SlideShare a Scribd company logo
GGeerroonnttoollooggiiccaall NNuurrssiinngg 
THIRD EDITION 
CHAPTER 
4 
Cultural Diversity 
Copyright © 2014, © 2010, © 2006 by Pearson Education, Inc. 
All Rights Reserved
Learning Objectives 
1. Discuss the importance of the 
Transcultural Nursing Society Care 
Standards and the culturally and 
linguistically appropriate services 
(CLAS) in health care. 
2. Apply the CULTURALCARE triad to the 
complex interrelationships of the 
nurse, caregiver, and patient within 
community and institutional (home or 
residential) settings. 
Gerontological Nursing, Third Edition 
Patricia A. Tabloski
Learning Objectives 
3. Identify potential areas of conflict 
derived from the demographic, 
ethnocultural, and life trajectory 
variables of the people within the 
triad. 
4. Describe the value and process of 
heritage and life trajectory 
assessments of nurses, caregivers, 
and patients. 
Gerontological Nursing, Third Edition 
Patricia A. Tabloski
Learning Objectives 
5. Create a plan of care for the older 
adult integrating CULTURALCARE. 
Gerontological Nursing, Third Edition 
Patricia A. Tabloski
Introduction 
• Cultural diversity affects the ability to 
provide safe nursing care to older adult 
patients. 
Gerontological Nursing, Third Edition 
Patricia A. Tabloski
Introduction 
• The two main goals relating to the 
delivery of culturally competent care 
are: 
– To develop cultural and linguistic 
competence by nurses and other 
healthcare providers. 
– For healthcare organizations to 
understand and respond effectively to 
cultural and linguistic needs. 
Gerontological Nursing, Third Edition 
Patricia A. Tabloski
Transcultural Nursing Care 
Standards 
• The Transcultural Nursing Society has 
developed 12 standards for cultural 
competence in nursing practice. 
• These standards must be met by most 
healthcare-related agencies. 
Gerontological Nursing, Third Edition 
Patricia A. Tabloski
CULTURALCARE 
• Professional nursing care that is 
culturally sensitive, culturally 
appropriate, and culturally competent. 
Gerontological Nursing, Third Edition 
Patricia A. Tabloski
CULTURALCARE Triad 
• It is composed of three distinct 
populations: 
–Nurse 
– Patient 
– Direct caregiver 
Gerontological Nursing, Third Edition 
Patricia A. Tabloski
Demographic Change 
• By the year 2020, it is predicted that 
people of color will be the majority 
population and the major source for 
population growth will be immigrants. 
Gerontological Nursing, Third Edition 
Patricia A. Tabloski
Table 4-1 Population by Race for the United States: 2000 and 2010 
Source: Humes, K. R., Nicholas, A. J., & Ramirez, R. (2011). Overview of race and 
Hispanic origin: 2010. Census Briefs, p. 4. Retrieved from 
http://2010.census.gov/2010census/data 
Gerontological Nursing, Third Edition 
Patricia A. Tabloski
Gerontological Nursing, Third Edition 
Patricia A. Tabloski 
Nurse 
• The demographic profile of professional 
nurses represents a demographic 
disparity from the overall demographic 
profile of the United States.
Caregiver 
• In many long-term care facilities, the 
setting may be one in which the nurses 
are White, and the staff, especially the 
certified nurses’ aides who provide 
hands-on care, are people of color. 
Gerontological Nursing, Third Edition 
Patricia A. Tabloski
Patient 
• The population of people 65 years and 
over has grown significantly since the 
2000 census. 
Gerontological Nursing, Third Edition 
Patricia A. Tabloski
Major Components of a Person’s 
Heritage 
• Culture 
• Ethnicity 
• Religion 
• Socialization 
Gerontological Nursing, Third Edition 
Patricia A. Tabloski
Ethnocultural Life Trajectories 
• Changes in the past several decades 
have created cultural barriers that 
openly create misunderstandings, 
tensions, and often conflicts between 
family members, coworkers, and 
individuals—and between patients and 
caregivers—in the practice of 
gerontology. 
Gerontological Nursing, Third Edition 
Patricia A. Tabloski
Heritage Assessment Tool 
• The tool that has been developed to 
determine how deeply a given person 
identifies with a traditional heritage or 
is acculturated into the modern, 
dominant culture. 
Gerontological Nursing, Third Edition 
Patricia A. Tabloski
Cultural Appropriateness 
• The determination of culturally 
appropriate care is necessary so that 
the comfort levels of both the patient 
and the caregivers are met and 
respected. 
Gerontological Nursing, Third Edition 
Patricia A. Tabloski
Steps to Cultural Competency 
• Steps to cultural competency: 
– Become aware of your own 
ethnocultural heritage. 
– Become aware of the ethnocultural 
heritage and life trajectory described by 
both the patient and the caregivers. 
– Become aware of adaptations that the 
patient and caregivers made to live in 
the North American culture. 
– Form a CULTURALCARE nursing plan. 
Gerontological Nursing, Third Edition 
Patricia A. Tabloski
Implementing CULTURALCARE 
Nursing 
• Recognizing the patient’s and 
caregiver’s viewpoints and finding 
mutually agreeable solutions is 
required. 
Gerontological Nursing, Third Edition 
Patricia A. Tabloski

