Interview on Culturally Competent Nursing

Interview on Culturally Competent Nursing

Currently, existing demography changes of patients and caregivers are credited to technological inventions that have made the world into a single community. Nurses have to react to these trends by being culturally competent when providing care. The promotion of culturally competent nursing will lead to effective care and quality outcomes since caregivers will be well-placed to understand the patient’s needs. (Ozkara, 2019).

The nurse must accept and respect the patient’s culture. Cultural competence will impact nurses with attitudes, skills, and knowledge to develop a care plan that satisfies patients’ needs. (Ozkara, 2019). This paper aims to develop cultural competence by interviewing my 65-year-old Hispanic friend, whom we will call C.K. I will use the 12 questions from the Purnell Model for cultural competence (Purnell, 2020).

Overview of Heritage

I asked the patient to explain where she comes from, her current residence, education, and occupation. These social attributes are critical since they have an impact on the patient’s health and well-being. Mrs. CK narrated that her husband immigrated to this country 22 years ago to search for better opportunities as Mexico’s living conditions could not raise their four kids. C.K. is glad that her current residence is suitable as she and her husband work in a local convenience store, and their salary is enough to support her family and pay for her children’s education. She is also able to afford quality healthcare.

Communication

Communication involves both verbal and non-verbal techniques (Henderson et al., 2018). I asked Mrs. C.K. of how many languages she could speak fluently. She spoke Spanish fluently, and her English was also okay, but she had a strong Mexican accent.

Family Roles and Organization

This domain analyses social status, family roles, and how they accept alternative lifestyles (Purnell & Fenkl, 2019). C.K. was married to her husband in Mexico at a traditional wedding. She says how she loves her husband and would support him through anything. The head of a Mexican household is in charge of all decision-making and is responsible for maintaining financial stability. However, she says that they are not a traditional couple, and her husband consults her on every significant decision of the house. With regard to an alternative lifestyle, they believe that sex and pregnancy before marriage are unacceptable. They also believe that homosexualism is taboo.

Workforce Issues

This section discusses assimilation, health practices, gender roles, and how they communicate in their original country (Purnell & Fenkl, 2019). C.K. and her husband were discriminated against in the first place they worked due to how they talked and dressed. Their colleagues did not understand their religious views, and they did not like their Mexican accent. Although most of the tension has subsided since that time, they continue to experience some negativities due to their talk and religious beliefs.

Biocultural Ecology

This aspect looks into the biological and physiological variations among cultural groups (Purnell & Fenkl, 2019). Mexicans have long dark hair, a light complexion, and brown eyes. Their men grow beards. The men also wear huge hats and sharpshooters. For the women, it is customary to wear long dresses. She says that they still maintain that form of dressing. The most common disease found within her culture is diabetes.

High-Risk Behaviors

This section includes abuse and misuse of drugs, safety practices, physical activities, and preventive measures (Purnell & Fenkl, 2019). Mexicans are likely to participate in unprotected sex, disobedience to authorities, alcohol use, and illegal offenses such as shoplifting. These behaviors are present in three of her children. She is trying as hard as she can to make them better.

Nutrition

This domain mainly focuses on typical foods and rituals and nutritional deficiencies as well as shortcomings. (Purnell & Fenkl, 2019). Mexican diets primarily consist of corn-based dishes mixed with herbs, meat, rice beans, squash, and lard. Her family loves their traditional meals and prefers eating them daily to American food.

Pregnancy

This domain focuses on fertility, childbirth, and post-delivery practices (Purnell & Fenkl, 2019). Mexicans believe that pregnancy is a sacred event. Most women are told what to do due to their highly patriarchal system. Premarital sex is generally not tolerated, and sex is only for married couples. During childbirth, women go to the hospital for this. Mexicans do not use pain medications during labor. After giving birth, the parents hold a party to celebrate the birth of their newborn.

Death Rituals

Mexicans perform the acceptance of the death rituals to honor the dead. They decorate themselves with dancing skeletons, and they play instruments. These rituals are meant to trivialize people’s loss, reaffirm their beliefs in life after death, and ease grief. C.K. and her husband still practice this. Their children, however, believe that those are outdated practices.

Spirituality

Purnell’s spirituality domain pertains to traditional religious beliefs, prayer, and other religious affiliations. (Purnell & Fenkl, 2019).  Most Mexicans are Roman Catholics, while a tiny percentage make up evangelists. Ck and her family are Roman Catholics.

Healthcare Practices

This second last domain pits focus on the healthcare practices and people responsible for someone’s health (Purnell & Fenkl, 2019). There are many different ways that Mexicans seek healthcare. They believe in conventional medicine. They sometimes pray to God to heal them.   They also practice Ayurveda, and according to C.K., this is mostly used by older women who combine herbs and spices.

Healthcare Practitioners

This domain analyses traditional healers’ status use instead of going to conventional healthcare providers (Purnell & Fenkl, 2019). Mexicans believe in Western medicine. In general, Mexicans have no issues with how gender is treated. It is usual for the patient’s wife or mother to remain at the bedside to assess their progress.

Conclusion

In summary, I believe that the information I gained in this interview will help me become a culturally competent nurse in managing my patients.

References

Henderson, S., Horne, M., Hills, R., & Kendall, E. (2018). Cultural competence in healthcare in the community: A concept analysis. Health & Social Care in the Community, 26(4), 590-603.

Ozkara San, E. (2019). Effect of the diverse standardized patient simulation (DSPS) cultural competence education strategy on nursing students’ transcultural self-efficacy perceptions. Journal of Transcultural Nursing, 30(3), 291-302.

Purnell, L. D. (2020). The Purnell Model and Theory for Cultural Competence. In Textbook for Transcultural Health Care: A Population Approach (pp. 19-59). Springer, Cham.

Purnell, L. D., & Fenkl, E. A. (2019). Transcultural diversity and health care. In Handbook for Culturally Competent Care (pp. 1-6). Springer, Cham.

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Interview on Culturally Competent Nursing

Culturally Competent Nursing
In a Microsoft Word document of 4-5 pages formatted in APA style, you will describe an interview of a person from a cultural background that is different from your own.

Select a person from a cultural group different from your own. You may choose a patient, friend, or work colleague. For the sake of confidentiality, do not reveal the name of the person you interview; use only initials.

Interview on Culturally Competent Nursing

In your paper, include the following:

• A complete cultural assessment using the 12 domains from the Purnell Model for Cultural Competence in your textbook, (Transcultural Health Care: A Culturally Competent Approach).
• A description of implications for health practices.

On a separate references page, cite all sources using APA format. Helpful APA guides and resources are available in the South University Online Library. Below are guides that are located in the library and can be accessed and downloaded via the South University Online Citation Resources: APA Style page. The American Psychological Association website also provides detailed guidance on formatting, citations, and references in APA Style.

• APA Citation Helper
• APA Citations Quick Sheet
• APA-Style Formatting Guidelines for a Written Essay
• Basic Essay Template

Please note that the title and reference pages should not be included in the total page count of your paper.