DNP 825 Topic 7 DQ 1

DNP 825 Topic 7 DQ 1

Provide an overview of the program evaluation model and health promotion theory you will use in your proposed community project. Explain your rationale for your choices?

Complete the “Cultural Competence Self-Assessment Checklist,” located in the topic Resources and discuss what the checklist revealed to you about you and where you see opportunities for further personal growth and application in your practice. Evaluate your personal worldview in regard to health-related values and beliefs towards the underserved populations in your community. Provide examples and relevant literature to support your response.

Cultural competence entails awareness of one’s own personal beliefs and appreciating how other’s beliefs and values might be different. Respecting differences allows a person to effectively interact with or develop meaningful relationships with others. In the Cultural Competence Self-Assessment awareness, knowledge, and skills was assessed. The assessment revealed that I have a strong sense of awareness about my culture, identity, and my own personal bias in relation to others. This strength allows me to be aware of my own discomfort when interacting with others that are different than me. Research has proven that cross-cultural awareness improves knowledge of healthcare professionals and improves overall quality of care (Kaihlanen et al., 2019). As a nurse leader I can advocate and lead educational trainings that promote cultural awareness. As it relates to knowledge, the assessment revealed that I can improve my familiarity with various cultural characteristics. I can continue to enhance my cultural knowledge my staying committed to lifelong learning. From a cultural skills standpoint, the assessment revealed that I have great ability in respecting and communicating effectively with other cultures.

Health inequities lead to a negative impact on the living conditions, health care access, and overall health of underserved groups. Individuals in these groups are at high risk for multiple health problems and encountering barriers to healthcare. It is my personal belief that regardless of income, race, or other social factors everyone deserves quality healthcare.  One strategy is to ensure medical research is all inclusive to include underserved communities (Fiske et al., 2019). Diversity in research will better support developing interventions that meet the need of all communities. Another strategy is advocating for changes in healthcare policy that support outreach for these underserved populations. Outreach programs that include health education and alternative options such as telehealth will be beneficial.

References

Fiske, A., Prainsack, B., & Buyx, A. (2019). Meeting the needs of underserved populations: Setting the agenda for more inclusive citizen science of medicine. Journal of Medical Ethics, 45(9), 617-622. https://doi.org/10.1136/medethics-2018-105253

Kaihlanen, A., Hietapakka, L., & Heponiemi, T. (2019). Increasing cultural awareness: Qualitative study of nurses’ perceptions about cultural competence training. BMC Nursing, 18(1). https://doi.org/10.1186/s12912-019-0363-x

RESPOND HERE

It is true that cultural competence allows one to understand their beliefs as well as those of others. People with high cultural competence appreciate how other’s beliefs and values might be different. Respecting and acknowledging differences creates room for building trust and relationships (Flynn et al., 2020). Unfortunately, people from different cultural backgrounds may have poor cultural competence due to limited information. The Cultural Competence Self-Assessment assesses awareness, knowledge, and skills. The assessment reveals people’s sense of awareness about their culture, identity, and my own personal bias in relation to others. The finding is important in determining the cultural competence score. The assessment also provides insightful details that can be used in improving cultural competence (Shepherd et al., 2019).  The digital era has enabled people to interact with various cultures without physical contact. As a result, individuals have improved their cultural competence. Globalization has also benefitted cultural competence since people can freely move around the world for different reasons. Diverse interactions in trade, education, and other engagements boast culture competence.

References

Flynn, P. M., Betancourt, H., Emerson, N. D., Nunez, E. I., & Nance, C. M. (2020). Health professional cultural competence reduces the psychological and behavioral impact of negative healthcare encounters. Cultural Diversity and Ethnic Minority Psychology, 26(3), 271. https://doi.org/10.1037/cdp0000295

Shepherd, S. M., Willis-Esqueda, C., Newton, D., Sivasubramaniam, D., & Paradies, Y. (2019). The challenge of cultural competence in the workplace: Perspectives of healthcare providers. BMC Health Services Research, 19(1), 1-11.

The competency checklist is a valuable reminder of areas of weakness and needs for improvement for cultural competency. Insensitivity to cultural competence can lead one to stereotype which reduces the value one accords to others. To be in a position to deliver culturally holistic care, a good knowledge of a patient’s culture can play a vital role in understanding attitude and knowledge of disease conditions.

The need for cultural competence in healthcare systems is apparent to deliver culturally competent care and services due to the increasing challenges faced by healthcare practitioners from the diverse cultures encountered in the healthcare system. Cultural competence helps to reduce potential bias, and inequalities in health delivery systems when accurately applied. Cultural competence can be defined in several ways however the definition in the article by Henderson et al. (2018) simplifies the understanding stating that cultural competence is an ongoing process to continuously strives to achieve the ability to effectively work within the cultural context of the individual, family, and the community incorporating cultural awareness, and cultural knowledge. Worldviews can be defined as the way an individual reacts and expresses experiences and values of the world around them due to belief systems, culture, personal, or religion. These determine approaches and practices that can be observed in people or groups (Wilson et al., 2018). Cultural competence and worldviews interplay in the one thinks, interpret, interact with other and deliver care to patients as a healthcare practitioner. My worldview aligns with the Biomedical worldview which is directed at problem-solving, treatment, intervention, and curative activities for the individual’s altered state of health which is rooted in the mind-body duality. This helps promote an improved communication strategy for a better holistic management approach. Understanding cultural competency and awareness will positively influence one’s approach to others while at a professional level, an effective and proficient person-centered healthcare delivery can be achieved for improved health outcomes (Wilson et al., 2018).

