January 8, 2009

Cultural sensitive (home) Nursing

Cultural sensitive
(home) nursing

Information on a patient’s cultural background and the requirements associated with such a background are crucial elements in good nursing.
Malaysia is a country that boasts many different cultures and ethnicities. However, many still fail to understand the basic cultural elements and sensitivities of each other’s cultures. Such insensitivities are also apparent in medical personnel, which inadvertently lead to issues and conflicts when dealing with patients whose culture is neither understood nor observed. Many nurses and doctors see the patient more as an object rather than a person with his own personality and history. The patient is regarded primarily as a sick person who ONLY needs attention to his medical/nursing issues and not his personal requirements.
In this case, if the person’s cultural and personal needs are left totally unattended, it will result in the development of distrust and rejection towards the caregiver, nurse or any person attending to him. Trust and confidence are essential elements for successful therapy and these can only be cultivated when individual patients are seen in their own unique cultural history. Only by recognising a patient’s individuality and subsequently incorporating their cultural requirements into the nursing process will culture sensible nursing be assured.
A good culture sensible nursing approach means that the nurse must :
* acquire knowledge of the various cultural aspects of the patients she is attending to
* question her own prejudices, and cultural background
* develop the ability to cope with inter-cultural differences and conflicts
By following these three basic conditions, nurses and caregivers will be equipped with the knowledge and ability that will make it easy for them to meet the nursing needs of any client, irrespective of their cultural / religious background.

What is culture?

Culture is a very complex term. Ask any ten people for their definition of culture and you will be rest assured of ten different answers. The word "culture" is derived from the Latin language, which means care taking of the body, but primarily of the spirit. Everything that humans have created and developed are cultural achievements.
Humans are on the one hand natural beings which mean they bear similarities to plants and animals in the biological dimension. On the other hand, they are also cultural beings, whereby they have to create their world to survive. These creations are what we now identify as cultural achievements. In nursing, it is very important that we take into consideration the biological as well as the cultural, social and religious
dimensions. If this does not succeed, we face the danger of viewing the patient as merely a biological being that is in need of purely medical or nursing attention.

What is culture sensible nursing?

Culture sensible nursing is a practice by which each individual patient is approached and observed according to his biography, religion, culture and gender-specific background. Upon observation, the caregiver or medical personnel will be open to the unique culture related needs and requirements of the said individual.
Key competencies of culture sensitive nursing include the willingness of the nurse to posses a certain degree of curiosity, interest, creativity, tolerance and the ability to manage stress.
Culture sensibility has been receiving an increasing amount of attention worldwide as there is practically no country in the world right now that is culturally homogenous. In Malaysia in particular, there is a need to increase our sensitivity to the cultural diversities in the day-to-day dealings with our fellow citizens, especially the elderly, sick and handicapped.
Culture sensible nursing ensures that a person in need of nursing will receive services that are respecting of his cultural and religious values. It is a key competence for the nursing personnel to be open to social learning and adoption and to have a good amount of curiosity for the individual interests, creativity and ability to cope with stress and frustrations.
Malaysia being a cultural potpourri demands a very high degree of cultural sensitivity towards its population. Such sensitivities should be even more so observed in the medical and nursing field where we have the most intimate contact with people of different races, religion, cultural and sexual orientation and needs
What does intercultural competence mean?
Every learning process needs intercultural competence. This is because, a prerequisite for learning is that an individual should have an interest in others and
new things. To be successful in this, one has to approach the other person without any prejudice or reservation.
Intercultural competence therefore means the ability of meeting, communicating and exchanging ideas with people of diverse cultural backgrounds. This includes the
language the person speaks or expresses himself and the different values he exhibits. It is paramount not to judge the differences, even if they are alien to our own, but merely to take note of the similarities. Intercultural competence means that one can indulge in self-reflection, posses the knowledge about different cultures, manage conflict effectively and holds a certain degree of empathy and inquisitiveness.

What is the purpose of intercultural nursing?

Intercultural nursing means that we can adjust to the differing biographic, social, religious and communicative needs of the patient. We have the ability to display the readiness to respect the different cultural background of the patient and his needs, thereby providing a sense of acceptance and security. The understanding of the cultural individuality and its respect and recognition has to be integrated into the nursing procedures.
Intercultural competence in nursing includes
Knowledge of the diverse cultures and religions within Malaysia.
Empathy for the nursing person who are of a different cultural background and the ability to express respect to such differences
Open-mindedness and curiosity for the individuality of the other person without coming to valuation conclusions.
Self-reflection and understanding the role as a nurse.
Conflict management and stress tolerance as well as flexibility and self-confidence.
Intercultural nursing in the above must not be newly learnt but is rather a reflection of their own inherent and fundamental abilities. Nurses who have competence in intercultural nursing are persons who have confronted their own fears and insecurity, and are also those who are conscious of there strength and weaknesses and can therefore accept the strength and weaknesses of the patient.
It is those persons who are curious, open-minded, and can approach others fairly, being free of prejudices. People who respect the decision of others, even if these would be in conflict with there own beliefs and culture will be able to accept others completely, with respect and empathy.
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