Cultural Competency and Cultural Humility in Nursing Practice

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Cultural Competency and Cultural Humility in Nursing Practice
Lisa Watson
UMASS Boston Online
Professional Issues in Nursing
NU 360
Ms. Carol Moran
November 08, 2012
Abstract

You may not like how the Presidential election turned out, but the victory of the Democrats was won partly by focusing on going after the Hispanic vote. The Hispanic population who voted for President Obama put him over the top to win. Hispanics identified with Obama. Somehow, he made a connection with this culture. Nursing can use that lesson to improve cultural sensitivity and provide respectful care of our numerous cultures. Every American makes up this country regardless of heritage. This country was built from immigrants from all over the world. America is referred to as “the melting pot.” The diversity of American culture continues to grow. Each patient a nurse interacts with is important, regardless of the color of their skin, the language they speak or the cultural traditions they follow. The diversity of America’s population continues to increase. The challenges of providing cultural sensitivity to a multi cultural America is an important variation healthcare organizations must be aware of. In an attempt to standardize terms and concepts to explain cultural competency to student nurses, the Purnell Model was developed by Larry Purnell, PhD. The Purnell model is a guide to adapting care that takes into account the diversity of beliefs from a variety of cultures. It is based on multiple theories and research. A circular schematic was developed that contains 12 domains (pieces of pie) or considerations. They include and represent the person’s: heritage, language, family roles, issues in workforce, bio cultural ecology, high risk behaviors, nutrition, pregnancy, death rituals, spirituality, health care practices and health care providers. Within the 12 domains it addresses: sociology, psychology, anatomy and physiology, biology, ecology, nutrition,



References: American Association of Colleges of Nursing (AACN) and Commission on Collegiate Nursing Education. (2003). Accreditation Standards. Retrieved November 8, 2012 from http:// www.aacn.nche.edu. Dictionary.com. Dictionary.com, n.d. Web. 09 Nov. 2012. . Horace, E., (2012). Mental Health Disparities in the Older Afro-Caribbean Population Living in the United States: Cultural and Practice Perspectives for Mental Health Professionals. Journal of Psychosocial Nursing, 50, 37-44. Levi, A. (2009). The Ethics of Nursing Student International Clinical Experiences. The Association of Women’s Health, Obstetric and Neonatal Nurses, JOGNN, 38, 94-99: 2009. DOI: 10.1111/j.1552-6909.2008.00314x. Purnell, L. (2002). The Purnell Model for Cultural Competence. J.Transcult Nursing 2002, 13: 193. DOI: 10.1177/10459602013003006. Roux, G., & Halstead, J. A. (2009). Issues and Trends in Nursing: Essential Knowledge for Today and Tomorrow. Sudbury, MA: Jones and Bartlett Publishers Tervalon, M., Murray-Garcia, J.(1998). Cultural humility versus cultural competence: A critical distinction in Defining Physician Training Outcomes in Multicultural Education. Journal of Health Care for the Poor and Underserved; May 1998, 9, 2; 117-125.

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