicial during their interactions with patients from
different cultural backgrounds. Another key component of cultural competence identified in the
Cultural Competence In Nursing
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study is cultural understanding. The authors find that the ability of nurses to understand cultural
differences and how they impact on the behaviors and values of patients significantly depends on
the personal attributes of the nurse. These attributes include empathy, openness, and human
outlook. A cross-cultural encounter is also a key component of cultural competence. It is
important for nurses to understand the ethnohistory of the different cultures that they encounter
when providing health care to patients. They should also seek information from patients
belonging to these cultural groups regarding their ethnic history. The authors argue that nursing
and health care practitioners should develop skills and knowledge necessary to address cultural
dimensions that necessary for the encounter between the nurse and patient. Identifying cultural
components is, therefore, an important step in enhancing cultural competence among nurses.
One of the key challenges that hinder the development of cultural competence among
nursing professionals and students is the lack of a proper training module to promote cultural
capability of registered nurses and students. Fast-changing demographics of different countries
make it necessary to have graduate nurses that are equipped with the skills and knowledge
required to succeed in a work environment characterized by diversity (Amerson, 2010). Most
nursing curricula do not place enough emphasis on the need for students to acquire skills on
cultural competence. Many nurse trainers and instructors also lack the confidence to teach
cultural competence. Several nursing institutions also develop nursing curricular that consider
other aspects of nursing practice to be more important than cultural competence. Although
nursing students are taught on cultural competence in school, most of them perceive the course
content to be insufficient for the proper mastery of the subject. There is, therefore, a wide gap
between what is taught in the classroom and what is needed for a nurse to be regarded as
culturally competent. There is a need for teaching methods to comprehensively address the key
Cultural Competence In Nursing
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components of cultural competence and equip students with better skills and knowledge that
would help them to become more culturally competent while caring for patients. Sumpter and
Carthon (2011) suggest that the abstract definition of culture causes many problems not just for
student nurses but also for registered nurses in the workplace. Cultural competence has been
confined to understanding the culture of racial minorities. It limits culture to the issue of race, an
uncomfortable topic for many students. Broadening the definition of culture would help many
students and registered nurses understand the importance and need for cultural competence
among nursing professionals. Pacquiao (2008) argues that courses teaching healthcare
professionals and students on how to become more culturally competent must consider the
transnational aspects of culture. This would help nurses and healthcare professionals to
understand how national cultures impact on patients. Transnational cultural competence is also
important in the age of globalization where nurses can work in different parts of the world to
provide health care services.
In an evidence-based era, nursing students can be taught to become more culturally
competent by making cultural competence relevant to the clinical practice of nurses.
Engebretson, Mahoney, and Carlson (2008) argue that it is important to link the concepts of
cultural competence to accepted values in healthcare service provision and biomedicine. Medical
educators should teach students to become more culturally competent by using evidence from
nursing studies to show how cultural competence can result in better patient outcomes. Such an
approach helps students to immerse themselves in real-world situations that require nurses to be
culturally competent. In the end, they become more appreciative of why it is important for them
as nursing professionals to be sensitive to cultural differences when providing care. An evidence-
based approach to teaching cultural competence also takes away the theory aspect of lectures and
Cultural Competence In Nursing
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offers more practical lessons on the subject. Students can learn more effectively from this
approach.
Conclusion
This report finds that cultural competence is an important skill for nurses. It identifies
various components of cultural competence that nurses need to understand to provide better care
for patients. They include cultural sensitivity, cultural understanding, and cultural encounters.
The report also finds that one of the key challenges that hinder the development of cultural
competence among nursing professionals and students is the lack of a proper training module to
enhance the cultural competence of registered nurses and students. Courses teaching healthcare
professionals and students on how to become more culturally competent must consider the
transnational aspects of culture. This would help nurses and healthcare professionals to
understand how national cultures impact on patients. Nursing students can also be taught to
become more culturally competent by making cultural competence relevant to the clinical
practice of nurses.
Cultural Competence In Nursing
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References
Amerson, R. (2010). The impact of service-learning on cultural competence. Nursing Education
Perspectives, 31(1), 18-22.
Engebretson, J., Mahoney, J., & Carlson, E. D. (2008). Cultural competence in the era of
evidence-based practice. Journal of Professional Nursing, 24(3), 172-178.
Jirwe, M., Gerrish, K., Keeney, S., & Emami, A. (2009). Identifying the core components of
cultural competence: findings from a Delphi study. Journal of Clinical Nursing, 18(18),
2622-2634.
Pacquiao, D. F. (2008). Nursing care of vulnerable populations using a framework of cultural
competence, social justice and human rights. Contemporary Nurse, 28(1-2), 189-197.
Sumpter, D. F., & Carthon, J. M. B. (2011). Lost in translation: Student perceptions of cultural
competence in undergraduate and graduate nursing curricula. Journal of Professional
Nursing, 27(1), 43-49.

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