TRANSCULT
URAL
NURSING:
Cultura
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ompet
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are
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OBJECTIVES Define transcultural nursing and understand
importance of cultural competence Understand steps toward attaining cultural
competence for nursing care Gain a better understanding of what leads to lack
of cultural competence Understand the importance of education in
providing transcultural nursing care Know the importance of quality and safety
improvements
WHAT IS TRANSCULTURAL
NURSING? “A substantive area of study and
practice focused on comparative cultural care (caring) values,
beliefs and practices of individuals or groups of of similar or different cultures” (Murphy, 2006).
INFLUENCE OF CULTURE
What is culture?Culture is complex and broadIncludes: race, ethnicity, religion, socioeconomic status
Cultural competence
STEPS TOWARD CULTURAL
COMPETENCE Adopt attitudes to promote
transcultural nursing care Develop awareness for cultural
differences Perform a cultural assessment
STATISTICSCompared to Whites:
Blacks received worse care for 41% of quality measures
Hispanics received worse care for 39% of quality measures
Asians and American Indians/Alaska Natives received worse care for 30% of quality measure
IMPORTANCE TO NURSING
Helps reduce health disparities Improve patient safety & communication Foster trust between nurses and their
patients Allows nurses to individualize care Promotes patient advocacy for diverse
populations
CULTURE CARE THEORY
Developed by Leininger Highlights need for culturally
competent nurses
THEORY OF REASONED ACTION Developed by Fishbein and Ajzen
States, “Intention and intentionality are determined by the attitude toward behaviors and subjective norms for behaviors”(Lowe & Archibald, 2009)
HEALTHCARE ENVIRONMENT
American Nurses AssociationU.S. Department of Health &
Human ServicesSpectrum Health Organization
ROOT CAUSE ANALYSIS
Lack of cultural
competence
Ethnocentrism
Minority in Nursing
EducationLanguage Barriers
QUALITY & SAFETY IMPROVEMENTS
QSENPatient/family-centered CareSafetyEvidence-based practice
ANA StandardsEthicsEducationCommunication
REFERENCES Agency for Healthcare Research and Quality, . (2012). Disparities in Healthcare Quality Among Racial and
Ethnic Groups. In AHRQ. Retrieved April 4, 2014
American Nurses Association. (2001). Code of ethics for nurses with interpretive statements (pp. 7-25). Silver Spring, MD: Nursebooks.org
American Nurses Association. (2010). Nursing scope and standards of practice (2nd ed., pp. 32-62). Silver Spring, MD: Nursebooks.org
Capell, J., Dean, E., & Veenstra, G. (2008). The relationship between cultural competence and ethnocentrism of health care professionals. Journal of Transcultural Nursing, 19(2), 121-125. doi:10.1177/1043659607312970
Delgado, D., Ness, S., Ferguson, K., Engstrom, P., Gannon, T., & Gillett, C. (2013). Cultural competence training for clinical staff: measuring the effect of a one-hour class on cultural competence. Journal of Transcultural Nursing, 24(2), 204-213. doi:10.1177/1043659612472059
Lowe, J., & Archibald, C. (2009). Cultural diversity: The intention of nursing. Nursing Forum, 44(1), 11-18. doi:10.1111/j.1744-6198.2009.00122.x
Maier-Lorentz, M. (2008). Transcultural nursing: its importance in nursing practice. Journal of Cultural Diversity, 15(1), 37-43. Retrieved April 4, 2014
Murphy, S. (2006). Mapping the literature of transcultural nursing. Journal of Medical Library Association, 94(2), 143-151. Retrieved April 4, 2014
QSEN, . (2014). Competencies. In QSEN Institute. Retrieved April 4, 2014
Sederstrom, J. (2013). Culture of compassion. Healthcare Traveler, 20(9), 10-15. Retrieved April 4, 2014
Spectrum Health, . (n.d.). Our Commitment. In Spectrum Health. Retrieved April 4, 2014
State of Michigan, . (n.d.). Cultural Competency. In Michigan.gov. Retrieved April 4, 2014
THANK
YOU