The DoH (2006) advocates that nurses need to provide a fair service by ensuring all patients are kept fully informed of clinical processes and decisions regarding their care. These abiliti… Navajos feel that order and harmony are disrupted by receiving negative information (Baile, Lenzi, Parker et al., 2002) receiving an unfavorable diagnosis and prognosis is seen as curse (Mitchell, 1998). Another way to overcome cultural barriers is to ensure there is an inclusion of people of different cultural backgrounds in the workplace. Failure to do so may result in patient neglect and denial of patient rights (Thom, 2008). Gammon & Gunarathne (2007) suggest that nurse education and training will be more effective if sufficient time was assigned on improving nurses’ assessment and care-planning skills, which many nurses believe to be lacking. Our nursing and healthcare experts are ready and waiting to assist with any writing project you may have, from simple essay plans, through to full nursing dissertations. However, you have to be able to identify them and nip them in the bud before they get out of hand. This included tendency to treat all BME patients similarly, victim blaming approach and lack of cultural competence. When treatments and medical opinions are explained with cultural preferences in mind, a patient tends to be open to whatever is in their best interest and optimal health. avoiding direct eye contact), or curious to a nutritionist (e.g. Using untrained interpreters can cause errors of understanding that can confuse the patient about their condition (Gerrish, 2001, Gerrish et al, 2004 and Thom, 2008) and can jeopardise patient confidentiality or may impede open communication (Caldwell et al, 2008). BARRIERS TO CARE Practitioner Barriers. Cultural diversity, communication and barriers to effective communication works hand in hand. Some of the examples of stereotypes held by nurses include that Asian patients have lower pain thresholds, playing the ‘sick role’ and have large visitor numbers … Patients from diverse cultural backgrounds (including First-Nation Peoples) experience almost twice as many adverse effects as English-speaking patients (Multicultural Health Communication 2013). This is important as it allows the nurse to understand the patient’s views, thoughts and expectation of the care delivery, which would enable the nurse to meet their needs. We've received widespread press coverage since 2003, Your NursingAnswers.net purchase is secure and we're rated 4.4/5 on reviews.co.uk. Healing happens more rapidly in an atmosphere of trust. A male health care provider would take this into consideration when treating a female Islamic patient. Cultural Diversity plays a very important role and will continue to play an even greater role as we move into a more diversified world. The U.S. population is nearing 400 million. Discuss barriers by an organizational culture that can be encountered by nursing leaders that can make them feel powerless. (2008) however point out that, even though nursing training bodies encourage equality and diversity appreciation in educational curricula, currently there is no formal cultural diversity training. Narayanasamy (2005) view is that this approach will lead to better understanding and treatment towards all patients, which can eliminate the inherent problems that are highlighted in the dissertation. To export a reference to this article please select a referencing stye below: If you are the original writer of this essay and no longer wish to have your work published on the UKDiss.com website then please: Our academic writing and marking services can help you! Is nursing not a philosophy, a collection and sharing of values, beliefs, principles and dare I say its own language that guides all those who choose to identify with it? Diversity training can potentially foster inclusive work culture, encourage teamwork and leadership, create new opportunities, and thereby create a positive work culture. Cultural Diversity in the U.S. But beyond that, it is the exposure to racism itself that has … Any opinions, findings, conclusions, or recommendations expressed in this essay are those of the author and do not necessarily reflect the views of NursingAnswers.net. We live in an era of constant change and transformation, which in return paves the way for cultural transparency. Patients need decision making and critical thinking skills to make correct health decisions. Therefore, the question is whether it’s realistic to expect nurses who are trained within this system to provide culturally competent care. distance learning and day courses. Cultural competence is crucial in the nursing field, but many … To overcome cultural barriers within the workplace, here are some helpful hints: Determine whether a specific behaviour or attribute is a requirement of the job. For example, West Indian cultures often speak in loud voices. Chevannes (2002) found in her study that little attention was given to the healthcare needs of BME groups in nurse education programmes and she concluded that nurses need to develop knowledge and skills in caring for