Competent Care In A
Culturally Diverse Nation
HCS2512
PROGRAM GUIDE FOR PROFESSIONALS
AND HEALTH CARE ASSISTANTS
National Educational Video, Inc.TM is an approved provider of continuing education. State Board provider numbers:
Florida #FBN2896, Alabama #5-97.0, California #CEP8803, Kansas #LT0121-1138, Kentucky #7-0045, West
Virginia #WV96-0025RN and reciprocal approvals from the State Boards in Alaska, Delaware, Louisiana, Maine,
Michigan, Nebraska, New Hampshire, New Jersey, Ohio, Texas, Utah.
This activity provided by National Educational Video Inc. is approved as a provider of continuing education in nursing
by Alabama State Nurses Association, which is accredited as an approver of continuing education in nursing by The
American Nurses Credentialing Center's Commission on Accreditation.
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2012
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NATIONAL EDUCATIONAL VIDEO, INC.TM
Competent Care In A
Culturally Diverse Nation
HCS2512
PROGRAM DESCRIPTION
This program discusses culturally competent care and the ways in which to promote effective
cross-cultural communication. Originally created for the health care assistant, can be very
useful to the health care professional. Video running time: 50 minutes (3.0 contact hours).
OBJECTIVES
At the completion of this program, the participant will be able to:
1.
Define culturally competent care.
2.
Describe the culturally competent health care worker.
3.
List the cultural considerations that can affect the healthcare worker and the client.
4.
Explain at least two qualities of caring people.
5.
Define empathy.
6.
List the ways in which to promote effective cross-cultural communication.
7.
Explain the term “ethnocentric”.
8.
List three examples of non-verbal communication.
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The Nursing Process
The nursing process is a systematic method of problem solving. It is based on the scientific method. The
nursing process is called "process" because it is ongoing. These are the steps of the nursing process:
Assessment:
This is the systematic, ongoing collection of information from multiple sources.
Assessment is done when a nurse interviews a client and the client’s significant others. A physical
assessment of the client is also completed observing the following: laboratory data, daily client actions,
assessing the client’s ability to carry out daily activities, symptoms and the client’s response to treatment.
In long term care, resident assessment instruments are used to provide a comprehensive multidisciplinary assessment.
Problem Identification or Nursing Diagnosis: Assessment data leads to identifying client
strengths and client problems. These may be actual problems the client currently experiences, or
potential problems that may occur with that client in the future. Problems are stated and related to a
cause or influencing factor.
Planning: The systematic steps that the nurse will enact, with others, to assist the client to meet the
goals (or outcomes) that are set. For each problem, a measurable, specific goal is identified. The plan
includes nursing actions, based on aspects of nursing theory, nursing science, other sciences, and
research findings. The beliefs and values of the nursing profession as well as the values of the client are
taken into account.
Implementation: Carrying out the plan.
Evaluation:
This is the systematic process of examining each client goal-related outcome to
determine if it were met and to revise the plan accordingly. Evaluation may also identify the resources
that are needed for the client or the health care provider in their continuing plan of care.
Professional Nursing Roles
As the nurse carries out the nursing process, the nurse enacts a variety of professional roles. These are:
clinician
teacher
client advocate
leader
These roles may overlap. In the clinician role, the nurse may provide direct "hands on" care, or may
assess a client's needs and direct others to provide services to meet those needs. The nurse may
conduct client and family teaching in a teaching role. The nurse may also teach other health professionals
when a multidisciplinary team addresses the client's needs. The nurse is a client advocate when
collaborating with the client, finding resources for the client, and acting on behalf of the client. The nurse
is a leader when planning and assigning the care of a client to others, maintaining overall responsibility
and accountability for that care, assisting other members of the health care team to set and meet goals or
when providing resources to other health care providers.
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NATIONAL EDUCATIONAL VIDEO, INC.TM
Competent Care In A
Culturally Diverse Nation
HCS2512
GLOSSARY OF KEY TERMS
Cultural Diversity
Different beliefs, traditions and ways of behaving that we
share with a group of people.
Ethnocentric
The belief that your customs or values are superior to
others.
Empathy
Understanding and being objective about a situation and
not becoming emotionally involved.
Patient’s Bill of Rights
Clearly states what the client can expect from all health
care workers.
Folk Remedies
Potions, plants and herbs used to alleviate or cure an
illness.
Sensitivity
Having the capacity to feel, transmit or react to a situation.
Culturally Competent Care
Adapts care to the client’s cultural needs and preferences.
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Competent Care In A
Culturally Diverse Nation
HCS2512
PRE TEST
Circle T if the statements are true. Circle F if the statements are false.
T
F
1.
America is a “melting pot” where everyone must give up distinctive language,
customs and habits to become “American”.
T
F
2.
