Cultural Sensitivity (Term Paper Sample)
M6A3: Cultural Competence: Registered Professional Nurse Responsibility Paper . Using APA format, write a six (6) to ten (10) page paper (excludes cover and reference page) that examines culturally sensitive nursing care. The paper consists of two (2) parts and must be submitted by the close of week six (6). A minimum of three (3) current professional references must be provided. Current references include professional publications and valid websites dated within five (5) years. Additionally, a textbook that is no more than one (1) edition old may be used. Part 1 – Introduction Address the following: 1.Using your own words, define culturally competent nursing care. Support your definition with a professional literature citation. 2.Identify four (4) guidelines the registered professional nurse may use to enhance the ability to provide culturally competent nursing care. Provide one example the culturally competent nurse applies to each of the four (4) selected guidelines. At least one example must address care of patient(s) not occurring in an acute care hospital. 3.Describe how the registered professional nurse evaluates if the patient’s cultural needs have been met. 4.Describe whether cultural practices must be accommodated in all aspects of health care. Provide a specific example and rationale to support your response. Part 2- Demonstrating Culturally Competent Nursing Care Address the following: 1.Select one of the following cultures and focus on the direct caregiving role of the RN at the bedside: ◦Asian ◦Native American ◦Hispanic 2.Select four (4) cultural features, associated with the selected culture that influence the provision of nursing care for patients with chronic illness and at the end of their lives. Describe how the four (4) cultural features influence the provision of care to the patients. At least one (1) feature must address chronic illness and at least one (1) feature must address end of life care. 3.Provide a total of four (4) nursing interventions that demonstrate nursing care, which reflect the respect for the dignity and uniqueness of those cultural features for patients experiencing chronic illness (2 interventions) and at the end of their lives (2 interventions). Compose your work using a word processor (or other software as appropriate) and save it frequently to your computer. Use a 12 font size, double space your work and use APA format for citations, references, and overall format. Information on how to use the Excelsior College Library to help you research and write your paper is available through the Library Help for AD Nursing Courses page. Assistance with APA format, grammar, and avoiding plagiarism is available for free through the Excelsior College Online Writing Lab (OWL). Be sure to check your work and correct any spelling or grammatical errors before you submit your assignment. You are required to submit your paper to Turnitin (a plagiarism prevention service) prior to submitting the paper in the course submission area for grading. Access is provided by email to the email address on record in your MyExcelsior account during week 2 of the term. Once you submit your paper to Turnitin check your inbox in Turnitin for the results. After viewing your originality report correct the areas of your paper that warrant attention. You can re-submit your paper to Turnitin after 24-hours and continue to re-submit until the results are acceptable. Acceptable ranges include a cumulative total of less than 15% for your entire paper, and no particular area greater than 2% (excluding direct quotes and/or references). See the videos below for instructions on how to submit your paper to Turnitin and view your Originality Report. Video - Submitting a Paper Video - Viewing Your Originality Report When you're ready to submit your work for grading, click Browse My Computer and find your file. Once you've located your file click Open and, if successful, the file name will appear under the Attached files heading. Scroll to the bottom of the page, click Submit and you're done. This activity will be assessed according to the NUR109 M6A3: Cultural Competence: Registered Professional Nurse Responsibility Papersource..
Part 1: Introduction
Culturally competent nursing care is understood as developing an awareness of one’s own environment, thoughts, sensations and existence without letting it have too much influence on individuals from other backgrounds; demonstrating understanding and knowledge of the culture of the patient; accepting and respecting cultural dissimilarities; and adapting nursing care to be matching with the culture of the client (Mareno & Hart, 2014). Nursing practitioners need to develop cultural competency for them to be effective in creating rapport with their clients, and for them to correctly assess, develop, and execute nursing interventions intended to meet the needs of their patients. To deliver culturally competent nursing care, the nursing practitioner should clearly understand diverse cultural backgrounds.
Culturally competent nursing care involves an acceptance and awareness of cultural differences, self-awareness, knowledge of the culture of the patient, as well as adaptation of skills (Riley, Smyer & York, 2012). A nurse who is culturally competent has to develop cultural sensitivity, which means an awareness and usage of knowledge pertaining to sexual orientation, gender, culture and ethnicity to explain and understand situations as well as responses of individual patients in their environment. The nurse should assess every patient individually and should not make cultural suppositions as regards the health practices or beliefs of a patient (Mareno & Hart, 2014). Asking the client and the client’s family to describe what they perceive as the cause of disease and the health practices which the patient follows would allow for the development of an individualized teaching plan that is culturally sensitive.
Four guidelines which the registered nurse might employ in enhancing the ability to deliver nursing care that is culturally competent include the following: cultural awareness: this entails self-examination as well as thorough exploration of one’s own professional and cultural background (Riley, Smyer & York, 2012). An example which the culturally competent nurse applies in this guideline is when the nurse recognizes her own suppositions, prejudices, and biases regarding people who are different. If the health care provider is not aware of the influence of her own professional or cultural values, then he or she may engage in cultural imposition; that is, imposing her own values, beliefs and patterns of behaviour on another culture.
Cultural knowledge: this is the process in which the nurse seeks and obtains a sound educational foundation regarding diverse ethnic and cultural groups. In acquiring this knowledge base, the registered nurse should focus on the integration of 3 particular issues: health-related beliefs and cultural values, incidence and prevalence of disease, as well as efficacy of treatment (Caudle, 2013). Acquiring cultural knowledge regarding the patient’s health-related values and beliefs, for example, will require the nurse to understand the patient’s worldview. The worldview of the patient would explain how the client interprets her disease and the way in which it guides the client’s thinking, doing and being.
Cultural skill: this is the capacity to gather pertinent cultural data as regards the presenting problem of the patient and correctly carrying out a physical assessment that is culturally-based. An example which the culturally competent nurse applies in this guideline is learning how to perform cultural assessments as well as culturally-based physical assessments (Caudle, 2013). A cultural assessment is basically a methodical examination or appraisal of communities, groups or individuals as to their cultural practices,...
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