Cultural Competence is an Important Aptitude for Nurses.

Posted: December 29th, 2022

Cultural Competence is an Important Aptitude for Nurses.

Please select one of the cultural assessment strategies and write a paper to describe how you would assess the psychological, spiritual, physiological, social, environmental, and epidemiological data on a particular cultural group described in your book (Spector, 2017) or in the modules. The paper should be no more than 5 pages in length and written in APA format. There should be at least 5 references in the paper which may include but are not limited to: Primary research articles, Internet Sources, or Expert Opinion Papers.Cultural Competence is an Important Aptitude for Nurses.

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Please submit all assignments to turn-it-in. No papers with a similarity score of more than 35% will be accepted (even if the similarity is to previous papers you have written).
Please use Purnell to be a strategic assessment and use Chinese patient

Abstract
Cultural competence is an important aptitude for nurses. The Purnell model is based on cultural diversity and thus can enable nurses to deliver culturally competent care. Therefore, cultural assessment for a patient should include aspects such as spirituality, psychological, physiological, social, and environmental aspects. Spiritual assessment for a Chinese patient should take into account the patient’s religious beliefs, such as the suffering being God ordained. Psychological assessment should integrate Purnell’s domain such as communication and healthcare practices.Cultural Competence is an Important Aptitude for Nurses. Chinese culture has its distinct communication styles and healthcare practices that may impact their psychological health. Physiological assessment should assess the patient’s high-risk behaviors, nutrition, healthcare practices, and the healthcare provider; Chinese culture has its unique diet and behavioral practices that impact an individual’s physical health. Patient’s social assessment should integrate aspects such as communication and family roles and organization aspects from the Purnell model. The environmental assessment for the patient should assess the patient’s communication preferences, healthcare practice, and gender roles in order to deliver culturally competent care. Therefore, environment assessment will integrate domains such as workforce issues and bicultural ecology from the Purnell model. Finally, the overview/heritage element of the Purnell domain can be applied to collect relevant epidemiological data for the patient; this data can reveal the predisposing risk factors to disease for the patient.Cultural Competence is an Important Aptitude for Nurses.

