Standards of Practice for Culturally Congruent Nursing Care
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Transcript of Standards of Practice for Culturally Congruent Nursing Care
Standards of Practice for
Culturally Congruent Nursing Care
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Larry Purnell, PhD, RN, FAANEmeritus Professor: University of DelawareFunded Professor: Universita di Modena, ItalyAdjunct Professor: Florida International UniversityConsulting Faculty: Excelsior College
Committee Members
American Academy of Nursing *Expert Panel on Global Nursing *Expert Panel on Cultural Competence
*Transcultural Nursing Society
*All members of the committee have extensive global health care experiences.
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Committee Members
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Marilyn K. Douglas, DNSc, RN, FAAN: University of California, San FranciscoJoan Uhl Pierce, PhD, RN, FAAN: Pierce & Associates Nursing ConsultantsMarlene Rosenkoetter, PhD, RN, FAAN: Medical College of GeorgiaLynn Clark Callister, PhD, RN, FAAN: Brigham Young UniversityMarianne Hattar-Pollara, DNSc, RN, FAAN: Azusa Pacific UniversityJana Lauderdale, PhD, RN: Vanderbilt UniversityJeri Milstead, PhD, RN, FAAN: University of ToledoDeena A. Nardi, PhD, PMHCNS-BC, FAAN: University of St. FrancisDula Pacquiao, EdD, RN, CTN: University of Medicine and Dentistry of New JerseyLarry Purnell, PhD, RN, FAAN
Purpose Establish a set of guidelines to initiate
global discussion for the practice of culturally competent nursing care in
Clinical Practice Education Administration Research
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Review of the Literature
~ 50 documents of International origins
Examples International Council of Nurses Hospital Accreditation Agencies Government Agencies National Nursing Organizations, ex. New Zealand, Australia, UK, & others
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Social Justice
Professional nurses shall promote social justice to attain racial and ethnic equality for all.
The applied principles of social justice guide nurses’ decisions related to the patient,
family, community, as well as to other health care professionals.
Nurses will develop leadership skills to advocate for
socially just policies.
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Critical Reflection
Nurses shall engage in critical reflection
of their own values, beliefs, and cultural
heritage in order to have an awareness of
how these qualities and issues can
impact culturally congruent nursing care.
Use of self-reflection.
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Transcultural Nursing Knowledge
Nurses shall gain an understanding of the perspectives, traditions, values, practices, and family systems of culturally diverse individuals, families, and communities for whom they care.
Nurses shall gain a knowledge of the complex variables that affect the achievement of health and well being.
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Cross Cultural Practice
Nurses shall use Cross-cultural theories, knowledge, and
culturally-competent skills in order to implement culturally congruent nursing care.
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Health Care Systems & Organizations
Health care organizations shall Provide the structure and resources
necessary to evaluate and meet the cultural and language needs of their ethnically diverse clients.
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Patient Advocacy and Empowerment
Nurses shall recognize the effect of healthcare policies, delivery systems, and resources on their patients..
Nurses shall empower and advocate for their patients.
Nurses shall advocate for the inclusion of patients’ cultural beliefs and practices in all dimensions of their healthcare.
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Multicultural Workforce
Nurses shall be activists in the global effort to ensure a representative multicultural workforce in health care settings.
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Education and Training Nurses shall be educationally prepared to deliver
culturally congruent health care through use of Standards of practice that guide knowledge
and skills necessary for the inclusion of culturally congruent care that are mandated in global heath care agendas through:
formal education clinical training continuing education
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Communication
Nurses shall use effective, culturally competent communication that takes into consideration each client’s
verbal language non-verbal (del cuerpo) language cultural values perceptions
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Cross Cultural Leadership
Nurses shall have the knowledge and ability to influence individuals, groups and systems to achieve satisfactory outcomes of cultural competent care for diverse populations.
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Policy Development
Nurses shall have the knowledge and skills to work with government and non-government organizations,
professional associations, and local communities
in order to establish policies and standards for comprehensive implementation and evaluation of cultural competent care.
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Evidence-Based Practice & Research
Nurses shall base their practice on interventions that have been systematically tested and shown to be the
most effective for the culturally diverse populations that they serve.
In areas where there is a lack of evidence of efficacy, nurse researchers shall investigate and test interventions that may be the most effective in reducing the racial and ethnic inequalities in health outcomes.
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“Borders can no longer be boundaries” Kofi Annan former UN Secretary-
General
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Culturally Competent
Is this term an accurate or “appropriate” description of this concept?
Culturally competent, culturally congruent, culturally appropriate, culturally safe, etc.
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The Standards
Are they relevant to your nursing practice?
Could you implement them as currently presented?
Challenges? What resources would you need to
implement these standards?
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ReferenceDouglas, M.K., et al. 2009. Commentary.
Journal of Transcultural Nursing, (20 )3,257-269. Publications. http://icn.sagepub.com hosted at: http://online.sagepub.com
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