This document discusses cultural competence in nursing care. It defines culture and ethnicity, and explains that cultural values and beliefs influence a person's perspectives on health, illness, and treatment. To provide culturally appropriate care, nurses must understand a patient's cultural background and incorporate their values into the plan of care. The document also lists strategies for nurses to develop cultural competence, such as increasing self-awareness, knowledge of different cultures, and respecting cultural practices and family roles. Overall, the document emphasizes that understanding a patient's culture is essential for delivering optimal nursing care.

1. MARKAD RAVINDRA A.
BROTHER TUTOR SCHOOL OF
NURSING K.E.M HOSPITAL.

2.  CULTURE :- Norms and practice of particular
group that are learned and shard and guide
thinking, decisions and actions that are pass
generation to generation.
 It include fundamental values belief attitude
and customs including those related to health
care and illness.

3. Communities that differ in
 race, ethnicity, culture, age,
 gender identity, sexual orientation,
 religious affiliation,
 socioeconomic status and
 disability

5.  CULTURAL VALUES :-
The individuals desirable or preferred way of
action or knowing something that is sustained
over a period of time and which governs action
or decisions.
ETHNICITY :-
The sense of identification with a collective
cultural group, largely based one the group
common heritage.
Include language and dialect, religious practice,
literature, music, folklore, political interest,
food preferences and employment patterns .

6. CULTURALLY DIVERSITY IN NURSING CARE :-
“An optimal mode of health care
delivery it refers to the variability of nursing
approaches needed to provide culturally
appropriate care of that incorporates an individuals
cultural Values, belief, and practices including
sensitivity to environmental from which the
individual comes and to which the individual may
ultimately return.”

7.  “Western”
 Treat
 Control over nature
 Do something
 Strong measures
 Plan ahead
– Try latest
 Standardize – treat
everyone the same
• “Others”
– Accept with grace
– Harmony with nature
– Wait and see
– Gentle approach
– Take life as it comes
– Trust “time tested”
– Individualize – recognize
differences
Eg: homeopathy

8.  People`s values and belief about health illness and
care for illness develop as a direct result of cultural
and ethic influences direct result of cultural and
ethnic influences
for e.g. in same group, illness are classified as
natural & unnatural.
Natural- Dangerous agents such cold air or impurities
in air, water, or food cause natural illness.
Unnatural- Illness are punishment for follow god`s
rules resulting evil forces or witch craft causing
physical or mental health problem

9.  When caring for patients who are from a different
culture than nurse its is important to ask the
patient how they want to be treated based on
their cultural values and beliefs.
 Primary informant should be patient, if not
responded family member or other informant.
 The nurse can anticipated a patient`s values
religion dietary practices family lines of authority
family life patterns and belief and practice related
to health and illness.

10. Questions to be addressed
Avoidance of certain foods, people or places:
eg: Hot / cold in Ayurveda based on prakriti
Customary rituals or people used to treat the illness:
Branding
Will the patient take medicine even when
he/she doesn't feel sick? : AKT
Who makes decisions about health care?: Gender issues

11.  Impaired verbal communication related to
inability to speak English and interpreter
unavailable.
 Social isolation related to move away from
neighborhood and friends of ethnic group.
 Impaired parenting related to use culturally based
discipline considered inappropriate or abusive by
current country of residence.
 Situational low self esteem related to language
difficulties and inability to secure employment.

12.  CULTURAL COMPETENCE :-
“Cultural competence is process in which the
nurse continuously strives to achieve the ability and
availability to effectively work within the cultural
context of individual, family or community”.
(Campinha- Bacote 2003).

13. congruent behavior, attitudes , practices,
and policies
So that
professionals may effectively work in cross-
cultural situations.

14. A culturally competent nurse is able to adopt nursing
care, culturally competent takes time it involves
developing awareness, acquiring knowledge attitude
and skills.
(Campinha- Bacote 2003).

15.  Were the patient was born & how long he/she
resided in country.
 Ethnic and religion affiliation.
 Patient major support system.
 Primary and secondary language and non- verbal
communication style.
 Food preferences and taboos.
 Economic situation and adequacy.
 Belief and practices related to health, illness, birth &
death.

16.  Develop cultural self awareness.
 Develop cultural knowledge.
 Accommodate Cultural practices.
 Respect Culturally based family role.
 Avoid mandating change.
 Seek cultural assistance.

17.  Applying cultural awareness to individuals can
be hazardous.
 Cultural blindness can be equally detrimental.
 The key is to acknowledge and be respectful of
differences, and to ask patients to explain their
perspective when in doubt.

18. Positive
Negative
Destructiveness