Concepts such as partnership, collaboration, empowerment, and facilitation now form the basis for community-based nursing practice

Community-Based Settings #1

An understanding of culture and cultural concepts contributes to the nurse’s knowledge and facilitates culturally competent nursing care in community-based settings.

Nurses are moving from acute care to community-based settings.

Save your time – order a paper!

Get your paper written from scratch within the tight deadline. Our service is a reliable solution to all your troubles. Place an order on any task and we will take care of it. You won’t have to worry about the quality and deadlines

Order Paper Now

Copyright © 2016 Wolters Kluwer • All Rights Reserved

2

Community-Based Settings #2

Concepts such as partnership, collaboration, empowerment, and facilitation now form the basis for community-based nursing practice with individuals, families, and aggregates in the community.

An aggregate is a collection of people who can be thought of as a whole simply because they happen to be in the same place at the same time.

Copyright © 2016 Wolters Kluwer • All Rights Reserved

3

Community-Based Settings #3

Community-based collaborative action research (CBCAR) is an approach for nurses to partner with communities to address health issues.

Care that is not congruent with the client’s value system is likely to increase the cost of care because it compromises quality and inhibits access to services.

Copyright © 2016 Wolters Kluwer • All Rights Reserved

4

Overview of Culturally Competent Nursing Care in Community Settings

The use of cultural knowledge in community-based nursing practice begins with a careful assessment of clients and families in their own environments.

Cultural data are discussed with the client and family to develop mutually shared goals.

Nurses must take into account the diverse cultural factors that will motivate clients to make successful changes in lifestyle and behavioral modifications.

Copyright © 2016 Wolters Kluwer • All Rights Reserved

5

A Transcultural Framework

Cultural/social/ecological approach:

Nursing focus is on the community as client.

A cultural/social/ecological framework facilitates a view of the community as a complex collective yet allows for diversity within the whole.

Assists the nurse to identify values and cultural norms of a community.

Copyright © 2016 Wolters Kluwer • All Rights Reserved

6

Question #1

Is the following statement true or false?

The goal of practicing in a culturally sensitive manner is to provide care that the client, family, and health care providers are in agreement with.

Copyright © 2016 Wolters Kluwer • All Rights Reserved

7

Answer to Question #1

True

Rationale: The use of cultural knowledge in community-based nursing practice begins with a careful assessment of clients and families in their own environments. Cultural data that have implications for nursing care are selected from clients, families, and the environment during the assessment phase and are discussed with the client and family to develop mutually shared goals.

Copyright © 2016 Wolters Kluwer • All Rights Reserved

8

Cultural Issues in Community Nursing Practice #1

Cultural influences on individuals/families:

Family roles, communication, decision making

Health beliefs/practices, alternative therapies

Patterns of daily living

Social networks

Copyright © 2016 Wolters Kluwer • All Rights Reserved

9

Cultural Issues in Community Nursing Practice #2

Cultural influences on individuals/families (cont.):

Identification with a cultural group, language

Nutritional practices

Religious preferences

Culturally appropriate behavior styles

Copyright © 2016 Wolters Kluwer • All Rights Reserved

Cultural Issues in Community Nursing Practice #3

Cultural factors within communities:

Influence of demographics on health care; the United States is more diverse; morbidity/mortality rates

Subcultures in the United States and diversity within them

Refugee and immigrant populations, asylees

Dinka community

Copyright © 2016 Wolters Kluwer • All Rights Reserved

11

Cultural Issues in Community Nursing Practice #4

Copyright © 2016 Wolters Kluwer • All Rights Reserved

12

Cultural Issues in Community Nursing Practice #5

Cultural factors within communities (cont.):

Maintenance of traditional cultural values and practices, assimilation, acculturation, integration

Access to health and nursing care for diverse cultural groups :

Economic status

Discriminatory factors

Geographic location

Copyright © 2016 Wolters Kluwer • All Rights Reserved

Question #2

Is the following statement true or false?

Assimilation and acculturation can be defined as the process by which individuals shed their traditional culture and lifestyle and embrace and adapt to their new culture—something all successful immigrants and refugees experience.

