June 14, 2008
In order to deliver nursing care to different cultures, nurses are expected to understand and provide culturally competent health care to diverse individuals. Culturally competent care is tailored to the specific needs of each client, while incorporating the individual’s beliefs and values (Stanhope & Lancaster, 2006, p. 90). By being culturally competent, nurses are able to help improve health outcomes by using cultural knowledge and specific skills in selecting interventions that are specific to each client (Stanhope & Lancaster). Therefore, nurses “should perform a cultural assessment on every client with whom they interact with” (Stanhope & Lancaster, 2006, p. 90) to help understand client’s perspectives of health and illness and discuss culturally appropriate interventions. In this paper, the author will demonstrate how nurses can utilize a cultural heritage assessment tool to help develop a cultural competent nursing care plan, which can be referred to in Appendix A and B. By culturally assessing client, nurses will be able to identify the needs of culturally diverse individuals and find out if what's important to the culture is really important to the person in terms of specific health needs. Introduction
In order to deliver nursing care to different cultures, nurses are expected to understand and provide culturally competent health care to diverse individuals. Nurses must find out about people’s traditions, ways of life, and beliefs about health care so that the appropriate interventions can be planned and implemented to produce culturally positive health outcomes (Stanhope & Lancaster, 2006). By being aware of the client’s cultural beliefs and knowing about other cultures, “nurses may be less judgmental, more accepting of cultural differences, and less likely to engage in the behaviors that inhibit cultural competence” (Stanhope & Lancaster, 2006, p. 84). Most importantly, nurses must listen to the client’s perceptions of problems and work together to develop suggestions and recommendations for managing those problems. Therefore, cultural assessments tools have been developed and are available to help assist nurses integrate “professional knowledge with the client’s knowledge and practices to negotiate and promote culturally relevant care for a specific client” (Stanhope & Lancaster, 2006, p. 82). Part I: Cultural Assessment of Client
A cultural nursing assessment is recognized as a “systematic way to identify the beliefs, values, meanings, and behaviors of people while considering health history, life experiences, and the social and physical environments in which people live” (Stanhope & Lancaster, 2006, p. 85). For this reason, cultural assessments are an essential component in providing quality care to diverse individuals of different cultures. For this reason, the author used the cultural heritage assessment tool to help assess the ethnic culture of Mrs. P. Referring to Appendix A, the outline shows the interview questions and answers collected by the author per Mrs. P. Reassuring the confidentiality of the client’s interview, utilization of the cultural heritage assessment tool enabled the author to gather, classify, and analyze the culture of an American Hindu Indian. Brief History of Ethnic and/or Racial Origins
The client evaluated by the author was a 35 year old female named Mrs. P who lives in Poway, California. The immediate family composition consists of a wife and a husband who just recently got married. In regards to the client’s cultural background, the ethnic culture that Mrs. P identified with was an American Hindu Indian. Born and raised in Poway, California, Mrs. P’s father and the grandparents from the father and mother’s side were born in Punjab, India, while the mother was born in Utter Pradesh, India. Coming from India, the client’s parents has lived in the United States for 14...