TRANSCULTURAL NURSING: Culturally competent care by design

TRANSCULT

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OBJECTIVES Define transcultural nursing and understand

importance of cultural competence Understand steps toward attaining cultural

competence for nursing care Gain a better understanding of what leads to lack

of cultural competence Understand the importance of education in

providing transcultural nursing care Know the importance of quality and safety

improvements

WHAT IS TRANSCULTURAL

NURSING? “A substantive area of study and

practice focused on comparative cultural care (caring) values,

beliefs and practices of individuals or groups of of similar or different cultures” (Murphy, 2006).

INFLUENCE OF CULTURE

What is culture?Culture is complex and broadIncludes: race, ethnicity, religion, socioeconomic status

Cultural competence

STEPS TOWARD CULTURAL

COMPETENCE Adopt attitudes to promote

transcultural nursing care Develop awareness for cultural

differences Perform a cultural assessment

STATISTICSCompared to Whites:

Blacks received worse care for 41% of quality measures

Hispanics received worse care for 39% of quality measures

Asians and American Indians/Alaska Natives received worse care for 30% of quality measure

IMPORTANCE TO NURSING

Helps reduce health disparities Improve patient safety & communication Foster trust between nurses and their

patients Allows nurses to individualize care Promotes patient advocacy for diverse

populations

CULTURE CARE THEORY

Developed by Leininger Highlights need for culturally

competent nurses

THEORY OF REASONED ACTION Developed by Fishbein and Ajzen

States, “Intention and intentionality are determined by the attitude toward behaviors and subjective norms for behaviors”(Lowe & Archibald, 2009)

HEALTHCARE ENVIRONMENT

American Nurses AssociationU.S. Department of Health &

Human ServicesSpectrum Health Organization

ROOT CAUSE ANALYSIS

Lack of cultural

competence

Ethnocentrism

Minority in Nursing

EducationLanguage Barriers

QUALITY & SAFETY IMPROVEMENTS

QSENPatient/family-centered CareSafetyEvidence-based practice

ANA StandardsEthicsEducationCommunication

REFERENCES Agency for Healthcare Research and Quality, . (2012). Disparities in Healthcare Quality Among Racial and

Ethnic Groups. In AHRQ. Retrieved April 4, 2014

American Nurses Association. (2001). Code of ethics for nurses with interpretive statements (pp. 7-25). Silver Spring, MD: Nursebooks.org

American Nurses Association. (2010). Nursing scope and standards of practice (2nd ed., pp. 32-62). Silver Spring, MD: Nursebooks.org

Capell, J., Dean, E., & Veenstra, G. (2008). The relationship between cultural competence and ethnocentrism of health care professionals. Journal of Transcultural Nursing, 19(2), 121-125. doi:10.1177/1043659607312970

Delgado, D., Ness, S., Ferguson, K., Engstrom, P., Gannon, T., & Gillett, C. (2013). Cultural competence training for clinical staff: measuring the effect of a one-hour class on cultural competence. Journal of Transcultural Nursing, 24(2), 204-213. doi:10.1177/1043659612472059

Lowe, J., & Archibald, C. (2009). Cultural diversity: The intention of nursing. Nursing Forum, 44(1), 11-18. doi:10.1111/j.1744-6198.2009.00122.x

Maier-Lorentz, M. (2008). Transcultural nursing: its importance in nursing practice. Journal of Cultural Diversity, 15(1), 37-43. Retrieved April 4, 2014

Murphy, S. (2006). Mapping the literature of transcultural nursing. Journal of Medical Library Association, 94(2), 143-151. Retrieved April 4, 2014

QSEN, . (2014). Competencies. In QSEN Institute. Retrieved April 4, 2014

Sederstrom, J. (2013). Culture of compassion. Healthcare Traveler, 20(9), 10-15. Retrieved April 4, 2014

Spectrum Health, . (n.d.). Our Commitment. In Spectrum Health. Retrieved April 4, 2014

State of Michigan, . (n.d.). Cultural Competency. In Michigan.gov. Retrieved April 4, 2014

THANK

YOU