Essay: Cultural Competence Culturally Competent Care

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[. . .] 7.

Multicultural workforce: this standard requires that the nurses shall continually push for a more multicultural workforce within the healthcare. This has widely been met within the old age care homes since the staff is usually composed of different races and even religions. This makes the patients therein feel at home with the people handling them and not biased to particular race or culture.

8. Education and training: this standard requires that the nurses be educationally prepared to meet and promote the culturally competent values and practices within their workplaces. This is a standard that is still wanting within the old age care homes. This at times makes nurses to unintentionally deprive the old people the treatment they deserve and hence there is need to continually train the nurses even while at work, workshops and interactive seminars are seen as some of the central places for such sharpening of knowledge.


Cross Cultural communication: this standard requires that the nurses use communication modes that are effective and culturally competent. This should take into account the verbal and nonverbal cues of the patient, the cultural values as well as the context of the communication. This is a standard that is not widely abused since these communication channels and cues are prevalent even within the wider community out there hence not a big challenge.


Cross cultural leadership: this standard require the nurses to posses the ability to influence individuals and groups in order to come up with a care that helps care for diverse populations. Leadership, being a continuously learned acquisition, still stands as a challenge to many nurses within the old age homes. This hence means that there are several gaps that are evidenced within the homes that compromise the culturally competent care within the homes. There is need to persistently learn from the errors and success of the leaders within the current institutions.


Policy development: this needs the nurses to have the skills and knowledge to work with public, private, government, organizations and professionals in order to come up with policies that are congruent to the cultural competence. Within the old age homes and sector in general, there have been great achievements on this, where the contributions of nurses have led to magnificent legislations brought into being and in effect improving the nursing standards of the elderly within the U.S.A.


Evidence-based practice and research: this standard requires that the nurses base their actions and care types on interventions that have been severally tested and proven to be the most effective among a population that is culturally diverse. On this standard there is still a lot to be done since the cultures are as diverse as the individual needs of the old person being admitted into the homes. This means there is need to persistently seek to understand that needs of the old persons being brought into the homes on an individual basis and not as a group.

In a nursing home or an old age home where everything done is carried out with due consideration of the cultural diversity and sensitivity among the elderly people, there are manifestations that are apparent among the elderly. The old people within these homes are bound to be happier, more relaxed, less violent, less stressed and generally feeling not socially isolated. The elders are transferred to the nursing homes with the hope of getting a decent life and care but more often than not, they end up more stressed, uncomfortable, lonely and above all live in daily risks of their lives within the facilities due to the insensitive and incompetent cultural practices that they come across as they transcend from their main homes to the elderly homes. This is made worse most of the time with the compulsion to a wrong diet for their age by a staff that is not well qualified or just outright carefree and intolerant of the people they are taking care of.

In some cases there are administrative issues that are insurmountable and stand on the way of implementation of major culturally competent care in the nursing quarters, even though these practices have been accepted after research in the nursing quarters (WHO Regional Office for South-East Asia, 2006). One significant role that nursing with cultural competence plays among the old people is creating what Watson calls 'caring moment'; it is a situation where the nurse and patient make contact. Through the attitude and the competence of the nurse, the patient's world can become larger or smaller, brighter or drab, rich or dull as well as secure or threatening. It is a fact generally that these moments significantly change both the nurse and patient linking them together.


American Speech-language Hearing Association (ASHA), (2011). Culture Change in Nursing

Homes: Pioneer Network Food and Dining Clinical Standards Task Force Summary. Retrieved July 6, 2013 from

Larry Purnell, (2005). The Purnell Model for Cultural Competence. The Journal of Multicultural

Nursing and Health, 11:2 summer. Retrieved July 10, 2013 from

National Institute of Aging (2008). Americans Living Longer, Enjoying Greater Health and Prosperity, but Important Disparities Remain, Says Federal Report. Retrieved July 6, 2013 from

The American of Nursing Expert Panel (2009). Standards of Practice for Culturally Competent

Nursing Care: A Request for Comments. Retrieved July 10, 2013 from

The Federal Interagency Forum on Aging-Related Statistics, (2010). Older Americans 2010: Key

Indicators of Well-Being. Retrieved July 6, 2013 from

WHO Regional Office for South-East Asia, (2006). Promoting the Application of Research

Findings in Health Development. Retrieved July 6, 2013 from

Vanguard Health Systems, (2011). Overview of Jean Watson's Theory. Retrieved July 6, 2013


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