Cultural Competency In School Nursing

Transcription

1 Cultural Competency In School Nursing Erin D. Maughan PhD, MS, RN, PHNA-BC, FNASN, FAAN Director of Research Oct 26,

2 At the end of the evening, you will be able to: Articulate how your implicit bias impacts you views of culture. Identify 2 ways you can incorporate concepts of cultural sensitivity into your daily practice. Integrate at least one aspect of culture into your school nursing practice. 2

3 Guiding Model/Framework Whole School, Whole Community, Whole Child Model (ASCD & CDC, 2014)

4 Guiding Model/Framework (NASN, 2015)

5 Cultural Competency is a Journey Campinha-Bacote, J. (2015). The process of cultural competence in the delivery of healthcare services. Retrieved from

6 Cultural Competence is NOT: Good intentions A list of stereotypes about what people from a particular cultural group do Assumptions that all students from one culture operate in similar ways and have had similar experiences The responsibility of children, their parents or the community Color-blindness (treating everybody the same) Simple tolerance

7 Why is Cultural Competency Important? Increases respect and mutual understanding among those involved. Increases creativity in problem-solving through new perspectives, ideas, and strategies. Decreases unwanted surprises that might slow progress. Increases participation and involvement of other cultural groups. Increases trust and cooperation. Helps overcome fear of mistakes, competition, or conflict. For instance, by understanding and accepting many cultures, everyone is more likely to feel more comfortable in general and less likely to feel the urge to look over their shoulders to be sure they are being "appropriate" in majority terms. Promotes inclusion and equality. University of Kansas. (2017). Community Toolbox: Building Cultural Competent Organizations. Retrieved from 7

8 Food Music Art Literature Work Ethic Relationship to People Culture = Iceberg Clothing Holiday Customs Concept of Equality Gestures Values Concept of Beauty Relationship to the Natural World Concept of Time Religious Beliefs Concept of Space

9 Culture Definition Attributes, language, beliefs, physical characteristics, values or behaviors that a group identifies as their own. (Office of Minority Health, 2013)

10 Assessment First yourself-then others Giger & Davidson. (2017). Transcultural Nursing: Assessment & Intervention [7 th ed]. St Louis, MO: Elsevier

11 What is your Culture?

12 Components of Cultural Health-related beliefs Culture, language, traditions Worldviews and cultural norms Religion & spirituality Family, kinship, social networks Health care systems, politics

13 Awareness is not just noticing what s going on around you, but what s going on within you as well. (unknown)

14 Neuroscience of Thought Implicit Bias: relatively unconscious and relatively automatic features of prejudiced judgment and social behavior 14

15 15

16 16

17 17

18 18

19 19

20 R_PE 20

21 21

22 St Louis County Public Schools Total Number of Students: 146,843 White: 78,819 Black: 56,329 Asian: 5,822 Hispanic: 3,448 American Indian/Alaska Native: 269 Hawaiian Native/Pacific Islander:0 2 or more races: 0

23 Addressing Implicit Bias Be aware Slow down Acknowledge differences Ask questions Be aware 23

24 Build Relationships of Trust Listen Be interested in them Keep an open mind Value the relationship Be professional Be consistent Be true

25 Health-Related Beliefs Belief system Treatment Rituals/practices Access to Care Patterns of illness

26

27 Culture, Language, Traditions

28 Religion & Spirituality

29 Worldviews and Cultural Norms

30 Family/Kin & Social Networks

31

32 Include in your Cultural Assessment Your own biases Language Cultural Identification Religious Identification View of Health Health Practices Medication Traditional healing Food

33 Assessment, cont. Support Network Social determinants Education/literacy level Environmental Concerns Socio-economic Status Comprehension

34 Plan/Intervention Include cultural needs in care plan Know the resources available Advocate! Leininger, M. (2004). Leininger s Sunrise Enabler to discover cultural care. Retrieved fromhttp://

35 Include in Care Plan Specific cultural beliefs/practices Food preferences Use of traditional healers Use of herbs/traditional treatments Language needs Education level Health literacy Socio-economic level/health access

36 Interventions & Advocacy Used with permission:

37 Cultural Care Interventions Preservation or Maintenance Help retain their beliefs Accommodation or Negotiation Adapt cultural practices that are safe and effective Repatterning or Restructuring Modifying practices for better health outcomes. Used with permission:

38 Case Study You have a 16 year old student who has just moved from a predominately Islamic country. He has diabetes. Ramadan is coming up. What do you do?

39 NASN Website Resources 39

40 40

41 Now are you able to: Articulate how your implicit bias impacts you views of culture? Identify 2 ways you can incorporate concepts of cultural sensitivity into your daily practice? Integrate at least one aspect of culture into your school nursing practice? 41

42 Abilities that are critical to navigating inevitable cultural and demographic shifts can hardly be considered optional. Critical and comparative thinking, selfawareness and appreciation of different points of view, and the ability to collaborate, to listen, and to speak and think in an inclusive manner are all essential skills for communicating and understanding diverse perspectives (2 nd paragraph). Redford, K. (2017). Cultural competency is not a soft skill. Educator Week Teacher. Retrieved from