Nursing care in trans cultural Nursing

1. STUDY UNIT 3
By C Settley

2. Outcomes: Transcultural
Nursing
 Demonstrate a better understanding
of cultural diversity and be sensitive
as well as respectful towards the
cultures that differ from his/her
culture
 Demonstrate the understanding of
non-material cultures that regulate the
culture of people (especially that of
patients/clients and his/her
colleagues
 Facilitate the breaking down of
cultural barriers both in the clinical

3. Outcomes: Transcultural
Nursing
 Discuss transcultural nursing with
regards to:
 Defining the concept
 Explain the transcultural skills a
nurse need to acquire
 Briefly explain the transcultural
variations that need to be taken into
account when nursing patients

4. The concept:
Transcultural Nursing
 Is a learned sub field or branch of
nursing which focusses upon the
comparative study and analysis of
cultures with respect to nursing and
health- illness care practices, beliefs
and values with the goal to provide
meaningful and efficacious nursing
care services to people according to
their cultural values and health-illness
context

5. Transcultural skills a nurse need
to require
 The nurse who takes her job seriously
and strives to provide optimal nursing,
will find these conflicting cultural
aspects interesting and challenging-
not annoying!
 Cultural competence: the
understanding and respect of the
norms, values and convictions of
patients.

6. Transcultural skills a nurse need
to require
- The nurse should respect and accept
the various cultural beliefs and
customs
- She should realise that all people are
not exactly like herself
- She should therefore be sensitive to
other cultural and ethnic backgrounds
- Total patient care should take place
- Physical care is important, but cultural
needs should be taken into

7. Transcultural skills a nurse need
to require
- It should be kept in mind that everyone, in
spite of differences are special
- The nurse should notice and deal with
cultural differences which might have an
impact on effective communication and/or
nursing care
- Nursing professionals should deal with
cultural differences which might have an
impact on effective communication and/or
nursing care
- She should provide sensitive assistance to
patients who maintain negative beliefs,
customs and behaviour and try to guide them
towards positive health care

8. Transcultural variations
- Communication
- verbal and non
verbal (facial
expression, eye
contact, touch)
- Eg eye contact….. Is
it a sign of respect or
not in your culture?
- Watch your patients
reactions
- Clear communication
and mutual
understanding is
important

9. Transcultural variations

10. Transcultural variations
 Space
 Refers to the area surrounding the patient’s
body
 Certain cultural groups keep a distance
between themselves and others while others
do not
 Such contact-orientated people regard
noncontact others as shy, impersonal, boring,
cold or rude
 Vice versa seen as rude, bossy or pushy
 Nurses operate mostly within the personal
spaces of patients and must be
understanding when someone feels

11. Transcultural variations
 Time and tempo
 Some groups do not attach
importance to punctuality
 Some may be irritated when others
arrive late
 The nurse normally have to work ‘fast’
– this may seem to the patient that
you are uninterested and they feel that
they do not get the attention that they
deserve

12. Transcultural variations
 Biological variations
 Knowledge of growth, development, nutrition and
other biological factors is important as it influences
nursing care
 Some cultures attach positive value to large people
while others are obsessed with being thin
 There are also rules for the type of foods and how
they are prepared

13. Transcultural variations
 Environmental control
 Refers to the ability to control factors
in immediate environment

14. Transcultural variations
 Social institutions
 Patterns of behavior

15. References
 http://www.usask.ca/nursing/predepart
ure/section09.php
 https://www.uni-
graz.at/en/studying/for-prospective-
students/enrolment-for-applicants-
and-new-entrants/language-
examinations/