Delivering culturally competent nursing care : working with diverse and vulnerable populations

Cover
Title
Copyright
Contents
Contributors
Preface
	References
Acknowledgments
Introduction
	Impact on Nurses
	Purpose and Goals of Text
	Barriers to Culturally Competent Care
	Strategies for Skill Development
	The Meaning of Culture
	Role of the Culturally Competent Nurse
	The Recipients of Culturally Competent Care
	Identifying Patients’ Needs
	Using This Text
	References
Share Delivering Culturally Competent Nursing Care: Working With Diverse and Vulnerable Populations, Second Edition
Part I: Building Cultural Competency Skills
	Chapter 1: Defining Cultural Competency
		Why Cultural Competency?
		The Language Dilemma
		A Possible Solution
		Diversity in America
		Diversity and Healthcare
		Patient Diversity
		Utilizing the Staircase Self-Assessment Model
		Finding Your Place on the Staircase
		General Step-Conscious Questions for Nurses to Ask Themselves to Determine Their Level on the Staircase
		AACN End-of-Program Cultural Competencies for Baccalaureate Nursing Education
		Strategies for Strengthening Cultural Competency
		Stepping Up to Culturally Competent Care
		NCLEX®-Type Questions
		Answers to NCLEX-Type Questions
		References
		Important Websites
	Chapter 2: Cultural Competency Models and Guidelines
		Cultural Competency Models and Guidelines
		Early Models of Cultural Competence
		Selecting a Cultural Assessment Tool
		Nonnursing Models
		Nursing Models
		Models for Enhancing Communication in Building Cultural Competence
		Selected Cultural Considerations Using the Giger and Davidhizar Transcultural Assessment Model
		NCLEX®-Type Questions
		Answers to NCLEX-Type Questions
		AACN Competencies Addressed in This Chapter
		References
		Important Websites
	Chapter 3: Why Can’t They Speak Our Language?
		Overview
		Need for Internationally Educated Nurses
		Diversity Issues and Concerns
		A Strategy to Enhance Communication
		Strategies for Positive Interactions
		What Nurses Need to Know About Themselves
		What Nurses Need to Know When Working with Culturally Diverse Colleagues
		Assessment Questions for Gaining Relevant Cultural Information
		Case Exercise on Working with Culturally Diverse Colleagues
		NCLEX®-Type Questions
		Answers to NCLEX-Type Questions
		Summary
		AACN Competencies Addressed in This Chapter
		References
		Important Websites
Part II: Stepping Up to Cultural Competency
	Chapter 4: Cultural Considerations When the Patient’s Religious or Spiritual Needs Differ From One’s Own
		Defining Spirituality
		The Significance of Spirituality
		Differentiating Spirituality From Religion
		Religion
		Components of a Spiritual Assessment
		A Jewish Patient
		What Nurses Need to Know About Themselves
		What the Nurse Needs to Know About the Patient
		A Jehovah’s Witness Patient
		What Nurses Need to Know About Themselves
		What Nurses Need to Know About the Patient
		NCLEX®-Type Questions
		Answers to NCLEX-Type Questions
		AACN Competencies Addressed in This Chapter
		References
		Important Websites
	Chapter 5: Cultural Considerations When Caring for Patients With Physical, Psychological, or Intellectual Disabilities
		Defining Disabilities
		Disabilities and Discrimination
		Learning Disabilities
		New Trends in Caring for Persons with Learning Disabilities
		Cultural Diversity, Disabilities, and Disparities
		Implications for Nurses
		Demographics Among the Disabled
		Attitudes of Healthcare Providers Toward Persons with Disabilities
		What Nurses Need to Know About Themselves
		Responses to Self-Reflection Questions 3, 4, 5, and 6
		NCLEX®-Type Questions
		Answers to NCLEX-Type Questions
		AACN Competencies Addressed in This Chapter
		References
		Important Websites
	Chapter 6: Cultural Considerations When the Patient Speaks a Different Language
		Understanding the Need for Culturally Linguistic Care
		Language Diversity
		Strategies to Address Linguistic Barriers
		What Nurses Need to Know About Themselves
		What Nurses Need to Know About the Patient
		NCLEX®-Type Questions
		Answers to NCLEX-Type Questions
		AACN Competencies Addressed in This Chapter
		References
		Important Websites
	Chapter 7: Cultural Considerations When Caring for the Patient Who Is Terminally Ill
		Life Expectancy in the United States
		Causes of Death
		The Role of the Nurse
		Cultural Factors and Spirituality
		Cultural Variations and Barriers