More Related Content

What's hot

Tabloski ch10 lecture
Tabloski ch10 lectureTabloski ch10 lecture
Tabloski ch10 lecture
stanbridge
 
Tabloski ch12 lecture
Tabloski ch12 lectureTabloski ch12 lecture
Tabloski ch12 lecture
stanbridge
 
Tabloski ch23 lecture
Tabloski ch23 lectureTabloski ch23 lecture
Tabloski ch23 lecture
stanbridge
 
Tabloski ch09 lecture
Tabloski ch09 lectureTabloski ch09 lecture
Tabloski ch09 lecture
stanbridge
 
Tabloski ch24 lecture
Tabloski ch24 lectureTabloski ch24 lecture
Tabloski ch24 lecture
stanbridge
 
Tabloski ch06 lecture
Tabloski ch06 lectureTabloski ch06 lecture
Tabloski ch06 lecture
stanbridge
 
Tabloski ch22 lecture
Tabloski ch22 lectureTabloski ch22 lecture
Tabloski ch22 lecture
stanbridge
 
Tabloski ch15 lecture
Tabloski ch15 lectureTabloski ch15 lecture
Tabloski ch15 lecture
stanbridge
 
Mental Health Problems among Prisoners
Mental Health Problems among Prisoners Mental Health Problems among Prisoners
Mental Health Problems among Prisoners
Pokhara University, Pokhara, Nepal
 
Community diagnosis
Community diagnosisCommunity diagnosis
Community diagnosis
Dr Bibek Raj Parajuli
 
INVESTMENT ON PUBLIC HEALTH RESEARCH AND ITS RETURN
INVESTMENT ON PUBLIC HEALTH RESEARCH AND ITS RETURNINVESTMENT ON PUBLIC HEALTH RESEARCH AND ITS RETURN
INVESTMENT ON PUBLIC HEALTH RESEARCH AND ITS RETURN
Ashok Pandey
 
2017 Popular Equity and Health HSC Questions
2017 Popular Equity and Health HSC Questions2017 Popular Equity and Health HSC Questions
2017 Popular Equity and Health HSC Questions
Vas Ratusau
 
b.sc. nursing 3rd year
b.sc. nursing 3rd yearb.sc. nursing 3rd year
b.sc. nursing 3rd year
chetnamarkam
 
Aging – Retirement
Aging – RetirementAging – Retirement
Aging – Retirement
Anthony P. Montez, PhD
 
Medical sociology and health service research - Journal of Health and social ...
Medical sociology and health service research - Journal of Health and social ...Medical sociology and health service research - Journal of Health and social ...
Medical sociology and health service research - Journal of Health and social ...
Jorge Pacheco
 
Referral system in india
Referral system in indiaReferral system in india
Referral system in india
Kailash Nagar
 
Communicating the Science of Health in Informal Settings
Communicating the Science of Health in Informal SettingsCommunicating the Science of Health in Informal Settings
Communicating the Science of Health in Informal Settings
wellcome.trust
 
Health psychology and public health
Health psychology and public health  Health psychology and public health
Health psychology and public health
Professor Jim McManus AFBPsS,FFPH,CSci, FRSB, CPsychol
 
Johnson Poster PresentatioT
Johnson Poster PresentatioTJohnson Poster PresentatioT
Johnson Poster PresentatioT
Jalil Johnson
 
