1. 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

2. 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

3. Cultural Concepts Culture Subculture Diversity Race Ethnicity
Nationality
Religion

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

5. Immigration
Acculturation
Assimilation

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

7. 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

8. 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

9. 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

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

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

12. Coining Therapy

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

14. Verbal Communication
Initiating communication influenced by cultural values
Use of interpreter

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

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

17. Nursing Management Developing self-awareness
Conveying cultural sensitivity
Assessment

18. Planning & Implementing
Cultural preservation and maintenance
Cultural accommodation and negotiation

19. 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

20. QUESTIONS???