Cultural diversity: A challenge for community nurses
Akram Omeri
Adjunct Associate Professor, School of Nursing, College of Health and Science, University of Western Sydney, Parramatta NSW
Patricia Malcolm
Former Lecturer, Faculty of Nursing, Department of Family & Community Nursing, University of Sydney, Sydney NSW
PP: 183 - 191
Abstract
Cultural diversity is a challenge for community nurses and can present many difficulties in the provision of quality nursing care and in achieving optimal health outcomes.
In this paper seven enabling principles are identified and their application to diverse groups discussed. These include: willingness to recognize expert family skills and knowledge, acknowledging own and other nurses' strengths and weakness, taking time to establish rapport and acceptance, assessing influences on health and health care, providing care that is culturally appropriate, developing cultural competent practice and advocating for CLD appropriate resources and expertise. The aim of this paper is to assist community nurses to provide nursing care congruent with the many lifeway practices encountered in the community.
Diverse cultural groups with distinguishing dominant characteristics of ethnic orientation, aboriginality, and disability are selected as examples to demonstrate the application of the principles.
Keywords
cultural and linguistic diversity; community nursing; transcultural nursing; Aboriginal & Torres Strait Islander (ATSI); culturally & linguistically diverse clients (CLD)
References
Aboriginal & Torres Strait Islander health goals & targets (1992): Australian Government Publishing Service. Canberra ACT.
Akerstrom M (1998): Renouncing hope and the rhetoric of death culture. Perspectives on Social Problems 10: 101-114.
American Academy of Nursing Expert Panel Report (1992): Culturally competent health care. Nursing Outlook 40: 277-83.
Andrews M (1992): Cultural perspectives on nursing in the 21st century. Journal of Professional Nursing 8: 7-15.
Andrews M & Boyle J (2003): Transcultural concepts in nursing care. 4th edn. J.B. Lippincott, Philadelphia.
Annison J, Jenkinson J, Sparrow W & Bethune E (1996): Guide for health professionals. Thomas Nelson, Melbourne.
Blackburn J (1992): Achieving a multicultural service orientation: adaptive models in service delivery and race and culture training. Caring Magazine April 22-26.
Bush A & van Holst Pellekaan S (1995): Footprints: a trail to survival. In Gray G & Pratt R (ed.) Issues in Australian Nursing 4, pp. 219-233. Churchill Livingston. Melbourne.
Campinha-Bacote J (1999): A model and instrument for addressing cultural competence in health care. Journal of Nursing Education 38: 203-207.
Castles S, Foster W, Iredale R & Withers G (1998): Immigration and Australia: myths & realities. Allen & Unwin, St Leonards, NSW.
Chin J (2000): Culturally competent health care. Public Health Reports 115: 25-33.
Eckermann A, Dowd T, Martin M, Nixon L, Gray R & Chong E (1996): Binaj Goonj: bridging cultures in Aboriginal health. University of New England Press, Biddeford ME.
Gaguly I (2001): The third dimension: cultural awareness for non-English Speaking Background health professionals. Australian and New Zealand Journal of Public Health 25: 109-110.
Gardner G (2000): Hospital and Home: strange bedfellows or new partners? Collegian 7: 9-15.
Gigor J & Davidhizar R (2003): Transcultural nursing assessment and intervention 4th demobs, St. Louis.
Glittenberg J (2002): The biocultural basis of transcultural nursing. In Leininger M & McFarland M (eds) Transcultural nursing concepts, theories, research & practices 3rd edn. McGraw Hill, New York.
Goold S (1995): Why are there so few Aboriginal registered nurses? In Gray G & Pratt R (eds) Issues in Australian Nursing 4, 235-252. Churchill Livingstone, Melbourne.
Goold S (2001): Transcultural nursing: can we meet the challenge of caring for the Australian Indigenous person? Journal of Transcultural Nursing 12: 94-99.
Hager P & Gonczi A (1996): What is competence? Medical Teacher 18: 15-18.
Heineken J & McCoy N (2000): Establishing a bond with clients of different cultures. Home Health Care Nurse 18: 45-51.
Helman C (1994): Culture, health and illness, 3rd edn. Butterworth Heinemann, London UK.
