As the dynamics of our world are continually changing and becoming more multicultural, healthcare providers are facing a challenge in providing cultural competent care to this multicultural population. Dr. Madeleine M. Leininger was the first to use the term “transcultural nursing” (TCN) in describing the blending of anthropology and nursing into a specialization in nursing. Anthropology is the scientific study of humans, past and present. Building on the physical, biological, social sciences and humanities, anthropologists use this knowledge to find solutions to human problems. Using the combined studies of nursing and anthropology, Dr. Leininger established TCN as a theory and evidence-based formal area of study and practice within nursing that focuses on people’s culturally based beliefs, attitudes, values, behaviors, and practices related to health, illness, healing and human caring (Leininger, 1991, 1995) NSG-556-IKG Module 2: Transcultural Nursing.
Learning objectives for the module:
Upon completion of the module, students will be able to:
- Define transcultural nursing.
- Discuss the contributions of transcultural theories to the advancement of transcultural study and practice.
- Explore the national standards for culturally and linguistically appropriate services in healthcare.
- Compare individual advanced practice cultural competence and organizational cultural competence.
- Andrews & Boyle, J. Chapters 1,2
- The Model of Cultural Competence Through an Evolutionary Concept Analysis: http://tcn.sagepub.com/content/15/2/93.full.pdf+html
Communication Between Cultures: http://www.youtube.com/watch?v=AlMf_RGlaQU
Topic 1: Theories of Transcultural Nursing
For over 50 years nurses have recognized the necessity to provide culturally specific care to a population that is increasingly becoming more racially and culturally diverse. Based on the knowledge that various races and cultures have different needs and requirements the need to develop culturally competent nursing care continues. In order to provide nurses with the foundations to be knowledgeable about the various cultures being seen in their practices transcultural models have been developed. Perhaps the most notable theorist, Dr.Madeline Leininger has provided the basic foundation for cultural competency in nursing practice. Other models by Purnell, and Giger and Davidhizer are also commonly used nursing cultural models NSG-556-IKG Module 2: Transcultural Nursing.
Using any of these models allows nurses at all levels to gain knowledge and provide culturally competent care. Having a greater nursing knowledge of the culturally diverse needs of our patients is vital in improving the quality of healthcare.
Topic 2: Culturally Competent Nursing Care
In order for the nurse to begin the process of becoming a culturally competent provider, one must start with cultural self-assessment. Evaluation of their own unconscious biases, cultural stereotypes, prejudices, and tendencies to discriminate against those different than themselves will give them valuable insight. With increased study and education, these unconscious tendencies can be resolved. To aid in the educational process, the American Academy of Nursing (AAN) Expert Panel on Global Nursing and Health and Transcultural Nursing Society have developed guidelines for the practice of culturally competent nursing care. These include knowledge of cultures, education and training in culturally competent care, clinical reelection. Cross-cultural communication, culturally competent practice, cultural competence in health care systems and organizations, patient advocacy and empowerment, multicultural workforce, cross-cultural leadership, evidence-based practice and research. As universally accepted guidelines nurses worldwide have a framework for providing culturally competent care.
A five step problem solving process is provide to assist nurses in delivering culturally competent care. This five step process consists of
- a constructively critical self-assessment
- mutual goal setting with the client and other members of the health care team
- development of a plan of care
- implementation of the care plan
- evaluation of the plan NSG-556-IKG Module 2: Transcultural Nursing.
|Discussion||The culture of the deaf and hearing impaired is often overlooked because it is characterized as a nonethnic culture. What cultural characteristics do deaf people have in common with other cultural groups? If your client is both deaf and identifies with another cultural group as well, how does this affect your ability to provide quality cultural care?
Post your initial response by Wednesday at midnight. Respond to one student by Sunday at midnight. Both responses should be a minimum of 150 words, scholarly written, APA formatted, and referenced. A minimum of 2 references are required (other than your text) for both posts. Refer to the Grading Rubric for Online Discussion in the Course Resource section.
Module 2: Discussion
|Special Guidance on APA formatting in Discussion Posts
APA formatting is required in discussion posts with the following two exceptions (due to limitations with the text editor in LIVE): double line space and indent 1/2 inch from the left margin. Discussion posts will NOT be evaluated on those two formatting requirements. All other APA formatting guidelines should be followed. For example, in-text citations must be formatted with the appropriate information and in the correct sequence (Author, year), reference list entries must include all appropriate information following guidelines for capitalization, italics, and be in the correct sequence. Refer to the APA Publication Manual 7th ed. for each source type’s specific requirements. Please let your instructor know if you have any questions NSG-556-IKG Module 2: Transcultural Nursing.