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Objectives: • Describe social and cultural influences in health, illness, and caring patterns. • Differentiate culturally congruent from culturally competent care. • Describe steps toward developing cultural competence. • Identify major components of cultural assessment. • Use cultural assessment to identify significant values, beliefs, and practices critical to nursing care of individuals experiencing life transitions. • Demonstrate nursing interventions that achieve culturally congruent care. • Analyze outcomes of culturally congruent care. • Apply research findings in culturally congruent care.

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3. Assessing social, cultural, and biophysical factors before initiating the treatment

Campinha-Bacote's model suggests that nurses see themselves as becoming rather than being culturally competent because cultural competency is developmental. Cultural skill is better explained by the ability to assess social, cultural, and biophysical factors that influence patient treatment and care. Cultural awareness involves an in-depth self-examination of one's own background, recognizing biases, prejudices, and assumptions about other people. Cultural encounters provide cross-cultural interactions that create opportunities to learn about other cultures and develop effective intercultural communication. Cultural knowledge helps the nurse obtain sufficient comparative knowledge of values, health beliefs, care practices, worldview, and bicultural ecology commonly found within each group.

p. 105

1, 2, 3, 4, 5

Cultural competence consists of five components: cultural awareness, cultural knowledge, cultural skills, cultural encounters, and cultural desires. Cultural awareness refers to an in-depth self-examination of one's beliefs to help recognize biases, prejudices, and assumptions. Cultural knowledge involves obtaining adequate information about cultural groups. Cultural skills allow a person to assess social, cultural, and biophysical factors that affect treatment and care of patients. Cultural encounters involve engaging in cross-cultural interactions that provide information about other cultures. Cultural desire refers to the motivation and commitment to build on cultural similarities. Cultural difference is not a component of cultural competence.

STUDY TIP: When recalling the components of cultural competence, use the mnemonic "ASK ED." Each letter represents one of the five components of cultural competence: A= awareness; S = skills; K = knowledge; E = encounters; and D = desires.

pp. 104-105

1. To provide care to fit with a patient's own values, beliefs, and traditions

The goal of transcultural nursing is to provide care to fit with the patient's own values, beliefs, and traditions. Cultural awareness is required to recognize biases, prejudices, and assumptions about other people. Cultural skill helps to assess social, cultural, and biophysical factors that influence patient treatment and care. Cultural desire involves the motivation to learn from others, accept the role as a learner, and be open to and accepting of cultural differences.

p. 103

What is required in the delivery of culturally congruent care?

Providing culturally congruent care involves applying knowledge of how culture influences one's health beliefs, health practices, and communication patterns at each stage of the nursing process.

Which nursing actions are required for providing culturally congruent care?

Culturally Competent Care in Nursing Acquiring knowledge of various cultural practices and views of the world. Developing communication skills to promote and achieve interaction among cultures. Ensuring a positive attitude is displayed toward differences and various cultures.

What is culturally congruent care?

Culturally-congruent care can occur when the provider and client levels fit well together. It is the process through which providers and clients create an appropriate fit between professional practice and what patients and families need and want in the context of relevant cultural domains.

What characterizes culturally congruent care quizlet?

The goal of transcultural nursing is to provide culturally congruent care; care that fits a person's life patterns, values, and set of meanings (in line with a person's values).