The document discusses the importance of cultural competence for nurses. It begins by outlining how culturally competent nurses can positively impact patient care, health outcomes, and quality of life. The author then describes their experience taking a cultural competence course which led them to critically examine their own cultural beliefs and biases. Through introspection, the author realized they held unconscious sexist beliefs that had negatively influenced their nursing practice, especially regarding pediatrics and obstetrics. The course taught the author that developing cultural competence is an ongoing process that requires regular self-evaluation to confront changing personal biases. The document concludes that mastering cultural competence is essential for nurses to provide optimal, non-harming patient care.
Advancing the field of cultural competency by providing the first structural competency certificate program in the country. Online, on-demand and FREE, including free continuing education credits. Live trainings coming soon. Give me a call!
Advancing the field of cultural competency by providing the first structural competency certificate program in the country. Online, on-demand and FREE, including free continuing education credits. Live trainings coming soon. Give me a call!
Communicating for Success: Improving Health Outcomes for Transgender Peoplejayembee
This presentation provides an overview of action steps that healthcare providers can take to develop a more gender-affirming service environment and improve health outcomes for transgender persons living with HIV.
Introduction to Culture and Health - May 26 2016jayembee
This presentation presents information about the national CLAS Standards, defines culture, and explores the intersections of culture and health. Medical mistrust and its impact on health seeking behaviors is also examined.
NBCC, NAADAC, CAADAC, and California Board of Behavioral Sciences approved Mental Health continuing education and addictions counselor training series. Narrated versions and CEUs available at http://www.allceus.com
Restoring balance through cultural safety & the medicine wheelgriehl
North American culture sees health as an individual problem, but we live in dynamic, intercultural communities. Health is multifaceted with issues related to mental, spiritual, emotional, and physical health. Our culture can be a barrier to caring for our clients. Each area of the medicine wheel needs to be balanced for wholistic health for the client, where the client is the person, family, group, or community. Indigenous teachings support addressing all areas of the person to achieve balance. Cultural safety stresses the importance of reflection and acceptance of differences. We should not treat everyone the same, but we do need to recognize and acknowledge our blind spots.
As an off shoot of the MAAP extension Services ( livelihood project) conducted in partnership with NRCP Division1 led by Dr Prof Epifania Tabadda and NRCP staff in 2015 , with one of MAAP adopted community, we have the privilege to meet the Aeta Community. In addition from sharing and cooking nutritious food , we also learned their various healing practices and philosophy.
Presentation on Giger and Davidhizar’s Transcultural Assessment Model and its use in assessing care of clients from multicultural populations for medical professions.
Communicating for Success: Improving Health Outcomes for Transgender Peoplejayembee
This presentation provides an overview of action steps that healthcare providers can take to develop a more gender-affirming service environment and improve health outcomes for transgender persons living with HIV.
Introduction to Culture and Health - May 26 2016jayembee
This presentation presents information about the national CLAS Standards, defines culture, and explores the intersections of culture and health. Medical mistrust and its impact on health seeking behaviors is also examined.
NBCC, NAADAC, CAADAC, and California Board of Behavioral Sciences approved Mental Health continuing education and addictions counselor training series. Narrated versions and CEUs available at http://www.allceus.com
Restoring balance through cultural safety & the medicine wheelgriehl
North American culture sees health as an individual problem, but we live in dynamic, intercultural communities. Health is multifaceted with issues related to mental, spiritual, emotional, and physical health. Our culture can be a barrier to caring for our clients. Each area of the medicine wheel needs to be balanced for wholistic health for the client, where the client is the person, family, group, or community. Indigenous teachings support addressing all areas of the person to achieve balance. Cultural safety stresses the importance of reflection and acceptance of differences. We should not treat everyone the same, but we do need to recognize and acknowledge our blind spots.
As an off shoot of the MAAP extension Services ( livelihood project) conducted in partnership with NRCP Division1 led by Dr Prof Epifania Tabadda and NRCP staff in 2015 , with one of MAAP adopted community, we have the privilege to meet the Aeta Community. In addition from sharing and cooking nutritious food , we also learned their various healing practices and philosophy.
