Emerging Standards of CareEmerging Standards of CareEmerging standards of care encompass culturally competent nursing care, including a basic definition of cultural competence, populations most vulnerable, how to implement standards of care and the impact of care given. These will be addressed in reference to care given in long term care facilities.
When reviewing definitions of cultural competence it becomes apparent that there are many ways to look at the definition which ranges from simple to complex. A simple definition of cultural competence is “defined as obtaining cultural information and then applying that knowledge” (Culture Diversity in Nursing, 2008). Going a step further the best definition is “cultural diversity encompasses differences in age, gender, race, ethnicity, religion, sexual orientation and ability within a population. The ability to function effectively in the context of these cultural differences or diversities is cultural competency” (Pearson, Srivastava, Craig, Tucker, Grinspun, Bajnok, Griffin, Long, Porritt, Han, & Gi, 2007).
The definitions of cultural competence are an obvious and common one used in the area of healthcare. Both the diagnostic and therapeutic criteria of cultural competence have a large body of scientific evidence and may have a wide range of potential. Thus, cultural competence in our fields has been defined as:
having high competencies in a skill or in a skill-related field
being expert in a skill-related field having high knowledge for a given subject
being skilled in a given field having knowledge about a topic or field for a given subject being skilled in a subject having knowledge about that particular topic/field for that particular field
being skilled in that particular topic/field having knowledge about that particular topic/field or field or field having knowledge about the current status of a topic/field in that particular field
Cultural competencies in healthcare will be discussed in more detail later.
The second concept discussed in this piece is:
The extent to which cultural competence in healthcare is applied to a problem related to, or is an integral part of, health. A new term was coined for this concept in 1996 by the author Mihai Tiwari. This new term, derived from a recent study, used the term cultural competence to describe a certain level of proficiency which may be derived from the skill-level to which cultural competence relates. This new term is called cultural competence/Cultural Competency.
So, cultural competency in healthcare is usually based on expertise in a specific occupational field because the person is knowledgeable about a particular particular specialty or field and that person is able to perform a specific part of that skill; or else, the person is prepared to perform specific parts of that specialty or field.
The cultural competency criteria were developed to assess whether a given individual uses the specific cultural skills in that particular field. In this section, however, we shall focus on “cultural competencies” which are identified through cross-references. Cultural competencies are defined as: (1) obtaining the ability, practice, or competence to perform the job or function in which the individual seeks the employment or is qualified for doing so; or else, (2) being competent in a particular field to perform that function, or to carry out that job or function, through a specific training, practice, or skill-related field; or (3) being competent in a particular occupational field to carry out that particular job or function through a specific training, practice, or skill-related field.
These cultural competencies are usually referred to as the cultural competence criteria.
The purpose of the criteria is to evaluate a person’s ability and competencies in a specific field through an examination of their culture. Generally, there are several cultural competencies mentioned in this definition. The cultural competence criteria are the criteria which identify a cultural competence in some field of the health care system,
The definitions of cultural competence are an obvious and common one used in the area of healthcare. Both the diagnostic and therapeutic criteria of cultural competence have a large body of scientific evidence and may have a wide range of potential. Thus, cultural competence in our fields has been defined as:
having high competencies in a skill or in a skill-related field
being expert in a skill-related field having high knowledge for a given subject
being skilled in a given field having knowledge about a topic or field for a given subject being skilled in a subject having knowledge about that particular topic/field for that particular field
being skilled in that particular topic/field having knowledge about that particular topic/field or field or field having knowledge about the current status of a topic/field in that particular field
Cultural competencies in healthcare will be discussed in more detail later.
The second concept discussed in this piece is:
The extent to which cultural competence in healthcare is applied to a problem related to, or is an integral part of, health. A new term was coined for this concept in 1996 by the author Mihai Tiwari. This new term, derived from a recent study, used the term cultural competence to describe a certain level of proficiency which may be derived from the skill-level to which cultural competence relates. This new term is called cultural competence/Cultural Competency.
So, cultural competency in healthcare is usually based on expertise in a specific occupational field because the person is knowledgeable about a particular particular specialty or field and that person is able to perform a specific part of that skill; or else, the person is prepared to perform specific parts of that specialty or field.
The cultural competency criteria were developed to assess whether a given individual uses the specific cultural skills in that particular field. In this section, however, we shall focus on “cultural competencies” which are identified through cross-references. Cultural competencies are defined as: (1) obtaining the ability, practice, or competence to perform the job or function in which the individual seeks the employment or is qualified for doing so; or else, (2) being competent in a particular field to perform that function, or to carry out that job or function, through a specific training, practice, or skill-related field; or (3) being competent in a particular occupational field to carry out that particular job or function through a specific training, practice, or skill-related field.
These cultural competencies are usually referred to as the cultural competence criteria.
The purpose of the criteria is to evaluate a person’s ability and competencies in a specific field through an examination of their culture. Generally, there are several cultural competencies mentioned in this definition. The cultural competence criteria are the criteria which identify a cultural competence in some field of the health care system,
Delivering effective nursing care is becoming important in a world that is becoming smaller through global migration. Due to this migration nurses need to understand the many cultures around them. The United States has always been known as a melting pot but realistically the United States now is “in fact a pluralistic nation one in which multiculturalism and cultural diversity prevail” (“Promoting culturally competent Nursing Education,” 1993). Wither you are taking care of a person in a certain culture or working alongside someone who has a different culture then the surrounding area, different norms and standards will apply.
In providing care the nurse needs to promote social justice for all. The principles of social justice guide the nurses decisions related to the patient, family, community and others that the nurse works with or comes in contact with. Nurses also need to engage in reflection and be critical of their own values and beliefs and how these will impact the care that they give. This is not always easy as nurses often do not reflect on their own feelings and how these feelings can overshadow the care that is given. It is imperative that nurses be educated in transcultural nursing as many beliefs of people can affect the healing process.
The nurse needs to be aware of the cultural groups in the area that they are working with. In the southwestern states it is often the Spanish speaking clients. In the Midwest it is often the American Indian Population. In the southeast there are the Cuban and south pacific populations. There are also behavioral populations to consider. With more and more people coming out it is the gay and lesbian population that brings new challenges to the health care field. If you are working in a Catholic hospital it is the view points of the hospital along with