Registered Nurse Awareness of Culture

Initial discussion board question. Discuss an encounter and provide a developmental framework with a patient whereby you had to readjust your schema to consider culture. Reply to the post below, do not refute the post, just add additional information to build upon their discussion. I was born in Africa, I have always been aware of others’ culture and its effect on one’s perception of life and life events. Health and health-related issues are not different. I have always believed that one’s culture should not have a negative impact on their life. I have always made a point to be culturally sensitive and being culturally competent as a human being and as a provider. As a foreign born, it is very difficult to adjust to life in other countries. In reverse the fact that I understand that all people value their culture allows me to be able to place myself in their shoes when they come to see me. I know they don’t want my culture to impact their treatment and care. I agree with that sentiment and I share that sentiment. I would not want the fact that I am foreign-born to affect the care that I receive. According to Corey (2013) the best conceptual framework for cultural competence is by Sue, Arredondo, and McDavis in 1996. It involves three areas of competencies: beliefs and attitude, knowledge, and skill. I do agree with this particular framework. Martin, Parker, and Mugambi (2019) have identified another conceptual framework for cultural competence that has five components of cultural competence: desire, awareness, encounter, knowledge, and skill. Cultural desire is the HCP’s mental attitude in developing cultural competence. Cultural awareness is self-awareness of personal biases. Cultural encounters occur within the healthcare interaction. Cultural knowledge is understanding the worldview of the patient based on knowledge of cultural norms. Cultural skill is the ability to conduct a culturally sensitive history, physical exam, and plan of care. I also like this framework. I have the desire, I have the possibility of meeting patients, I have self-awareness, I try to understand others’ worldview but in my opinion it does not matter if I don’t understand it because I respect it. I have the cultural skill to take care of my patients. Beliefs and knowledge: I ensure that my personal biases, values, or problems will not interfere with my ability to work with patients whose culture are different from mine. If I didn’t have cultural self-awareness and sensitivity to my own heritage I don’t think I could be an effective provider. Knowledge: I have to know my heritage and know how it affects me to keep it in check. I respect my patients’ religious and spiritual beliefs and values. I don’t have to agree with those beliefs and values but I respect them. Skill: in all case therapeutic relationship is important, but it is even more important in the cases involving culturally diverse patients because I have to adapt and modify the plan of care to accommodate cultural differences. I am always open to learn about others’ cultures because I would want my providers do to the same.

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