these communities. If this is the case then racism needs to be addressed and challenged at nursing staff level and appropriate mechanisms need to be put in place, implemented and enforced, if needed, at management, organisational and policy levels. Equally, the Race Relations (Amendment) Act 2000 requires NHS organisations to provide equality in healthcare and promote inclusion while respecting diversity (Thom, 2008). It is impossible to … Because a number of elements can influence health communication—including behaviors, language, customs, beliefs, and perspectives—cultural respect is also critical for achieving accuracy in medical research. A health care provider should watch for signs that a Chinese patient is making such adjustments to their medications and tactfully advise against doing so while explaining the necessity of the full dosage for optimal benefit. Ballestas, Helen C. BSN, RN,C. The existence of language barrier is also expressed by nurses as large number of the BME elderly patients (with exception of those that have English as their first language) they care for are unable to communicate effectively in English and in some cases are illiterate in their mother tongue (Szczepura, 2005). Ultimately, cultural competence facilitates a more efficient and effective healing process. Yin refers to all things passive and cool, while yang refers to action and heat. The Islamic culture has specific norms and preferences practiced by its members. In traditional Chinese medicine, a balance of “yin” and “yang” is crucial to good health. When a nurse or health care practitioner takes the time to become familiar with the cultural norms of each group they encounter, the ability to do their job in a culturally sensitive way will come more and more naturally to them. We're here to answer any questions you have about our services. The patients generally identify their aspirations for positive interaction with staff is severely impaired by language barrier as well as negative non-verbal communication (Cortis, 2000; Clegg, 2002; Robinson and Gilmartin, 2002). Practices that might be considered unethical to an autonomous American (e.g. Why culture makes a difference in care. Consequently, there is a tendency for nurses to have ethnocentric beliefs about superiority of this system and little awareness of cultural differences (Serrant-Green, 2001). A later study by Vydelingum (2006), based on the experiences of 43 nurses regarding care provided to South Asian patients, also found evidence of ethnocentric practices. Information for Aspiring Cardiologists For example, a woman should not be touched by a man who isn’t a member of her immediate family. According to Serrant-Green (2001) this leads to what she terms as `menus’ or checklist approach to Transcultural care in practice. There has been patients with an Egyptian background believe that dignity, identity, and security are conferred by belonging to a family and dealing with illness within a family context (Butow, Tattersall and Goldstein, 1997), Navajo culture provides another example of diverse cultural attitudes toward illness. However, Wai (2000) argues that older people living with their families can feel isolated or lonely, particularly if the family members are working. Cultural differences can cause misunderstandings between patients and doctors. An example of the important role that organizational culture plays may be found in the recent United Kingdom (UK) health crisis. Members of a cult… Registered Data Controller No: Z1821391. Every country has numerous religions practised by its people. However, Chevannes (2002) also highlighted nurses’ lack of recognition of the language spoken and the culture by different BME communities contributed to the poor patient-nurse relationship. Asian caregivers are often reserved and might not appear to be as personally supportive. They found that at all points of the patient pathway, interpreter services were underused, thus increasing the risk of the patients receiving incorrect information or not receiving information at all. Chinese culture has its own set of norms as well. If a baseline level of trust is there, then the patient will feel comfortable sharing his or her concerns going forward. To conclude the communication gap highlighted presents challenges for nurses, NHS Trusts as well as the DoH. When you look at young African-American men in the criminal justice system, for example, there are significant disparities that exist across many aspects of community health. Body language and gestures: Body language and gestures are another elements of the cultural barrier. Culture is often defined as a learned set of values, beliefs, norms, and patterns of behavior. One of the main factors identified is communication difficulties (Singh and Sheik, 2006). A common stereotypical view held by nurses along with other healthcare professionals, about BME elderly groups, is the myth that they ‘look after their own’ (Toofany, 2007). In addition, many nursing degree programmes and in-service training courses are known to provide information and knowledge in a compressed fashion (Robinson and Gilmartin, 2002), which may not be exercised in practice due to internal and external working pressures imposed on nurses. Free; I agree that minority nurses are grossly underrepresented in nursing (“Recruiting Minority Nurses,” Viewpoint, May). Equally, Tod et al. “Culture” can be defined as the language, behavior, customs, values and beliefs that a particular culture, race or country holds. When residents feel uncomfortable with their surroundings because of language barriers or differences in social norms, they can feel threatened by different and strange-seeming mannerisms. (in Cortis 2004) and Wilson-Covington (2001 in (Cowan and Norman 2006) argue that the nursing profession and values are predominantly determined by western systems and knowledge. Another example could be related to cultures such as Jewish, Hindu or Islamic that does not eat pork. Therefore, the nurse must appraise his/her own language capabilities as well as those of the BME elderly patients whilst being aware of the vulnerability they face. Related: 7 Important Elements Of An Inspiring Nursing Career allowing a family member to speak for and dictate all medical care and decisions for an aging parent), or disrespectful/suspicious to a Caucasian (e.g. A qualitative study by Chevannes (2002) focusing on the views of 22 healthcare professionals for the purpose of improving care for BME groups found that participants’ biggest obstacle that effected their care giving was the inability to communicate with patients who spoke no/little English. Szczepura (2005) points out nurses may hold stereotypical views based on lack cultural awareness that can create barriers and generate resentment. While a nurse may not agree with the cultural norms of a given culture, it is still important to consider and respect them within the context of the health care situation. Reference this. Another key area is deciding on end-of-life preferences. Nevertheless, the findings of a study by Cortis and Kendrick (2003), which explored the expectations and experiences of 38 Pakistani patients, showed the participants felt that nurses did not facilitate a positive environment to develop a therapeutic relationship, which inhibited interaction at a social level and as a result nurses were not perceived as caring. Being respectful of a patient’s cultural preferences can go a long way in building trust between nurse and patient. This includes selecting the ideal insurance plans, treatment options and care providers. A qualitative study by Gerrish (2004) examined the utilisation of interpreting services through 13 focus groups consisting of healthcare professionals, interpreting services and patients, concluded that interpreting services were inadequate and healthcare professionals relied heavily on family members to act as interpreters. Cultural respect benefits consumers, stakeholders, and communities and supports positive health outcomes. In cross-cultural encounters, the need to demonstrate effective communication assumes a greater significance because there could be scope for misunderstanding and conflicts that can lead to miscommunication (DoH, 2001; RCN, 2007 and Thom, 2008). They have suggested that is mainly due to nurses’ lack of knowledge/understanding of patients’ ethnic/cultural background and the tendency within nurse education and educators to partially present the needs of BME communities and their preference on care (Serrant-Green, 2001). Author Information . Some of the examples of stereotypes held by nurses include that Asian patients have lower pain thresholds, playing the ‘sick role’ and have large visitor numbers (Sawley, 2000; Cortis, 2004; Khattab et al, 2005). It may be one of the finer points of being a nurse, but ultimately it is no less important than doing rounds or assisting in surgery. Doing so can lead to confusion, miscommunication, and, worse, mistrust, only further aggravating the cultural barrier. When two individuals do not share a common language it is increasingly likely that they will also suffer from other barriers, such as a lack of shared body language and cultural context. 8 Healthcare providers who are equipped with better cultural competencies and awareness can reduce healthcare disparities. Cultural Sensitivity Promotes Harmony and Healing. It must be recognised the nursing education sector has made some progress in addressing cultural awareness and promotion of respect and tolerance for BME communities (Narayanasamy and White, 2004; Serrant-Green, 2001; Price and Cortis, 2000). Moreover, such practice is not consistent with the provision of holistic nursing care (Husband, 2000) and the guidelines of the NMC (2008). Background: Nurses are challenged in today's healthcare environment to provide culturally competent care to a diverse patient population. Unfortunately, cross-cultural differences can create disharmony between people. The belief that the nursing profession is ethnocentric can lead to ethnic stereotyping and prejudices against all BME specially the elderly in healthcare (Shaw and Wilson, 2005). Language presents perhaps the most significant single cultural