Personal Philosophy of Culturally Competent Nursing
Apply a model of cultural competence to personal practice beliefs. For this assignment:
1. Reflect on the 5 constructs of Campinha-Bacote’s model of The Process of Cultural Competence in the Delivery of Healthcare Services: Cultural desire,
Cultural Awareness, Cultural Knowledge, Cultural Skill, and Cultural Encounters. (See Chapter 2)
2. Review the Mission statements and values of St. Thomas University and its Nursing programs.
3. Reflect on your learning during this course.
4. Evidence of reflection on Campinha-Bacote’s cultural competency model and/or STU mission and values.
5. Your personal beliefs.
6. Your philosophy statements) related to culturally coinpetent nursing care.
7. Implementing your beliefs.
8. Continuing your journey towards cultural competence.
Analysis on the five Campinha-Bacote’s Model of cultural competence
Cultural competence is the ability of a medical practitioner to be able to adapt, communicate, and interact effectively with people from different cultural differences. Cultural competence has been explored in the concept of cultural Competemility. Culture Competemility involves the five constructs namely cultural desire, skill, Encounter, Knowledge, and Awareness.
Cultural Desire is the inner motivation that a medical practitioner wants to help and interact with different cultures. The desire has to be personal to one’s work and be achieved through pain and stress (Campinha-Bacote’s, 2019). Cultural desire encounters social justice issues in the treatment of patients. Cultural awareness is the conscious state of the medical practitioner to be fully aware of the cultural diversity among their patients. The medical practitioner conducts a self-examination on one cultural background. One becomes aware of the racism issues around health delivery services. Some of the cultural issues around delivery include the Asian prognosis arrears and the Asian death rites. Cultural Awareness cultivates humility in service delivery. Campin-Bacote’s Model advocates the biblical sacrifice on one’s medical delivery (Campinha-Bacote’s, 2019). The humility and sacrifice lead to a moral health delivery to their patients without prejudice on their beliefs, practice, and cultural diversification.
Cultural knowledge occurs when a nurse seeks further education on the cultural diversification of their patients. Knowledge is separated into the nurse’s willingness to understand the culture’s health issues such as beliefs and cultural practices and values. The second knowledge base is on the facts and believes in the diseases of different cultures and their treatment plan (Campinha-Bacote’s, 2019). In the African culture, many people believe in herbal medicine while the European culture has its faith on manufactured medicines. As a medical practitioner, one needs to understand the cultural backgrounds of these different cultures (Gower, 2019). The biggest problem in cultural competence is when there is stereotyping due to insufficient cultural knowledge.
After acquiring cultural knowledge, Cultural skills are required for the patient’s assessments. The cultural skills are explained under the acronym of ASSESS. It means Ask questions safely and humbly, seeking internal awareness, suspending any medical judgment of a patient’s culture, Express compassion, supporting a welcoming environment, and Starting on the patient’s perception (Gower, 2019). Cultural Encounters enable nurses and other medical practitioners to interact and have face to face conversations with their patients. Cultural Humility will activate the encounters. The encounters will be opportunities for self-reflection and open-minded treatment plans.
Review of St Thomas University Mission and vision statements
St Thomas University prides itself on the values of programs that offer knowledge on cultural diversity. The university vision is to educate professional nurses that can be a good fit for the medical world. The core values will help establish a community that is caring and full of consolidation. The same values are essential in the medical world. The impact of cultural knowledge and diversity established in the programs will help in treating patients from various cultures. The university vision and mission statement have followed the Campinha-Bacote’s Model on cultural competences. The nursing programs have been developed in such that the nurses can acquire knowledge from various cultures such as the Asian, American, and African communities.
A personal reflection on cultural Competence
The world is growing in one village but each community is trying to preserve their traditional cultures. The topic of cultural competence in the nursing field is crucial in understanding all the patient’s needs. Cultural assessment starts once you interact with the patient at the triage Centre. Each patient has his or her perception and beliefs on matters such as weight and Blood Pressure. The University has taken the responsibility of providing cultural knowledge and skill to the students (Gower, 2019). This attributes in the cultural competence of professional skills. Sometimes a patient may speak English but in the hospital, the patient becomes comfortable speaking their native language. My personal belief is that a nurse should offer a caring and safe environment. The nurse offers the assessment to the patients. Their interactions will help in the recovery of the patients. The assessment also offers a backbone to the overall medical system and the patient’s history.
The journey towards transcultural health care starts by eradicating stereotypes within the profession. This can be achieved by understanding why the stereotypes were formed. Knowledge is key in distinguishing what is true or false. Professional nurses require several programs and exposure to different cultures. A healthcare provider can never assume a patient cultural interest. For example, it is believed that Asian Culture advocates for no prognosis for their patients. Recognition of the different dialects will also improve the overall patient-nurse relationship. A nurse may assume the same but maybe the patient does not follow the same culture. My journey towards cultural competence can be achieved by having an open mind and allow myself to experience a difference in medical cultural scenarios. The university has blended its programs to suit cultural competence goals. Continuous assessment of the students will assist them in inpatient health care management.