Presentation on Giger and Davidhizar’s Transcultural Assessment Model and its use in assessing care of clients from multicultural populations for medical professions.
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Read Theory and Practice of Counseling and Psychotherapy, pages.docxdanas19
Read:
Theory and Practice of Counseling and Psychotherapy
, pages 43-45; and
Addressing Diverse Populations in Intensive Outpatient Treatment
I have attached additional reading material, I need this by Thursday,
Serving Special Populations
After completing the reading for this unit, what do you think is the greatest obstacle facing special populations in addiction treatment? What will you do as a counselor to ensure that all of your clients receive the best treatment possible?
Your paper is to be in APA format, 1-2 pages, and include sources. Please see
paper guidelines
for explanation of requirements.
Addressing Diverse Populations in Intensive Outpatient Treatment
1. Introduction
1. Introduction
Culture is important in substance abuse treatment because clients' experiences of culture precede and influence their clinical experience. Treatment setting, coping styles, social supports, stigma attached to substance use disorders, even whether an individual seeks help--all are influenced by a client's culture. Culture needs to be understood as a broad concept that refers to a shared set of beliefs, norms, and values among any group of people, whether based on ethnicity or on a shared affiliation and identity.
Retrieved from,
Substance Abuse: Clinical Issues in Intensive Outpatient Treatment
, Center for Substance Abuse Treatment (2006).
2. What It Means To Be a Culturally Competent Clinician
It is agreed widely in the health care field that an individual's culture is a critical factor to be considered in treatment. The Surgeon General's report, Mental Health: Culture, Race, and Ethnicity, states, "Substantive data from consumer and family self-reports, ethnic match, and ethnic-specific services outcome studies suggest that tailoring services to the specific needs of these [ethnic] groups will improve utilization and outcomes” (U.S. Department of Health and Human Services 2001, p. 36). The Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV) (American Psychiatric Association 1994) calls on clinicians to understand how their relationship with the client is affected by cultural differences and sets up a framework for reviewing the effects of culture on each client.
Because verbal communication and the therapeutic alliance are distinguishing features of treatment for both substance use and mental disorders, the issue of culture is significant for treatment in both fields. The therapeutic alliance should be informed by the clinician's understanding of the client's cultural identity, social supports, self-esteem, and reluctance about treatment resulting from social stigma. A common theme in culturally competent care is that the treatment provider--not the person seeking treatment--is responsible for ensuring that treatment is effective for diverse clients.
Meeting the needs of diverse clients involves two components: (1) understanding how to work with persons from different cultures and (2) understandi.
Reply to this student post with less than 20 similarity APA style .docxchris293
Reply to this student post with less than 20 % similarity APA style
1- What originates to attention when you consider about culture? For a lot of us, we instantly think of what’s correct in visible of us: distinctive idioms, diverse clothing and different food. But a humanity’s culture also influences an individual’s principles, customs and beliefs. It influences in what way you view confident concepts or behaviors, and in the event of mental health, it can influence whether or not you pursue help, what type of help you pursue and what sustenance you have nearby you. It is significant that we understand the role culture plays in mental health care so we can sustenance our loved ones and inspire treatment once it is required most. (Kapil, Rubina, 2019). There are four ways culture be able to influence mental health:
-
Cultural stigma
. Each culture has a diverse method of seeing at mental health. For various, there is increasing stigma round mental health, and mental health trials are measured a weakness and something to hide. This should make it firmer for those struggling to conversation flexibly and request for help.
-
Understanding symptoms
. Culture should impact how individuals designate and impression about their symptoms. It can affect whether somebody selects to identify and dialogue around only physical signs, only emotional signs or both.
-
Community Support
. Cultural influences can regulate how much sustenance somebody acquires from their family and communal when it comes to mental health. Since of prevailing stigma, sectors are occasionally left to find mental health management and provision alone.
-
Resources
. When watching for mental health treatment, you want to discourse to a person who appreciates your precise skills and apprehensions. It can occasionally be problematic or time-consuming to discovery possessions and treatment choices that take into explanation specific cultures influences and needs.
