Tsering Yanchen

• Accumulated learning for generational groups of

individuals within structured or non-structured societies.
• Heritage learned through formal and informal
experiences through the life cycle.
• Combined heritage of language and communication
style, health beliefs and health practices, customs and
rituals, and religious beliefs and practices.
• Experience in different culture groups may lead the
nurse to understand the complexity of culture, such as
their beliefs and practices in times of illness.
• Skills related to cultural diversity can strengthen and
broaden health care delivery, e.g. Personal Space.
• Personal cultural heritage of the nurse can maximize the
care of the client, e.g. volunteer services to public.
• Prejudice (prasangka)
• Ethnocentrism
• Stereotyping
Develop Cultural Sensitivity

Be exposed to different people of

different ethnic backgrounds
Ifeyinwa Utoh
 Ethnicity and culture are sometimes used interchangeably but
in the main perspective, they are different.
 Ethnicity is a social construction that indicates identification
with a particular group which is often descended from common
ancestors. Its members share common cultural traits.
 For example : They share the same language, religion and dress
and they are an identifiable minority within the larger nation.
• Nursing practice has expanded even
more and thereby embracing all
varieties of people in order to give
care.
• Nurses need to understand the impact
of ethnicity as it relates to an
individual.
• The diversity of ethnicity has made it
possible that even when patients are
told to fill out the admission forms,
there is a portion where one’s ethnic
group is required. Most times it is
necessary to fill it out, in order to
know how to better treat the patient.
Norman Ilagan
• Influence attitudes,
lifestyle, and feelings
about life, pain and
death
• Help people live
fuller lives and
console or
strengthen people
during suffering and
in preparation for
death
• According to
Rosdahl, “in
the United
States, 35,000
churches with
1,500 different
identified sects
exist”
• Learn about major
religious differences
• Respect their
confidences
• Maintain a
nonjudgmental
attitude
• Consider your
personal values when
seeking a nursing
position
Marie Jimenez
• Nursing is a profession
where socialization is a
part of everyday
nursing care
• Professional
socialization and it’s
effect on nursing
• Socialization and its
impact on the delivery
of nursing care for the
client
• Current trend in nursing
• Causes of nursing shortage
• How quality patient care is affected in relation to time
and safety
• Unique profession
• “Lost” identity of
nursing
• Recent “movement
toward reestablishing
identifiable dress
norms for professional
nurses” (Professional
Nursing Concepts,
2007, p. 49)
• “How do you look?”
handout/article
Eva Cox
•Language Barrier
•Age
•Attention
•Gender
•Prejudice, stereotyping, and
ethnocentrism
•Should know and understand medical
terminology
•Should know the formal slang, and
conversational levels of the language that
he/she is interpreting
•Should be able to communicate without
inferring judgment, bias, or personal
opinions
• Nonverbal Technique
• Use of Silence
• Clarification
• Reflection
• Learn a second language, especially one that is spoken by
a large ethnic population serviced by the healthcare
agency.
Ex: Elmhurst Hospital - the nurse could learn Spanish
• Construct a loose-leaf folder or file cards with words in
one or more languages spoken by clients in the
community
• Look at the client, not at the translator when asking
questions, and listening to the client’s response
• Determine if the client can speak or read English
• Speak slowly not loudly, using simple words and short
sentences
• Avoid using technical terms, slang or phrases with a
double or colloquial meaning like “do you have to use the
john?”
• Ask simple questions that can be answered by a “yes” or
“no”
Crispo Alvar
•Cultural competency - a set of
congruent behaviors, attitudes, and
policies that comes together in a system,
agency, or among professionals that
enables effective work in cross-cultural
situations.
• The presence and interests of different cultural
constituencies have made provision of culturally
competent health care imperative.
• many minority cultural groups have already
experienced a disproportionate burden of health care
disparities e.g. access to health care, and the quality of
care.
• Surgeon General Report of 2005, stated that the
U.S. healthcare profession is still considered so
unprepared to provide culturally competent care
to our highly diversified population.
• Because LPN’s also provides direct health care to
culturally diverse client populations in various
settings, we as Student of Practical Nursing (SPN)
owe to be educated and be provided with the
initial knowledge about Cultural Competency.
Hence this research paper presentation.
• Policymakers – uses this to draft consistent and
comprehensive laws, regulations, and contract language
• Accreditation and credentialing agencies – uses this as
guidelines in assessing and comparing providers who
offer culturally competent services and assurance to
maintain quality of service for diverse populations
• Organizations – These are used to serve guidelines and
make it a bases for performance assessment and
evaluation –
 1. Standards 1-3 address culturally competent
care
• Standard 1. Ensure that patients/consumers
receive from all staff member effective,
understandable, and respectful care provided in a
manner compatible with their cultural health
beliefs and practices and preferred language.
• Standard 2. Implement strategies to recruit, retain,
and promote at all levels of the organization a
diverse staff and leadership that are representative
of the demographic characteristics of the service
area.
• Standard 3. Ensure that staff at all levels and across
all disciplines receive ongoing education and
training in culturally and linguistically appropriate
service delivery.
2. Standards 4-7 address language competency –
• These standards provide that every health care
organization offers and provides appropriate
language assistance services; put in place
appropriate oral and written notices of patients
right to receive language assistance; involve only
qualified interpreters and encouragement of
bilingual staffs; and make available easily
understood patient-related materials or post
signage in languages of the commonly
encountered groups.
3. Standards 8-14 address organizational support for
cultural competence –
• These standards require that health care
organization effect a written strategic plan with the
end in mind of providing clients culturally and
linguistically appropriate services; conduct
ongoing organizational self-assessment about
CLAS-related activities; ensure that individual
culturally relevant information are in place on
health records; maintain cultural profile and
develop collaborative partnership with
communities; provision of culturally and
linguistically sensitive conflict and grievances
resolution proceedings; and lastly, the
encouragement to make readily available culturally
relevant information to the public.
• Implies that services provided with funding from the
federal government must be delivered without
regard to race, color, or national origin (HHS 2003).
• To satisfy Title VI, a program, service or agency must
therefore provide "meaningful access" at no cost to
the LEP individual. – to include hospitals, managed
care organizations, state and local welfare agencies,
physicians, and research programs— e.g.
including providers of services funded through
Medicaid, Temporary Assistance for Needy Families
(TANF), the State Children's Health Insurance
Program (SCHIP), Head Start, and other programs
for families and youth.
Zoya Poltilov
• “A set of academic and personal skills that allow
us to increase our understanding and
appreciation of cultural differences between
groups“
• Becoming culturally competent is a
developmental process and we will experience it
throughout the whole nursing experience
•The cultural assessment is a tool to help
nurses understand where patients derive
their ideas about disease and illness
•Cultural Assessments help to determine
beliefs, values and practices that might
have an effect on patient care and health
behaviors
• Level of ethnic identity • Views and concerns
• Language and about discrimination
communication process and institutional
• Migration experience racism
• Self concept and self • Educational level and
esteem employment
experiences
• Influence of • Importance and
religion/spirituality on impact associated
the belief system and with physical
behavior patterns characteristics
• Habits, customs, beliefs • Current
socioeconomic status.
• Cultural health beliefs
and practices
• It is impossible to know every cultural variation of the
people for whom nurses provide care, but the best way is
to involve your patient and the family in determining the
plan of care and to find an alternative that will be
acceptable for that culture
• All of these will help us in developing cultural
competency in the clinical area