Cultural Awareness
NU1103 https://www.youtube.com/watch?v=LHey3FIyujQ
https://www.youtube.com/watch?v=Yc6T9iY9SOU
What to expect from this session
To understand the term ‘culture’ in relation to health
care
To explore the influence of culture in relation to ourselves
& how this may influence the care we provide for others
To be introduced to and understand the term ‘cultural
competence’
https://www.youtube.com/watch?v=jAsh3Kwr2YA
What comes to mind when you think
about the word culture?
Define Culture
‘Culture is a fuzzy set of basic assumptions and values, orientations to life,
beliefs, policies, procedures and behavioural conventions that are shared
by a group of people, and that influence(but do not determine) each
member’s behaviour and his/her interpretations of the ‘meaning’ of other
people’s behaviour.’
Spencer-Oatey (2008)
‘... the set of attitudes, values, beliefs, and behaviors shared by a group of
people, but different for each individual, communicated from one
generation to the next.’
Matsumoto (1996)
Terminology
Diversity
Race
Ethnicity
Cultural variations
https://www.youtube.com/watch?v=u2a9OP3_-U0
“the systematic neglect of culture in health and health
care is the single biggest barrier to the advancement of
the highest standard of health worldwide”
Napier, Ancarno, Butler, Calabrese, Charter & Chatterjee
(2014)
Barriers to health Promotion/prevention
Cultural competence
‘awareness, attitudes, knowledge and skills necessary for providing quality
care to diverse populations, is vital to a health care workforce that can
practice effectively in today’s society’
AACN (2008)
Cross, Bazron, Dennis, & Isaacs (1989) define cultural competence as
"a set of congruent behaviors, attitudes, and policies that come together in a
system, agency, or amongst professionals and enables that system, agency or
those professionals to work effectively in cross-cultural situations"
A Model of Care
The Process of Cultural Competence in the Delivery of Healthcare Services
Model is a model of cultural competence that defines cultural
competence as
"the process in which the nurse continuously strives to achieve the ability and
availability to effectively work within the cultural context of a client individual,
family or community"
Campinha-Bacote (1998)
Cultural
awareness
Cultural Cultural
desire knowledge
Cultural
competence
Cultural
Cultural skill
encounter
Planning Strategies/services
Who makes up our local communities?
What do the statistics tell us?
What questions should we be asking
Better collaboration between service providers & communities
Ensuring services are community based
Culturally sensitive
Raise awareness of availability of screening
Assessment
Shared
Decision
Ethics Making
Clinical
management
Partnership
working
Transcultural Nursing
Health Action Transition Model
Promoting healthy lifestyles
Tailor HP to the specific needs and individual resources of the relevant
patient or patient group
Acknowledge diversity
Empower & motivate patients to take the initiative for their own health &
wellbeing
Actively involve patients in any lifestyle programmes that are developed
Design health advice around existing evidence and proven techniques
Interdisciplinary team working
Publicise health and lifestyle related activities – highlight the benefits of
participation
Safeguarding
Children
Vulnerable adults
Patient focused care
Don’t make assumptions
Challenge
https://www.gov.uk/guidance/vulnerable-migrants-migrant-health-guide
References
Rankin, S.H., & Stallings, K.D. (1996). Patient Education: Issues, Principles,
Practices, 3rd ed. Philadelphia: Lippincott-Raven, 69.
Mc Laughlin, L., & Braun, K. (1998). „Asian and Pacific Islander cultural
values: Considerations for health care decision-making.“ Health and Social
Work, 23 (2), 116-126.
Campinha-Bacote, J. (2002) The Process of Cultural Competence in the
Delivery of Healthcare Services: A Model of Care. Journal of Transcultural
Nursing, Vol. 13 No. 3, July 2002 181-184 2002 Sage Publications
Seedat, F., Hargreaves, S., & Friedland, J. S. (2014). Engaging new migrants
in infectious disease screening: A qualitative semi-structured interview study
of UK migrant community health-care leads. PLoS One, 9(10), e108261.
doi:http://dx.doi.org/10.1371/journal.pone.0108261
Ludwig, A. F., Cox, P., & Ellahi, B. (2011). Social and cultural construction of
obesity among Pakistani Muslim women in North West England. Public
Health Nutrition, 14(10), 1842-50.
doi:http://dx.doi.org/10.1017/S1368980010003472
Napier A.D., Ancarno C., Butler B., Calabrese J., Chater A., Chatterjee H. et
al. (2014). Culture and health. Lancet, 384(1) 607–39.