These are simply a few conducts culture can influence the observation of and treatment for mental health. Each culture and individual is dissimilar and appearance a single journey to recovery. You can support discourse the mental health of subgroups by considerate the role culture plays in mental health and by suitable skilled to help those round you. Mental Health First Aid gives individuals the expertise to recognize signs of mental health and element use contests and action stages to take to help them get treatment
2- Culture is an attractive piece of our lives, but it can similarly negatively impact our approaches in the direction of mental health. Mental disease is still stigmatized in many values. Persons may be disinclined to even dialog about mental health, let alone seek action. For example, African American community were “not very open to acknowledging psychological problems,” and they remained also averse to seek specialized help. In addition, Asian cultures incline to brand mental illness by respectin.
View the video here: https://www.youtube.com/watch?v=gCMCNReYnYs
Earn counseling CEUs here: https://www.allceus.com/member/cart/index/product/id/684/c/
Assumption 1: Counselors will not be able to sustain culturally responsive treatment without the organization's commitment to it.
Assumption 2: An understanding of race, ethnicity, and culture (including one's own) is necessary to appreciate the diversity of human dynamics and to treat all clients effectively
Assumption 3: Incorporating cultural competence into treatment improves therapeutic decision-making and offers alternate ways to define and plan a treatment program that is firmly directed toward progress and recovery
Assumption 4: Consideration of culture is important at all levels of operation—individual, programmatic, and organizational
Assumption 5: Culturally congruent interventions cannot be successfully applied when generated outside a community or without community participation.
Assumption 6: Public advocacy of culturally responsive practices can increase trust among the community, agency, and staff.
1 postsRe Topic 3 DQ 2Community health nurses must be c.docxaulasnilda
1 posts
Re: Topic 3 DQ 2
Community health nurses must be culturally compliant to provide the most adequate and highest level of quality care. Understanding certain feelings and recognizing these is the first step for the nurse to put aside stereotypes and bias. Most of the time, they are learned behaviors prior to nursing. Stereotyping in nursing is a preconceived assumption regarding a certain group of people; this, in turn, leads to various personal feelings built upon that stereotype resulting in being bias. In health care, these feelings can lead to implicit bias feelings we unconsciously display towards patients and can impact patient care (Falkner, 2018). It is challenging for nurses not to be biased against one group or the other due to the fact that medically and scientifically there are certain groups or populations that certain condition/diseases are more prevalent than others, but "jumping the gun" per say could result in false diagnosis or inadequate treatments (Puddifoot, 2019). Community nurses must take into account the scientific and medical data related to each and every individual.
Campinha-Bacote and Munoz (2001) proposed a five-component model for developing cultural competence: Cultural awareness, Cultural knowledge, Cultural skill, Cultural encounters, and Cultural desire. One important way for nurses to achieve cultural competence and promote respect is to challenge our own beliefs and ask better questions regarding our patient populations. For example, nurses should avoid unintentionally stereotyping a patient into a specific cultural or ethnic group based on characteristics like outward appearance, race, country of origin or religious preference. Additionally, many subcultures and variations can exist within a cultural or ethnic group. For instance, the term Asian-American includes cultures such as Chinese, Japanese, Taiwanese, Filipino, Korean and Vietnamese, and within these cultures, there are variations in a geographic region, religion, language, family structure and more.
Using 200-300 APA format with references to support the discussion.
How should the nurse address these concepts to ensure health promotion activities are culturally competent? Propose strategies that you can employ to reduce cultural dissonance and bias to deliver culturally competent care. Include an evidence-based article that address the cultural issue
.
2007 B2M Sponsorship booklet email version (May 9)
Writing Sample
1. RUNNING HEAD: CULTURAL COMPETENCE: INTROSPECTION, INFLUENCE & IMPACT 1
Cultural Competence: Introspection, Influence and Impact
Anthony Grissett, RN, MBA
Caring for a Multicultural Society
NSG 3016
Colleen Darrow, Professor
June 22, 2015
2. Cultural Competence: Introspection, Influence and Impact 2
Abstract
Culturally competent registered nurses can hugely impact patient care, health outcomes and
quality of life measures. Possessing an effective skill set requires a commitment to evaluating personal
beliefs and biases, passion to consistently seek new learning experiences and opportunities as well as the
willingness to advocate for patients who have been historically marginalized. The scope of impact
includes increased access to care for minority populations, improved communication between staff,
patients and families, enhanced educational opportunities and broader research on efficacy of established
evidence based practices on diverse ethnic and cultural populations.