Cultural diversity means each culture maintains its own special identity and
contributes to the whole.
T
F
3.
Health care workers should be client advocates.
T
F
4.
Health care workers’ personal prejudices and values should be considered as
important as those of the clients.
T
F
5.
Empathy and caring are the foundation for good client care.
T
F
6.
Culturally competent care adapts care to the client’s cultural needs.
T
F
7.
It’s not important for health care workers to be aware of their own belief system.
T
F
8.
Health care workers should be client advocates.
T
F
9.
Everyone is a member of a particular culture.
T
F
10. Non-verbal communication is not considered a form of culture.
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NATIONAL EDUCATIONAL VIDEO, INC.TM
Competent Care In A
Culturally Diverse Nation
HCS2512
DISCUSSION QUESTIONS
1.
What is cultural diversity?
2.
Does dealing with culturally diverse clients sometimes cause conflict? Why?
3.
Discuss the attitudes necessary to deliver good client care no matter what the cultural
background.
4.
Give examples of how you learned to be more tolerant and accepting of other cultural
values.
5.
Whose beliefs and values come first? Yours, the institution’s/agency’s or the client’s?
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NATIONAL EDUCATIONAL VIDEO, INC.TM
Competent Care In A
Culturally Diverse Nation
HCS2512
POST TEST
Choose the response that most accurately answers the following questions:
1.
America is:
a.
a “melting pot” where all people are expected to be the same
b.
a culturally diverse society where each culture maintains its own special flavor
and contributes to the whole
c.
intolerant of cultural differences
d.
a country with no culture
2.
Health care workers:
a.
never have to deal with cultural conflicts
b.
often have a better perspective on the client’s needs than do other members of
the health care team
c.
should ignore cultural differences
d.
don’t believe in cultural differences
3.
Health care workers:
a.
can improve communication between the client and other members of the health
care team
b.
should place their own values and beliefs above those of the client
c.
should make no effort to understand or accept different cultural values
d.
should not try to improve communication between the client and other members
of the health care team.
4.
The single most important step in successfully dealing with the challenges of cultural
diversity is:
a.
to strictly enforce institutional rules without consideration of the client’s needs
b.
to develop respect for and acceptance of the client and the cultural values he or
she represents
c.
try to “Americanize” your clients so they can fit into society better
d.
do nothing
5.
Which of the following is the third step in eliminating barriers to effective cultural
communication?
a.
appreciation
b.
celebration
c.
tolerance
d.
intolerance
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NATIONAL EDUCATIONAL VIDEO, INC.TM
Competent Care In A
Culturally Diverse Nation
HCS2512
POST TEST
(Continued)
6.
Caring for clients of all cultural backgrounds means:
a.
recognizing others as separate and unique persons with special needs we should
try to accommodate
b.
setting aside our own beliefs, values and prejudices
c.
treating others as we would like to be treated ourselves
d.
all of the above
7.
The Client’s Bill of Rights:
a.
clearly spells out what the client can expect from all health care workers
b.
can be ignored if things get too busy
c.
doesn’t apply to all clients
d.
applies only in certain situations
8.
Institutions have a set of values which:
a.
reflect the values of the world outside
b.
are never in conflict with the client’s values
c.
can never be adjusted to meet the needs of the client
d.
doesn’t reflect the values of the world outside
9.
The single most important attitude a health care worker must have in dealing with
cultural diversity is:
a.
curiosity
b.
sympathy
c.
acceptance
d.
ethnocentrism
10.
The best way to learn to accept people whose cultural beliefs are different from our
own is to:
a.
put yourself in your client’s shoes
b.
think your values and practices are better than your client’s
c.
impose your beliefs on your client
d.
ignore the clients’ beliefs
11.
Some clients have different ideas about treatment. In a situation where treatment is
important, what should you do?
a. explain the importance of the treatment and the effectiveness of the treatment
b. let your frustration show
c. ignore the issue
d. smile and say nothing
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12.
If you don’t speak your client’s language, how can you communicate?
a. ask a family member to interpret
b. learn non-verbal communication techniques
c. as a gesture of good will, learn a few words in your client’s native language
d. all of the above
13.
Non-verbal communication with a client that doesn’t speak English:
a. should never be used
b. is more reliable than spoken language
c. is difficult to learn
d. is not reliable
14.
When a client denies having pain, but body language indicates pain is present, you
should:
a. tell others on the health care team
b. let the client suffer in silence
c. tell the client’s family
d. do nothing
15.
If a client doesn’t make eye contact, you should:
a. presume he or she isn’t listening or can’t understand
b. consider that in some other cultures, direct eye contact is considered to be impolite
and consult with your supervisor
c. demand he or she look you in the eye before you proceed
d. ignore the client
16.
