Accommodating culture and cultural diversity in online teaching
At the core of both patient centeredness and cultural competence is the importance of seeing the patient as a unique person.For the purpose of this article, cultural competence is viewed as an expansion of patient-centered care.More specifically, cultural competence can be seen as a necessary set of skills for nurses to attain in order to render effective patient-centered care.However, a vexing question remains, “How does the nurse deliver patient-centered care when the patient’s health beliefs, practices, and values are in direct conflict with medical and nursing guidelines?Finally, the nurse works to negotiate a treatment plan, recognizing that it may be beneficial to incorporate selected aspects of the patient’s culture into the patient-centered plan. Sue, D., Bernier, J., Durran, A., Feinburg, L., Pedersen, P., Smith, C., & Vasquez-Nuttall, G. Levine, Like, and Gottlieb (2000) put forward still another mnemonic tool called ETHNIC. Unequal treatment: Confronting racial and ethnic disparities in health care.
If the patient cannot offer an explanation, the nurse can ask what most concerns the patient about the problem. Antecedents to Effective Treatment of Hypertension in Hispanic Populations. ” The purpose of this article is to provide nurses with a set of culturally competent skills that will enhance the delivery of patient-centered care in the midst of a cultural conflict.I will begin by offering a conceptual framework for cultural competence and a description of the cultural skill needed to formulate a mutually acceptable and culturally relevant treatment plan for each patient. Vol16No02Man05 Key words: cross-cultural care, cross-cultural conflict, cultural assessment, cultural competence, cultural conflict, cultural differences, cultural encounters, cultural interactions, cultural skill, patient-centered care, patient centeredness Betancourt, Green, Carrillo, and Park (2005) have asserted that one of the factors leading to the emergence of cultural competence and patient-centered care as important issues in healthcare delivery was the publication of two landmark Institute of Medicine (IOM) reports — Crossing the Quality Chasm (IOM, 2001) and Unequal Treatment (Smedley, Stith, & Nelson, 2003), which highlighted the importance of patient-centered care and cultural competence.Kleinman (1980) emphasized the importance of obtaining patients’ explanations of their illness.He referred to this as the patient’s explanatory model.
The literature is saturated with cultural assessment tools, frameworks, and mnemonics that can assist nurses in conducting a cultural assessment.