Influence on Nursing Care
3. Cultural Competence: Introspection, Influence and Impact 3
The concepts learned in Caring for a Multicultural Society can be readily implemented
and immediately begin improving the quality of care delivered by student RNs; in turn greatly
improving patient outcomes and facility quality measures. A culturally competent nurse begins
with self-evaluation; recognizing and addressing closely held personal beliefs and cultural biases
is the first step in delivering quality care. A workforce committed to continually doing the work
required to meet the needs of all patients should be the goal of all healthcare facilities and is just
one of the influences cultural diversity brings to the medical field. Additional areas of influence
include:
o Improved communication between medical staff, patients and families.
o Better educated and medically compliant patients.
o Reduced barriers to accessing healthcare delivery systems by traditionally
marginalized populations, and
o Enhanced focus on cultural/racial differentiations in established evidence based
practices (EBP).
Instantaneously a culturally sensitive nurse’s communication skills are enhanced; by
recognizing that each patient brings unique cultural, ethnic and sociodemographic beliefs and
practices. Homogenous assumptions based on outward appearance are expelled when one is
dedicated to meeting the unique needs of each patient. Conversations ensue to gauge how family
traditions, social stressors and personal health practices influence the patient’s beliefs on healing
and recovery. Intimate exchanges work to build common ground which fosters a mutually
beneficial relations, as opposed to an imbalance of power which is commonly expressed by
minority and marginalized patients.
4. Cultural Competence: Introspection, Influence and Impact 4
Improved communication, respect for differences and recognition of individual agency
has the additional benefit of enhancing patient education and/or training. Recognizing cultural
nuances that will influence compliance with recommended medical interventions is essential to
promoting optimal patient outcomes. Muslim dietary practices, Jehovah’s Witness belief on
blood products and the traditional diet of Southern African Americans are all factors one must
consider when educating a Type 2 Diabetic on daily nutritional intake. A culturally sensitive
nurse will recognize cultural beliefs, but through conversation and intimate interaction, will also
identify subtle patient specific nuances that need be addressed to encourage the needed dietary
adjustments. Compliance with prescribed medications, frequency of follow up visits and
referrals to specialists must all be moderated by patient specific practices and beliefs.
When patients recognize that historical practices of racism, discrimination and biased
care delivery are being challenged, overhauled and supplanted by a uniform commitment to
health equity for all; many of the barriers to accessing healthcare services by the systemically
disenfranchised will be eliminated. This progression will be more daunting and fractious than
the aforementioned spheres of influence. However, overcoming deeply held distrust, resentment
and maltreatment will require a more concerted effort; but is no less achievable.
Essential to this aim is reinvestigating currently accepted evidence based practices.
Recent literature and reports are inundated with calls for culturally competent evidence based
practices; which have historically had limited participation from minority populations. This lack
of diversity calls into question whether or not established EBPs are truly impactful. In order to
assuage doubts universities, pharmaceutical companies and healthcare facilities will need to
validate whether or not currently utilized EBPs are truly universal; or are there modifications that
must be employed to meet the needs of varying ethnicities and cultures?
5. Cultural Competence: Introspection, Influence and Impact 5
Introspection: Critically Interrogating Personal Beliefs
Over the past five weeks my understanding of personal cultural adeptness has changed
drastically. At the beginning of this course I considered myself “highly proficient” regarding
cultural competence. For the past 15 years I have worked diligently to address health disparities
in underinsured and disenfranchised populations. My commitment to health equity is
unquestionable. I have written grants, created programs and advocated endlessly for improved
access to care for minorities in Northeast Florida. I have conducted trainings, presented at
conventions and published articles on the importance culturally competent care; so when I
initially completed the Culturally Competent Assessment, I was surprised by how much I didn’t
know.
