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Culture & Race: Nursing Implications (with podcast option!)

Understanding of culture and race issues builds trust between patients and practitioners.

To view the Course Outline and take the test online, click here.

For a printer-friendly version of the test you can print out, complete and mail in to ADVANCE, click

Learning Scope #299
1 contact hour
This offering expires in 2 years: Feb. 2, 2011

Right Click Here to download the mp3 file, Important Definitions of Culture & Race

Right Click Here to download the mp3 file, Cultural Awareness, Self-Reflection

Right Click Here to download the mp3 file, Power of Nurses in Making Change

The goal of this continuing education offering is to educate nurses about culture, race and nursing. After reading this article, you will be able to:

1. Define culture, race, ethnicity, cultural competence, cultural safety, cultural humility and cultural awareness.
2. Discuss the link between culturally competent care and patient safety.
3. Describe the links between culture and race and improving patient outcomes and health disparity.
4. Incorporate self-reflection into daily nursing practice to improve cultural encounters.

You can earn 1 contact hour of continuing education credit in three ways: 1) Grade and certificate are available immediately after taking the online test at the end of the article. 2) Send the answer sheet (or a photocopy) along with the $8 fee (check or credit card) to ADVANCE for Nurses, Learning Scope, 2900 Horizon Dr., King of Prussia, PA 19406. 3) Fax the answer sheet to 610-278-1426. If faxing or mailing, allow 30 days to receive certificate or notice of failure. A certificate of credit will be awarded to participants who achieve a passing grade of 70 percent or better.

Merion Publications Inc. is an approved provider of continuing nursing education by the Pennsylvania State Nurses Association (No. 008-0-07), an accredited approver by the American Nurses Credentialing Center's Commission on Accreditation. Merion Publications Inc. is also approved as a provider by the California Board of Registered Nursing (No. 13230) and by the Florida Board of Nursing (No. 3298).

As nurses, we interact with a multitude of patients from diverse cultural backgrounds. These interactions are known as cultural encounters. While there have been several well-known studies regarding healthcare disparity, little improvement has been made in actual levels of disparity.

As nurses, we need to reflect on the role we play in improving disparity. As the frontline provider of patient care, we must affect our patients' lives in a way that is meaningful and encourages patients' active participation in the process of healthcare.

We must engage our patients. This will lead to a better understanding of how their practices within their personal lives impact their health outcomes. It also will lead, perhaps, to a better understanding by patients of why it may be necessary to change various practices to improve their health.

Growing Understanding

The purpose of this article is to discuss the necessity of improving knowledge and understanding as it relates to culture and race, and to outline the implications for nursing practice. Taking an active role in making sure patients' ethnicity, race and cultural needs are met can help produce positive healthcare outcomes.

As the nursing profession continues to grow in its understanding of ethnicity, culture and race, nurses need to take a proactive approach to expanding the perception of what it means to provide "patient-centered care." A holistic approach to patient care that includes cultural safety is an essential factor in eliminating healthcare disparities.

For nursing to take an active role in the provision of patient-centered care, we first must be armed with the tools of the trade. These tools include knowledge and understanding of the terms associated with culturally competent care. When nurses fail to meet the cultural needs of patients, the patient may feel demeaned, disempowered and disrespected. These negative feelings can contribute to patients deciding not to access healthcare. This is where healthcare disparity often enters into the caring process.

Patients viewing a situation as culturally unsafe directly influences negative healthcare outcomes. Nurses cannot ignore this healthcare risk.

Historical Perspective

The founder of the transcultural nursingmovement and a leader in transcultural nursing theory and practice is Madeline Leininger, PhD, LHD, DS, RN, CTN, FRCNA, FAAN.

As an innovator in the area of culture care diversity, she realized the importance of examining culture as it directly relates to patient care. Her approach includes a continuum of care that crosses the spectrum from birth to death.

Culture & Race: Nursing Implications (with podcast option!)

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