08.07 Cultural Awareness and Influences

 1 Minute Limit
Your access is limited to the first minute of video. Start a $1 trial to watch the full video.
Print

Overview

  1. Cultural awareness and influences
    1. What is culture?
    2. Cultural awareness
    3. Culturally sensitive events

Nursing Points

General

  1. What is culture?
    1. Values, beliefs, feelings
    2. Includes
      1. Thoughts
      2. Communication
      3. Action
      4. Customs or traditions
      5. Beliefs/Religion
    3. Excludes
      1. Race
      2. Ethnicity
      3. Geographical roots
  2. Cultural Awareness
    1. Being sensitive to cultural values
    2. Cater to specific needs
      1. As long as care isn’t impacted
    3. Don’t attempt to change culture or beliefs
    4. Don’t assume anything about culture
    5. Spend time becoming culturally competent
  3. Culturally sensitive events
    1. End of life
      1. May need specific chaplain
    2. Post mortem care
      1. May include specific traditions
    3. Surgery
      1. Consider beliefs
    4. Meals
    5. Prayer
      1. Be sensitive to religious requests

Nursing Concepts

  1. Human Development
  2. Health Promotion
  3. Interpersonal Relationships

Patient Education

  1. Educate patient based on their needs
    1. Explain the importance of the intervention
    2. Discuss with the patient of any conflict the intervention may have with their culture, beliefs or tradition
    3. Patient always maintains the right to refuse care

Reference Links

NRSNG is the BEST place to learn nursing. Save 4+ hours of studying per week.

Start a 24 hour full access trial for just $1.

Start NRSNG Academy Trial

Video Transcript

In this lesson we’re going to talk about cultural awareness and what it means for you and your patients.

As nurses we need to understand what culture is and how it affects our patients. Culture is the idea of values, beliefs or feelings that people have, and they’re often influenced by customs, traditions, arts, music, food…there’s a lot that goes into culture.

Let’s talk about culture does include and what it doesn’t include.

First off, it includes thoughts, communication that people within the same culture have. It also includes actions, customs, traditions beliefs or religion. They’re influenced by the history of the family or group. What culture does not includes are things like race, ethnicity, and geographical roots, so where the patient’s family may have lived a long time ago. These things can influence the beliefs or culture or religion, but they don’t define them.

The reason you need to know the difference is so that you don’t make assumptions about a patient based strictly on their race or ethnicity. Their race or ethnicity can maybe give you some insight into their family history, but that doesn’t give you any sort of defining information about that patients family and culture. It really involves some further investigation. And we’re going to go into what it means to be culturally aware and what that means for us when we’re taking care of patients

The first thing we need to know about cultural awareness is it we need to be sensitive to cultural values. If a patient wants to pray at a particular time, or if they have special request because it is important for them because of their beliefs or traditions or values, you don’t necessarily have to understand it but you do need to be sensitive to those requests. The truth is we don’t always know everything about our patients, or what they’ve been through, or how important these values are to them, but it’s important to maintain their autonomy as patients and it’s important to make sure that we are delivering high-quality care but being aware of the patients values at the same time.

We also need to be able to cater to their needs. If a patient has a request for a specific dietary restriction, be sure not to pass judgment or to ask too many questions and be sure to use your therapeutic communication. The last thing you want to do is come off being judgmental because it could be a sign of disrespect. Remember we want to continue to build rapport and our relationships with our patience and the last thing we want to do is hinder any sort of that progress by coming off as judgmental.

We also don’t want to attempt to change their culture or beliefs. And I know sometimes it may be frustrating especially if we’re trying to deliver a particular aspect of care, but it’s important to understand that the patient still has a right. But I would definitely do is encourage you to spend time learning about the culture and becoming culturally competent. What that means is if you have a particular patient population that you are unfamiliar with that you are seeing a lot of in your particular facility, I encourage you to do some research, to ask questions among management and maybe Chaplin, that way they can give you some insight into how to best approach patients if you have questions. The reason you would want to do this is that you continue to be culturally sensitive, culturally aware, and you continue to build a rapport with those patients.

There are definitely going to be times when you’re really going to have to be especially sensitive to cultural needs of particular patient populations. Sometimes patients have special rituals are Traditions when it comes to end-of-life, post mortem care and even pregnancy. You need to do what you can to find out what those patients needs are, be sure not to pass judgment, and be sure not to make any assumptions. Continue to give the same standards of care that you would give to everyone else, but just make sure that if they ask for a particular item that you can provide to them, Do what you can to make them comfortable especially for these types of situations.

