Transcultural nursing practice is essential in today's westernised healthcare system (Lo, 2012). It provides conscientious awareness to an individual's traditional background, values, faith and cultural customs, and assists with reducing health inequalities to our ethnically diverse multicultural population (Cheraghi, Manookian & Nasrabadi, 2014).
Cultural identities have idiosyncratic ethnic
concerns that influence their well-being and mortality, and is capable to manipulate
perceptive health requirements and deliverance of health care. Healthcare providers
need to respect, comprehend and adhere to cultural beliefs to appropriately deliver
holistic healthcare (Leininger, 2002). Addressing ethnic variations (Noels, 2014), cultural dietary requirements or restrictions (Koenig, Dutta, Kandula & Palaniappan, 2012; Ren Chung,
Stoel, & Xu, 2011),
gender preference (Zisberg, Topaz &
Band-Wintershtein, 2015), palliative
rituals (Nikora, 2012), and transcultural preferences for
medical treatments and procedures (Gray, Szulczewski,
Regan, Williams & Pai, 2014; Han, 2013; Bock, 2012) during nursing assessment is vital in
becoming culturally competent.
The ethical
standards of 3.2, 4.6 and 8.2 in the Code of Ethics for Nurses in Australia
(NMBA, 2010) recognises
one's own religious and cultural values may culturally clash, but prejudicial
opinions must not be imposed to influence
decision-making (Burgess
& Murray, 2015). The biomedical
dominance and ethnocentrism of Western healthcare (Hunter, Corcoran, Phelps & Leeder, 2012) need to accept the cultural context and
holistic benefice of traditional therapy and Complementary and Alternative Medicines (Vardell, 2015). An interactive learning lesson focused on
the cultural end-of-life traditional requirements of a female Indigenous Wiradjuri woman,
and acknowledges the importance of cultural sensitivity to alternative spiritual
dimensions of healthcare (Nikora,
2012). Integrating Eastern alternative practices
of Holism, Humanism, Balance and Spirituality with traditional biomedical practices
will incorporate therapeutic balance of psychological, emotional and spiritual factors to produce
more transcultural and person-centred beneficial treatment outcomes (Jae-Mahn, 2015).
Self Reflection: This module has given me an appreciation
that every individual is a creation of their culture, and that it is my responsibility
as a nurse to ascertain cultural assessment and provide transcultural healthcare
to fit cultural expectations in relation to my clients unique ethnic values, beliefs
and practices. This will help me in my future clinical practice to be more culturally
competent and assist me to be more professionally sensitive to the healthcare
needs of my clients.
References:
Bock, G. L.
(2012). Jehovah's Witnesses and autonomy: honouring the refusal of blood
transfusions. Journal Of Medical Ethics, 38(11),
652-656.
Burgess, S., &
Murray, S. J. (2015). Cutting Both Ways: On the Ethical Entanglements of Human
Rights, Rites, and Genital Mutilation. American Journal Of Bioethics, 15(2),
50-51.doi:10.1080/15265161.2014.990167
Cheraghi, M. A., Manookian, A., & Nasrabadi, A. N. (2014).
Human dignity in religion-embedded cross-cultural nursing. Nursing
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Gray, W.
N., Szulczewski, L. J., Regan, S. P., Williams, J. A., & Pai, A. H. (2014).
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Of Pediatric Oncology Nursing, 31(5), 252-271.
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Han, C. C.
(2013). Do We Need to Consider Ethno-cultural Variation in the Use of Atypical
Antipsychotics for Asian Patients with Major Depressive Disorder?. CNS
Drugs, 2747-51.
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J., Corcoran, K., Phelps, K., & Leeder, S. (2012). The Integrative Medicine
Team-Is Biomedical Dominance Inevitable?. Journal Of Alternative &
Complementary Medicine, 18(12), 1127-1132 6p.
doi:10.1089/acm.2011.0393
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S. (2015). The influence of social context on the treatment outcomes of
complementary and alternative medicine: the case of acupuncture and herbal
medicine in Japan and the U.S. Globalization & Health, 11(1),
1-13. doi:10.1186/s12992-015-0103-2
Koenig, C. J., Dutta, M. J., Kandula, N., & Palaniappan, L.
(2012). “All of Those Things We Don't Eat”: A Culture-Centered Approach to
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doi:10.1080/10410236.2011.651708
Leininger,
M. (2002). Transcultural Nursing:
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(2012). The importance of transcultural nursing in cancer care. British
Journal Of Nursing, S32-7 1p.
Narayanasamy, A. (Artist). (2002). ACCESS model for transcultural nursing [Table]. Retrieved from http://eds.a.ebscohost.com.ezproxy.cqu.edu.au/eds/pdfviewer/pdfviewer?sid=3f2757ef-04ee-49b4-a5ae-529dded25622%40sessionmgr4003&vid=69&hid=4210.
(Original work created 1999)
Nikora, L. T. (2012). Final Arrangements Following Death: Maori
Indigenous Decision Making and Tangi. Journal Of Community &
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Noels, K. A. (2014). Language variation and ethnic identity: A
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and Midwifery Board of Australia (NMBA). (2008a). Code of ethics for nurses in Australia. Retrieved from http://www.nursingmidwiferyboard.gov.au/Codes-Guidelines-Statements/Professional-standards.aspx
Ren, J., Chung, J., Stoel, L., & Xu, Y. (2011). Chinese
dietary culture influences consumers' intention to use imported soy-based
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E. (2015). Natural Medicines: A Complementary and Alternative Medicines Tool
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Zisberg, A., Topaz, M., & Band-Wintershtein, T. (2015).
Cultural- and Educational-Level Differences in Students Knowledge, Attitudes,
and Preferences for Working With Older Adults: An Israeli Perspective. Journal
Of Transcultural Nursing, 26(2), 193-201.
doi:10.1177/1043659614526252

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