		Attitudinal Barriers and Death and Dying
		What Nurses Need to Know About Themselves
		What Nurses Need to Know About the Patient
		What Nurses Need to Know About Themselves
		Summary
		NCLEX®-Type Questions
		Answers to NCLEX-Type Questions
		AACN Competencies Addressed in This Chapter
		References
		Important Websites
	Chapter 8: Cultural Considerations When Caring for the Geographically Displaced Client
		Overview
		What Nurses Need to Know About Themselves
		What Nurses Need to Know About Their Patients
		NCLEX®-Type Questions
		Answers to NCLEX-Type Questions
		AACN Competencies Addressed in This Chapter
		Further Reading
		References
		Important Resources
	Chapter 9: Cultural Considerations When Working With LGBTQIA Patients
		Overview
		LGBTQIA: Defining the Umbrella
		Healthcare and Sexual Orientation: A Review of the Literature
		Personal Beliefs, Religion, Sexual Orientation, and Gender Identity
		What Nurses Need to Know About Themselves
		A Final Word to Gay, Lesbian, Bisexual, and Transgender Nurses
		Summary
		NCLEX®-Type Questions
		Answers to NCLEX-Type Questions
		AACN Competencies Addressed in This Chapter
		References
		Important Websites
	Chapter 10: Cultural Considerations When Caring for the New Immigrant or Refugee
		The Nature of Immigration
		Immigration Status
		The Pros and Cons of Immigration
		Health Among Immigrants
		The Role of the Nurse
		Summary
		Asian Immigrants
		Black Immigrants
		Afro-Caribbean Immigrants From Haiti
		Black Immigrants From Africa
		What Nurses Need to Know About Themselves
		Hispanic Immigrants
		Mexican Americans
		Puerto Ricans
		Arab Immigrants
		What Nurses Need to Know About Themselves
		Summary
		NCLEX®-Type Questions
		Answers to NCLEX-Type Questions
		AACN Competencies Addressed in This Chapter
		References
		Important Websites
	Chapter 11: Cultural Considerations When Caring for the Poor and Uninsured
		Overview
		Socioeconomic Class and Healthcare
		The Role of the Nurse
		Access to Care
		ER Overuse
		Poverty, Cultural Differences, and Language Barriers
		Inadequate Time with Primary Care Providers
		Lack of Confidence in the Healthcare System
		Decreased Patient Satisfaction
		What Nurses Can Do
		Summary
		What Nurses Needs to Know About Themselves
		What Nurses Need to Know About the Patient
		Summary
		NCLEX®-Type Questions
		Answers to NCLEX Type Questions (Unchanged)
		AACN Competencies Addressed in This Chapter
		References
		Important Websites
	Chapter 12: Cultural Considerations When Caring for the Patient Who Is Morbidly Obese
		Obesity: A Global Concern
		Obesity and Stigma
		Strategies for Culturally Competent Care Delivery
		What Nurses Need to Know About Themselves
		Helpful Hints
		Summary
		NCLEX®-Type Questions
		Answers to NCLEX-Type Questions
		AACN Competencies Addressed in This Chapter
		References
		Important Websites
		Exercise
	Chapter 13: Cultural Considerations When Caring for Veterans
		Overview
		Veterans
		Veteran Culture
		Women in the Military
		Nurses in the Military
		Veterans by Race and Ethnicity
		Veterans’ Place of Birth
		War Participation and Its Impact on Veterans’ Health
		Traumatic Brain Injury
		Posttraumatic Stress Disorder
		Sexual Trauma
		Veterans in World War II
		Veterans in the Korean War
		Veterans in the Vietnam War
		Veterans in the Global War on Terror
		Factors Influencing Veterans Reintegration
		What Nurses Need to Know About Themselves
		What Information Does the Nurse Need to Know About the Patient?
		NCLEX®-Type Questions
		Answers to NCLEX-Type Questions
		Additional Resources
		AACN Competencies Addressed in This Chapter
		References
	Chapter 14: Cultural Considerations When Caring for Children of Diverse Backgrounds
		Nurses’ Responsibility to Children from Diverse Backgrounds
		Vulnerability and Autonomy
		Nurses’ Responsibility to Consider Children in the Healthcare System as Uniquely Vulnerable
		What Parents Say They Need From Healthcare Providers
		Where Do Children Encounter the Healthcare System?
		Members of the Pediatric Healthcare Team
		Social Determinants of Childhood Health: Nurses Caring for Marginalized Children
		What Nurses Need to Know About the Patient
		What Nurses Need to Know About Themselves
		NCLEX®-Type Questions
		Answers to NCLEX-Type Questions
		AACN End-of-Program Cultural Competencies for Baccalaureate Nursing Education
		References
		Important Websites
		Appendix 14.A National Association of School Nurses
Index