Tabloski ch04 lecture

Gerontological NursingGerontological Nursing

CHAPTER

THIRD EDITION

Copyright © 2014, © 2010, © 2006 by Pearson Education, Inc.All Rights Reserved

Cultural Diversity

4

Gerontological Nursing, Third EditionPatricia A. Tabloski

Learning Objectives

1. Discuss the importance of the Transcultural Nursing Society Care Standards and the culturally and linguistically appropriate services (CLAS) in health care.

2. Apply the CULTURALCARE triad to the complex interrelationships of the nurse, caregiver, and patient within community and institutional (home or residential) settings.


Learning Objectives

3. Identify potential areas of conflict derived from the demographic, ethnocultural, and life trajectory variables of the people within the triad.

4. Describe the value and process of heritage and life trajectory assessments of nurses, caregivers, and patients.


Learning Objectives

5. Create a plan of care for the older adult integrating CULTURALCARE.


Introduction

• Cultural diversity affects the ability to provide safe nursing care to older adult patients.


Introduction

• The two main goals relating to the delivery of culturally competent care are:– To develop cultural and linguistic

competence by nurses and other healthcare providers.

– For healthcare organizations to understand and respond effectively to cultural and linguistic needs.


Transcultural Nursing Care Standards

• The Transcultural Nursing Society has developed 12 standards for cultural competence in nursing practice.

• These standards must be met by most healthcare-related agencies.


CULTURALCARE

• Professional nursing care that is culturally sensitive, culturally appropriate, and culturally competent.


CULTURALCARE Triad

• It is composed of three distinct populations:– Nurse– Patient– Direct caregiver


Demographic Change

• By the year 2020, it is predicted that people of color will be the majority population and the major source for population growth will be immigrants.


Table 4-1 Population by Race for the United States: 2000 and 2010Source: Humes, K. R., Nicholas, A. J., & Ramirez, R. (2011). Overview of race and

Hispanic origin: 2010. Census Briefs, p. 4. Retrieved from http://2010.census.gov/2010census/data


Nurse

• The demographic profile of professional nurses represents a demographic disparity from the overall demographic profile of the United States.


Caregiver

• In many long-term care facilities, the setting may be one in which the nurses are White, and the staff, especially the certified nurses’ aides who provide hands-on care, are people of color.


Patient

• The population of people 65 years and over has grown significantly since the 2000 census.


Major Components of a Person’s Heritage

• Culture• Ethnicity• Religion• Socialization


Ethnocultural Life Trajectories

• Changes in the past several decades have created cultural barriers that openly create misunderstandings, tensions, and often conflicts between family members, coworkers, and individuals—and between patients and caregivers—in the practice of gerontology.


Heritage Assessment Tool

• The tool that has been developed to determine how deeply a given person identifies with a traditional heritage or is acculturated into the modern, dominant culture.


Cultural Appropriateness

• The determination of culturally appropriate care is necessary so that the comfort levels of both the patient and the caregivers are met and respected.


Steps to Cultural Competency

• Steps to cultural competency:– Become aware of your own ethnocultural

heritage.– Become aware of the ethnocultural

heritage and life trajectory described by both the patient and the caregivers.

– Become aware of adaptations that the patient and caregivers made to live in the North American culture.

– Form a CULTURALCARE nursing plan.


Implementing CULTURALCARE Nursing

• Recognizing the patient’s and caregiver’s viewpoints and finding mutually agreeable solutions is required.

Documents

Tabloski ch04 lecture