Competent Care In A Culturally Diverse Nation
Competent Care In A Culturally Diverse Nation
HCS2512
PROGRAM GUIDE FOR PROFESSIONALS AND HEALTH CARE ASSISTANTS
National Educational Video, Inc.TM is an approved provider of continuing education. State Board provider numbers: Florida #FBN2896, Alabama #5-97.0, California #CEP8803, Kansas #LT0121-1138, Kentucky #7-0045, West Virginia #WV96-0025RN and reciprocal approvals from the State Boards in Alaska, Delaware, Louisiana, Maine, Michigan, Nebraska, New Hampshire, New Jersey, Ohio, Texas, Utah.
This activity provided by National Educational Video Inc. is approved as a provider of continuing education in nursing by Alabama State Nurses Association, which is accredited as an approver of continuing education in nursing by The American Nurses Credentialing Center's Commission on Accreditation.
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NATIONAL EDUCATIONAL VIDEO, INC.TM
Competent Care In A Culturally Diverse Nation
HCS2512
PROGRAM DESCRIPTION
This program discusses culturally competent care and the ways in which to promote effective cross-cultural communication. Originally created for the health care assistant, can be very useful to the health care professional. Video running time: 50 minutes (3.0 contact hours).
OBJECTIVES
At the completion of this program, the participant will be able to: 1. Define culturally competent care. 2. Describe the culturally competent health care worker. 3. List the cultural considerations that can affect the healthcare worker and the client. 4. Explain at least two qualities of caring people. 5. Define empathy. 6. List the ways in which to promote effective cross-cultural communication. 7. Explain the term "ethnocentric". 8. List three examples of non-verbal communication.
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The Nursing Process
The nursing process is a systematic method of problem solving. It is based on the scientific method. The nursing process is called "process" because it is ongoing. These are the steps of the nursing process:
Assessment: This is the systematic, ongoing collection of information from multiple sources.
Assessment is done when a nurse interviews a client and the client's significant others. A physical assessment of the client is also completed observing the following: laboratory data, daily client actions, assessing the client's ability to carry out daily activities, symptoms and the client's response to treatment. In long term care, resident assessment instruments are used to provide a comprehensive multidisciplinary assessment.
Problem Identification or Nursing Diagnosis: Assessment data leads to identifying client
strengths and client problems. These may be actual problems the client currently experiences, or potential problems that may occur with that client in the future. Problems are stated and related to a cause or influencing factor.
Planning: The systematic steps that the nurse will enact, with others, to assist the client to meet the
goals (or outcomes) that are set. For each problem, a measurable, specific goal is identified. The plan includes nursing actions, based on aspects of nursing theory, nursing science, other sciences, and research findings. The beliefs and values of the nursing profession as well as the values of the client are taken into account.
Implementation: Carrying out the plan.
Evaluation: This is the systematic process of examining each client goal-related outcome to
determine if it were met and to revise the plan accordingly. Evaluation may also identify the resources that are needed for the client or the health care provider in their continuing plan of care.
Professional Nursing Roles
As the nurse carries out the nursing process, the nurse enacts a variety of professional roles. These are:
clinician
teacher
client advocate
leader
These roles may overlap. In the clinician role, the nurse may provide direct "hands on" care, or may assess a client's needs and direct others to provide services to meet those needs. The nurse may conduct client and family teaching in a teaching role. The nurse may also teach other health professionals when a multidisciplinary team addresses the client's needs. The nurse is a client advocate when collaborating with the client, finding resources for the client, and acting on behalf of the client. The nurse is a leader when planning and assigning the care of a client to others, maintaining overall responsibility and accountability for that care, assisting other members of the health care team to set and meet goals or when providing resources to other health care providers.
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Competent Care In A Culturally Diverse Nation
HCS2512
GLOSSARY OF KEY TERMS
Cultural Diversity
Different beliefs, traditions and ways of behaving that we share with a group of people.
Ethnocentric
The belief that your customs or values are superior to others.
Empathy
Understanding and being objective about a situation and not becoming emotionally involved.
Patient's Bill of Rights
Clearly states what the client can expect from all health care workers.
