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Knowledge of Cultures

  • Larry Purnell
Chapter

Abstract

Nurses, as well as all healthcare providers, have a mandate to become knowledgeable of patients’ health beliefs and values in order to provide culturally congruent care. Nurses should discover the beliefs and values of the patients’ cultures in a way that does not devalue their varying cultural patterns but affirms respect for them. The knowledge base peculiar to cultural competency and culturally congruent health and healthcare represents a significant paradigm shift toward concepts and language that embrace a level of competency beyond mere awareness. The attainment of cultural competence is an important prerequisite for effective care to reduce health and healthcare disparities among vulnerable individuals and groups. Quality cultural congruent care may start with awareness, knowledge, and skills relative to cultural competency, but it must also focus on creating culturally competent organizations and services through organizational responsiveness. This chapter addresses essential knowledge required for providing evidence-based culturally congruent nursing care. Cultural and anthropological concepts as well as the variant characteristics of culture are included. Recommendations for clinical practice, administration, education, and research are included.

References

  1. American Association of Critical Care Nurses (2008) Safeguarding the patient and the profession: the value of critical care nurse certification. Am J Crit Care 12:154–164CrossRefGoogle Scholar
  2. Andrews MM (1998) A model for cultural change: nurse leaders must realize the importance of transculturally based administrative practices. Nurs Manag 29(10):62–66CrossRefGoogle Scholar
  3. Andrews MM, Boyle JS (eds) (2016) Transcultural concepts and nursing care, 7th edn. Wolters Kluwer, PhiladelphiaGoogle Scholar
  4. Campinha Bacote’s Model the Process of Cultural Competence in the Delivery of Healthcare Services. http://transculturalcare.net/the-process-of-cultural-competence-in-the-delivery-of-healthcare-services/. Accessed 5 Nov 2017
  5. Campinha-Bacote J (2002) The process of cultural competence in the delivery of healthcare services: a model of care. J Transcult Nurs 13(3):181–184CrossRefPubMedGoogle Scholar
  6. Clarke L, Hofsess L (1998) Acculturation. In: Loue S (ed) Handbook of immigrant health. Plenum Press, New YorkGoogle Scholar
  7. Cross T, Bazron B, Dennis K, Isaacs M (1989) https://population-based-intervention.wikispaces.com/Cultural+Competence-Collaboration. Accessed 24 Aug 2017
  8. Douglas M, Rosenketter M, Pacquiao D, Clark Callister L, Hattar-Pollara M, Lauderdale J, Milsted J, Nardi D, Purnell L (2014) Guidelines for implementing culturally competent nursing care. J Transcult Nurs 25(2):109–221CrossRefPubMedGoogle Scholar
  9. Europa (2010) Commission takes steps to promote patient safety in Europe [Press release]. http://europa.eu/rapid/pressReleasesAction.do?reference=IP/08/1973&format=HTML&aged=0&language=EN&guiLanguage=en. Accessed 23 Aug 2017
  10. Forte C (2016) Canadian anthropology or cultural imperialism? https://openanthropology.files.wordpress.com/2016/01/forte_canadian_anthropology2.pdf. Accessed 22 Aug 2017
  11. Giger J, Davidhizar R, Purnell L, Harden J, Phillips J, Strickland O (2007) American Academy of Nursing Expert Panel Report: developing cultural competence to eliminate health disparities in ethnic minorities and other vulnerable populations. J Transcult Nurs 18(2):95–102CrossRefPubMedGoogle Scholar
  12. Health Resources and Services Administration (2002) Indicators of cultural competence in health care delivery organizations: an organizational cultural competence assessment profile. U.S. Department of Health and Human Resources. http://www.hrsa.gov/CulturalCompetence/healthdlvr.pdf. Accessed 24 Aug 2017
  13. Ineneche E (2010) Cultural diversity and cultural competency: new issues for elderly care and services. http://www.theseus.fi/bitstream/handle/10024/7063/Iheneche_Ernest.pdf?sequence=134&sk=&cvid=780636C5DA5743AEA105773D206A17CE. Accessed 22 Aug 2017
  14. International Council of Nurses (2011) Position statements. Nurses and human rights. http://www.icn.ch/images/stories/documents/publications/position_statements/E10_Nurses_Human_Rights.pdf. Accessed 29 July 2017
  15. Jeffreys MR (ed) (2010a) Teaching cultural competence in nursing and health care. Springer, New YorkGoogle Scholar
  16. Jeffreys MR (2010b) A model to guide cultural competence (CCC): transcultural self-efficiency. In: Jeffreys MA (ed) Teaching cultural competence in nursing and health care. Springer Publishing Company, New YorkGoogle Scholar
  17. Koffman J (2006) Transcultural and ethical issues at the end of life. In: Cooper J (ed) Stepping into palliative care. Radcliffe Publishing Ltd, AbingtonGoogle Scholar
  18. Kulwicki A, Ballout S (2013) People of Arab heritage. In: Purnell L (ed) Transcultural health care: a culturally competent approach. F. A. Davis, PhiladelphiaGoogle Scholar
