Cultural Competence and Experiences of Caring for Culturally Diverse Patients Essay
Finding Evidence to Support the Following Research Question:
How do healthcare employees involved in decontamination proceed during a Code Orange, perceive the intervention procedure related to health and cultural beliefs during the 1-year period post decontamination intervention? Cultural Competence and Experiences of Caring for Culturally Diverse Patients Essay
Background
During a night shift, healthcare workers in the Emergency Department (ED), were exposed to unknown substances from a patient. The type of chemicals was unknown. For healthcare worker safety, supervisors called a Code Orange (hazardous material/chemical spill incident). Per hospital protocol all staff within the area of exposure were to report to the outdoor decontamination tents located directly behind the ED (about 10 people were affected). Hospital policy included having the city fire department respond to the facility and assist with decontamination. The staff members were directed to remove all clothing to be decontaminated by a fireman in a hazmat suit. After decontamination, the staff member was directed to exit the tent unclothed, in front of other hospital staff, to receive hospital gowns and towels. Many of the members of our staff who were exposed to the chemicals were women of Muslim beliefs which prohibited them from being seen naked in front of a man. Additionally, Muslim men, who cannot have their heads exposed, were without a head covering. Cultural Competence and Experiences of Caring for Culturally Diverse Patients Essay
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Significance
There was a delay in the decontamination of these staff members prolonging their possible exposure to an unknown chemical.
Unfortunately, aspects of cultural importance were not initially considered or addressed. A code orange is a very uncommon occurrence in the ED however, this situation forced an examination into the policy that was developed decades ago and outdated. Development of a new policy that is culturally competent is essential to not only ensure inclusion but also patient safety.
After recognizing a gap in culturally competent care, opportunity for education and immediate change in protocol was identified. In the year since this situation, it is important to assess the impact of such care on the healthcare worker during and after the decontamination period.
The goal is to conduct a qualitative, primary research to gain meaning from this event through gathering data from the individuals involved in the event. It would be baseline research to support future changes to existing policy and procedures. Cultural Competence and Experiences of Caring for Culturally Diverse Patients Essay
Find 3 original research articles that apply to your research topic. The articles must be
o peer reviewed,
o recent (published within 5 years), and
o statistically significant.
Write a 350-word summary of each article in which you identify
o participants
o independent variable(s),
o dependent variable(s),
o methods, and
o results.
Determine whether these articles are suitable for inclusion in a literature review for your research topic.
If they are not, explain why. If they are, explain how the information can be used to inform practice.
Compile all summaries in 1 document.
Include a PDF of and APA citation for each article.
Cultural Competence and Experiences of Caring for Culturally Diverse Patients Essay
Finding Evidence to Support Research Question
There is a concern that the decontamination procedures applied in code orange incidences are not culturally sensitive. This understanding led to the development of new code orange decontamination procedures. However, there are concerns that the new procedures may be ineffective. As such, the research question is presented that: “How do healthcare employees involved in decontamination proceed during a Code Orange, perceive the intervention procedure related to health and cultural beliefs during the 1-year period post decontamination intervention?” In answering this research question, the intention is to collect the opinions of health care personnel concerning the new code orange decontamination procedures with recommendations that would inform their (procedures) cultural sensitivity thereby informing future changes to existing policy and procedures. Towards this end, three research articles were identified as providing relevant information.
First, Kaihlanen, Hietapakkaand Heponiemi (2019) presents the results of a qualitative study that explores the perception of nurses about the content and utility of cultural competence training. The intention of the study is to increase cultural awareness. The study notes that the world has become global so that nurses are forced to provide care to a culturally and linguistically diverse patient population. This creates a need for nurses to be culturally competent to provide quality health care, a shift that requires them to acquire more knowledge under different educational models and approaches. In this regard, the study recruited 20 nurses from different units in a primary care hospital located in southern Finland. 14 participants were registered nurses while 6 participants were practical nurses. The participants were subjected to four-hour training sessions conducted over four weeks to include lectures, discussions and short web-based learning tasks. The independent variable in the study was training while the dependent variable was perceptions about the training (Kaihlanen, Hietapakka&Heponiemi, 2019). Cultural Competence and Experiences of Caring for Culturally Diverse Patients Essay
At the end of the training period, 10 participants were subjected to semi-structured, small group interviews that examined their perceptions about the utility and content of the training. Qualitative content analysis with a conventional approach was applied to the data from the interviews. The results of the analysis revealed three main categories for the perceptions. The first category is general utility of training with a focus on how the general training influences cross cultural care, improves current practices, and allows for open discussion. The second category is personal utility of training with a focus on the opportunity to become aware of cultural features, have a new perspective on communication practices, and carry out workable practices. The third category is utility of training for patients with a focus on improving awareness and acknowledgement that the patients have cultural differences and this must be reflected in their care. The study concludes that cultural training increases the cultural competence and awareness of health care professionals, this improves their communication with patients, and acts as a critical component of delivering quality health care. In addition, it concludes that e-learning presents a good opportunity for training a large group regardless of place and time(Kaihlanen,Hietapakka&Heponiemi, 2019). This article is useful for inclusion in the literature review for the research topic as it denotes the importance of training in improving cultural competence. This shows that it may not be enough to change the code orange procedures, and that the medical personnel should be subjected to training as an additional measure for improving their cultural competence.