Honestly, the focus of my work has been improving health outcomes for African
Americans and Hispanics; more specifically black and Hispanic males. While, extremely versed
on all aspects of injustices, oversights and needed changes for this group; I did not critically
interrogate my personal beliefs regarding other ethnic cultural groups. The initial assessment
also highlighted that I lacked proficiency regarding specific aspects of the population on which I
purported to be an authority. When it came to child birth and rearing, my skills were sorely
deficient. Pediatrics was the one area of nursing that I had no interest in at all. I begrudgingly
stumbled through that semester; giving the minimal attention to the coursework and clinical.
After I completed the initial assessment, I realized that I had never critically interrogated my
personal beliefs regarding this area of nursing care. Why was I so adverse to pediatrics? What
was it about children, child birthing and rearing that I found so repugnant.
Truthful introspection brought forth the truth; while I am comfortable being a “male
nurse”, I find caring for children and child bearing mothers to be “women’s work”. Yes, I the
6. Cultural Competence: Introspection, Influence and Impact 6
male feminist, the advocate for true equality of the sexes is indeed “sexist”! I can be a great
nurse; maintaining my masculinity, as long as I don’t care for children or pregnant women. This
would be beneath me, would show weakness, would be an embarrassment worthy of all the
baseless slurs and slights that staunch believers in patriarchy hurl at men who don’t live up to
masculine stereotypes. “I am afraid of what people will say about me if I was to pursue
Pediatrics or Obstetrics as my area of specialty” this is something I never contemplated or
verbalized, but there it was. A shameful reality that negated my ability to be effective in my
chosen profession. I began to think about the missed opportunities for self-actualization during
my clinical rotation and while work as a professional nurse. The many times I dismissed patient
concerns, sped through interactions and skipped over suggested interventions because I felt
uncomfortable in my role. If I as a paid Cultural Competence Trainer and self-professed
“Specialist” could be so misguided; how much so are nurses who have not had the education,
training and resources I have been privy to?
Impact to Personal Nursing Role & Practice
The subject matter covered in this course, from cultural competence assessment to
weekly postings and culminating with this assignment have all culminated in improving my
nursing skill set. When reading Paulo Freire’s “Pedagogy of the Oppressed”, I was most struck
by the explanation of “education” which stems from the Latin “educe” which means “to bring or
lead out”. Hence, education is the process of “bringing or leading out” what is innate; which is
what the materials covered, assignments completed and experiences borne of this coursework
have accomplished. The overarching lesson I take from this experience is the recognition that
the work of cultural competence is ever changing, requires a commitment to life-long practice
7. Cultural Competence: Introspection, Influence and Impact 7
and demands regular assessment of personal beliefs and biases; which change as societies
become more diverse and fluid.
Conclusion
Campinha-Bacote and Munoz created a model for developing cultural competence. The
five cultural components are awareness, knowledge, skill, encounter, and desire (Campinha-
Bacote, 2011). While, I had the desire, awareness and encounters my knowledge and skills were
lacking. In all honesty, I focused my training and energy on populations in which I had a vested
interest and ignored doing the work that would make me truly impactful. In the study, Culturally
Competent Nursing Care; A Challenge for the 21st
Century, the author found unintentional
stereotyping, eschewing subcultures and subjective categorizations as pitfalls to be avoided.
Assuming myself to be a “Cultural Competence Specialist” was puerile. While I had
extensive training and mastery of the language; I was self-centered and narrow focused in
practice which is the antithesis of cultural competence. Regular self-evaluation of cultural
competence knowledge, beliefs and practices is essential to being an effective purveyor of this
skill set. The easily identifiable benefits to patient outcomes and overall quality of life makes the
necessity of mastering this skill obvious. As registered nurses we are charged with “doing no
harm”; and ensuring that we are diligently working to provide optimal care is the cornerstone of
this mandate. Not doing the work required is inexcusable.
8. Cultural Competence: Introspection, Influence and Impact 8
References
Campinha-Bacote, J. (2011). Delivering patient-centered care in the midst of a cultural conflict:
the role of cultural competence. The Online Journal of Issues in Nursing., 16(2).
Flowers, D. L. (2004). Culturally competent nursing care: a challenge for the 21st century.
Critical Care Nursing, 48-54.