Cultural Assessment
Introduction
Culture care highlights the importance of considering the beliefs and heritage of the patient when developing the treatment plan. Therefore, a nurse is required to recognize that people have diverse cultures, ethnics, races and, hence require treatment that respects the distinctiveness of every person. The Purnell model provides the foundation to understand the different aspects of diverse culture, enabling nurses to effectively take into consideration patient aspectssuch as experiences and beliefs regarding healthcare and disease (Purnell, 2016). The Purnell model consists of domains such as heritage, family, spirituality, diet, communication, healthcare practices, high-risk behaviors, among other domains. These domains are essential when assessing an aspect of various ethnic groups (Purnell, 2016). Accordingly, this paper will use Purnell model as the strategic assessment to describe the assessment of a Chinese patient.Cultural Competence is an Important Aptitude for Nurses.
Spiritual Assessment
Spiritual assessment for the patient would include assessing their religious practice, their perception about life, and how the patient understands spiritual healing (Spector, 2017). For example, Chinese patients sometimes believe that pain thorough sickness before dying is a means of reparation for any sin an individual might have committed; when someone does not suffer when alive, they suffer later in the next life (Wu et al, 2017). Therefore, for such a patient, spirituality may affect how they take treatment. For example, some Chinese patients may refuse to take analgesics because they believe through suffering their sins will be atoned (Lee et al, 2018). Additionally, in China, they believe that prayers can be used to invoke healing when treatment fails. Therefore, spiritual assessment for such a patient may enable the nurse to meet the health needs of the patient because the nurse will be spiritually aware and knowledgeable regarding the patient’s views aboutthe disease, health, as well as the divider spiritual and religious practices (Spector, 2017).
Psychological Assessment
When performing a psychological assessment, the domains of communication and health care practices of the Purnell model should be integrated. Communication is an important aspect ofpsychological assessment(Spector, 2017). According to the Purnnel model, use of language, the readiness to share feelings and thoughts, as well as body language communications are important aspects during the cultural assessment. For example, facial expressions and body movements are an important part of communication for Chinese patients. Additionally, Chinese people tend to have limited eye contact, which may be an important aspect to consider during the assessment (Wu et al, 2017). Additionally, Chinese believe that good mood promotes a healthy body and hence any psychological assessment should consider the holistic wellbeing of the body, mind,and soul. Healthcare practices for the patient should also be considered during the assessment. According to the Purnnel model, healthcare practices such as views towards mental illness, as well as traditional and religious beliefs should be considered during the cultural assessment(Lee et al, 2018). For example, the Chinese have different views regarding psychological and mental health. For instance, the exclusivity of Chinese culture significantly influences emotion and psychological health as well. The aspects of Confucianism and Taoism emphasize on developing relationships with others, conforming to social norms and balancing emotional and spiritual needs. In addition, psychological health is normally stigmatized in the Chinese nation and the psychological wellbeing is considerablyinfluencedby harmonious relationships with other people(Lee et al, 2018).Therefore, these are some of the aspects that should be considered during a psychosocial assessment of a Chinese patient.
Physiological Assessment
Physiological assessment of a Chinese patient will include assessment of the high-risk behaviors, nutrition, healthcare practices, as well as a healthcare provider. The high-risk behaviors for the patient may include assessment of substance use, as well as physical activities (Spector, 2017). For example, the Chinese culture supports physical activities, but there are specific physical activities that are appropriate in the Chinese culture. Similarly, the Chinese culture its own distinct dietary preferences and therefore this is an important aspect to consider during the patient’s assessment. According to the Purnell model, nutrition assessment should assess the food availability; the meaning of food and food choice as well as food taboos (Liu et al, 2014). Nutritional assessment will ensure that the patient is only provided with culturally suitable food choices during care provision.Additionally, the healthcare practices for the patient will need to be assessed. For example, individual responsibility for health is extremely important for a patient. This will help identify the role the patient can play in ensuring their physical wellbeing and can include practices such as adhering to the treatment regimen or engaging in traditional-based health practices. In Chinese culture, it is a common practice for people to engage in traditional treatments such as acupuncture, cupping/scraping, Chinese nutrition and Chinese herbs (Cui & Yuan, 2018).Cultural Competence is an Important Aptitude for Nurses.
