Throughout nursing school cultural competence meant recognizing the values and beliefs of others and then making sure I respected those values or beliefs – cut and dry

P‌‍‍‍‌‍‍‌‌‍‍‍‌‍‍‍‍‌‍‍lease respond to the following 2 responses and use 2 references from peer journals not websites for each response and cite using APA 7th edition . Responses can be 125 words for each response. Thank you Respone#1 After completing the HHS Culturally Competent Care Units, I think my definition of cultural competence has changed by realizing cultural competence is something that is always evolving. Throughout nursing school cultural competence meant recognizing the values and beliefs of others and then making sure I respected those values or beliefs – cut and dry. After completing the care units, I realize that cultural competence is so much more than this. Cultural competence also means developing and delivering care and services that can potentially reduce health disparities and inequalities according to Henderson et al. (2018). So part of cultural competence is understanding the personal and cultural aspect, and the other part is what we do to advocate for that person. I think that cultural competence is something that is constantly evolving and changing, and because it is kind of abstract, there is no concrete way to ensure healthcare workers are increasing their knowledge of cultural competence. An article by Lekas, Pahl, & Lewis (2020) says we should abandon the word competence and replace it with humility. The article suggests that by seeking cultural competence we can unknowingly contribute to the reproduction of social stereotypes. Culture is not stagnant and so our training shouldn’t be either. Another interesting issue this article discusses is that most cultural competence training assumes that the provider is an English speaking, white, heteronormative male who is providing care to someone that is not any of those things. Cultural competence training focuses on familiarizing a white male to communicate with a non-white patient and assumes they will embrace common beliefs based solely on their race/ethnicity (Lekas, Pahl, & Lewis, 2020). Cultural humility on the other hand means admitting that you do not know but are wiling to learn from patients. Cultural competence suggests mastery while cultural humility suggests more of an interpersonal approach that fosters person-centered care and interactions (Lekas, Pahl, & Lewis, 2020). I think the most important thing I took away from this was the acknowledgement that I will be a life-long learner when it co‌‍‍‍‌‍‍‌‌‍‍‍‌‍‍‍‍‌‍‍mes to cultural competence. This is not something that will ever be mastered but is something that requires me to always take a person-centered approach when it comes to my healthcare delivery. Response #2 I have always believed that cultural competence is an ongoing learning process and this belief has been reinforced after completing the HHS Culturally Competent Care Units. The American Nurses Association (2015) defines culturally competent practice as the application of evidence-based nursing that is in agreement with the preferred cultural values, beliefs, and practices of healthcare consumers and other stakeholders. A nurse’s cultural competence and ability to direct culturally congruent practice is essential for a diverse patient population to improve access to healthcare services, improve outcomes, and reduce disparities (American Nurses Association, 2015). One takeaway from the HHS Culturally Competent Care Units was to find balance between the knowledge-centered approach and the skill-centered approach. It is important for the nurse to gain specific knowledge about their patient’s culture, their perceptions of illness and disease, and preferences for health-seeking behaviors. Effective communication will allow the nurse to the understand the cultural context of their patient’s experiences. The culturally competent provider is able to recognize that culturally specific attributes and characteristics may be true for the group, but not necessarily the individual (Purnell, 2016). The second major takeaway was the importance of self-reflection. Healthcare professionals who lack cultural awareness might provide care based on their own perceptions, preconceived notions, and biases about a specific culture, ultimately leading to a negative encounter for the patient. Providers must be aware of their own cultural beliefs and biases to be sensitive to other cultures and prevent cultural imposition. Abualhaija (2021) poses that cultural awareness is the foundational building block for developing cultural competence. Moreover, the ability to overcome these culturally destructive sentiments is a skill that healthcare providers develop over time and with experience. There is much room for cultural competency improvement among providers, and while this is widely promoted, the next step should be to identify comprehensive tools which evaluate whether culturally competent care is truly del‌‍‍‍‌‍‍‌‌‍‍‍‌‍‍‍‍‌‍‍ivered (Purnell, 2016).

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