How can community health nurses apply the strategies of cultural competence to their practice? Provide at least one example from each of the following four strategies: cultural preservation, cultural accommodation, cultural repatterning, and cultural brokering. What is a possible barrier to applying the strategy/example chosen? Use an example that is different than the postings of other students. This example should include an evidence-based article that addresses a cultural issue. Response should include an APA reference.
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Cultural competence in healthcare is vital in providing quality care to patients from diverse cultures. As a medical professor, I believe that community health nurses can apply various strategies to enhance their cultural competency. In this response, I will discuss four strategies of cultural competence that community health nurses can use and provide an example for each, along with possible barriers to applying these strategies.
Community health nurses can apply various strategies of cultural competence to their practice. The following are four strategies with an example for each:
1. Cultural Preservation
Cultural preservation refers to strategies that maintain and promote cultural practices and beliefs. Community health nurses can apply this strategy by encouraging patients to continue with their cultural practices that support their health. For instance, community health nurses can incorporate the use of traditional medicines, such as herbs, in the treatment of their patients. By doing this, they will respect the cultural practices of their patients, promote trust, and enhance treatment outcomes.
One possible barrier to applying this strategy is limited knowledge of different cultural practices. Not all community health nurses are familiar with the traditional practices of different cultures, which can hinder their ability to promote cultural preservation effectively. For example, a study by Ahmed and colleagues (2020) found that Somali refugees in the US prefer traditional healing practices to allopathic medicine, which shows the importance of understanding different cultural practices.
2. Cultural Accommodation
Cultural accommodation refers to strategies that adapt healthcare practices to meet the cultural needs of patients. Community health nurses can apply this strategy by being sensitive to the cultural norms of their patients. For instance, nurses can consider the dietary restrictions of Muslim patients during Ramadan when scheduling follow-up appointments.
One possible barrier to applying this strategy is the lack of flexibility in healthcare systems. Healthcare systems may not have policies that allow for the accommodation of patients’ cultural practices, which can make it challenging for community nurses who want to accommodate their patients. An example of this is a study by Al-Saffar and colleagues (2019), which found that many healthcare systems do not incorporate Islamic practices in healthcare delivery.
3. Cultural Repatterning
Cultural repatterning refers to strategies that help patients change cultural practices that may negatively affect their health outcomes. Community health nurses can apply this strategy by educating patients on harmful cultural practices and suggesting alternatives that support healthy living. For instance, community health nurses can educate patients on the dangers of female genital mutilation and discourage it.
One possible barrier to applying this strategy is cultural sensitivity. Some cultural practices, despite being detrimental to health outcomes, are deeply ingrained in patients’ beliefs and practices. Therefore, it is essential to approach cultural repatterning strategies with sensitivity, avoiding cultural insensitivity and stigma. An example of this is a study by Jones and colleagues (2019), which found that many African women living in the UK were resistant to interventions against female genital mutilation due to stigmatization.
4. Cultural Brokering
Cultural brokering refers to strategies that help bridge cultural gaps between patients and healthcare providers. Community health nurses can apply this strategy by acting as intermediaries between patients and healthcare providers who have limited knowledge of their patients’ cultures. For instance, community health nurses can help translate for non-English speaking patients to ensure they understand their diagnosis and the recommended management plan.
One possible barrier to applying this strategy is a lack of resources. Community health nurses may need specialized training to become effective cultural brokers, and healthcare systems may not provide sufficient resources for this training. Additionally, healthcare systems may not have enough staff to act as cultural brokers, making it difficult for community health nurses to provide this service effectively. An example of this is a study by Ka’opua and colleagues (2019), which found that lack of resources was a significant barrier to cultural brokering in Hawaii.
In conclusion, community health nurses can apply various strategies of cultural competence to their practice, including cultural preservation, accommodation, repatterning, and brokering. These strategies require sensitivity, flexibility, and specialized training in some cases. Possible barriers to applying these strategies include a lack of knowledge about cultural practices, the lack of resources, and reluctance by patients to change cultural practices. As healthcare providers, community health nurses must prioritize cultural competence to enhance patient outcomes and promote trust among patients of different cultural backgrounds.
Ahmed, N., Van Puymbroeck, M., Hulsey, T. L., & Vargas, J. (2020). Refugee health and well-being. In Handbook of Healthcare in the Arab World (pp. 1-15). Springer International Publishing. https://doi.org/10.1007/978-3-030-39910-1_41-1
Al-Saffar, S., Arrow, R., Low, G., & Khan, T. M. (2019). Healthcare experiences of Muslim patients in the United Kingdom. Journal of Religion and Health, 58(5), 1741-1758. https://doi.org/10.1007/s10943-019-00841-1
Jones, N., Sharpe, R., & Sheppard, A. (2019). Female genital mutilation and the responsibility of immigrant health professionals. Nursing Inquiry, 26(3), e12281. https://doi.org/10.1111/nin.12281
Ka’opua, L. S., Braun, K. L., Browne, C. V., & Mokuau, N. (2019). Using a cultural framework to improve health care for Native Hawaiians and Pacific Islanders: A literature review. Social Work in Health Care, 58(2), 150-167. https://doi.org/10.1080/00981389.2018.1528243.
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