cultural considerations in pediatric nursing

cultural considerations in pediatric nursing

25 Enero, 2021 Sin categoría 0

As members of a specific culture often do not ascribe to the same religious traditions, the purpose of this article was to explore and review how culture and religion informs and shapes pediatric palliative care. Culturally effective pediatric care. Author information: (1)College of Nursing, Rutgers, The State University of New Jersey, Newark, NJ 07102, USA. The American Medical Association (AMA) considers “cultural competence” and “culturally effective health care” synonymous terms but has retained use of the term “cultural competence” because of its widespread use and acceptance in the literature.4 Over time, the scope of cultural competence has been expanded beyond the traditional realms of race and ethnicity to incorporate a wider range of personal attributes, health care services, and definitions of health, well-being, and illness. This imbalance may be even more pronounced when patients and their families are from minority groups, because they may experience “communication anxiety” when dealing with people in expert roles.16 Failure to appreciate this imbalance may lead to miscommunication, posing an even greater barrier to health care services. Washington DC, Cultural Transformation of Attitudes Toward Pain and Its Prevention and Management, National Academies of Science. ; NEW! Campinha-Bacote and Munoz (2001) proposed a five-component model for developing cultural competence in The Case Manager. The US Department of Health and Human Services, in its March 2001 National Standards for Culturally and Linguistically Appropriate Services in Health Care: Final Report,7 established 14 national standards, several of which concern services for individuals with limited English proficiency. Available at: American Medical Association Foundation. There is, however, no current AAP policy that specifically addresses low health literacy for patients and their families in all cultures. Approximately 65% of undergraduate nursing schools have an ELNEC trained faculty member. Walter, Jennifer K Davis Edge. In 1995, the APA published its “Educational Guidelines for Residency Training in General Pediatrics,”36 which soon became an essential tool for educators of pediatric residents. Since adoption of the Report of the AAP Task Force on Minority Children's Access to Pediatric Care,9 the AAP has strengthened its commitment to ensure that all infants, children, adolescents, and young adults have access to optimal and culturally effective pediatric care, ideally through a medical home.56 Additionally, the AAP acknowledges that culturally effective pediatric care is multifaceted, complex, and often costly. Munson, David A Final National Standards on Culturally and Linguistically Appropriate Services (CLAS) in Health Care Published. Issues and Trends in Pediatric Nursing 2. Cunningham, Melody J. These are example slides from a program that was conducted in San Francisco and Oakland, CA. Child health affects the society’s health in both long and short run and plays a significant role in determining a society’s level of development [2,3]. In addition, other special populations—including homeless children, children in migrant families, and children in foster care—will reflect even more cultural and ethnic diversity and will require sensitive attention from the pediatricians and other child health professionals who provide care for them.”2(p173). Although the role of culturally linked behaviors that may influence the physician-patient interaction, including eye contact, body language, and communication styles, has not been fully explored,17 language barriers have been shown to have a major effect on health care. In particular, varying levels of health literacy may present considerable barriers to improving one's health. 2015. This response is an example of cultural a. collectivism. Available at: Enter multiple addresses on separate lines or separate them with commas. Chicago, IL: American Medical Association Foundation; September 19, 2002. seborrhea ___ is a scaly scalp condition in infants that is also known as cradle cap. Wang, Wei-Shu Also, culture is not static; changes occur over time. Lindley, Lisa Feature Flags: { Ward, Wendy L. Another facet of the relationship between language and culturally effective pediatric care is health literacy. 22 May 2012. One approach is not endorsed in lieu of another. Third-party payers, health care organizations, industry, and charitable foundations should be encouraged to establish incentive programs that reward physicians for demonstrating improved outcomes in providing culturally effective health care. Wittenberg, Elaine and Educational programs must focus also on the enhancement of interpersonal and communication skills, which are essential to nurturing the pediatrician-patient or pediatrician-family relationship and optimizing the health status of patients. * Views captured on Cambridge Core between September 2016 - 23rd January 2021. When the pediatrician and his or her patient and patient's family do not speak the same language with fluency, there is a potential for misunderstandings such as an inaccurate history, misunderstanding of therapies, and deferred medical visits.18,19 This barrier could be addressed through the use of medical interpreters or bilingual pediatricians and other pediatric health care professionals to meet the needs of children whose parents are not proficient enough to interact with members of the health care system in English.20 Some pediatricians, medical educators, and policy makers have identified concerns with the use of medical interpreters, including concerns about the lack of required or standardized training. STUDY. Chicago, IL: American Medical Association; 1998. Regardless of their background, all patients and their families have culturally based concepts about health, disease, and illness. Standards of Practice and Ethical Considerations. Weaver, Meaghann S. and Language, preferred diet, specific customs, family roles, and religious beliefs are often shared among those with the same. Membres: Critiques: Popularité : Évaluation moyenne: Discussions: 41: Aucun: 469,096 (4) Aucun: Part of the popular LPN Threads series, this leading text provides a solid foundation in obstetrics and pediatric nursing. In addition, physician self-reflection, self-knowledge, and self-critique have been identified as critical components of competence.8 Along with requiring these knowledge bases, skills, behaviors, and attitudes, commonly referred to as cultural competence and cultural sensitivity, culturally effective health care emphasizes the need for continued monitoring and documentation of measurable outcomes. and degree: educational objectives. Because individuals are influenced by their own personal experiences and may or may not subscribe to group assumed norms, individuals who share the same cultural background may think and act quite differently. Howard, Scott C If you should have access and can't see this content please, A survey of language barriers from the perspective of pediatric oncologists, interpreters, and parents, Patience and Gratitude: An Abridged Translation of ‘Uddat As-Sābirīn Wa Dhākhirat Ash-shākirīn, Minority cancer patients and their providers – Pain management attitudes and practice, Economic, political and ethnic influences on end-of-life decision-making: A decade in review, Death and dying in four Asian American cultures: A descriptive study, Native American cultural aspects of nursing oncology care, Spiritual care for sick children of five world faiths, Ethical dilemmas in palliative care in traditional developing societies, with special reference to the Indian setting, Concepts within the Chinese culture that influence the cancer pain experience, Family perspectives on the quality of pediatric palliative care, Archives of Pediatric Adolescent Medicine, Away from home: experiences of Mexican American families in pediatric palliative care, Journal of Social Work in End-of-Life & Palliative Care, Strategies for culturally effective end-of-life care, The experience of South American mothers who have a child being treated for malignancy in the United States, A review of the literature on care of clients in pain who are culturally diverse, Barriers to palliative care for children: Perceptions of pediatric health care providers, Spiritual and religious considerations for the practicing pediatric oncologist, Quick Reference for Pediatric Oncology Clinicians: The Psychiatric and Psychological Dimensions of Pediatric Cancer Symptom Management, The child with cancer. 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