Culturally competent care

2005 ◽  
Author(s):  
Sadie F. Dingfelder
Keyword(s):  
Culturally Competent ◽  
Culturally Competent Care

Home Health Nurses’ Journey Toward Culture-Sensitive/Patient-Centered Skills: A Grounded Theory Study

2021 ◽  
pp. 108482232110278
Author(s):  
Mary Curry Narayan ◽  
Robert Kevin Mallinson
Keyword(s):  
Grounded Theory ◽  
Patient Centered Care ◽  
Home Health ◽  
Care Planning ◽  
Culturally Competent ◽  
Patient Centered ◽  
High Quality ◽  
Culturally Competent Care ◽  
Home Health Nurses ◽  
Centered Care

Introduction. Home health patients, who are members of minority and vulnerable groups, suffer disparate outcomes. Patient-centered care (PCC) and culturally-competent care (CCC) aim to facilitate high-quality, equitable care. How home health nurses incorporate PCC and CCC principles into their assessment and care-planning practices has not been -investigated. This study answers the question, “ What is the process by which home health nurses develop their culture-sensitive/patient-centered assessment and care planning skills?” Methods. Home health nurses (n= 20) were recruited into this grounded theory study from agencies around the United States via flyers, websites, and contacts. We conducted in-depth recorded interviews using a semi-structured interview guide to ask questions about nurses’ assessment and care-planning practices, their understanding of CCC and PCC principles, and facilitators/barriers to CCC and PCC practice. Results. Participants primarily gained their CCC and PCC assessment and care-planning skills through a “seat of your pants,” trial-and-error process, with little educational or agency assistance. They combined caring, diverse patient experiences, and critical, creative self-reflection on their experiences to gradually learn helpful, though not optimal, CCC and PCC strategies. However, they reported numerous barriers that discouraged or distressed them in their quest to deliver culturally-competent and patient-centered care. Only a few nurses demonstrated the resilience to overcome these challenges creatively and happily. Conclusion. If we accept that patient-centered care and culturally competent care are key elements of high-quality, equitable care, this grounded theory may help home healthcare clinicians, administrators, educators, and policy-makers identify impact points for enhancing CS/PC practices.

Ethical and culturally competent care of transgender patients: A scoping review

2021 ◽  
pp. 096973302098830
Author(s):  
Amara Sundus ◽  
Sharoon Shahzad ◽  
Ahtisham Younas
Keyword(s):  
Scoping Review ◽  
Healthcare Professionals ◽  
Culturally Sensitive ◽  
Culturally Competent ◽  
Culturally Competent Care ◽  
Individual Level ◽  
Culturally Sensitive Care ◽  
Healthcare Settings ◽  
Ethical Approval ◽  
Sensitive Issues

Background: Transgender individuals experience discrimination, stigmatization, and unethical and insensitive attitudes in healthcare settings. Therefore, healthcare professionals must be knowledgeable about the ways to deliver ethical and culturally competent care. Ethical considerations: No formal ethical approval was required. Aim: To synthesize the literature and identify gaps about approaches to the provision of ethical and culturally competent care to transgender populations. Design: A Scoping Review Literature Search: Literature was searched within CINAHL, Science Direct, PubMed, Google Scholar, EMBASE, and Scopus databases using indexed keywords such as “transgender,” “gender non-conforming,” “ethically sensitive care,” and “culturally sensitive care.” In total, 30 articles, which included transgender patients and their families and nurses, doctors, and health professionals who provided care to transgender patients, were selected for review. Data were extracted and synthesized using tabular and narrative summaries and thematic synthesis. Findings: Of 30 articles, 23 were discussion papers, 5 research articles, and 1 each case study and an integrative review. This indicates an apparent dearth of literature about ethical and culturally sensitive care of transgender individuals. The review identified that healthcare professionals should educate themselves about sensitive issues, become more self-aware, put transgender individual in charge during care interactions, and adhere to the principles of advocacy, confidentiality, autonomy, respect, and disclosure. Conclusions: The review identified broad approaches for the provision of ethical and culturally competent care. The identified approaches could be used as the baseline, and further research is warranted to develop and assess organizational and individual-level approaches.

Expanding conceptualizations of culturally competent care

2001 ◽  
Vol 36 (1) ◽  
pp. 102-111 ◽  
Author(s):  
Mary K. Canales ◽  
Barbara J. Bowers
Keyword(s):  
Culturally Competent ◽  
Culturally Competent Care

Changing the Culture of Long-Term Care: Combating Heterosexism

2015 ◽  
Vol 20 (2) ◽  
Author(s):  
Susan Schwinn ◽  
Shirley Dinkel
Keyword(s):  
Long Term Care ◽  
The Elderly ◽  
Holistic Care ◽  
Culturally Competent ◽  
Sexual Diversity ◽  
Term Care ◽  
Culturally Competent Care ◽  
Staff Members ◽  
Unique Position

The purpose of this article is to describe how heterosexism impedes the provision of culturally competent care for lesbian, gay, bisexual, transgender, and queer (LGBTQ) residents in long-term care (LTC) facilities. LTC facilities continue to employ staff members who lack an understanding of sexuality and sexual diversity in the elderly. In this article, we identify the heterosexual assumption, namely heterosexism, as the primary issue surrounding the holistic care of the LGBTQ elder in LTC. We first review the literature related to LGBTQ elders in LTC facilities, identifying the themes that emerged from the review, specifically the definitions of homophobia and heterosexism; perceptions of LGBTQ elders as they consider placement in LTC facilities; and staff knowledge of and biases toward sexuality and sexual diversity in LTC settings. Then, we suggest approaches for changing the culture of LTC to one in which LGBTQ elders feel safe and valued, and conclude by considering how facility leaders are in a unique position to enable LGBTQ elders to flourish in what may be their last home.

Sign in / Sign up

Export Citation Format

Share Document