barrier. Copyright © 2003 - 2021 - NursingAnswers.net is a trading name of All Answers Ltd, a company registered in England and Wales. The consequences of this approach is that nurses will view transcultural care as a ritual rather than a best practice that implements individualised care and takes into account the patients wider cultural, psychosocial and religious needs. Here are some cultural misunderstanding examples you can learn from. Language may also be a factor that leads to poor communication in nursing. Five major themes emerged: time constraints, financial constraints, workplace culture, access/relevance, and competency in accessing electronic evidence-based practice literature. Cortis and Kendrick (2003) argue that nurses have innate racism that prevents them acknowledging and fulfilling patient’s cultural needs. Beishon et al. Culture can be defined by group membership, such as racial, ethnic, linguistic or geographical groups, or as a collection of beliefs, values, customs, ways of thinking, communicating, and behaving specific to a group.As part of a cultural group, people learn communication rules, such as who communicates with whom, when and where something may be communicated, and what to communicate about. Continuing Professional Development (CPD) could also be used as an appropriate learning tool as cultural competence is continuous and evolving process. These barriers can lead to serious miscommunications between parties with differing cultural backgrounds. Therefore, the NMC (2008) requires nurses to take the necessary actions to meet the language and communication needs of BME patients in order to ensure the delivered information is understandable. Many individuals who immigrate to the UK might have the assumptions that their new society allows others the right to follow and practice their own values and beliefs. Nursing Essay (2003) and Cortis (2004) and it implies that the provision of holistic care and the development of therapeutic relationship is severely impaired as the nurse would be unable to interact with patients (Gerrish, 2001; Robinson and Gilmartin, 2002; Cortis and Kendrick, 2003). Get information about bachelor’s degree programs for those interested in becoming cardiologists and their education requirements, coursework, job and wage outlook, and continuing education choices. Narayanasamy and White (2005) highlight that nursing education in the UK exposes students to adapt to and internalize one particular culture and its values and beliefs, that of the majority. Researchers have, over the years, highlighted that nurses are not adequately prepared to work within multicultural context (Gerrish et al, 1996; Refs). This has a consequential effect specifically after discharge where patients are given little information about the available ‘aftercare’ services (Diver et al, 2003) with the assumption that own families have the resources to care for them (Anderson, 2001). Some Example Cultural Issues. The Islamic culture has specific norms and preferences practiced by its members. The dilemma with this belief and approach is that it may not be congruent with the expectations of BME communities in today’s multicultural society. In addition, they must decide when to seek care and the appropriate level of care. Cortis (2000) and Patel (2001) point out such barriers can have a negative impact on patients and can lead to isolation, anxiety and fear while in hospital wards. This integrative review of the literature describes nurses' barriers to learning. Nurses need to provide culturally sensitive care to patients from a variety of cultural backgrounds. For example, a woman should not be touched by a man who isn’t a member of her immediate family. The nurse educator must address these … As the above examples show, cultural norms can be diverse and extremely specific within each culture. RCN provides Transcultural health care practice learning materials through their website as part of professional development, which includes number of modules that can be used by nurses and health care practitioners (www.rcn.org.uk). The healthcare industry has made some efforts to adjust to the needs and demands of culturally diverse patients, but more significant changes are … “There are many ways that race and ethnicity are connected to health. Strengthening the cultural competency of healthcare professionals and the healthcare system as a whole can be part of an effective solution for diminishing racial/ethnic disparities in healthcare. There are some cultural differences with your employees that you just have to accept and not try to change if you want your employees to perform well. Since the above mentioned communication problems are well known, the DoH has introduced policies to address them in order to ensure that it meets its legislative obligations. 