TOPIC:APPLICATION OF EPIDEMIOLOGY IN HEALTH CARE DELIVERY, HEALTH SURVELLIA...
TOPIC:APPLICATION  OF  EPIDEMIOLOGY IN HEALTH CARE DELIVERY, HEALTH SURVELLIA...TOPIC:APPLICATION  OF  EPIDEMIOLOGY IN HEALTH CARE DELIVERY, HEALTH SURVELLIA...
TOPIC:APPLICATION OF EPIDEMIOLOGY IN HEALTH CARE DELIVERY, HEALTH SURVELLIA...
tusharkedar2
 

What's hot (20)

Tabloski ch10 lecture
Tabloski ch10 lectureTabloski ch10 lecture
Tabloski ch10 lecture
 
Tabloski ch12 lecture
Tabloski ch12 lectureTabloski ch12 lecture
Tabloski ch12 lecture
 
Tabloski ch23 lecture
Tabloski ch23 lectureTabloski ch23 lecture
Tabloski ch23 lecture
 
Tabloski ch09 lecture
Tabloski ch09 lectureTabloski ch09 lecture
Tabloski ch09 lecture
 
Tabloski ch24 lecture
Tabloski ch24 lectureTabloski ch24 lecture
Tabloski ch24 lecture
 
Tabloski ch06 lecture
Tabloski ch06 lectureTabloski ch06 lecture
Tabloski ch06 lecture
 
Tabloski ch22 lecture
Tabloski ch22 lectureTabloski ch22 lecture
Tabloski ch22 lecture
 
Tabloski ch15 lecture
Tabloski ch15 lectureTabloski ch15 lecture
Tabloski ch15 lecture
 
Mental Health Problems among Prisoners
Mental Health Problems among Prisoners Mental Health Problems among Prisoners
Mental Health Problems among Prisoners
 
Community diagnosis
Community diagnosisCommunity diagnosis
Community diagnosis
 
INVESTMENT ON PUBLIC HEALTH RESEARCH AND ITS RETURN
INVESTMENT ON PUBLIC HEALTH RESEARCH AND ITS RETURNINVESTMENT ON PUBLIC HEALTH RESEARCH AND ITS RETURN
INVESTMENT ON PUBLIC HEALTH RESEARCH AND ITS RETURN
 
2017 Popular Equity and Health HSC Questions
2017 Popular Equity and Health HSC Questions2017 Popular Equity and Health HSC Questions
2017 Popular Equity and Health HSC Questions
 
b.sc. nursing 3rd year
b.sc. nursing 3rd yearb.sc. nursing 3rd year
b.sc. nursing 3rd year
 
Aging – Retirement
Aging – RetirementAging – Retirement
Aging – Retirement
 
Medical sociology and health service research - Journal of Health and social ...
Medical sociology and health service research - Journal of Health and social ...Medical sociology and health service research - Journal of Health and social ...
Medical sociology and health service research - Journal of Health and social ...
 
Referral system in india
Referral system in indiaReferral system in india
Referral system in india
 
Communicating the Science of Health in Informal Settings
Communicating the Science of Health in Informal SettingsCommunicating the Science of Health in Informal Settings
Communicating the Science of Health in Informal Settings
 
Health psychology and public health
Health psychology and public health  Health psychology and public health
Health psychology and public health
 
Johnson Poster PresentatioT
Johnson Poster PresentatioTJohnson Poster PresentatioT
Johnson Poster PresentatioT
 
TOPIC:APPLICATION OF EPIDEMIOLOGY IN HEALTH CARE DELIVERY, HEALTH SURVELLIA...
TOPIC:APPLICATION  OF  EPIDEMIOLOGY IN HEALTH CARE DELIVERY, HEALTH SURVELLIA...TOPIC:APPLICATION  OF  EPIDEMIOLOGY IN HEALTH CARE DELIVERY, HEALTH SURVELLIA...
TOPIC:APPLICATION OF EPIDEMIOLOGY IN HEALTH CARE DELIVERY, HEALTH SURVELLIA...
 

