Select and respond to One of the following questions in
Select and respond to One of the following questions in Either category listed below.
Theoretical Foundations of Transcultural Nursing
To what does trans-cultural-nursing care refer? Why is it important? Give a clinical example, perhaps from your own experience or observation, of how lack of transcultural care compromises the care and outcome of patient care.
Why are nurses conflicted about or challenged to provide care for culturally diverse patients? What attitudes are necessary to deliver quality care to patients whose culture is different from the nurse who is providing care?
What is culture? What is cultural competence? Define and given an example of ethnocentrism?
What is a nursing theory? A nursing framework or model? How does theory-guided practice influence nursing practice?
Describe three theories used by nurses to direct and improve culturally competent nursing care. Why is implementation of transcultural nursing theory significant for nursing practice? Give an example.
Who is Madeleine Leininger? Describe her role in establishing what is now known as transcultural nursing.
Discuss key components of the Andrews/Boyle Transcultural Interprofessional Practice (TIP) Model.
Search Internet resources for guidelines for the practice of culturally competent nursing care and discuss and share what you found.
Cultural Competence in Nursing Care
Some nurses seem to prefer to work with some patients and are averse or judgmental when working with other populations, often those in disenfranchised populations, why is this? To assist you with this question, conduct a CINAHL literature search using the search term “disenfranchised,””stigmatization,” “lesbian patient,” or another patient grouping vulnerable to stigmatization. Identify the legal and ethical implications of such nursing attitudes.
What skills are needed for cultural competence in nursing in order to meet the needs of individual patients, family members, or communities? How do these skills compare with the skills needed to work with nurses who come from cultures other than your own?
Students in this course often say they have no problems with people from other cultures and that they treat everyone the same. What is inherently shortsighted in such a statement?
Give a clinical example of cross-cultural communication, either an example in which cross-cultural communication went amiss, with an explanation of why this problem occurred, or another example in which it was skillfully facilitated in a nursing context. Examine the conceptual model in Andrews & Boyle to assist in forming your answer.
Describe the legal and practical considerations that must be made by the nurse when employing an interpreter to assist in communicating with patient.
After viewing the UCLA PowerPoint slides and taking the Quality and Culture Quiz related to cultural competence, which are posted in the module in the assignment folder for the week, summarize your answers to the following cultural self-assessment questions. No need to submit your quiz results, instead use them to discuss and respond to the list questions below.
Identify your cultural or ethnic derivation.
What did you learn about yourself with respect to cultural competence?
Where do you fall on the Cultural Competence Continuum (see UCLA PPT slides): cultural destructiveness; cultural incapacity; cultural blindness; cultural pre-competence; cultural competence; cultural proficiency.
How did you do on the Quality and Culture Quiz? Describe your feelings about your score on the quiz.
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