11th Feb 2020 North Bellmore, NY. CULTURAL BARRIERS. View professional sample essays here. To deliver or receive effective and fair learning strategies, nurse educators and students need to address their intercultural competencies. so the differences in their values and beliefs are also an example of cultural barriers. Within a few decades, minority groups will become the majority. In nursing, it is very important that the nurse should understand what the patient tries to convey to them and vice versa. Here’s an example. This suggests the importance for nurses to include the cultural needs of each patient in the care process. Hence, Trusts are required to provide interpreting and translation services; access to link workers/advocates or bilingual/bicultural staff (Szczepura, 2005). Cortis (2000) points out that nurses normally considered communication problems to be more of the patients’ problem rather than a joint deficit. Do you have a 2:1 degree or higher in nursing or healthcare? These days, it’s not uncommon for people from Muslim countries, Asian countries, African descent, Latino regions, etc., to all be living in one neighborhood and using the same hospital. Cultural diversity is an asset that is necessary for poverty reduction and the achievement of sustainable development. degree program in Pharmaceuticals Management and its education requirements, coursework, career options, job and wage outlook, and certification and continuing education ... Continue Reading », Most Common Cultural Issues Found in Hospitals. Instead of using a one-size-fits-all approach, health care providers can work with their patients to create effective solutions that satisfy everyone involved. Few schools, if any, offer ... Continue Reading », This article talks about the Master of Science (M.S.) When a health care provider encounters each distinct cultural group, they must be ready to treat each person appropriately for their cultural preferences. Szczepura (2005) points out nurses may hold stereotypical views based on lack cultural awareness that can create barriers and generate resentment. Registered office: Venture House, Cross Street, Arnold, Nottingham, Nottinghamshire, NG5 7PJ. Respecting and honoring cultural issues and differences among patients in hospitals are paramount duty of today’s health care provider. not allowing a child to eat heated foods when they have certain illnesses), could be the acceptable practice of your patient’s culture. In som… Cultural competence involves having sensitivity to the values and beliefs of each cultural group encountered in the course of one’s job. The initiative to access interpreting services should be instigated by those providing care (DoH, 2006). To break cultural barriers and open the lines of communication, some healthcare organizations have been working to attract individuals from a more diverse range of ethnicities and economical backgrounds. Overall there is a common agreement in the literature that educators have a key role in endorsing and promoting transcultural cultural care education. Culturally sensitive care given by nurses has to be supported by a knowledge base to inform practice (Cortis and Kendrick, 2003). Cultural barriers in communication ought to be dealt with efficiently, in order to enable healthy communication. Cultural Competency in Nursing Practice Nursing practice is comparable to a puzzle, a multilayered culture of health care practice that modifies itself with every interaction. Ethnocentric approach to nursing care may also be a contributory factor to racism in so far as practice fails to recognize and acknowledge significant cultural differences and their importance for the BME patients concerned (Price & Cortis, 2000). However, it must be recognised that attitudes and behaviours normally take generations to reshape and realistically the end goal of fairness and equity to all patients may take long time. Some Chinese patients may take it upon themselves to adjust medication levels as they perceive to be correct for their own yin and yang balance, overlooking the fact that a full dosage is needed for it to be effective. Study for free with our range of nursing lectures! Realizing how culture can influence a person’s perceptions of health and medicine can really make a difference in understanding a person’s medical needs and how to communicate with them. In today’s diverse society, cultural competence is foundational to being an effective and successful nurse. It may take some time and effort for a health care practitioner to become versed and familiar with the nuances and cultural issues within the different nationalities they encounter, but it is worth the time spent. However, short-courses in cultural competence are available for registered nurses with different delivery methodologies e.g. This would enhance nurses’ skills for assessing patients’ needs enabling them with better knowledge and understanding of the culture and background of patients under their care. Thus, an ethnocentric nurse will be unable to interpret BME patient’s needs correctly as he/she will judge it according to the norms of his/her own behaviour. A male health care provider would take this into consideration when treating a … If you need assistance with writing your nursing essay, our professional nursing essay writing service is here to help! Bachelor’s Degree Programs in Hospital Management The challenge for educators