Hufford D (1997): Cultural diversity, folk medicine, and alternative medicine. Alternative Therapies 3: 78-80.
Huttlinger K (1996): At home with diversity. Home Care Provider 1: 20-24.
Kaufert J & Putsch R (1997): Communication through interpreters in health care: ethical dilemmas arriving from differences in class culture language and power. The Journal of Clinical Ethics 8: 71-87.
Kavanagh K, Absalom K, Beil Jr, & Schliessmann L (1999): Connecting and becoming culturally competent: a Lakota example. Advances in Nursing Science 21: 9-28.
Kerr J (2000): Community health promotion: challenges for practice. Harcourt, Edinburgh.
Kleinman A (1980): Patients and Healers in the Context of Culture: University of California Press, Berkeley CA.
Koch T, Marks J & Took E (2001): Evaluating a community nursing service: listening to the voices of clients with an intellectual disability and/or their proxies. Journal of Clinical Nursing 10: 352-363.
Leininger M (1970): Nursing & Anthropology: two worlds to blend. Greyden Press, Columbus OH.
Leininger M (1978): Transcultural nursing: concepts, theories and practices. John Wiley, New York.
Leininger M (1991): Culture care diversity and universality: a theory of nursing. National League for Nursing Press. New York.
Leininger M (1995): Transcultural nursing concepts, theories, research & practices, 2nd ed. McGraw-Hill, New York.
Leininger M (1997): Major directions for transcultural nursing: journey into the 21st century. Journal of Transcultural Nursing 7, 28-31.
Leininger M & McFarland M (2002): Transcultural nursing concepts, theories, research & practices, 3rd ed. McGraw-Hill, New York.
Maltby H (1999): Interpreters: a double-edged sword in nursing practice. Journal of Transcultural Nursing 10: 248-254.
McGrath B (1998): Illness as a problem of meaning: moving culture from the classroom to the clinic. Advances in Nursing Science 21: 17-29.
McMurray A (1999): Community health & wellness: a sociological approach. Mosby, Sydney NSW.
McNeal G (1998): Diversity issues in the homecare setting. Critical Nursing Clinics of North America 10: 357-368.
Moss J (1999): Hospital in the home is here to stay. Nursing Review, December 1: 17.
Naidoo J & Willis J (2000): Health promotion foundation for practice, 2nd ed. Harcourt, Edinburgh. National Multicultural Advisory Council
Commonwealth of Australia (1999): Australian multiculturalism for a new century: towards inclusiveness. AusInfo, Canberra ACT.
Neal L (1999): Preparing students to practice in the home. Nurse Educator 24: 13-15.
Office of Multicultural Affairs (1989): The National Agenda for Multicultural Australia: sharing our future. AGPS, Canberra ACT.
Omeri A & Ahern M (1999): Utilizing culturally congruent strategies to enhance recruitment and retention of Australian Indigenous nursing students. Journal of Transcultural Nursing 10: 150-155.
Omeri A (2003): Meeting diversity challenges: pathway of 'advanced transcultural nursing practice in Australia. Contemporary Nurse, Special issue: Advances in Transcultural Nursing,15: 175-187.
Parsons C (1990): Cross-cultural issues in health care. In Reid J & Trompf P eds The health of immigrant Australia: a social perspective. Harcourt, Sydney NSW.
Wass A (2000): Promoting health: the primary health care approach 2nd ed. Harcourt, Sydney NSW.
Wenger A (1998) Cultural Openness, social justice, global awareness: promoting transcultural nursing with unity in a diverse world. In Merilainen P & Vehvilainen-Julkunen K (Eds.) The 23rd annual nursing research conference 1997: Transcultural nursing - global unifier of care, facing diversity with unity Kuopio University Publication, Kuopio, Finland.
Wilkes L & Beale B (2001): Palliative care at home: stress for nurses in urban and rural NSW, Australia. International Journal of Nursing Practice 7: 306-313.
Winch J (1989): Why is health care for Aborigines so ineffective? In Gray G & Pratt R. (eds.) Issues in Australian Nursing 2. Churchill Livingstone, Melbourne.

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