Post a thoughtful response to at least two (2) other colleagues’ initial posting
Post a thoughtful response to at least two (2) other colleagues’ initial postings. Responses to colleagues should be supportive and helpful (examples of an acceptable comment are: “This is interesting – in my practice, we treated or resolved (diagnosis or issue) with (x, y, z meds, theory, management principle) and according to the literature…” and add supportive reference. Avoid comments such as “I agree” or “good comment.”
Response posts: Minimum of one (1) total reference: one (1) from peer-reviewed or course materials reference per response.
Peer 1: Culture can change from generation to generation. Families and individuals can follow different types of culture depending on their beliefs. The purpose of this discussion board is to define culture and diversity in my own words. I will discuss self-assessment and explain why it is important, discuss cultural theory, and the model’s influence on nursing practice.
Culture is defined as the beliefs, behaviors, and attitudes of a particular group or nation. Society may define itself by the culture in which they live or their way of life. Diversity is defined as a range of different ethnic and social backgrounds. The definition can be collaborated with people of different gender or sexual orientation. Self-assessment is the ability to look at your own self and assess what may be important to yourself (Ross, 2019). There are different ways to reflect on yourself which may include finding new ways to grow and recognizing ways to gain improvement (Ross, 2019). By continuing to self-assess our goals and skills, we allow room for improvement in our strengths and weaknesses (Ross, 2019).
The Andrews/Boyle Transcultural Interprofessional Practice Model (TIP Model) aims to deliver safe, culturally centered, and quality care for people with diverse backgrounds (Andrews et al., 2020). The model uses a five-step problem solving assessment (Andrews et al., 2020). The component uses health related values and beliefs to conduct verbal and nonverbal communication between families and patients (Andrews et al., 2020).
The TIP Model’s influence on nursing practice provides a guide to deliver culturally and competent care (Andrews et al., 2020). The model uses evidence based and professional practices that give nurses a good framework to work by. The model allows the opportunity for self-assessment to observe the nurse’s own values and beliefs. This process allows nurses to make decisions based on unbiased assumptions (Andrews et al., 2020). In conclusion, different models can teach nurses different aspects of transcultural nursing. The goal continues to involve cross cultural communication. Effective communication will allow nurses and patients to have a culturally congruent nurse to patient relationship.
Andrews, M. M., Boyle, J. S., & Collins, J.W., (2020). Transcultural concepts in nursing care (8th ed.). Wolters Kluwer/LWW.
Ross, J. A. (2019). The reliability, validity, and utility of self-assessment. Practical assessment, research, and evaluation, 11(1), 10. https://doi.org/10.7275/9wph-vv65
Peer 2: The purpose of this discussion post is to illustrate my opinion on what culture and diversity mean, along with self-assessment, and apply those terms to one nursing theory. To me, culture means the unique characteristics surrounding a nation or people that make them distinctive. Diversity centers around inclusion and acceptance of all those special characteristics. Self-assessment is a reflection of a person’s knowledge and understanding of a culture conducted by a person on themself. Self-assessment is important because it helps prevent barriers to giving good care like bias and stereotypes. Bias refers to pre-determined notions about culture that can be either positive or negative, stereotyping is when you judge a specific person based on pre-determined notions about a culture because that person is a member of the culture (Andrews, Boyle &Collins, 2020).
For example, Leininger developed her Sunrise Enabler theory in 1991, but it is still changing and evolving nursing to this day (McFarland & Wehbe-Alamah, 2019). The Sunrise Enabler was designed as a road map to provide good cultural care by blending 3 different sections: World View, Environmental Context/Social Structure and Cultural Beliefs (McFarland&Wehbe-Alamah,2019). Within each section, the nurse finds the factors that affect the views and beliefs of the patient, but inherently, it reminds us to reflect on our on views surrounding the patient’s culture and ensure that they both are correct and apply to our patient. For instance, in 2018, a new revision to the Sun Enabler was released listing biological factors under environmental factors/social structure (McFarland &Wehbe-Almara,2019). The idea was to encompass the illness and biological characteristics that were most common to a particular culture/area (McFarland &Wehbe-Almara,2019). At my hospital, we have seen an influx of Haitian patients recently. I have no idea how so many Haitian immigrants are getting to our small corner of northwest Ohio, but they are. It got me to thinking, will the same diseases that are common to Haitian people still apply now that they are here in Ohio? Or is this a case where stereotyping might occur?
In conclusion, in this day and age, you can never put enough emphasis on the importance of being culturally competent. It not only will protect your job, but it will also help you to provide better care. No one is perfect, self-assessment is just one tool that will help us better ourselves and our care going forward.
Reference:
Andrews, M. M., Boyle, J. S., & Collins, J. (2020). Transcultural concepts in nursing care (Eighth Edition ed.). Philadelphia: Wolters Kluwer.
McFarland, M. R., & Wehbe-Alamah, H. B. (2019). Leininger’s Theory of Culture Care Diversity and Universality: An Overview With a Historical Retrospective and a View Toward the Future. Journal of Transcultural Nursing : Official Journal of the Transcultural Nursing Society, 30(6), 540–557. https://doi-org/10.1177/1043659619867134