Copyright © 2016 Wolters Kluwer • All Rights Reserved

14

Answer to Question #2

False

Rationale: The terms assimilation and acculturation refer to ways in which immigrants and refugees adapt and change over time. These terms may imply giving up one’s traditional culture for the dominant culture. Integration, incorporating some aspects of the new culture while maintaining cultural traditions and values, may better describe a successful immigrant or refugee experience.

Copyright © 2016 Wolters Kluwer • All Rights Reserved

15

Assessment of Culturally Diverse Communities #1

The community nursing assessment often focuses on a broad goal, such as improvement in the health status of a group of people.

Copyright © 2016 Wolters Kluwer • All Rights Reserved

16

Assessment of Culturally Diverse Communities #2

Basic Principles of Cultural Assessments:

1. All cultures must be viewed in the context in which they have developed.

2. The meaning and purpose of the behavior must be interpreted within the context of the specific culture.

3. There is such a phenomenon as intracultural variation.

Copyright © 2016 Wolters Kluwer • All Rights Reserved

17

Assessment of Culturally Diverse Communities #3

Cultural competence in health maintenance and health promotion:

Cultural competence in community settings begins with anticipatory planning.

Cultural sensitivity, the ability to be aware of the needs and emotions of others, is essential to meeting health needs that exist within diverse cultural groups.

Copyright © 2016 Wolters Kluwer • All Rights Reserved

18

Assessment of Culturally Diverse Communities #4

Cultural competence in health maintenance and health promotion (cont.):

Requires knowledge about:

Family systems

Coping behaviors

Lifestyle practices

Copyright © 2016 Wolters Kluwer • All Rights Reserved

Assessment of Culturally Diverse Communities #5

Cultural competence in primary, secondary, and tertiary preventive programs:

The major aim of community-based preventive programs is to reduce the risk for the population at large, rather than to prevent illnesses in specific individuals.

In their daily practice, community nurses are often involved in activities related to all three levels of prevention.

Copyright © 2016 Wolters Kluwer • All Rights Reserved

20

Assessment of Culturally Diverse Communities #6

Cultural Competence in primary, secondary, and tertiary preventive programs (cont.):

Primary—prevent the occurrence of an illness, disease, or health risk

Secondary—early diagnosis and appropriate treatment of a condition or disease

Tertiary—rehabilitation and the prevention of recurrences or complications

Copyright © 2016 Wolters Kluwer • All Rights Reserved

21

Question #3

The community health nurse should target certain high-risk behaviors for change during pregnancy, such as smoking, using drugs, consuming alcohol, and maintaining poor nutritional habits. Which of the following levels of prevention does this demonstrate?

Primary

Secondary

Tertiary

Assessment

Copyright © 2016 Wolters Kluwer • All Rights Reserved

22

Answer to Question #3

A. Primary

Rationale: A program of primary prevention would focus on preventing infant morbidity and mortality and other health problems in mothers and their infants.

Early prenatal care may enhance pregnancy outcome and maternal health by assessing risk, providing health advice, and managing chronic and pregnancy-related health conditions.

Copyright © 2016 Wolters Kluwer • All Rights Reserved

23

 

Our website has a team of professional writers who can help you write any of your homework. They will write your papers from scratch. We also have a team of editors just to make sure all papers are of HIGH QUALITY & PLAGIARISM FREE. To make an Order you only need to click Ask A Question and we will direct you to our Order Page at WriteDemy. Then fill Our Order Form with all your assignment instructions. Select your deadline and pay for your paper. You will get it few hours before your set deadline.

Fill in all the assignment paper details that are required in the order form with the standard information being the page count, deadline, academic level and type of paper. It is advisable to have this information at hand so that you can quickly fill in the necessary information needed in the form for the essay writer to be immediately assigned to your writing project. Make payment for the custom essay order to enable us to assign a suitable writer to your order. Payments are made through Paypal on a secured billing page. Finally, sit back and relax.

Do you need an answer to this or any other questions?