Trans Cultural Nursing Concepts and Assessment.pptx

Trans Cultural Nursing Concepts and Assessment.pptx

• 1.
  Trans Cultural Nursing Concepts andAssessment Presenter: Naheed Feroz Ali Assistant Professor, ZUFONAM
• 2.
  Objectives At the endof this unit learners will be able to: Describe concept of trans-cultural nursing Describe key concepts related to trans-cultural nursing Explain the components of cultural assessment Identify concepts of trans-cultural nursing care throughout the life span Integrate nursing frameworks and theories applicable to trans- cultural nursing Identify culturally related issues across the life span Examine the role of family and cultural practices related to the developmental stages Explore
• 3.
  Transcultural Nursing • Culture profoundlyinfluences an individual's beliefs, values, practices and behaviors related to health and illness. Madeleine Leininger : Transcultural Nursing Theory • Provide cultural awareness, thus enabling nurses to offer culturally sensitive and competent care to patients. • Emphasizes culturally congruent, respectful, and meaningful care.
• 4.
  Keys Concepts ofTranscultural Nursing Cultural awareness: Understanding one's own cultural background and biases. Cultural knowledge: Gaining insight into different cultural practices and worldviews. Cultural skill: The ability to assess and meet cultural needs. Cultural encounters: Engaging with patients from diverse backgrounds. Cultural desire: The motivation to want to engage in the process of becoming culturally competent.
• 5.
  Keys Concepts of Transcultural Nursing Cultural Competencevs. Cultural Humility Cultural Competence: Mastery of knowledge and skills to care for diverse populations. Cultural Humility: Lifelong process of self-reflection and learning from patients.
• 6.
  Sunrise Model guidesnurses in conducting comprehensive cultural assessments by focusing on seven major components that influence health and care.
• 7.
  Component s of Cultural Assessment ComponentDescription Example Technological Beliefs about modern healthcare tools Prefers herbal treatment over machines Religious/Philosophical Spiritual views on illness and healing Requests prayer time before procedures Kinship/Social Family roles and decision-making Extended family consulted for treatment Cultural Values Traditions, customs, norms Avoids eye contact as a sign of respect Political/Legal Legal/policy impact on care Hesitant to disclose info due to status Economic Financial ability to access care Skips medication due to cost Educational Health literacy and understanding Needs visual aids for instructions
• 8.
  Trans-cultural nursing care throughout the lifespan • Infants and Young Children (0–5 years) • Cultural Practices: Beliefs about birth rituals, infant feeding, hygiene, and vaccinations. • Example: Some cultures may avoid colostrum; others may follow strict postpartum rituals. • Nursing Consideration: Respect cultural norms around newborn care and involve family elders. • School-Age Children (6–12 years) • Cultural Identity Formation: Children begin learning cultural roles, behaviors, and communication styles. • Example: Some families emphasize modesty in dress or gender-specific activities. • Nursing Consideration: Use culturally appropriate language and include parents in health education.
• 9.
  Trans- cultural nursing care throughout the lifespan Adolescents (13–18 years) • Cultural Conflict: Adolescents may experience tension between traditional values and societal norms. • Example: Restrictions on dating, dress, or career choices based on cultural values. • Nursing Consideration: Provide private, respectful space for discussion; balance autonomy with family involvement.4. Adults (19–64 years)Health Beliefs & Roles • Cultural expectations about gender roles, work, family responsibility, and healing methods. • Example: Men may avoid expressing pain; women may prefer female healthcare providers. • Nursing Consideration: Respect traditional healing practices and decision-making hierarchies.
• 10.
  Trans- cultural nursing care throughout the lifespan • Older Adults (65+ years) • Tradition & End-of-Life Beliefs: Older adults often hold strong to cultural traditions and spiritual beliefs. • Example: Beliefs in karma, fate, or life-after-death rituals; preference for home-based or family care. • Nursing Consideration: Incorporate spiritual needs, family involvement, and respect for cultural end-of-life practices.
• 11.
  Theory/Model Focus AreaApplication Leininger’s Culture Care Theory Culturally congruent care Care plans based on cultural values Campinha-Bacote’s Model Cultural competence development Self-assessment and continuous learning Purnell Model Holistic cultural assessment Tool for comprehensive patient profiling Giger & Davidhizar Model Quick cultural assessment Guides on-the-spot cultural understanding Papadopoulos, Tilki & Taylor Model Reflection & sensitivity Promotes anti-discrimination and equality
• 12.
  Infants & YoungChildren (0–5 years) Cultural Issues: • Postpartum rituals (e.g., confinement period, dietary restrictions) • Breastfeeding beliefs (e.g., discarding colostrum in some cultures) • Immunization hesitancy due to traditional beliefs Family Role: Mothers or elders are primary caregivers and decision-makers in infant care. Nursing Implication: • Respect traditional caregiving roles. • Provide evidence-based education for infant care while honoring cultural beliefs. Cultural Practices  Postpartum customs  Feeding practices  Naming rituals  Circumcision
• 13.
  School-Age Children (6–12years) Cultural Issues: • Gender-based roles and expectations in play and learning • Language barriers affecting school and health communication • Stigma around disabilities or mental health in some cultures Family Role: • Parents enforce cultural norms, behaviors, and roles. • Siblings or extended family may assist in caregiving and supervision Nursing Implication: Include family in teaching, observe cultural modesty, and address developmental needs without conflicting with family values Cultural Practices  Gender-specific upbringing,  Modesty  Discipline styles  Educational expectations and religious training (e.g., Quran classes, Sunday school)
• 14.
  Adolescents (13–18 years) CulturalIssues: • Conflicts between cultural values and peer norms • Restrictions on dating, dress, and education • Mental health stigma or taboo topics (e.g., sex education) • Family Role: • Family involvement remains strong in health decisions in many cultures. • Nursing Implication: Ensure confidentiality, culturally sensitive health education, and balance between autonomy and family respect. Cultural Practices  Restrictions on dating dress, social roles  Strong influence of honor, shame, and reputation in some cultures  Silence around mental health, sex education, or substance use
• 15.
  Adults (19–64 years) CulturalIssues: • Traditional healing practices (e.g., herbal remedies, spiritual healers) • Gender preferences for healthcare providers • Work and family balance shaped by cultural norms • Family Role: • Adults often become caregivers for children and aging parents. • Cultural expectations may dictate gender roles, work-life balance, and caregiving responsibilities. • Nursing Implication: Provide family-centered care; accommodate cultural healing practices; address caregiver stress compassionately. Cultural Practices  Preference for same-gender providers, use of traditional remedies  Cultural rituals in marriage, pregnancy, and childbirth
• 16.
  Older Adults (65+years) Cultural Issues: • End-of-life beliefs and rituals (e.g., last rites, body handling) • Role of elders in decision-making • Use of traditional remedies over modern medicine • Family Role: • Viewed as wisdom-holders or spiritual leaders in many cultures • Often cared for by family at home Nursing Implication: Involve family in decision-making, honor end-of-life rituals, and address spiritual needs. End-of-life customs, death rituals, spiritual preparationUse of alternative medicine, reliance on cultural healing methods Cultural Practices  End-of-life customs, death rituals, spiritual preparation  Use of alternative medicine, reliance on cultural healing methods