Viewers also liked

Tabloski ch20 lecture
Tabloski ch20 lectureTabloski ch20 lecture
Tabloski ch20 lecture
stanbridge
 
Tabloski ch19 lecture
Tabloski ch19 lectureTabloski ch19 lecture
Tabloski ch19 lecture
stanbridge
 
Tabloski ch14 lecture
Tabloski ch14 lectureTabloski ch14 lecture
Tabloski ch14 lecture
stanbridge
 
Tabloski ch16 lecture
Tabloski ch16 lectureTabloski ch16 lecture
Tabloski ch16 lecture
stanbridge
 
Tabloski ch13 lecture
Tabloski ch13 lectureTabloski ch13 lecture
Tabloski ch13 lecture
stanbridge
 
Tabloski ch18 lecture
Tabloski ch18 lectureTabloski ch18 lecture
Tabloski ch18 lecture
stanbridge
 
Tabloski ch17 lecture
Tabloski ch17 lectureTabloski ch17 lecture
Tabloski ch17 lecture
stanbridge
 

Viewers also liked (7)

Tabloski ch20 lecture
Tabloski ch20 lectureTabloski ch20 lecture
Tabloski ch20 lecture
 
Tabloski ch19 lecture
Tabloski ch19 lectureTabloski ch19 lecture
Tabloski ch19 lecture
 
Tabloski ch14 lecture
Tabloski ch14 lectureTabloski ch14 lecture
Tabloski ch14 lecture
 
Tabloski ch16 lecture
Tabloski ch16 lectureTabloski ch16 lecture
Tabloski ch16 lecture
 
Tabloski ch13 lecture
Tabloski ch13 lectureTabloski ch13 lecture
Tabloski ch13 lecture
 
Tabloski ch18 lecture
Tabloski ch18 lectureTabloski ch18 lecture
Tabloski ch18 lecture
 
Tabloski ch17 lecture
Tabloski ch17 lectureTabloski ch17 lecture
Tabloski ch17 lecture
 

Similar to Tabloski ch04 lecture

47520_national FacultyMeeting_melendez_studentvideo_042914
47520_national FacultyMeeting_melendez_studentvideo_04291447520_national FacultyMeeting_melendez_studentvideo_042914
47520_national FacultyMeeting_melendez_studentvideo_042914
Gigi Melendez, DNP, MSN, RN
 
Burriss-2014
Burriss-2014Burriss-2014
Culture is one of the organizing concepts upon which nursing is base.docx
Culture is one of the organizing concepts upon which nursing is base.docxCulture is one of the organizing concepts upon which nursing is base.docx
Culture is one of the organizing concepts upon which nursing is base.docx
dorishigh
 
Latino immigrants health care access in Cataluña, Spain: The discourse of pat...
Latino immigrants health care access in Cataluña, Spain: The discourse of pat...Latino immigrants health care access in Cataluña, Spain: The discourse of pat...
Latino immigrants health care access in Cataluña, Spain: The discourse of pat...
National Research Center for Integrated Natural Disaster Management (CIGIDEN)
 
Latino immigrants health care access in Cataluña, Spain: The discourse of pat...
Latino immigrants health care access in Cataluña, Spain: The discourse of pat...Latino immigrants health care access in Cataluña, Spain: The discourse of pat...
Latino immigrants health care access in Cataluña, Spain: The discourse of pat...
National Research Center for Integrated Natural Disaster Management (CIGIDEN)
 
Culture, Generational Differences and Spirituality in Nursing
Culture, Generational Differences and Spirituality in NursingCulture, Generational Differences and Spirituality in Nursing
Culture, Generational Differences and Spirituality in Nursing
Elizabeth Novak
 
No Hablo Ingles--Client-Centered Occupational Therapy Practice with Spanish-S...
No Hablo Ingles--Client-Centered Occupational Therapy Practice with Spanish-S...No Hablo Ingles--Client-Centered Occupational Therapy Practice with Spanish-S...
No Hablo Ingles--Client-Centered Occupational Therapy Practice with Spanish-S...
prchica1
 
Culturally appropriate online resources to support Aboriginal and Torres Stra...
Culturally appropriate online resources to support Aboriginal and Torres Stra...Culturally appropriate online resources to support Aboriginal and Torres Stra...
Culturally appropriate online resources to support Aboriginal and Torres Stra...
CareSearch palliative care knowledge network
 
4 DQ 1The best way to gather cultural information from the p.docx
4 DQ 1The best way to gather cultural information from the p.docx4 DQ 1The best way to gather cultural information from the p.docx
4 DQ 1The best way to gather cultural information from the p.docx
domenicacullison
 
1.seminar transcultural nursing.pptx
1.seminar transcultural nursing.pptx1.seminar transcultural nursing.pptx
1.seminar transcultural nursing.pptx
ReshmaSR9
 