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. https://doi-org.lopes.idm.oclc.org/10.1111/hsc.12556 https://lopes.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=a2h&AN=130266966&site=ehost-live&scope=site

Wilson, D., Heaslip, V., & Jackson, D. (2018). Improving equity and cultural responsiveness with marginalised communities: understanding competing worldviews. Journal of clinical nursing, 27(19-20), 3810-3819.

REPLY

I agree with you that insensitivity to cultural competence can lead one to stereotype which reduces the value one accords to others. Therefore, most institutions prefer hiring and working with poor displaying high cultural competence. Cultural incompetence blocks creation of relationships that can help in boasting organizational and individual performances (Chu et al., 2022). To be in a position to deliver culturally holistic care, a good knowledge of a patient’s culture can play a vital role in understanding attitude and knowledge of disease conditions. Cultural competence allows healthcare workers to create a rapport that will help in understanding patients’ cultural identity and the influence in treatment. Healthcare facilities handle people with cultural diversities (Campinha-Bacote, 2019). At the same time, cultural diversity can shape the treatment process. Besides, the increasing challenges faced by healthcare practitioners from the diverse cultures encountered in the healthcare system emphasizes on the importance of cultural competence. Some healthcare organizations have partnered with higher learning institutions to offer cultural competence training programs for healthcare workers and professionals.

References

Campinha-Bacote, J. (2019). Cultural competemility: A paradigm shift in the cultural competence versus cultural humility debate—Part I. Online Journal of Issues in Nursing, 24(1). DOI: 10.3912/OJIN.Vol24No01PPT20

Chu, W., Wippold, G., & Becker, K. D. (2022). A systematic review of cultural competence trainings for mental health providers. Professional Psychology: Research and Practice, 53(4), 362. https://doi.org/10.1037/pro0000469

Cultural competence is the ability to comprehend, interact, and communicate with individuals regardless of their cultural background (Horvat L et al., 2014).   Research shows that cultural competency includes an awareness of one’s cultural views, working at and developing positive attitudes towards cultural differences, and having a knowledge of varying cultural worldviews and practices.  The intended dimensions of culturally competent care are caring, cultural sensitivity, cultural understanding, and cultural skills (Horvat L et al., 2014).   A Cultural Competence Self-assessment Checklist (CCSC) helps to determine healthcare provider strengths and weaknesses when working with people from different cultures, which is probably one of the most important ways to help improve cultural competence. The CCSC checklist revealed that I am well / most often c aware and competently knowledgeable. My competency skills are excellent, with opportunities to remember that cultural competence requires continuous and consistent self-evaluation and opportunities for further personal growth and application in my practice to question my awareness, skill, knowledge, encounters, and desire.

The values, beliefs, and worldviews of a particular cultural group are rooted within their language use; therefore, language is the key to accessing a culture (Horvat L et al., 2014).  My worldview regarding health-related values and beliefs towards the underserved populations in my community is influenced by my belief that understanding patient’s culture helps providers better understand patients’ views and solve practical considerations for care. As a critical care nurse by experience, I learned early on in my career that providing culturally competent care is especially important for critical care nurses who function in high-acuity, high-stress healthcare environments. Critical care nurses must develop cultural competency to effectively establish rapport with patients and accurately assess, develop, and implement nursing interventions to meet patients’ needs. As patient advocates, critical care nurses must support decisions made by patients or patients’ families that may reflect a cultural perspective that conflicts with mainstream healthcare.  Understanding that each patient is unique can help nurses effectively interact with patients. Nurses need to have the ability to explore patients’ beliefs and values and need to build effective relationships with them.

Horvat L, Horey D, Romios P, Kis‐Rigo J. Cultural competence education for health professionals. Cochrane Database of Systematic Reviews 2014, Issue 5. Art. No.: CD009405. DOI: 10.1002/14651858.CD009405.pub2. Accessed 09 December 2022.

http://www.coloradoedinitiative.org/wp-content/uploads/2015/10/cultural-competence-self-assessment-checklist.pdf

REPLY

concur with you that cultural competence is the ability to comprehend and interact with people regardless of their cultural identity. The competence also allows one to understand self-cultural identity before understanding other cultures. Cultural competence creates a space where different cultures are recognized and acknowledged (Sharifi et al., 2019). As a result, cultural competence healthcare workers make their patients to feel at home when seeking medical assistance. Comfortable patients become easy to work with due to their willingness to participate in the treatment process. Cultural competency includes an awareness of one’s cultural views, working at and developing positive attitudes towards cultural differences, and having a knowledge of varying cultural worldviews and practices (Henderson et al., 2018). Unfortunately, some healthcare workers may have limited information about their cultural competence. A Cultural Competence Self-assessment Checklist (CCSC) helps to determine healthcare provider strengths and weaknesses when working with people from different cultures. The findings are important in helping healthcare professionals to improve their cultural competence.

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.  https://doi.org/10.1111/hsc.12556

Sharifi, N., Adib-Hajbaghery, M., & Najafi, M. (2019). Cultural competence in nursing: A concept analysis. International journal of nursing studies, 99, 103386. https://doi.org/10.1016/j.ijnurstu.2019.103386