Culturally Responsive Nursing Care Transcultural Nursing Culturally Responsive Nursing Care Culturally responsive nursing care is care that is centered on the client’s cultural perspectives and integrates the client’s values and beliefs into the plan of care. Chapter 18

Culturally Responsive Care Centered on the client’s cultural perspectives Integrates the client’s values and beliefs Nurse must develop self-awareness of: own culture, attitudes, and beliefs biases and assumptions he/she holds about different cultures Gain knowledge/skill

Cultural Concepts Culture Subculture Diversity Race Ethnicity Nationality Religion

Cultural Concepts (cont'd) Ethnocentrism Prejudice Racism Discrimination Generalizations Stereotyping

Immigration Acculturation Assimilation

Health Beliefs and Practices Magico-religious health belief Scientific or biomedical health belief Holistic health belief Folk medicine

Magico-religious health belief Health and illness are controlled by supernatural forces Illness resulted from “being bad” or opposing God’s will Getting well is also dependent on God’s will Evil spirit, magic, or spell can cause illness

Scientific (Biomedical) Health View Life is controlled by physical and biomechanical processes manipulated by humans Illness is caused by germs, bacteria, or a breakdown of the body Pills, treatments, or surgery will cure

Holistic Health Belief Forces of nature must be maintained in balance or harmony Human life is one aspect of nature Illness results from an imbalance or disharmony

Figure 18-2 A medicine wheel in Arizona. Holden, Roger/Photolibrary Figure 18-2 A medicine wheel in Arizona. Holden, Roger/Photolibrary.com 10

Folk Medicine Beliefs and practices derive from cultural traditions Thought to be more humanistic than biomedical health care May be less expensive Less frightening

Coining Therapy

Family Patterns Decision maker Value of children and elders Gender role behavior Family involvement Naming systems

Verbal Communication Initiating communication influenced by cultural values Use of interpreter

Nonverbal Communication Behaviors Meaning to the client Meaning in the client’s culture Silence Touch Facial expressions Eye movement Body posture

Other Aspects of Culture Space orientation Time orientation Nutritional patterns Religious practices

Nursing Management Developing self-awareness Conveying cultural sensitivity Assessment

Planning & Implementing Cultural preservation and maintenance Cultural accommodation and negotiation

Evaluating Client’s cultural perspectives Actual clients outcomes compared with the goals and expected outcomes If not achieved, must carefully consider whether the client’s belief system has been adequately included as an influencing factor

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