Nupd 400 chapter 3 culture
Nupd 400 chapter 3 cultureNupd 400 chapter 3 culture
Nupd 400 chapter 3 culture
4161
 
Salon 2 15 kasim 11.00 12.00 nuran aydin-ing
Salon 2 15 kasim 11.00 12.00 nuran aydin-ingSalon 2 15 kasim 11.00 12.00 nuran aydin-ing
Salon 2 15 kasim 11.00 12.00 nuran aydin-ing
tyfngnc
 
DINA TRISNAWTATI & FITRI DIANA ASTUTI purnel’s cultural competency.pptx
DINA TRISNAWTATI & FITRI DIANA ASTUTI purnel’s cultural competency.pptxDINA TRISNAWTATI & FITRI DIANA ASTUTI purnel’s cultural competency.pptx
DINA TRISNAWTATI & FITRI DIANA ASTUTI purnel’s cultural competency.pptx
FITRIDIANAASTUTI
 
Please Rephrase Answers And Answer 1.docx
Please Rephrase Answers And Answer 1.docxPlease Rephrase Answers And Answer 1.docx
Please Rephrase Answers And Answer 1.docx
write31
 
Culture Care Theory
Culture Care TheoryCulture Care Theory
Culture Care Theory
evgrace82
 
4. culturalcompetence
4. culturalcompetence4. culturalcompetence
4. culturalcompetence
micola71
 
Increasing Cultural Understanding and Diversity in AppliedBe.docx
Increasing Cultural Understanding and Diversity in AppliedBe.docxIncreasing Cultural Understanding and Diversity in AppliedBe.docx
Increasing Cultural Understanding and Diversity in AppliedBe.docx
LaticiaGrissomzz
 
NRSE 4570 Ohio University Comprehensive Cultural Assessment Essay.pdf
NRSE 4570 Ohio University Comprehensive Cultural Assessment Essay.pdfNRSE 4570 Ohio University Comprehensive Cultural Assessment Essay.pdf
NRSE 4570 Ohio University Comprehensive Cultural Assessment Essay.pdf
bkbk37
 
Comprehensive Cultural Assessment Essay.pdf
Comprehensive Cultural Assessment Essay.pdfComprehensive Cultural Assessment Essay.pdf
Comprehensive Cultural Assessment Essay.pdf
sdfghj21
 
Rbkc the challenge of diversity
Rbkc   the challenge of diversityRbkc   the challenge of diversity
Rbkc the challenge of diversity
Together for Mental Wellbeing
 

Similar to Tabloski ch04 lecture (20)

47520_national FacultyMeeting_melendez_studentvideo_042914
47520_national FacultyMeeting_melendez_studentvideo_04291447520_national FacultyMeeting_melendez_studentvideo_042914
47520_national FacultyMeeting_melendez_studentvideo_042914
 
Burriss-2014
Burriss-2014Burriss-2014
Burriss-2014
 
Culture is one of the organizing concepts upon which nursing is base.docx
Culture is one of the organizing concepts upon which nursing is base.docxCulture is one of the organizing concepts upon which nursing is base.docx
Culture is one of the organizing concepts upon which nursing is base.docx
 
Latino immigrants health care access in Cataluña, Spain: The discourse of pat...
Latino immigrants health care access in Cataluña, Spain: The discourse of pat...Latino immigrants health care access in Cataluña, Spain: The discourse of pat...
Latino immigrants health care access in Cataluña, Spain: The discourse of pat...
 
Latino immigrants health care access in Cataluña, Spain: The discourse of pat...
Latino immigrants health care access in Cataluña, Spain: The discourse of pat...Latino immigrants health care access in Cataluña, Spain: The discourse of pat...
Latino immigrants health care access in Cataluña, Spain: The discourse of pat...
 
Culture, Generational Differences and Spirituality in Nursing
Culture, Generational Differences and Spirituality in NursingCulture, Generational Differences and Spirituality in Nursing
Culture, Generational Differences and Spirituality in Nursing
 
No Hablo Ingles--Client-Centered Occupational Therapy Practice with Spanish-S...
No Hablo Ingles--Client-Centered Occupational Therapy Practice with Spanish-S...No Hablo Ingles--Client-Centered Occupational Therapy Practice with Spanish-S...
No Hablo Ingles--Client-Centered Occupational Therapy Practice with Spanish-S...
 
