tabloski ch04 lecture
TRANSCRIPT
Gerontological NursingGerontological Nursing
CHAPTER
THIRD EDITION
Copyright © 2014, © 2010, © 2006 by Pearson Education, Inc.All Rights Reserved
Cultural Diversity
4
Gerontological Nursing, Third EditionPatricia A. Tabloski
Learning Objectives
1. Discuss the importance of the Transcultural Nursing Society Care Standards and the culturally and linguistically appropriate services (CLAS) in health care.
2. Apply the CULTURALCARE triad to the complex interrelationships of the nurse, caregiver, and patient within community and institutional (home or residential) settings.
Gerontological Nursing, Third EditionPatricia A. Tabloski
Learning Objectives
3. Identify potential areas of conflict derived from the demographic, ethnocultural, and life trajectory variables of the people within the triad.
4. Describe the value and process of heritage and life trajectory assessments of nurses, caregivers, and patients.
Gerontological Nursing, Third EditionPatricia A. Tabloski
Learning Objectives
5. Create a plan of care for the older adult integrating CULTURALCARE.
Gerontological Nursing, Third EditionPatricia A. Tabloski
Introduction
• Cultural diversity affects the ability to provide safe nursing care to older adult patients.
Gerontological Nursing, Third EditionPatricia A. Tabloski
Introduction
• The two main goals relating to the delivery of culturally competent care are:– To develop cultural and linguistic
competence by nurses and other healthcare providers.
– For healthcare organizations to understand and respond effectively to cultural and linguistic needs.
Gerontological Nursing, Third EditionPatricia A. Tabloski
Transcultural Nursing Care Standards
• The Transcultural Nursing Society has developed 12 standards for cultural competence in nursing practice.
• These standards must be met by most healthcare-related agencies.
Gerontological Nursing, Third EditionPatricia A. Tabloski
CULTURALCARE
• Professional nursing care that is culturally sensitive, culturally appropriate, and culturally competent.
Gerontological Nursing, Third EditionPatricia A. Tabloski
CULTURALCARE Triad
• It is composed of three distinct populations:– Nurse– Patient– Direct caregiver
Gerontological Nursing, Third EditionPatricia A. Tabloski
Demographic Change
• By the year 2020, it is predicted that people of color will be the majority population and the major source for population growth will be immigrants.
Gerontological Nursing, Third EditionPatricia A. Tabloski
Table 4-1 Population by Race for the United States: 2000 and 2010Source: Humes, K. R., Nicholas, A. J., & Ramirez, R. (2011). Overview of race and
Hispanic origin: 2010. Census Briefs, p. 4. Retrieved from http://2010.census.gov/2010census/data
Gerontological Nursing, Third EditionPatricia A. Tabloski
Nurse
• The demographic profile of professional nurses represents a demographic disparity from the overall demographic profile of the United States.
Gerontological Nursing, Third EditionPatricia A. Tabloski
Caregiver
• In many long-term care facilities, the setting may be one in which the nurses are White, and the staff, especially the certified nurses’ aides who provide hands-on care, are people of color.
Gerontological Nursing, Third EditionPatricia A. Tabloski
Patient
• The population of people 65 years and over has grown significantly since the 2000 census.
Gerontological Nursing, Third EditionPatricia A. Tabloski
Major Components of a Person’s Heritage
• Culture• Ethnicity• Religion• Socialization
Gerontological Nursing, Third EditionPatricia A. Tabloski
Ethnocultural Life Trajectories
• Changes in the past several decades have created cultural barriers that openly create misunderstandings, tensions, and often conflicts between family members, coworkers, and individuals—and between patients and caregivers—in the practice of gerontology.
Gerontological Nursing, Third EditionPatricia A. Tabloski
Heritage Assessment Tool
• The tool that has been developed to determine how deeply a given person identifies with a traditional heritage or is acculturated into the modern, dominant culture.
Gerontological Nursing, Third EditionPatricia A. Tabloski
Cultural Appropriateness
• The determination of culturally appropriate care is necessary so that the comfort levels of both the patient and the caregivers are met and respected.
Gerontological Nursing, Third EditionPatricia A. Tabloski
Steps to Cultural Competency
• Steps to cultural competency:– Become aware of your own ethnocultural
heritage.– Become aware of the ethnocultural
heritage and life trajectory described by both the patient and the caregivers.
– Become aware of adaptations that the patient and caregivers made to live in the North American culture.
– Form a CULTURALCARE nursing plan.
Gerontological Nursing, Third EditionPatricia A. Tabloski
Implementing CULTURALCARE Nursing
• Recognizing the patient’s and caregiver’s viewpoints and finding mutually agreeable solutions is required.