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Cultural Competencies For Nurses: Impact On Health And Illness

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Overview

This text is a resource to help the nurse at all levels navigate through the obstacles that culture can place on the patient experience. It compiles the history and theory behind cultural competency in nursing and offers key information regarding health beliefs and the impact of culture on health and illness.
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Editorial Reviews

Doody's Review Service
Reviewer: Vicki Ann Moss, DNSc, MS, BSN, RN (University of Wisconsin-Oshkosh)
Description: This book describes the history and theory behind cultural competency and cultural diversity and then covers five major cultural groups and their unique healthcare needs.
Purpose: The purpose is to provide a resource on cultural diversity and cultural competence for nurses at all educational levels to enable them to individualize care and address the unique needs of any given patient. The author refers to it as a "one stop shop.
Audience: The audience includes nursing students at all educational levels from the associate degree to the DNP, as well as practicing nursing professionals.
Features: This book is meant to serve as a framework and structure to help readers bolster their knowledge in cultural competency. Each chapter begins with objectives, and the chapters on particular racial/ethnic or cultural groups include case studies, key terms, and definitions. Pertinent research studies are also included, with review questions ending each chapter. A glossary and an appendix that identifies Muslim health beliefs and health practices end the book.
Assessment: This is a comprehensive, handy resource on the various barriers different cultural groups encounter when seeking and/or obtaining healthcare as well as information on nursing care for the various racial/ethnic and cultural groups. It is filled with tables of interesting statistics on demographics and immigration as well.
From The Critics
Reviewer: Vicki Ann Moss, DNSc, MS, BSN, RN(University of Wisconsin-Oshkosh)
Description: "This book describes the history and theory behind cultural competency and cultural diversity and then covers five major cultural groups and their unique healthcare needs.
Purpose: The purpose is to provide a resource on cultural diversity and cultural competence for nurses at all educational levels to enable them to individualize care and address the unique needs of any given patient. The author refers to it as a "one stop shop.
Audience: The audience includes nursing students at all educational levels from the associate degree to the DNP, as well as practicing nursing professionals.
Features: This book is meant to serve as a framework and structure to help readers bolster their knowledge in cultural competency. Each chapter begins with objectives, and the chapters on particular racial/ethnic or cultural groups include case studies, key terms, and definitions. Pertinent research studies are also included, with review questions ending each chapter. A glossary and an appendix that identifies Muslim health beliefs and health practices end the book.
Assessment: This is a comprehensive, handy resource on the various barriers different cultural groups encounter when seeking and/or obtaining healthcare as well as information on nursing care for the various racial/ethnic and cultural groups. It is filled with tables of interesting statistics on demographics and immigration as well.
Read More Show Less

Product Details

  • ISBN-13: 9780763756505
  • Publisher: Jones & Bartlett Learning
  • Publication date: 1/7/2010
  • Edition description: 1E
  • Pages: 346
  • Sales rank: 753,071
  • Product dimensions: 6.00 (w) x 8.90 (h) x 0.90 (d)

Table of Contents

Acknowledgments xi

Preface xiii

Unit 1 1

Chapter 1 Birth of Transcultural Nursing to Current Theories and Conceptual Models for Cultural Diversity 9

