Running head: Cultural competency Cultural Competency in Nursing Practice Diana Oestreich The College of St. Scholastica Culturally Competent Care The nursing profession continues to walk towards excellence in cultural competent delivery of current healthcare needs. In the pursuit of excellence and the love of learning, there are always improvements to be made. Continuing education requirements are the backbone of building nurses into life long learners. Identifying personal areas of growth are an effective mode of continuing to add to existing nursing skills.
In this paper, I will identify areas of improvement that I would like to make in my cultural competency skills. I have self identified these areas through completing a tool called the Ccultural Ccompetence Sstudent Sself-rating Aassessment. By utilizing this self-assessment tool, I will target weaknesses in my cultural competence skill set and create a plan to increase my proficiency in those targeted areas. Good introduction. “Culture in its broadest sense is cultivated behavior; that is the totality of a person's learned, accumulated experience which is socially transmitted behavior through social learning” (Hill, 2012, p. 4). The definition of culture sums up the uniqueness of each patient and each nurse as we are living within a communal experience. The self-assessment tool specifically was evaluating my personal level of culturally competent care giving abilities. Cultural competent care is a complicated integration of knowledge, attitudes, and skills that enhance cross-cultural communications in appropriate and effective interactions according to Kelly, in the book, Nursing Leadership and Mmanagement (2011, p. 591).
I would like to intervene consistently when I observe other staff engaging in culturally insensitive behavior or reflecting prejudice. This is something I do not do currently. Utilizing diagrams, written, verbal, or pictures to enhance patient understanding is another tool that I would like to utilize more in my practice. Intervening appropriately when I see culturally insensitive behavior or prejudice creates a safe environment for patients. This is something I have not considered as an effective tool in cultural competent care giving.
Advocating for patients includes addressing other staff when the patients boundary of culture is disrespectfully crossed. To do this appropriately, I would take the staff member aside, and address the issue maintaining privacy for all involved. If the staff member were resistive to changing their attitude I would write up a communication detailing the event to the head nurse or floor manager. If there were no immediate reconciliation on the matter, I would advise the patient to contact the patient advocate for the hospital.
Addressing prejudice maintains a positive culture in the nursing staff. It promotes moving towards culturally competent care giving as profession and a staff. “A picture is worth a thousand words” is an adage that Napoleon Bonaparte contributed to the current lexicon. Its relevance may be the reason that it continues to be used today. Cultural competent care is a complicated integration of knowledge, attitudes, and skills that enhance cross-cultural communications in appropriate and effective interactions according to Kelley, in the book, Nursing Leadership and Management (Kelly, 2011, p. 91). Cross cultural communication is difficult especially when translating medical concepts into lay terms. I would like to integrate using more diagrams and pictures to increase effective communication with patients. I would take the top five medical issues that I educate patients on, and draw a picture of the mechanism of the disease process on the back of the standard information sheet. The average adult in the U. S. reads between the 8th and 9th grade reading levels according to a survey done in 1992 by the National Center for Educational Statistics.
Integrating diagrams into my patient education skills would communicate more effectively to an under-literate culture. The average patient may not glean much information from the standard written hand out they receive for health education. I observed a Chinese cardiologist with an accent that was undecipherable, draw a patient a picture of the hearts electrical conduction system. Instantly, this wary patient was totally on board with the physician burning a part of his heart during the heart ablation. The picture spoke a thousand words to this patient.
Now, tell how you will attempt to learn more about intervening when other staff exhibit inappropriate behaviors culturally. Also address another area of need, learning key words and colloquialisms of another language. -0. 75 point. In conclusion, cultural competency is a continually evolving skill as nurses continue to practice in a society that is always changing. Completing a self assessment tool was a valuable experience. Unlike traditional continuing education requirements, this self assessment allowed me to identify my individual cultural competency strengths and weaknesses.
I have committed to two practical goals to build up my cultural competent care giving. Intervening when I observe culturally insensitive behavior from other staff will be my first goal. Secondly, developing and integrating diagrams into patient education will increase effective communication cross culturally. Maintaining cultural competency is one of the dimensions of the nursing profession that continues to invigorate me. The challenge of connecting and giving care across diverse populations is an exciting challenge. It draws on the science of medicine and the art of connecting with people.
The art and science of the nursing profession is expressed in the pursuit of culturally competent care. You are right. Good conclusion. References Hill, C. , (2012). The micro cultural context. Retrieved from http://www. sagepub. com/upm-data/24763_Ch3. pdf) . Jungeblut A, Jenkins L, Kirsch I, Kolstad A. (1993). Adult literacy in America. Retrieved from http://www. pfizerhealthliteracy. com/pdfs/The_Health_Literacy_Problem_v2. pdf. Kelley, P. (2012). Nursing leadership and management. ( 3rd ed. ) Clifton Park, NY: Delmar.