  19. Marrone S (2013) Organizational cultural competence. In: Purnell L (ed) Transcultural health care: a culturally competent approach. F. A. Davis, PhiladelphiaGoogle Scholar
  20. McFarland MR, Wehbe-Alamah HB (eds) (2015) Culture care diversity and universality, 3rd edn. Jones & Bartlett Learning, BurlingtonGoogle Scholar
  21. McKeiver K, Dreasher L, Halden Y (2013) Developing intercultural communication skills for academic advising. NACADA Webinar recording. http://www.nacada.ksu.edu/Resources/Product-Details/ID/REC053CD.aspx. Accessed 26 Aug 2017
  22. National Association of Social Workers (2007) Indicators for the achievement of the NASW standards for cultural competence in the social work profession. http://www.naswpress.org/publications/standards/indicators.html. Accessed 29 July 2017
  23. Nursing Best Practice Guidelines: Summary of Key Models Related to Cultural Competence (n.d.) http://pda.rnao.ca/content/summary-key-models-related-cultural-competence. Accessed 29 July 2017
  24. Office of Minority Health (2001) National standards for culturally and linguistically appropriate services. https://minorityhealth.hhs.gov/omh/browse.aspx?lvl=2&lvlid=53OMH. Accessed 24 Aug 2017
  25. Office of Minority Health (2017) Working to raise awareness and reduce health disparities. https://www.minorityhealth.hhs.gov/Blog/BlogPost.aspx?BlogID=194. Accessed 2 Sept 2017
  26. Olive JL (2014) Reflecting on the tensions between emic and etic perspectives in life history research: lessons learned. Forum Qual Soc Res 15(2). http://www.qualitative-research.net/index.php/fqs/article/view/2072/3656. Accessed 22 Aug 2017
  27. Papadopoulos I (ed) (2006) Transcultural health and social care: development of culturally competent practitioners. Churchill Livingstone, LondonGoogle Scholar
  28. Papadopoulos I, Shea S, Taylor G, Pezzella A, Foley L (2016) Developing tools to promote culturally competent compassion, courage, and intercultural communication in healthcare. J Compassion Health Care 3(2).  https://doi.org/10.1186/s40639-016-0019-6
  29. Portes A (2007) Migration development and segmented assimilation: a conceptual review of evidence. Am Acad Pol Soc Sci 610:73–97CrossRefGoogle Scholar
  30. Purnell L (2005) The Purnell model for cultural competence. J Multicult Nurs Health 11(2). http://files.midwestclinicians.org/sharedchcpolicies/Policies_Forms/Cultural%20Competency/PURNELL'S%20MODEL.pdf. Accessed 22 Aug 2017
  31. Purnell L (2011) Cultural competence in a changing health-care environment. In: Chaska NL (ed) The nursing profession: tomorrow and beyond. Sage Publications, Thousand OakesGoogle Scholar
  32. Purnell L (ed) (2013) Transcultural health care: a culturally competent approach, 4th edn. F. A. Davis, PhiladelphiaGoogle Scholar
  33. Purnell L (2014) Guide to culturally competent health care.3rd edn. F.A. Davis, PhiladelphiaGoogle Scholar
  34. Purnell L (2016) Invited scholarly inquiry article: are we really measuring cultural competence? Nurs Sci Q 29(2):124–127CrossRefPubMedGoogle Scholar
  35. Purnell L, Fenkl E (2018) Guide to culturally competent health care. F.A. Davis Co., PhiladelphiaGoogle Scholar
  36. Quappe S, Cantatore G (2007) http://www.culturosity.com/articles/whatisculturalawareness.htm. Accessed 22 Aug 2017
  37. Rudmin FW (2003) Critical history of the acculturation psychology of assimilation, separation, integration, and marginalization. Rev Gen Psychol 7(1):3–37CrossRefGoogle Scholar
  38. Schim SM, Doorenbos AZ, Borse NM (2005) Cultural competence among Ontario and Michigan healthcare providers. J Nurs Scholarsh 37(4):354–360CrossRefPubMedGoogle Scholar
  39. Selekman J (2013) People of Jewish heritage. In: Purnell L (ed) Transcultural health care: a culturally competent approach. F. A. Davis, PhiladelphiaGoogle Scholar
  40. Singelis TM (ed) (1998) Teaching about culture, ethnicity, and diversity. Sage Publications, Thousand OakesGoogle Scholar
  41. Triandis HC (2002) Subjective culture. Online Read Psychol Cult 2(2).  https://doi.org/10.9707/2307-0919.1021. Accessed 22 Aug 2017
  42. U.S. Department of Labor: Occupational Safety and Health Administration (2009) https://www.osha.gov/Publications/exposure-risk-classification-factsheet.html. Accessed 27 Aug 2017
  43. United Nations (2015) Universal declaration of human rights. http://www.un.org/en/udhrbook/pdf/udhr_booklet_en_web.pdf. Accessed 29 July 2017
  44. What is the difference between culture and subculture? (2017) https://www.reference.com/world-view/difference-between-culture-subculture-66c90a38bfcd070. Accessed 29 July 2017
  45. Zikargae MH (2013) The impacts of ethnocentrism and stereotype on inter-cultural relations of Ethiopian higher education students. Online J Commun Media Technol 3(4). http://www.ojcmt.net/articles/34/348.pdf/. Accessed 22 Aug 2017

Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.School of NursingUniversity of DelawareNewarkUSA
  2. 2.Florida International UniversityMiamiUSA
  3. 3.Excelsior CollegeAlbanyUSA

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