Chapter Objectives 9

Introduction 10

Population Growth 12

Bicultural/Multicultural 12

Acculturation 13

Other Areas of Diversity 14

Overview of Conceptual Models for Cultural Diversity 14

Nonnursing Models for Cultural Assessment 18

Selected Nursing Models for Cultural Assessment 18

Summary 32

Chapter 2 Culture 41

Chapter Objectives 41

Introduction 42

The Sick Role and the Need for Cultural Sensitivity 43

Primary and Secondary Characteristics of Culture 44

Subcultures 45

Impact of Culture and Ethics 46

Culture and Mental Health 47

Race and Ethnicity 49

Ethnocentrism 52

Generalizations and Stereotyping 54

Cultural Mismatch and Cultural Pain 56

Culture and Its Impact on the Patient Role 56

Cultural Formulation and Culture-Bound Syndromes 57

Cultural Differences in Mortality and Morbidity 57

Impact of Gender 58

Impact of Lesbian, Gay, Bisexual, and Transgender 61

Homophobia and Incidence of Discrimination 62

The Importance of Acceptance 63

Summary 64

Chapter 3 Global Diversity 69

Chapter Objectives 69

Introduction 70

Cultural Diversity Defined 71

Cultural Factors Impacting the Clinical Relationship 71

The Importance of Striving for Understanding 73

Language Barriers 74

Proper Use of Interpreters 75

Cultural Humility 76

Impact of Diversity 77

Culturally Discordant Care 80

Health Disparities 80

Impact of Diversity on Diagnosis and Treatment 81

Barriers to Health Care 82

Ethnopharmacology 83

Reasons for Health Disparities 83

Global HealthcareDisparities 84

Global Diversity-The Role of Nursing 85

Culture of Poverty 86

United States 87

United Kingdom 88

Australia 92

Canada 93

South Africa 94

Recommendations 94

Summary 95

Chapter 4 Organization of Healthcare Delivery in the21st Century 101

Chapter Objectives 101

Introduction 102

National Standards: Culturally and linguistically Appropriate Services 103

Standards of Care: Institute of Medicine 103

Identified Barriers that Contribute to Healthcare Disparities 107

Clinical Uncertainty 109

Biases 110

Role of Education 110

Impact on Public Health 111

Discrimination and Equitable Quality Healthcare Delivery 112

Ethics 112

Crossing the Quality Chasm 114

Multidisciplinary and Interdisciplinary Teams 118

Need to Improve Diversity of Nursing and Healthcare Workforce 119

Impact oh Provision of Primary Care by Nurse Practitioners 121

Opportunities for Nurses to Attain Cultural Competency Certification 123

Future Research 123

Summary 124

Unit 2 129

Chapter 5 Black Americans 133

Chapter Objectives 133

Introduction 134

Historical Background 135

Statistics 137

Blacks and the US Healthcare System 139

Definition of Health and Illness 140

Traditional Healing Methods 141

Current Health Problems 143

Disparities 146

Mistrust of the Healthcare System 147

Barriers to Care 148

Impact of Communication 150

Impact of Time and Space 151

Impact of Environment 152

Impact of Biologic Variations 153

Impact on Social Organization 158

Impact on Faith and Spirituality 158

Summary 159

Chapter 6 Hispanics/Latinos 167

Chapter Objectives 167

Introduction 168

Terminology: Latinos or Hispanics? 168

Background 169

History of Hispanics in the United States 170

Mexican Americans 170

Puerto Ricans 188

Cuban Americans 194

Central Americans 195

Dominican Americans 195

South Americans 196

Consequences of Immigration to the United States for Hispanics 196

Summary 196

Chapter 7 Asians/Pacific Islanders 201

Chapter Objectives 201

Introduction 202

Background 202

Chinese Americans 204

Korean Americans 220

Cambodian Americans 225

Vietnamese Americans 229

Asian Indian Americans 232

Japanese Americans 235

Filipino Americans 236

Pacific Islander Americans 239

Summary 239

Chapter 8 Native Americans 245

Chapter Objectives 245

Introduction 246

Historical Background 246

Variables Impacting Degree of Acculturation 250

Definition of Health and Illness 250

Specific Nursing Considerations 251

Traditional Health Beliefs 252

Impact of Communication 256

Impact of Time and Space 257

Impact of Social Organization 258

Biologic Variations 259

Impact of Faith and Spirituality 260

Navajos 262

Alaska Natives/American Eskimos 264

Summary 268

Chapter 9 Whites (Non-Hispanic) 273

Chapter Objectives 273

Introduction 274

Historical Background 274

Settlers of the New World 275

Mass Migration of the1820s to the 1880s 276

Projections 278

Irish Americans 282

Italian Americans 288

Appalachians 291

TheAmish 294

Roma (Gypsies) 298

Jewish Americans 300

Russian Americans 306

Summary 315

Glossary of Additional Cultural Terms 321

Appendix 329

Background 329

Principles of Muslim Faith 330

Muslim Health Beliefs 330

Important Nursing Implications 330

Index 333

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