Archives


Nursing care of vulnerable populations using a framework of cultural competence, social justice and human rights

Dula F Pacquiao
Center for Multicultural Education, Research; Practice Coordinator, Urban Health Systems, School of Nursing, University of Medicine and Dentistry of New Jersey, Newark NJ, United States of America

Abstract

The article attempts to present a model linking cultural competence with advocacy for social justice and protection of human rights in caring for vulnerable groups such as refugees and asylum seekers. Using the human rights principle focuses the moral obligation to address social inequities and suffering of vulnerable populations.

Cultural competent care and culturally-congruent actions place the universal principles of social justice and protection of human rights within the cultural contexts of people’s lives and the environment in which they are situated.

Compassion is identified as the key component for culturally-competent advocacy for social justice and human rights protection. Compassion compels actions advocating social justice and protection of human rights for marginalised and powerless groups. Educational strategies for developing compassion are centered on collaboration, partnership and advocacy. Integration of experiential and didactic learning relevant to cultural competent care for refugees and asylum seekers are recommended.

Keywords

human rights, ethics, social justice, cultural competence, nursing care of vulnerable populations/refugees/asylum seekers


Toggle references

References

Aday L (2001) At Risk in America: The health and health care needs of vulnerable populations in the United States 2nd edn, Jossey-Bass: San Francisco.

Burgos-Debray E (ed) (1994) I, Rigobertya Menchu an Indian woman in Guatemala, Verso: USA.

Campinha-Bacote J (2007) The Process of Cultural Competence in the Delivery of Healthcare Services 5th edn, Ohio, Transcultural CARE Associates Press, http://www.transculturalcare.net/Resources.htm, accessed July 22 2007.

Carlsten C (2003) Refugee and Immigrant Health Care, Ethnomed http:www.ethnomed.org, accessed July 29 2007.

Crigger NJ, Holcomb L and Weiss J (2001) Fundamentalism, multiculturalism and problems of conducting research with populations in developing nations, Nursing Ethics 8: 459-468.

Crigger NJ, Brannigan M and Baird M (2006) Compassionate nursing professionals as good citizens of the world, Advances in Nursing Science 29: 15-26.

Cook PA, Downing J, Rimmer P, Syed Q and Bellis MA (2006) Treatment and care of HIV positive asylum seekers, Journal of Epidemiology and Community Health 60: 836-838.

Cross T, Bazron B Dennis K and Isaacs M (1989) Towards A Culturally Competent System of Care Volume I. Georgetown University Child Development Center, CASSP Technical Assistance Center: Washington DC.

Fadiman A (1999) The Spirit Catches You and You Fall Down. Farrar Strauss and Giroux, NY.

Foucault M (1994) The Birth of the Clinic: An archeology of medical perception. Vintage Books, NY.

Giddens A (2001) Sociology. Polity: Cambridge.

Harper MG (2006) Ethical multiculturalism an evolutionary analysis, Advances in Nursing Science 29: 110-124.

Helman C (2007) Culture, Health and Illness 5th edn, Oxford: NY.

Helsel DG and Moche M (2002) Afterbirths in the afterlife: Cultural meaning of placental disposal in a Hmong American community, Journal of Transcultural Nursing 13: 282-286.

Koehn PH (2006) Transnational migration, state policy and local clinician treatment of Asylum seekers and resettled migrants, Global Social Policy 6: 21-26.

Lamb CF and Smith M (2002). Problems refugees face when accessing health services,  NSW Public Health Bulletin, 13: 161-163.

Leininger M (2002) Transcultural nursing and globalisation of healthcare: Importance, focus and historical aspects, In Leininger M and McFarland M, Transcultural Nursing Concepts, Theories, Research and Practice 3rd edn, pp.3-44, McGraw Hill: New York.

Leininger M (2006) Culture Care Diversity and Universality a Worldwide Nursing Theory 2nd ed, Jones and Bartlett: Massachussetts.

Moreno A, Piwowarczyk L and Grodin MA (2001). Human rights violations and refugee health, Journal of the American Medical Association 285: 1215.