Culturally appropriate online resources to support Aboriginal and Torres Stra...
Culturally appropriate online resources to support Aboriginal and Torres Stra...Culturally appropriate online resources to support Aboriginal and Torres Stra...
Culturally appropriate online resources to support Aboriginal and Torres Stra...
 
4 DQ 1The best way to gather cultural information from the p.docx
4 DQ 1The best way to gather cultural information from the p.docx4 DQ 1The best way to gather cultural information from the p.docx
4 DQ 1The best way to gather cultural information from the p.docx
 
1.seminar transcultural nursing.pptx
1.seminar transcultural nursing.pptx1.seminar transcultural nursing.pptx
1.seminar transcultural nursing.pptx
 
Nupd 400 chapter 3 culture
Nupd 400 chapter 3 cultureNupd 400 chapter 3 culture
Nupd 400 chapter 3 culture
 
Salon 2 15 kasim 11.00 12.00 nuran aydin-ing
Salon 2 15 kasim 11.00 12.00 nuran aydin-ingSalon 2 15 kasim 11.00 12.00 nuran aydin-ing
Salon 2 15 kasim 11.00 12.00 nuran aydin-ing
 
DINA TRISNAWTATI & FITRI DIANA ASTUTI purnel’s cultural competency.pptx
DINA TRISNAWTATI & FITRI DIANA ASTUTI purnel’s cultural competency.pptxDINA TRISNAWTATI & FITRI DIANA ASTUTI purnel’s cultural competency.pptx
DINA TRISNAWTATI & FITRI DIANA ASTUTI purnel’s cultural competency.pptx
 
Please Rephrase Answers And Answer 1.docx
Please Rephrase Answers And Answer 1.docxPlease Rephrase Answers And Answer 1.docx
Please Rephrase Answers And Answer 1.docx
 
Culture Care Theory
Culture Care TheoryCulture Care Theory
Culture Care Theory
 
4. culturalcompetence
4. culturalcompetence4. culturalcompetence
4. culturalcompetence
 
Increasing Cultural Understanding and Diversity in AppliedBe.docx
Increasing Cultural Understanding and Diversity in AppliedBe.docxIncreasing Cultural Understanding and Diversity in AppliedBe.docx
Increasing Cultural Understanding and Diversity in AppliedBe.docx
 
NRSE 4570 Ohio University Comprehensive Cultural Assessment Essay.pdf
NRSE 4570 Ohio University Comprehensive Cultural Assessment Essay.pdfNRSE 4570 Ohio University Comprehensive Cultural Assessment Essay.pdf
NRSE 4570 Ohio University Comprehensive Cultural Assessment Essay.pdf
 
Comprehensive Cultural Assessment Essay.pdf
Comprehensive Cultural Assessment Essay.pdfComprehensive Cultural Assessment Essay.pdf
Comprehensive Cultural Assessment Essay.pdf
 
Rbkc the challenge of diversity
Rbkc   the challenge of diversityRbkc   the challenge of diversity
Rbkc the challenge of diversity
 

More from stanbridge

Micro Lab 3 Lecture
Micro Lab 3 LectureMicro Lab 3 Lecture
Micro Lab 3 Lecture
stanbridge
 
Creating a poster v2
Creating a poster v2Creating a poster v2
Creating a poster v2
stanbridge
 
Creating a poster
Creating a posterCreating a poster
Creating a poster
stanbridge
 
Sample poster
Sample posterSample poster
Sample poster
stanbridge
 
OT 5018 Thesis Dissemination
OT 5018 Thesis DisseminationOT 5018 Thesis Dissemination
OT 5018 Thesis Dissemination
stanbridge
 
Ot5101 005 week 5
Ot5101 005 week 5Ot5101 005 week 5
Ot5101 005 week 5
stanbridge
 
Ot5101 005 week4
Ot5101 005 week4Ot5101 005 week4
Ot5101 005 week4
stanbridge
 
Compliance, motivation, and health behaviors
Compliance, motivation, and health behaviors Compliance, motivation, and health behaviors
Compliance, motivation, and health behaviors
stanbridge
 
Ch 5 developmental stages of the learner
Ch 5   developmental stages of the learnerCh 5   developmental stages of the learner
Ch 5 developmental stages of the learner
stanbridge
 
OT 5101 week2 theory policy
OT 5101 week2 theory policyOT 5101 week2 theory policy
OT 5101 week2 theory policy
stanbridge
 