Social Assessment
Social assessment is covered within the communication and family roles and organization aspects of the Purnell model. The family roles and organization can assess the effect of social status and social relationships for the individual (Spector, 2017). For example, social support is extremely important for a patient in Chinese culture; therefore, assessment of social support for the patient should be taken into consideration (Wu et al, 2017). Language use for the patient is also an important factor to take into consideration. This is because the patient may experience various language barriers and therefore this should be assessed. For instance, in case the Chinese patient does not understand English, there is a need to have a Chinese interpreter for the patient (Meuter et al, 2015).
Environmental Assessment
Environmental assessment integrates aspects such as workforce issues and bicultural ecology from the Purnell model. Workforce issues for the patient may cover aspects such as ethnic communication, gender roles as well as healthcare practices of the nationality. Bicultural ecology assessment involves the ethnic or racial physical differences that may impact a patient’s healthcare (Spector, 2017). For a Chinese patient, it is important to assess Chinese communication preferences, healthcare practice, and gender roles in order to deliver culturally competent care to the patient. Moreover, since physical orientations, such as race or ethnicity have been shown to influence treatment such as metabolism of medications; it is important to take these aspects into consideration during care delivery (Liu et al, 2014).Cultural Competence is an Important Aptitude for Nurses.
Epidemiological Data
The patient’s epidemiological data can reveal the predisposing risk factors to disease. The overview/heritage element of the Purnell domain can provide this data. According to the Purnell model, overview/heritage provides information regarding the country of origin, educational level, current residence,and the effects, socio-economic status and well as politics (Purnell, 2016). Such information can provide the patient’s likely risk to risk factors such as environmental factors, lifestyle risk factors, diet, and other infectious agents. In addition, such data can provide the incidence and geographic variance and hence help in understanding the susceptibility of the patient to some diseases (Spector, 2017).Cultural Competence is an Important Aptitude for Nurses.
Conclusion
Cultural beliefs and values provide important information to ensure the delivery of culturally competent healthcare. From the analysis, the Chinese culture is distinctive and therefore the unique cultural aspects should be taken into consideration during care delivery. For example, spirituality is highly regarded in Chinese culture during the journey of sickness and treatment. Similarly, aspects such as diet and cultural view of the patient regarding psychological health are some of the factors that should be considered when developing a treatment plan for a Chinese patient. When a nurse understands and integrates the Chinese culture for Chinese patients; it can help in developing a positive interaction and relationship with the patient and the family and ensure that the patient gets culturally suitable care.Cultural Competence is an Important Aptitude for Nurses.
Abstract
Cultural competence is an important aptitude for nurses. The Purnell model is based on cultural diversity and thus can enable nurses to deliver culturally competent care. Therefore, cultural assessment for a patient should include aspects such as spirituality, psychological, physiological, social, and environmental aspects. Spiritual assessment for a Chinese patient should take into account the patient’s religious beliefs such as the suffering being God ordained. Psychological assessment should integrate Purnell’s domain such as communication and healthcare practices. Chinese culture has its distinct communication styles and healthcare practices that may impact their psychological health. Physiological assessment should assess the patient’s high-risk behaviors, nutrition, healthcare practices, and the healthcare provider; Chinese culture has its unique diet and behavioral practices that impact an individual’s physical health. Patient’s social assessment should integrate aspects such as communication and family roles and organization aspects from the Purnell model. The environmental assessment for the patient should assess the patient’s communication preferences, healthcare practice, and gender roles in order to deliver culturally competent care. Therefore, environment assessment will integrate domains such as workforce issues and bicultural ecology from the Purnell model. Finally, the overview/heritage element of the Purnell domain can be applied to collect the relevant epidemiological data for the patient; this data can reveal the predisposing risk factors to disease for the patient.Cultural Competence is an Important Aptitude for Nurses.