What should you do if a client’s family asks to assist you in your duties?
a. tell them to leave
b. explain your actions and, if permissible, allow them to assist
c. ignore the request and continue with your duties
d. allow them to take over
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NATIONAL EDUCATIONAL VIDEO, INC.TM
Competent Care In A
Culturally Diverse Nation
HCS2512
ADDITIONAL DISCUSSION QUESTIONS
1.
Discuss ways to cope with language differences. What non-verbal signs of a client’s
condition can you read?
2.
Do family members ever present a problem? How do you deal with family members who
don’t observe institutional rules?
3.
For some clients, spiritual healing is equal in importance to physical treatment. What
should your attitude be toward folk medicine or traditional healing methods?
4.
A family member offers you a cultural food delicacy you find unappetizing. What should
your reaction be?
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Competent Care In A
Culturally Diverse Nation
HCS2512
ANSWER SHEET
PRE TEST
1.
2.
3.
4.
5.
F
T
T
F
T
6.
7.
8.
9.
10.
T
F
T
T
F
POST TEST
PART 1
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
b
b
a
b
a
d
a
a
c
a
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11.
12.
13.
14.
15.
16.
TM
a
d
b
a
b
b
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NATIONAL EDUCATIONAL VIDEO, INC.TM
Competent Care In A
Culturally Diverse Nation
HCS2512
RESOURCE ADVISORS
DEBORAH UNSWORTH, M.S. ARNP: Received her Bachelor of Science Degree from the
University of South Florida and her Master of Science Degree from State University of New
York. She has worked as a nurse since 1973 in the areas of med-surg, obstetrics and ER. She
has been a nurse practitioner and women’s health educator since 1990 and is currently the
Director of Education at National Educational Video, Inc.
BERNARDO GARCIA, MA, BS... is the Director of the Office of Multicultural Student Language
for the State of Florida. From 1991 to 1993 he was Coordinator of LEP students and Foreign
Language Program. Mr. Garcia worked as assistant director of the Collier County Vocational
Technical Center from 1984-1991. Prior to his work at the center, from 1974 to 1984 Mr. Garcia
worked as an assistant principal in middle schools. In 1963 to 1974 he worked as Spanish and
Humanities teacher in New Jersey and Illinois. His educational background began in 1959-1961
at the University of Havana Law School. In 1968 he obtained a BA in American History from
Lewis University. Post graduate work was obtained from Montclair State College, Florida
International University and the University of South Florida. Mr. Garcia completed his doctoral
course work at the University of Miami.
NEVCO® video educational programs are prepared using specific criteria designed by National
Educational Video, Inc.™ All educational programs are coordinated and reviewed under the direction of
the NEVCO® Director of Education, who is a master’s prepared nurse.
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NATIONAL EDUCATIONAL VIDEO, INC.TM
Competent Care In A
Culturally Diverse Nation
HCS2512
REFERENCES
Lahiri, I. & Sedicum, A. (2000). Global diversity. Providian interculturally competent health
care,
Retrieved
May
2,
2004
from
http://www.diversityhotwire.com/learning/global_diversity.htm
Matzo, M, et al (2002). Teaching cultural consideration at the end of life: End of Life Nursing
Education Consortium program recommendations. Journal of Continuing Education Nurse,
33(6), 270-8.
Narayan, M. (2003). Cultural assessment and care planning. Home Healthcare Nurse, 21(9),
611-620.
Phillips, K. (2004). AHA touts culturally competent health care, Retrieved June 8, 2004 from
http://www.NurseZone.com
Spector, R. (2000). Cultural Diversity in Health and Illness. Stamford, CT: Appleton & Lange.
Spence, D. (2001). Hermeneutics: Transcultural nursing. Journal of Advanced Nursing, 35(4),
624-627.
While NEVCO® strives to remain current with federal and state regulatory requirements, the information contained in
this video presentation is always subject to governmental amendment. Therefore, we suggest that you contact your
state and federal authorities for any possible revisions to this material.
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Competent Care In A
Culturally Diverse Nation
HCS2512
Participant Evaluation of Objectives
Please evaluate the presentation by circling the number that best describes your rating.
4=Excellent
3=Good
2=Average
1=Poor
Define culturally competent care.
4
3
2
1
Describe the culturally competent health care worker.
4
3
2
1
List the cultural considerations that can affect the health
care worker and the client.
4
3
2
1
Explain at least two qualities of caring people.
4
3
2
1
Define empathy.
4
3
2
1
List the ways in which to promote effective cross-cultural
communication.
4
3
2
1
Explain the term “ethnocentric”.
4
3
2
1
List three examples of non-verbal communication.
4
3
2
1
Do you feel you met your personal objectives?
___________
Time required to complete this program?
___________ minutes
COMMENTS:_________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
Return this form to the facilitator who distributed the learning materials.
Thank You!
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