Transcultural Nursing/Health Care
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Slide 1 :
A REVIEW OF TRANSCULTURAL NURSING E By Dr Aru Narayanasamy, Associate Professor and Ethelrene White, Lecture University of Nottingham
Slide 2 :
Aims: To review Transcultural Nursing Outcomes: Demonstrate critical awareness of concepts, theories and practice of transcultural health care Apply models of transcultural health care practice Demonstrate culturally sensitive approach to patient/client care
Slide 3 :
Transcultural Health Care: Definition “Formal areas of study and practice in the cultural beliefs, values and life ways of diverse cultures and in the use of knowledge to provide culture-specific or culture-universal care to individuals, families and groups of particular cultures” (Leininger 1997)
Slide 4 :
Transcultural Nursing: Nursing care that is “provided in a manner that is sensitive to the needs of individuals, families and groups who represent diverse cultural population within a society. Programme” (Herberg, 1989, cited in Narayanasamy & White, 2005).
Slide 5 :
Concerns re: Implementing Transcultural Care Progress is slow in the UK (Possible Reasons): Lack of knowledge and competence Racism/Eurocentric approach Inconsistencies in Government’s Policies (Racialised Immigration Policies) Media/Political Onslaught on Immigration/Asylum seekers (Facts Vs Myths – Public Fear over Identity/Boundaries
Slide 6 :
Gypsy Survey 1993:12 “When I am asked if I am a “Real Gypsy” my answer is this: I am flesh and blood, I feel pain, I feel joy, I love, I hate, cut me I bleed. I am a real human being living in today’s world who happens to be a Gypsy. Not some stereotype that fits misinformed people’s ideas of what a Gypsy should be” (Darlympus & Burke 1996)
Slide 7 :
Nursing/Health Care is about: The ‘5 Cs’: Caring Compassion Connection Compassion Commitment
Slide 8 :
Transcultural health care practice: Values diversity and differences Considers Sensitivity Offers cultural awareness Considers Fairness, Respect and Understanding Inclusive, citizenship and entitlement Enables and empowers Create opportunities and Access
Slide 9 :
Criticisms Soft on Racism Etic perspectives (American import) Based on imperialism Over simplistic Rhetorical and hallow False consciousness Moralistic
Slide 10 :
Usefulness Sets agenda for Culturally sensitive care Post modernism supports approach to diversity and differences Further development required (see Papadapoulos & Lee 2002; Gerrish et al 1996, McGhee 1993; Narayanasamy & White 2004). Hampered by 9/11 and July London Bombings, Islamaphobia, Globalisation.
Slide 11 :
ACCESS MODEL The ACCESS Model developed by Aru Narayanasamy offers a framework for cultural care. See review paper (Narayanasamy & White 2005)
Slide 12 :
ACCESS MODEL Background: 2003 Mapping Cultural Care 1998 ACCESS Model (unpublished work) 2002 ACCESS Model: Transcultural Practice Framework 2004 Review Paper (NET) with E.White
Slide 13 :
ACCESS MODEL A C C E S S ssessment ommunication ultural Negotiation & Compromise stablishing Respect & Rapport ensitivity afety
Slide 14 :
ACCESS MODEL Assessment:Focus on cultural aspects of clients’ lifestyle, health beliefs, and health practices. Communication:Be aware of variations in verbal and non-verbal responses. Cultural Negotiation & Compromise:Become more aware of aspects of other people’s culture as well as understanding of clients’ view and explain their problems. Establishing Respect & Rapport: A therapeutic relation which portrays genuine respect for clients’ cultural beliefs and values is required. Sensitivity:Deliver diverse culturally sensitive care to culturally diverse groups. Safety: Enabling clients to derive a sense of cultural safety
Slide 15 :
CONCLUSION The ACCESS model offer a framework for transcultural health care practice Further Action Research (Case Studies) being conducted to evaluate effectiveness User empowerment and involvement is necessary Widen usage of ACCESS by better dissemination strategies
Slide 16 :
The slides are based on the paper by Narayanasamy, A & White, E (2005) A review of transcultural nursing. Nurse Education Today 25: 102-111.
Slide 17 :
Further Publication Spiritual and Transcultural Care Research By Aru Narayanasamy (2006) Publisher: Quay, Dinton ISBN: 1856422984
Slide 18 :
Spirituality and Transcultural Care Research by Aru Narayanasamy This book brings together in an accessible format the empirical studies of spiritual and cultural care by the author. The purpose of the text is to share with readers evidence-based practice in the light of a series of studies, which will give spiritual and cultural care in a variety of clinical settings. The book uniquely demonstrates the relevance of spiritual and cultural care as dimensions of practice which are central to the promotion of well-being and healing. The book is a useful resource for healthcare practitioners, researchers, lecturers, students and others who are interested in spiritual and cultural care. It also offers a model for a sustained, coherent approach to cultural and spiritual care research for researchers and others interested in this area of care. Publication Date; June 2006 Publisher: Quay: Dinton ISBN: 1856422984
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