Folk Remedies
Potions, plants and herbs used to alleviate or cure an illness.
Sensitivity
Having the capacity to feel, transmit or react to a situation.
Culturally Competent Care Adapts care to the client's cultural needs and preferences.
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Competent Care In A Culturally Diverse Nation
HCS2512
PRE TEST
Circle T if the statements are true. Circle F if the statements are false. T F 1. America is a "melting pot" where everyone must give up distinctive language,
customs and habits to become "American". T F 2. Cultural diversity means each culture maintains its own special identity and
contributes to the whole. T F 3. Health care workers should be client advocates. T F 4. Health care workers' personal prejudices and values should be considered as
important as those of the clients. T F 5. Empathy and caring are the foundation for good client care. T F 6. Culturally competent care adapts care to the client's cultural needs. T F 7. It's not important for health care workers to be aware of their own belief system. T F 8. Health care workers should be client advocates. T F 9. Everyone is a member of a particular culture. T F 10. Non-verbal communication is not considered a form of culture.
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NATIONAL EDUCATIONAL VIDEO, INC.TM
Competent Care In A Culturally Diverse Nation
HCS2512
DISCUSSION QUESTIONS
1. What is cultural diversity?
2. Does dealing with culturally diverse clients sometimes cause conflict? Why?
3. Discuss the attitudes necessary to deliver good client care no matter what the cultural background.
4. Give examples of how you learned to be more tolerant and accepting of other cultural values.
5.
Whose beliefs and values come first? Yours, the institution's/agency's or the client's?
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NATIONAL EDUCATIONAL VIDEO, INC.TM
Competent Care In A Culturally Diverse Nation
HCS2512
POST TEST
Choose the response that most accurately answers the following questions:
1. America is: a. a "melting pot" where all people are expected to be the same b. a culturally diverse society where each culture maintains its own special flavor and contributes to the whole c. intolerant of cultural differences d. a country with no culture
2.
Health care workers:
a. never have to deal with cultural conflicts
b. often have a better perspective on the client's needs than do other members of
the health care team
c. should ignore cultural differences
d. don't believe in cultural differences
3.
Health care workers:
a. can improve communication between the client and other members of the health
care team
b. should place their own values and beliefs above those of the client
c. should make no effort to understand or accept different cultural values
d. should not try to improve communication between the client and other members
of the health care team.
4.
The single most important step in successfully dealing with the challenges of cultural
diversity is:
a. to strictly enforce institutional rules without consideration of the client's needs
b. to develop respect for and acceptance of the client and the cultural values he or
she represents
c. try to "Americanize" your clients so they can fit into society better
d. do nothing
5.
Which of the following is the third step in eliminating barriers to effective cultural
communication?
a. appreciation
b. celebration
c. tolerance
d. intolerance
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NATIONAL EDUCATIONAL VIDEO, INC.TM
Competent Care In A Culturally Diverse Nation
HCS2512
POST TEST
(Continued)
6. Caring for clients of all cultural backgrounds means: a. recognizing others as separate and unique persons with special needs we should try to accommodate b. setting aside our own beliefs, values and prejudices c. treating others as we would like to be treated ourselves d. all of the above
7. The Client's Bill of Rights: a. clearly spells out what the client can expect from all health care workers b. can be ignored if things get too busy c. doesn't apply to all clients d. applies only in certain situations
8. Institutions have a set of values which: a. reflect the values of the world outside b. are never in conflict with the client's values c. can never be adjusted to meet the needs of the client d. doesn't reflect the values of the world outside
9. The single most important attitude a health care worker must have in dealing with cultural diversity is: a. curiosity b. sympathy c. acceptance d. ethnocentrism
10. The best way to learn to accept people whose cultural beliefs are different from our own is to: a. put yourself in your client's shoes b. think your values and practices are better than your client's c. impose your beliefs on your client d. ignore the clients' beliefs
11. Some clients have different ideas about treatment. In a situation where treatment is important, what should you do? a. explain the importance of the treatment and the effectiveness of the treatment b. let your frustration show c. ignore the issue d. smile and say nothing
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