1. Cultural Competency in the Practice of the Nursing Profession

2. Group 1 - Introduction Crispo Alvar Eva Cox Norman Ilagan
Marie Jimenez
Zoya Poltilov
Ifeyinwa Utoh
Tsering Yanchen

3. Culture: Impact on health beliefs of clients and nursing practice
Tsering Yanchen

4. CULTURE
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.
Tsering Yanchen

5. Contributions to Healthcare
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.
Tsering Yanchen

6. Barriers to culturally competent care
Prejudice
Ethnocentrism
Stereotyping
Tsering Yanchen

7. Nurses must: Develop Cultural Sensitivity
Be exposed to different people of different ethnic backgrounds
Tsering Yanchen

8. Ethnicity: Impact on health beliefs of clients and nursing practice
Ifeyinwa Utoh

9. What is Ethnicity?
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.
Ifeyinwa Utoh

10. Ethnicity: Impact on Healthcare
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.
Ifeyinwa Utoh

11. Ethnicity: Impact on Healthcare
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.
Ifeyinwa Utoh

12. Religion: Impact on health beliefs of clients and nursing practice
Norman Ilagan

13. Importance of Religion
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
Norman Ilagan

14. Types of Religions
According to Rosdahl, “in the United States, 35,000 churches with 1,500 different identified sects exist”
Norman Ilagan

15. Religion: Impact on Nursing Practice
Learn about major religious differences
Respect their confidences
Maintain a nonjudgmental attitude
Consider your personal values when seeking a nursing position
Norman Ilagan

16. Socialization: Impact on health beliefs of clients and nursing practice
Marie Jimenez

17. Socialization & Nursing
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
Marie Jimenez

18. Nursing Shortage Current trend in nursing Causes of nursing shortage
How quality patient care is affected in relation to time and safety
Marie Jimenez

19. Public Image of Nursing
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
Marie Jimenez

20. Problem Areas related to Cultural Competency in Nursing Practice
Eva Cox

21. Problems in Communicating and Working Across Cultures
Language Barrier
Age
Attention
Gender
Prejudice, stereotyping, and ethnocentrism
Eva Cox

22. The Use of a Professional Interpreter
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
Eva Cox

23. Therapeutic Communication Techniques
Nonverbal Technique
Use of Silence
Clarification
Reflection
Eva Cox

24. Solutions to Language Barriers
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
Eva Cox

25. When English is a Second Language, the nurse can…
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”
Eva Cox

26. Legislations & Resolutions Related to Issues on Cultural Competency
Crispo Alvar

27. Definition
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.

28. What makes culturally competent healthcare imperative in the US?
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.

29. What is the status of cultural competency in the US?
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.

30. Legislations and Resolutions Related to Issues on Cultural Competency
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 –

31. The fourteen (14) established standards
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.

32. The fourteen (14) established standards
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.

33. The fourteen (14) established standards
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.

34. Title VI of the 1964 Civil Rights Act –
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.

35. The Nurse’s Role in Developing Cultural Competency
Zoya Poltilov

36. Cultural Competency
“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
Zoya Poltilov

37. The Cultural Assessment
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
Zoya Poltilov

38. The Cultural Assessment
Level of ethnic identity
Language and communication process
Migration experience
Self concept and self esteem
Influence of religion/spirituality on the belief system and behavior patterns
Habits, customs, beliefs
Views and concerns about discrimination and institutional racism
Educational level and employment experiences
Importance and impact associated with physical characteristics
Current socioeconomic status.
Cultural health beliefs and practices
Zoya Poltilov

39. The Nurse’s Role
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
Zoya Poltilov

40. Summary & Conclusion

41. The End Crispo Alvar Eva Cox Norman Ilagan Marie Jimenez Zoya Poltilov
Ifeyinwa Utoh
Tsering Yanchen
The End