OT 5101 week3 planning needs assessment
OT 5101 week3 planning needs assessmentOT 5101 week3 planning needs assessment
OT 5101 week3 planning needs assessment
stanbridge
 
Ot5101 week1
Ot5101 week1Ot5101 week1
Ot5101 week1
stanbridge
 
NUR 304 Chapter005
NUR 304 Chapter005NUR 304 Chapter005
NUR 304 Chapter005
stanbridge
 
NUR 3043 Chapter007
NUR 3043 Chapter007NUR 3043 Chapter007
NUR 3043 Chapter007
stanbridge
 
NUR 3043 Chapter006
NUR 3043 Chapter006NUR 3043 Chapter006
NUR 3043 Chapter006
stanbridge
 
NUR 3043 Chapter004
NUR 3043 Chapter004NUR 3043 Chapter004
NUR 3043 Chapter004
stanbridge
 
3043 Chapter009
3043 Chapter0093043 Chapter009
3043 Chapter009
stanbridge
 
3043 Chapter008
 3043 Chapter008 3043 Chapter008
3043 Chapter008
stanbridge
 
Melnyk ppt chapter_21
Melnyk ppt chapter_21Melnyk ppt chapter_21
Melnyk ppt chapter_21
stanbridge
 
Melnyk ppt chapter_22
Melnyk ppt chapter_22Melnyk ppt chapter_22
Melnyk ppt chapter_22
stanbridge
 

More from stanbridge (20)

Micro Lab 3 Lecture
Micro Lab 3 LectureMicro Lab 3 Lecture
Micro Lab 3 Lecture
 
Creating a poster v2
Creating a poster v2Creating a poster v2
Creating a poster v2
 
Creating a poster
Creating a posterCreating a poster
Creating a poster
 
Sample poster
Sample posterSample poster
Sample poster
 
OT 5018 Thesis Dissemination
OT 5018 Thesis DisseminationOT 5018 Thesis Dissemination
OT 5018 Thesis Dissemination
 
Ot5101 005 week 5
Ot5101 005 week 5Ot5101 005 week 5
Ot5101 005 week 5
 
Ot5101 005 week4
Ot5101 005 week4Ot5101 005 week4
Ot5101 005 week4
 
Compliance, motivation, and health behaviors
Compliance, motivation, and health behaviors Compliance, motivation, and health behaviors
Compliance, motivation, and health behaviors
 
Ch 5 developmental stages of the learner
Ch 5   developmental stages of the learnerCh 5   developmental stages of the learner
Ch 5 developmental stages of the learner
 
OT 5101 week2 theory policy
OT 5101 week2 theory policyOT 5101 week2 theory policy
OT 5101 week2 theory policy
 
OT 5101 week3 planning needs assessment
OT 5101 week3 planning needs assessmentOT 5101 week3 planning needs assessment
OT 5101 week3 planning needs assessment
 
Ot5101 week1
Ot5101 week1Ot5101 week1
Ot5101 week1
 
NUR 304 Chapter005
NUR 304 Chapter005NUR 304 Chapter005
NUR 304 Chapter005
 
NUR 3043 Chapter007
NUR 3043 Chapter007NUR 3043 Chapter007
NUR 3043 Chapter007
 
NUR 3043 Chapter006
NUR 3043 Chapter006NUR 3043 Chapter006
NUR 3043 Chapter006
 
NUR 3043 Chapter004
NUR 3043 Chapter004NUR 3043 Chapter004
NUR 3043 Chapter004
 
3043 Chapter009
3043 Chapter0093043 Chapter009
3043 Chapter009
 
3043 Chapter008
 3043 Chapter008 3043 Chapter008
3043 Chapter008
 
Melnyk ppt chapter_21
Melnyk ppt chapter_21Melnyk ppt chapter_21
Melnyk ppt chapter_21
 
Melnyk ppt chapter_22
Melnyk ppt chapter_22Melnyk ppt chapter_22
Melnyk ppt chapter_22
 