Sometimes surgery can also have some special considerations, like particular of preparations, or particular visitors. If that’s the case, do what you can as long as you’re hearing facility policy and you’re not violating HIPAA, then try to make your patients as comfortable as possible.

Another thing to consider would be prayer times in meals. If a patient has a particular dietary restriction, make sure that we’re being sensitive to them, and also consider prayer times. I had a patient one time whose wife had her prayer mat that she would lay and the room and pray a particular times of the day. I would just make sure that none of the doctors were coming in to make rounds, and to make sure that she wasn’t being disturbed because that was important to her as a family member.

By doing these things, we continue to be sensitive to the patient’s needs and their values, and we make sure that we’re continuing to foster that nurse-patient relationship. One thing I do want to mention, is if you are asking your patient to do something for their care that is totally against their culture, you’re going to have a hard time with compliance. So just make sure that you’re talkin to all of providers that you need to to make sure that you set your patient up for success. that may mean that you have to pull in chaplain or some other resources to figure out a way to make sure that your patient stays compliant with their treatments or intervention and also being sensitive to their needs..

Today we really focused on human development and health promotion as far as hard nursing Concepts and we also focus on building those interpersonal relationships, especially between the nurse and the patient by being culturally sensitive.

Okay so let’s recap

In order to understand how to be culturally sensitive, we have to understand what culture is. Culture is the customs, beliefs, values, or traditions for the patient that help make them who they are.

We need to focus on cultural sensitivity. Spend time learning about the other cultures, especially those patient populations that are prevalent in your hospitals or facilities.

Don’t assume things about cultures. Remove any biases or any preconceptions about a patient and ask questions if you are curious about how you can best care for your patience based on their cultural needs.

Again, there are some times that you were going to need to be particularly sensitive to tradition for values. These events are really important for those patients in the family so be aware that some life events have significant value to the patient.

Lastly be sure to cater your needs to your patients. Your patients still have the right to refuse care, but be sure to do what you can to make sure that your patient stick compliant as well as being sensitive to their values.

That’s it for this lesson. Make sure you check out all the resources attached to this lesson. Now, go out and be your best selves today. And, as always, happy nursing!!

Read more

  • Question 1 of 10

A nurse is performing postmortem care on a client who passed away. Which interventions would the nurse perform as part of viewing considerations? Select all that apply.

  • Question 2 of 10

A nurse works in the community with clients who have been diagnosed with vitiligo. The nurse knows that which cultural group is most likely to be affected by this diagnosis?

  • Question 3 of 10

A client has been diagnosed with bone cancer and is in a considerable amount of pain, leading to hospitalization. Despite the pain, the client’s cultural background causes the client to be very stoic with an absence of complaining. When the nurse asks the client about pain, the client diverts the eyes. Which of the following interventions from the nurse is most appropriate?

  • Question 4 of 10

A labor and delivery nurse is caring for a client of Middle Eastern descent who has come into the hospital to deliver her baby. The client does not speak English and has no record of prenatal care with the hospital providers. Upon initial assessment, which question should the nurse ask to perform a brief cultural assessment on this client?

  • Question 5 of 10

A client with a Hmong background who has had surgery wants to use cupping as a treatment for increased circulation to support healing. His family knows a healer with the same background who can perform the ritual. Which of the following responses from the nurse is most appropriate?

  • Question 6 of 10

A nurse is caring for a client who died about an hour ago. The family is present outside the room, waiting to view the body. Which actions would the nurse need to consider while providing postmortem care? Select all that apply.

  • Question 7 of 10

A nurse cares for many clients who are from differing cultural backgrounds. Which practice demonstrates that the nurse is practicing culturally competent care? Select all that apply.

  • Question 8 of 10

A nurse is caring for a client who just passed away 30 minutes ago. The nurse performs postmortem care and cleans the body and the client’s linens. Which best describes the purpose of postmortem care?

  • Question 9 of 10

The parents of a 13-year-old are talking with a nurse about the importance of church attendance in the life of their child. The nurse encourages the couple to continue to practice their religion to have an impact on their child. In which of the following ways would this most affect the child?

  • Question 10 of 10

A nurse has started working in a clinic where many of the clients do not speak English. While the nurse has some working knowledge of a couple of other languages beyond English, the nurse is not fluent enough to easily communicate with most of the clients. Which actions would best represent the nurse’s attempts to implement cross-cultural care in this practice setting? Select all that apply.

Module 0 – Fundamentals Course Introduction

Study Plans are available to NRSNG Academy Members only.Upgrade Now