Health care environments have rich cultural diversities for nurses and patients. Since cultural diversity is an inevitable part of life, nurses should be culturally competent to provide care that recognizes patients’ cultural needs and interact with patients comfortably. Awareness of cultural diversity also helps nurses adapt their decision-making and actions as situations demand. The purpose of this presentation is to analyze the skills necessary to complete a transcultural admission assessment.
Transcultural Admission Assessment
Transcultural nursing is the foundation of effective, patient-centered, and satisfactory care. It enables nurses to understand patients’ needs and provide care to patients from diverse cultures (Değer, 2108). A transcultural admission assessment focuses on different aspects of care and patients’ everyday life, including biocultural variations, cultural affiliation, sanctions, and restrictions. Others include communication, economics, and educational background (Giger& Haddad, 2020). Nurses need skills in each of the following areas to assess individuals and families successfully.
Biocultural variations and cultural aspects of the incidence of disease: Nurses need to understand and evaluate how the client or the family relates health with conditions prevalent for a specific cultural group. Besides, nurses must be aware of the socioenvironmental conditions prevalent among a cultural group visible in the patient or family members.
Communication: Include the language spoken at home, whether the patient needs an interpreter, and hearing or visual impairment. Nurses should be aware of the patient’s communication patterns, challenges, and how to enhance patient-provider communication.
Cultural affiliations: They are primarily about the client’s preferred cultural groups and attachments that impact health.
Cultural sanctions and restrictions: They have primarily to do with defined expectations and restrictions on sexuality, relationships, certain medication, and health-related processes like abortion, among other elements.
Developmental considerations: The main considerations are beliefs and practices associated with developmental life events and cultural perception of aging (Giger & Haddad, 2020). Nurses should also enquire about how a cultural group cares for elderly persons.
Economics: Focus areas include insurance coverage, principal wage earner in the family and income level, and the connection between economic status, family’s lifestyle, and living conditions.
Educational background: It is among the key social determinants of health. Nurses must understand and evaluate how a patient’s education status impacts their knowledge about illnesses and perceptions of health care practices.
Health-related beliefs and practices: Nurses should examine factors influencing illness acquisition, client’s cultural beliefs, and practices promoting health. Other considerations include the client’s religious affiliations, reliance on cultural healers, and home support and availability of caregiving.
Nutrition: Focus areas include the presence of nutritional disorders and how the family views them, and the effects of the client’s cultural background on nutrition.
Religion and spirituality: The main skill is nurses’ awareness of the connection between religion, health, and illness. Focus areas include religious practices during health and illness, roles of religious leaders, and healing practices to promote well-being.
Value orientation: The main skill is the awareness and assessment of cultural worldview. Considerations include clients’ and families’ attitudes, values, and beliefs toward health (Giger & Haddad, 2020). Perception and reaction to change are critical too.
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Conclusion
There is no universal method of interacting with patients and providing effective care. However, cultural competence is essential due to the diverse nature of health care professionals and nurses. As demonstrated, cultural affiliations,
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