How does the community health nurse recognize bias, stereotypes, and implicit bias within the community? How should the nurse address these concepts to ensure health promotion activities are culturally competent? Propose strategies that you can employ to reduce cultural dissonance and bias to deliver culturally competent care. Include an evidence-based article that address the cultural issue. Cite and reference the article in APA format.
Why do nurses have inherent bias? It’s a subconscious human trait and frequently interferes with best nursing practices. An inherent bias doesn’t mean you are racist, and it doesn’t mean you shouldn’t be a nurse. but to know why it is essential to recognize as a nurse because, an implicit bias is not only harmful because it is undeserved, but it can also lead to disparities in care. Even if you are unaware of how you are feeling, your body language, your focused attention, and your level of care can be impacted directly by the way you are feeling. Each patient deserves your full care, so understanding what might trigger you to act differently will make you a better nurse. (Minority Nurses, 2018).
Cultural competence is willingness to understand and interact with people of different cultures, race, ethnicity, gender, and sexuality. This approach allows nurse professionals to successfully treat patients even when patient’s beliefs, practices, and values directly conflict with conventional medical and nursing guidelines. Nurses can develop ability to tailor and explain treatment plans according to patient’s needs, which may be influenced by cultural practices that don’t fall within the parameters of conventional medicine. ‘Utilizing cultural competence appropriately will allow for deeper connections with patients. A nurse will gain the trust of the patient by being empathetic to their differences and unique needs. (Nurses Journal, 2022)
Strategies that you can employ to reduce cultural dissonance and bias to deliver culturally competent care
Perform a cultural competence self-assessment.
Determining your own strengths and weaknesses when it comes to working with people who come from different cultures is probably one of the most important ways to help improve your cultural competence. Several organizations offer free cultural competence self-assessment tools, and you can choose one that appropriate to your work.
Obtain a certificate in cultural competence.
You can increase your cultural awareness, knowledge, and skills through culturally competent training, a workshop, or a seminar. Journal articles, textbooks, and the internet also offer great information that can help you improve cultural competence.
Improve communication and language barriers.
The values, beliefs, and worldview of a particular cultural group are rooted within their language use; therefore, language is the key to accessing a culture. It is best if you can speak its language or find a translator (an individual providing language assistance) to help communicate with limited English proficiency patients. You also can use pictures, gestures, or written summaries to improve communication with your patients and reduce language barriers.
Directly engage in cross-cultural interactions with patients.
Understanding that each patient is a unique person can help nurses effectively interact with patients. Nurses need to have the ability to explore patients’ beliefs, values, and needs to build effective relationships with them.
Participate in online chats and networks.
Online networking and social media can have a great influence on improving nurses perceived cultural competency and cultural awareness and keeping them up to date on cultural competency issues.(Minority Nurses, 2018).
Minority Nurse, Recognizing Implicit Bias in Health Care Settings, (January 3, 2018), https://minoritynurse.com/recognizing-implicit-bias-health-care-settings/
Nurses Journal, Cultural Competence in Nursing, (March 3,2022), https://nursejournal.org/resources/cultural-competence-in-nursing/
Minority Nurse, 5 Ways to Improve Cultural Competence in Nursing Care, (May 24, 2108), https://minoritynurse.com/5-ways-to-improve-cultural-competence-in-nursing-care/
Cultural competence is the ability to interact effectively with people of different cultures, belief systems, and preferences” (Grand Canyon University, 2018). A way to be culturally competent is having a “higher level of moral reasoning attainable through formal education in cultural and ethics knowledge” (Henderson et al., 2018). Nurses have been taught in nursing school regarding cultural competence since there are different cultures and beliefs in the community or hospital setting. This cultural knowledge and awareness help identify personal biases and stereotypes and treat patients in a fair manner. Being aware of the diverse cultures helps the nurse be sensitive in providing care to the individual or the community (Sharifi et al., 2019).
An example of cultural awareness is of a Chinese patient and family members being educated regarding changes in diet after a heart attack. Still, the patient keeps nodding, yet family members bring traditional herbal medications and their food with salt and fats anyway without any alterations. Since Chinese culture believes in the balance of yin and yang, it also reflects in their food whether it is hot or cold for the disease, and nodding at times may be a sign of respect and not of understanding (Simpson, 2003). Cultural sensitivity leads to acceptance and respect, promoting a therapeutic merge of cultures between the nurse, patient, and family members in the healthcare environment. Applying evidence-based information and keeping it factual will also assist the nurse in health education while considering cultural beliefs.
Grand Canyon University (Ed). (2018). Community & public health: The future of health care.
Retrieved from ttps://lc.gcumedia.com/nrs427vn/community-and-public-health-the-future-of-health-care/v1.1/https://lc.gcumedia.com/nrs427vn/community-and-public-health-the-future-of-health-care/v1.1/
Henderson, S., Horne, M., Hills, R., & Kendall, E. (2018). Cultural competence in healthcare in the community: A concept analysis. Health & social care in the community, 26(4), 590–603. https://doi.org/10.1111/hsc.12556
Sharifi, N., Adib-Hajbaghery, M., & Najafi, M. (2019). Cultural competence in nursing: A concept analysis. International Journal of Nursing Studies, 99https://10.1016/j.ijnurstu.2019.103386
Simpson P. B. (2003). Family beliefs about diet and traditional Chinese medicine for Hong Kong women with breast cancer. Oncology nursing forum, 30(5), 834–840. https://doi.org/10.1188/03.ONF.834-840
In a nurse career, patient bias is something they always encounter. Prejudice is a negative evaluation of a particular group of individuals and its members. All individuals hold indirect discrimination. Sometimes nurses have a bias toward some of the patients (FitzGerald, 2017). To rectify the problem, nurses should identify the bias they hold against their patients and know how to respond to it. Unmanaged and unrecognized bias can negatively affect the patients leading to health disparities.
Healthcare providers need to develop appropriate skills to offer medical services to patients of different backgrounds properly. There are various ways of developing the cultural competence of nurses. The main elements include patient experiences from different cultures, being open-minded about the experiences, and respecting cultural differences (Sukhera, 2020). For competent care, nurses are supposed to analyze individual cultural competence as part of development. Cultural dissonance can be reduced by cultivating understanding, trust, and respect.
America journal of public health in 2015 reported that medical professional who had pro-white bias dominated the conversation and only involved with 33 percent of patient-centered conversation with black patients than white patients. The discrimination led to black patients having less respect for the medical professional, which led to less follow up of medical prescriptions and treatment plans.
FitzGerald, C., & Hurst, S. (2017). Implicit bias in healthcare professionals: a systematic review. BMC medical ethics, 18(1), 19.
Sukhera, J., Watling, C. J., & Gonzalez, C. M. (2020). Implicit Bias in Health Professions: From Recognition to Transformation. Academic Medicine, 95(5), 717-723.