Cultural Assessment
Introduction
Culture care highlights the importance of considering the beliefs and heritage of the patient when developing the treatment plan. Therefore, a nurse is required to recognize that people have diverse cultures, ethnics, and races and, hence required treatment that respects the distinctiveness of every person. The Purnell model provides the foundation to understand the different aspects of diverse culture, enabling nurses to effectively take into consideration patient aspectssuch as experiences and beliefs regarding healthcare and disease (Purnell, 2016). The Purnell model consists of domains such as heritage, family, spirituality, diet, communication, healthcare practices, high-risk behaviors, among other domains. These domains are essential when assessing an aspect of various ethnic groups (Purnell, 2016). Accordingly, this paper will Purnell model as the strategic assessment to describe the assessment of a Chinese patient.Cultural Competence is an Important Aptitude for Nurses.
Spiritual Assessment
Spiritual assessment for the patient would include assessing their religious practice, their perception about life, and how the patient understands spiritual healing (Spector, 2017). For example, Chinese patients believe that suffering thorough sickness before dying is a means of reparation for any sin an individual might have committed; when someone does not suffer when alive, they suffer later in the next life (Wu et al, 2017). Therefore, for such a patient, spirituality may affect how they take treatment. For example, some Chinese patients may refuse to take analgesics because they believe through suffering their sins will be atoned (Lee et al, 2018). Additionally, in China, they believe that prayers can be used to invoke healing when treatment fails. Therefore, spiritual assessment for such a patient may enable the nurse to meet the health needs of the patient because the nurse will be spiritually aware and knowledgeable regarding how the patient views disease, health, as well as the divider spiritual and religious practices (Spector, 2017).
Psychological Assessment
When performing a psychological assessment, the domains of communication and health care practices of the Purnell model should be integrated. Communication is an important aspect ofpsychological assessment(Spector, 2017). According to the Purnnel model, use of language, the readiness to share feelings and thoughts, as well as body language communications are important aspects during the cultural assessment. For example, facial expressions and body movements are an important part of communication for Chinese patients. Additionally, Chinese have limited eye contact, which may be an important aspect to consider during the assessment (Wu et al, 2017). Additionally, Chinese believe that good mood promotes a healthy body and hence any psychological assessment should consider the holistic wellbeing of the body, mind,and soul. Healthcare practices for the patient should also be considered during the assessment. According to the Purnnel model, healthcare practices such as views towards mental illness and the traditional and magicoreligious beliefs should be considered during the cultural assessment(Lee et al, 2018). For example, the Chinese have different views regarding psychological and mental health. For instance, the exclusivity of Chinese culture significantly influences emotion and psychological health as well. The aspects of Confucianism and Taoism emphasize on developing relationships with others, conforming to the social norms and balancing emotional and spiritual needs. In addition, psychological health is normally stigmatized in the Chinese nation and the psychological wellbeing is considerablyinfluencedby harmonious relationships with other people(Lee et al, 2018).Therefore, these are some of the aspects that should be considered during a psychosocial assessment of a Chinese patient.Cultural Competence is an Important Aptitude for Nurses.
Physiological Assessment
Physiological assessment of a Chinese patient will include assessment of the high-risk behaviors, nutrition, healthcare practices, as well as a healthcare provider. The high-risk behaviors for the patient may include assessment of substance use, as well as physical activities (Spector, 2017). For example, the Chinese culture supports being physically active but there are specific physical activities that are appropriate in the Chinese culture. Similarly, the Chinese culture its own distinct dietary preferences and therefore this is an important aspect to consider during the patient’s assessment. According to the Purnell model, nutrition assessment should assess the food availability; the meaning of food and food choice as well as food taboos (Liu et al, 2014). Nutritional assessment will ensure that the patient is only provided with the culturally suitable food choices during care provision. Additionally, the healthcare practices for the patient will need to be assessed. For example, individual responsibility for health is extremely important for a patient. This will help identify the role the patient can play in ensuring their physical wellbeing and can include practices such as adhering to the treatment regimen or engaging in traditional-based health practices. In Chinese culture, it is a common practice for people to engage in traditional treatments such as acupuncture, cupping/scraping, Chinese nutrition and Chinese herbs (Cui & Yuan, 2018).Cultural Competence is an Important Aptitude for Nurses.
Social Assessment
Social assessment is covered in the communication and family roles and organization aspects of the Purnell model. The family roles and organization can assess the effect of social status and social relationships for the individual (Spector, 2017). For example, social support is extremely important for a patient in Chinese culture and hence assessment of the availability of social support for the patient should be taken into consideration (Wu et al, 2017). Language use for the patient is also an important factor to take into consideration. This is because the patient may experience various language barriers and therefore this should be assessed. For instance, in case the Chinese patient does not understand English, there is a need to have a Chinese interpreter for the patient (Meuter et al, 2015).Cultural Competence is an Important Aptitude for Nurses.
Environmental Assessment
Environmental assessment integrates aspects such as workforce issues and bicultural ecology from the Purnell model. Workforce issues for the patient may cover aspects such as ethnic communication, gender roles as well as healthcare practices of the nationality. Bicultural ecology assessment involves the ethnic or racial physical differences that may impact a patient’s healthcare (Spector, 2017). For a Chinese patient, it is important to assess Chinese communication preferences, healthcare practice, and gender roles in order to deliver culturally competent care to the patient. Moreover, since physical orientations such as race or ethnicity have been shown to influence treatment such as metabolism of medications; it is important to take these aspects into consideration during care delivery (Liu et al, 2014).
Epidemiological Data
The patient’s epidemiological data can reveal the predisposing risk factors to disease. Overview/heritage element of the Purnell domain can provide this data. According to the Purnell model, overview/heritage provides information regarding the country of origin, educational level, current residence,and the effects, socio-economic status and well as politics (Purnell, 2016). Such information can provide the patient’s likely risk to risk factors such as environmental factors, lifestyle risk factors, diet, and other infectious agents. In addition, such data can provide the incidence and geographic variance and hence help in understand the susceptibility of the patient to some diseases (Spector, 2017).
Conclusion
Cultural beliefs and values provide important information to ensure the delivery of culturally competent healthcare. From the analysis, the Chinese culture is distinctive and therefore the unique cultural aspects should be taken into consideration during care delivery. For example, spirituality is highly regarded in Chinese culture during the journey of sickness and treatment. Similarly, aspects such as dietary and cultural view regarding psychological health are some of the factors that should be considered when developing a treatment plan for a Chinese patient. When a nurse understands and integrates the Chinese culture for Chinese patients; it can help in developing a positive interaction and relationship with the patient and the family and ensure that the patient gets culturally suitable care.Cultural Competence is an Important Aptitude for Nurses.