and policy makers is to therefore ensure that pre and post registration education prepares nurses to practice in a context that is conducive to cultural understanding and sensitivity. A basic knowledge about each group utilizing the hospital is foundational to managing cultural diversity and enacting treatment protocols that satisfy the needs of each patient. It encompasses the things that differentiate people from culture to culture, and there can be both similarities and vast differences. Aims and objectives: To discover and describe challenges and barriers perceived by nurses in providing culturally competent care in their day-to-day encounters with diverse patient populations. Cultural awareness and sensitivity is vital to nursing. While we like to believe in the ideal that all Australians have access to a high standard of healthcare, this is not always the case. The study by Hamilton and Essat (2008) found that patients felt that nurses make assumptions based on stereotypes and usually demonstrate negative attitude towards them. If both the nurses and the patients cannot understand each other due to use of different language, it will lead to many problems and misunderstandings. AJN, American Journal of Nursing: August 2002 - Volume 102 - Issue 8 - p 14. A nursing administrator, manager or executive who turns a blind eye to the existence of lateral violence in the workplace sends a signal that their silence equals complicity with such aberrant behaviour, thus, a culture of fear and mistrust results. However, Serrant-Green (2001) strongly argues that transcultural nursing literature is predominantly ethnocentric as it assumes that the nurse is a member of the majority ethnic community and the patient is a member of the BME communities. Bentley et al. Although many universities run modules addressing cultural aspects of care, transcultural nursing and multicultural health needs… By adapting this approach these studies give the impression that the main emphasis of information is for the white British nurse to become culturally sensitive to the needs of the BME patients. All work is written to order. Patients are often faced with scenarios that require weighing risks and the benefits of health decisions. While doing this, they must adhere to ethical principles of providing nursing care. Communication difficulty between the patient and healthcare professionals can cause misdiagnosis and ineffective treatment plans (Vydelingum, 2000; Age Concern, 2001; RCN, 2006 and Divi et al, 2007). A recent Nurse-Family Partnership discussion outlined in Nurse.com sought to identify barriers to creating a more ethnically diverse workforce, as well as figuring out ways to create a more ethnically diverse workforce.. Several nursing leaders participated in the discussion, including Beverly Malone, a nurse who is the CEO of the National League for Nursing. *You can also browse our support articles here >. The literature available on concludes that education for care of the BME patient is often limited to aspects relating to dietary, religion, birth and death (Narayanasamy, 2003; add refs). It can also have serious implications for service providers and policy makers as it can lead to the development of inappropriate services (Anderson 2001). Company Registration No: 4964706. Shock waves spread across the UK’s National Health Service foundation health trusts in response to the 2013 Francis investigation into the unnecessary deaths of up to 1,200 people between January 2005 and March 2009. It is therefore argued nurses should be taught generic transcultural skills and universal principals to adapt to each situation (Narayanasamy,200x; Cortis, 200x; Gammon & Gunarathne , 2007). The student nurse population is increasingly culturally diverse as a result of growing access to nursing courses and increasing numbers of students from overseas. Programs in energy medicine include training in traditional Chinese ... Continue Reading », If you are a physical therapist, you can easily become a cardiac rehabilitation specialist by completing an examination in cardiovascular and pulmonary care studies. This is in keeping with other studies by Narayanasamy (2003), Diver et al. Since there are a number of medicines such as insulin that contain pork-based ingredients, there could be problems — even legal issues — if a health care practitioner prescribes and/or administers such medicines to people of these cultures. That does not only exist in the recent United Kingdom ( UK ) health crisis of a patient ’ cultural. All Answers Ltd, a balance of “ yin ” and “ yang ” is crucial in the UK reflect... Gestures are another elements of an Inspiring nursing Career cultural diversity is an asset that is necessary for poverty and! Is instilling trust in the patient health decisions nursing essay, our professional nursing writing... The ideal insurance plans, treatment options and care providers can work with their patients to create effective that. Patient tries to convey to them and vice versa by nursing leaders that can create barriers and generate.! 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