Question

Describe three approaches found in cultural competency training.

Answer 1

To provide culturally congruent care it is important to identify potential conflicts between patient's health care needs and thier cultural practicies and cultural values

Leininger identified 3 nursing decision and action modes to acheive culturally congruent care. All three modes of professional decisions and actions assist,support facilitate or enable people of particular cultures

1. Cultural care preservation or maintenance

Retain and/or preserve relevant care values so patients maintain their well-being, recover from illness, or face handicaps and or death

2.Cultural care accomodation or negotiation

Adapt or negotiate with others for a beneficial or satisfying health outcome

3.Cultural care repatterning or restructuring

Reorder, change or greatly modify patient's lifestyle for a new different and beneficial health care pattern

Nurses are able to use any oor all of these action modes simultaneously. These actions require that nurses have knowledge of patient's culture and the willingness, commitment, and skills to work with patients and amily in decision making. The intended outcome of these actions and decisions is meaningful, supportive and facilitative care as judged by the patient