Providing culturally safe and sensitive care is an important component of patient-centered care. It is care that meets the social and cultural needs of diverse patient populations. Show
An essential first step before learning about other cultures is an awareness of one’s own beliefs, biases, values and cultural practices. This self-understanding and reflection will support you in creating a practice environment that is sensitive and adaptive to patients' cultural differences.[1] Part of our commitment to diversity, equity and inclusion is to strengthen nurse’s awareness and competence of culturally safe and sensitive care. This includes integrating accountabilities that incorporates the Ontario Human Rights Code and recommendations in the Truth and Reconciliation Commission Report into our entry-level competencies and nursing practice standards and guidelines. The journey to understanding diversity, equity and inclusion to support culturally safe and sensitive care, is one of learning and unlearning. We encourage nurses to reflect on where they are at in their journey, identifying learning needs and take steps to support their learning or unlearning to make long-term changes. What’s next on our journeyCNO is currently working to modernize its practice standards to reflect the evolving health care needs of patients. Part of this work is to ensure modern standards reflect the principles of diversity, equity and inclusion. There will be opportunities for input in the development of culturally safe and sensitive care accountabilities. Here are some resources that can help in this journey of learning and unlearning. CNO will continue to add to this collection as additional resources become available. Other resources
[1] Brooks, L. A., Manias, E., & Bloomer, M. J. (2018, October 12). Culturally sensitive communication in healthcare: A concept analysis. Collegian. Retrieved March 14, 2022, from https://www.sciencedirect.com/science/article/pii/S1322769617303153 Page last reviewed March 30, 2022Choose correct answer/s C Hispanic/Latino ethnicity
D Family history of diabetes Check answer Choose correct answer/s A Improve public transportation to the clinic. B Update equipment and supplies at the clinic. C Obtain low-cost medications for clinic patients. D Teach clinic staff about Hispanic health beliefs. Check answer Choose correct answer/s B Number of health food stores C Most common causes of death D Education level of the individuals Check answer Choose correct answer/s A Avoid asking questions unless the patient initiates the conversation. B Ask the patient whether it is important that cultural healers are contacted. C Explain the usual hospital routines for meal times, care, and family visits. D Obtain further information about the patient's cultural beliefs from a family member. Check answer Choose correct answer/s A Avoid eye contact with the patient. B Observe the patient's use of eye contact. C Look directly at the patient when interacting. D Ask a family member about the patient's cultural beliefs. Check answer Choose correct answer/s A The nurse explains the 0 to 10 intensity pain scale. B The nurse asks the patient when the headaches started. C The nurse sits down at the bedside and closes the privacy curtain. D The nurse calls for a male nurse to bring a hospital gown to the room. Choose correct answer/s A Talk slowly so that each word is clearly heard. B Speak loudly in close proximity to the patient's ears. C Repeat important words so that the patient recognizes their significance. D Use simple gestures to demonstrate meaning while talking to the patient. Choose correct answer/s A Encourage the use of diagnostic procedures. B Coordinate the use of folk treatments with ordered medical therapies. C Ask the patient to discontinue the cultural treatments during hospitalization. D Teach the patient that folk remedies will interfere with orders by the health care provider. Choose correct answer/s A Insist family members provide most of the patient's personal care. B Maintain a personal space of at least 2 feet when assessing the patient. C Ask permission before touching a patient during the physical assessment. D Consider the patient's ethnicity as the most important factor in planning care. Choose correct answer/s A Remind the nurse that family support is important to this family and patient. B Have the nurse explain to the family that too many visitors will tire the patient. C Suggest that the nurse ask family members to leave the room during patient care. D Ask about the nurse's personal beliefs about family support during hospitalization. Choose correct answer/s A Include a shaman when planning the patient's care. B Avoid direct eye contact with the patient during care. C Ask the patient about any special cultural beliefs or practices. D Involve the patient's oldest son to assist with health care decisions. Choose correct answer/s A Interview a family member instead. B Wait for the patient to answer the questions. C Remind the patient that you have other patients who need care. D Give the patient an assessment form listing the questions and a pen. Choose correct answer/s A Obtain less expensive medications. B Follow evidence-based practice guidelines. C Assist with dietary changes as the first action. D Teach about the impact of exercise on diabetes. Choose correct answer/s A Ask the patient what treatments are likely to help. B Massage the patient's abdomen until the pain is gone. C Administer prescribed medications to decrease the cramping. D Offer to contact a curandero(a) to make a visit to the patient. Choose correct answer/s A Request an interpreter before interviewing the patient. B Wait until a family member is available to help with the assessment. C Ask the patient about any affiliation with a particular cultural group. D Tell the patient what the nurse already knows about the patient's culture. Choose correct answer/s A Initiate a regular home-visit program by nurses working at the clinic. B Schedule teaching sessions about low-salt diets at community events. C Assess the perceptions of community members about the care at the clinic. D Obtain low-cost antihypertensive drugs using funding from government grants. Choose correct answer/s A Use an electronic translation application. B Use a telephone-based medical interpreter. C Wait until an agency interpreter is available. D Ask the patient's teenage daughter to interpret. E Use exaggerated gestures to convey information. What is the first action the nurse should consider when conducting a cultural assessment?As a component of cultural assessment, the nurse should seek to understand the cultural lens through which the client may understand health promotion.
Which step will the nurse take first to develop cultural competence?Becoming more aware of your biases and attitudes about human behavior is the first step in providing patient-centered care, leading to culturally competent care.
Which step will the nurse take first to develop cultural competence quizlet?The first step in providing culturally competent care is to understand ones own beliefs and values related to health and health care. Asking the nurse about personal beliefs will help achieve this step.
What is the first step in obtaining an accurate cultural assessment of a client?The first step in cultural assessment is to learn about the meaning of the illness of the patient in terms of the patient's unique culture. Table 15 shows questions to ask during a cultural assessment.
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When performing a cultural assessment with a patient of a different culture the nurses first action should be to?
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