Nodding N (1984) Caring, University of California Press: Berkeley.

Nussbaum M (1997) Cultivating Humanity, Harvard University Press: London.

Omeri A, Lennings C and Raymond L (2006) Beyond asylum implications for nursing and health care delivery for Afghan refugees in Australia, Journal of Transcultural Nursing 17: 30-39.

Pacquiao DF (2007) The relationship between cultural competence education and increasing diversity in nursing schools and practice settings, Journal of Transcultural Nursing 18: 28S-37S.

Pacquiao DF (2008) Culturally-competent ethical decision making, In Andrews M and Boyle J, Transcultural Concepts in Nursing Care 5th edn, pp.408-423. Lippincott Williams & Wilkins: Philadelphia.

Paasche-Orlow M (2004) The ethics of cultural-competence, Academic Medicine 79: 347-350.

Tervalon M and Murray-Garcia J (1998) Cultural humility versus cultural competence: A critical distinction in defining physician-training outcomes in multicultural education, Journal of Health Care for the Poor and Underserved 9: 117-125.

United Nations High Commissioner for Refugees (UNHCR) (2006) Refugees by Numbers 2006 ed, http://www.unhcr.org/basics/BASICS/3b028097c.html, accessed July 22 2007.



Web Feed

Latest Articles

Call for Papers

Advances in Contemporary Nursing and Midwifery History in Australasia
Volume 30/2
Deadline: Closed


Advances in Contemporary Nurse Education
Volume 32/1-2
Deadline: 30th Sep 2008


Advances in Contemporary Nursing and Gender
Volume 33/2
Deadline: 15th Dec 2008


Advances in Contemporary Mental Health Nursing – Second Edition
Volume 34/1
Deadline: 2nd Mar 2009


Advances in Contemporary Modeling of Clinical Nursing Care
Volume 35/1
Deadline: 30th Apr 2009


Special Issues

Advances in Contemporary Modeling of Clinical Nursing Care
Vol 35/1, 1st Apr 2010


Advances in Contemporary Mental Health Nursing – Second Edition
Vol 34/1, 1st Dec 2009


Advances in Contemporary Nursing and Gender
Vol 33/2, 1st Oct 2009


Advances in Contemporary Nurse Education
Vol 32/1-2, 1st Apr 2009


Advances in Contemporary Nursing and Midwifery History in Australasia
Vol 30/2, 1st Oct 2008


Advances in Contemporary Transcultural Nursing (2nd edn)
Vol 28/1-2, 15th Apr 2008


Advances in Contemporary Palliative and Supportive Care
Vol 27/1, 1st Dec 2007


Advances in Contemporary Aged Care: Retirement to End of Life
Vol 26/2, 1st Oct 2007


Advances in Contemporary General Practice Nursing: Role of the Practice Nurse
Vol 26/1, 1st Aug 2007


Advances in Contemporary Nurse Recruitment and Retention
Vol 24/2, 1st Apr 2007


Advances in Contemporary Community and Family Health Care
Vol 23/2, 1st Jan 2007


Advances in Contemporary Indigenous Health Care
Vol 22/2, 1st Sep 2006


Advances in Contemporary Nursing & Interpersonal Violence
Vol 21/2, 1st May 2006


Advances in Contemporary Mental Health Nursing
Vol 21/1, 1st Mar 2006


Advances in Contemporary Child and Family Care
Vol 18/1-2, 1st Jan 2005


Advances in Contemporary Transcultural Nursing
Vol 15/3, 1st Oct 2003


Sponsored Links

Selected Articles

Client Perceptions of the Polysomnography Experience and Compliance with Therapy


Fall Risk Factors and the Nature of Falls in Inpatient Oncology and Palliative Care Settings


Contemporary Nurse


Addressing the Needs of Children of Parents with a Mental Illness


Technology assessment applied


Development of the School Entrant Health Questionnaire for Assessing Primary School Children Ages 5-7


Website Design by Arrowsmith Websites Maleny Sunshine Coast