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Second, Shepherd et al. (2019) presents the results of a study that explores the perspectives of health care providers concerning the challenge of cultural competence in the workplace. The study notes that it is now commonplace for medical personnel to be subjected to cross cultural educational initiatives. While previous studies have sought to understand how these training initiatives affect workplace behaviors and client outcomes, there are question on how medical personnel perceived cross-cultural educational models and the extent to which the learned principles are executed in practice. With this awareness, the study sought to explore the general perspective of medical personnel concerning cultural competent care, experiences providing care for multicultural patients, and the extent to which their workplaces address cross-cultural challenges. The independent variable was being a health care professional, while the dependent variable was opinions concerning cultural competent care, experiences providing care for multicultural patients, and the extent to which their workplaces address cross-cultural challenges (Shepherd, 2019). Cultural Competence and Experiences of Caring for Culturally Diverse Patients Essay
The study recruited 56 health care professionals from different facilities spread across a Mid-Western state in the USA. The participants were recruited and their opinions collected using a 19-item questionnaire that included both multiple choice and open-ended questions. An analysis of the questionnaire responses revealed that medical personnel are largely confident in their ability to meet the needs of clients from different cultural backgrounds. In addition, the analysis revealed that cross-cultural education is perceived as a strategy for improving cultural awareness. In addition, cross-cultural care is delivered when the medical personnel has cultural knowledge and can communicate with the client. Besides that, the participants largely ignored principles of systemic cross-cultural approaches (such as recognition of entrenched cultural biases, power imbalances and racism) and the need for self-reflectivity. The study concludes that cultural awareness based approaches should be acknowledged along with their utility in cultural competence and safety approaches (Shepherd, 2019). This article is useful for inclusion in the literature review for the research topic as it acknowledges the value of cultural awareness-based approaches while showing that systemic cross-cultural approaches should be applied as they are likely to be ignored. This shows that cultural competence is best achieved when training and systemic approaches are combined.
Third, Anton-Solanas et al. (2022) presents the results of a study that explores the perceptions of nurses concerning cultural competence and experiences of nurses concerning care provision for culturally diverse patients. The study notes that while nurses practicing in Europe are expected to provide the appropriate care for patients from different cultural backgrounds, their ability to provide such care is limited by understanding and knowledge of the process. As such, this study sought to explore the perceptions of nurses concerning the culture of patients from different cultural backgrounds, and caring for them. Towards this end, nurses were recruited from four European countries of Turkey, Spain, Portugal and Belgium. The independent variable was nurses practicing in Europe, while the dependent variable was perceptions of culture and experiences of caring for patients from diverse cultural backgrounds. The study applied a qualitative phenomenological approach to understand the complex phenomenon of the experiences through the lived experiences, perspectives and meanings of the participants (Anton-Solanas et al., 2022).
The study recruited 39 participants (28 staff nurses and 11 nurse managers) from four countries who were subjected to focus group discussions and individual interviews. Descriptive statistics were presented to describe the sociodemographic and cultural characteristics of the participants. The results of analyzing the focus group discussions and interviews revealed five themes: relevance of culture for nursing, culture in nursing care, qualities of nurses, challenges of delivering culturally competent care, and becoming a culturally competent nurse. The study concluded that nurses face significant challenges in delivering culturally congruent care to include communication and language difficulties, stereotyping and prejudices, ethnocentrism, lack of education and training in cultural competence, and lack of support. These are difficulties that must be addressed to enable nurses deliver culturally competent care (Anton-Solanas et al., 2022). This article is useful for inclusion in the literature review for the research topic as it presents strategies for enabling nurses to provide culturally competent care. This shows that the organization must actively support nurses in providing culturally competent care. Cultural Competence and Experiences of Caring for Culturally Diverse Patients Essay
References
Anton-Solanas, I., Rodriguez-Roca, B., Vanceulebroeck, V., Komurcu, N., Kalkan, I., …&Subiron-Valera, A. B. (2022). Qualified Nurses’ Perceptions of Cultural Competence and Experiences of Caring for Culturally Diverse Patients: A Qualitative Study in Four European Countries. Nursing Reports, 12(2), 348-364. https://doi.org/10.3390/nursrep12020034
Kaihlanen, AM., Hietapakka, L. &Heponiemi, T. (2019). Increasing cultural awareness: qualitative study of nurses’ perceptions about cultural competence training. BMC Nursing, 18, Article number 38. https://doi.org/10.1186/s12912-019-0363-x
Shepherd, S.M., Willis-Esqueda, C., Newton, D., Sivasubramaniam, D., &Paradies, Y. (2019). The challenge of cultural competence in the workplace: perspectives of healthcare providers. BMC Health Services Research, 19, Article number 135. https://doi.org/10.1186/s12913-019-3959-7
Detailed review of 3 original research articles to support research question. Cultural Competence and Experiences of Caring for Culturally Diverse Patients Essay