Tabloski ch04 lecture

  • 1. GGeerroonnttoollooggiiccaall NNuurrssiinngg THIRD EDITION CHAPTER 4 Cultural Diversity Copyright © 2014, © 2010, © 2006 by Pearson Education, Inc. All Rights Reserved
  • 2. Learning Objectives 1. Discuss the importance of the Transcultural Nursing Society Care Standards and the culturally and linguistically appropriate services (CLAS) in health care. 2. Apply the CULTURALCARE triad to the complex interrelationships of the nurse, caregiver, and patient within community and institutional (home or residential) settings. Gerontological Nursing, Third Edition Patricia A. Tabloski
  • 3. Learning Objectives 3. Identify potential areas of conflict derived from the demographic, ethnocultural, and life trajectory variables of the people within the triad. 4. Describe the value and process of heritage and life trajectory assessments of nurses, caregivers, and patients. Gerontological Nursing, Third Edition Patricia A. Tabloski
  • 4. Learning Objectives 5. Create a plan of care for the older adult integrating CULTURALCARE. Gerontological Nursing, Third Edition Patricia A. Tabloski
  • 5. Introduction • Cultural diversity affects the ability to provide safe nursing care to older adult patients. Gerontological Nursing, Third Edition Patricia A. Tabloski
  • 6. Introduction • The two main goals relating to the delivery of culturally competent care are: – To develop cultural and linguistic competence by nurses and other healthcare providers. – For healthcare organizations to understand and respond effectively to cultural and linguistic needs. Gerontological Nursing, Third Edition Patricia A. Tabloski
  • 7. Transcultural Nursing Care Standards • The Transcultural Nursing Society has developed 12 standards for cultural competence in nursing practice. • These standards must be met by most healthcare-related agencies. Gerontological Nursing, Third Edition Patricia A. Tabloski
  • 8. CULTURALCARE • Professional nursing care that is culturally sensitive, culturally appropriate, and culturally competent. Gerontological Nursing, Third Edition Patricia A. Tabloski
  • 9. CULTURALCARE Triad • It is composed of three distinct populations: –Nurse – Patient – Direct caregiver Gerontological Nursing, Third Edition Patricia A. Tabloski
  • 10. Demographic Change • By the year 2020, it is predicted that people of color will be the majority population and the major source for population growth will be immigrants. Gerontological Nursing, Third Edition Patricia A. Tabloski
  • 11. Table 4-1 Population by Race for the United States: 2000 and 2010 Source: Humes, K. R., Nicholas, A. J., & Ramirez, R. (2011). Overview of race and Hispanic origin: 2010. Census Briefs, p. 4. Retrieved from http://2010.census.gov/2010census/data Gerontological Nursing, Third Edition Patricia A. Tabloski
  • 12. Gerontological Nursing, Third Edition Patricia A. Tabloski Nurse • The demographic profile of professional nurses represents a demographic disparity from the overall demographic profile of the United States.
  • 13. Caregiver • In many long-term care facilities, the setting may be one in which the nurses are White, and the staff, especially the certified nurses’ aides who provide hands-on care, are people of color. Gerontological Nursing, Third Edition Patricia A. Tabloski
  • 14. Patient • The population of people 65 years and over has grown significantly since the 2000 census. Gerontological Nursing, Third Edition Patricia A. Tabloski
  • 15. Major Components of a Person’s Heritage • Culture • Ethnicity • Religion • Socialization Gerontological Nursing, Third Edition Patricia A. Tabloski
  • 16. Ethnocultural Life Trajectories • Changes in the past several decades have created cultural barriers that openly create misunderstandings, tensions, and often conflicts between family members, coworkers, and individuals—and between patients and caregivers—in the practice of gerontology. Gerontological Nursing, Third Edition Patricia A. Tabloski
  • 17. Heritage Assessment Tool • The tool that has been developed to determine how deeply a given person identifies with a traditional heritage or is acculturated into the modern, dominant culture. Gerontological Nursing, Third Edition Patricia A. Tabloski
  • 18. Cultural Appropriateness • The determination of culturally appropriate care is necessary so that the comfort levels of both the patient and the caregivers are met and respected. Gerontological Nursing, Third Edition Patricia A. Tabloski
  • 19. Steps to Cultural Competency • Steps to cultural competency: – Become aware of your own ethnocultural heritage. – Become aware of the ethnocultural heritage and life trajectory described by both the patient and the caregivers. – Become aware of adaptations that the patient and caregivers made to live in the North American culture. – Form a CULTURALCARE nursing plan. Gerontological Nursing, Third Edition Patricia A. Tabloski
  • 20. Implementing CULTURALCARE Nursing • Recognizing the patient’s and caregiver’s viewpoints and finding mutually agreeable solutions is required. Gerontological Nursing, Third Edition Patricia A. Tabloski