Community Public Health Nursing

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CommunityPublic Health Nursing

Culturallycompetent nursing care refers to the provision of care based on thecontext of the patient`s beliefs and culture. One has to acquirecontinually relevant knowledge, especially a community health nurse,to be in a better position to provide this care. These nurses shouldalso refine their skills and assess their abilities because it is anongoing process to become culturally competent. According to Harkness&amp DeMarco (2012), nurses can establish cultural competence inuniquely different ways however, the crucial elements are theirexperiences in handling patients from other different cultures,respect for the different cultures, and being open-minded to theirexperiences. These nurses can apply the cultural competencestrategies by identifying the values, beliefs, behaviors, and meaningof the people they serve.

There arestrategies of cultural competence administered by the communityhealth nurses, which include cultural preservation, culturalre-patterning, cultural accommodation, and cultural brokering. Acommunity nurse that uses cultural preservation is in support of theapplication of scientific, cultural approaches (Harkness &ampDeMarco, 2012). An example of cultural preservation includesacupuncture for handling pain in a Chinese patient and the use of abiomedical system of healthcare, such as opioid analgesics doses.Cultural accommodation is used by a community nurse to assist in theutilization of those practices not proven to be harmful (Harkness &ampDeMarco, 2012). For example, placing a coin, key, or any othermetallic object on a Mexican infant, and is believed to hasten toheal.

Culturalrepatterning works best when used by a community nursing on a patientto assist him or she alters social practices, which are viewed to beharmful. For example, if a patient emanates from a particular culturethat prefers to use herbs, a community nurse will have to negotiatethe use of appropriate herbs, which could cause adverse effects(Harkness &amp DeMarco, 2012). Finally, cultural brokering providesa community nurse with a systematic way to study the role, whichculture plays in a person experiencing disability.

For example, cultural brokering can assist a community health nurseto handle a foreign-born patient by looking at how culture affectstheir handling of disability services. From the strategy/examplechosen by a community nurse, the possible barrier to applying it isthe inability to understand the culture apparently. By lack ofunderstanding on the strategy/example, a community nurse becomespotentially prone to inflict wrong humane treatment to the patient.


Harkness, G. A., &amp DeMarco, R. (2012). Community and publichealth nursing: Evidence for practice. Philadelphia: WoltersKluwer Health/Lippincott Williams &amp Wilkins.

Community public health nursing

  • Uncategorized


Communitypublic health nursing


Ebola has evolved into one of the most important public healthconcern that requires international cooperation. As a result of thedevastating Ebola epidemic that resulted into thousands of deaths inWest Africa, the deadly viral disease has attracted global focus. Inaugust 2014, the world health organization declared Ebola a “publichealth emergency of international concern”. As a result of thisdeclaration, all nations around the world are expected to developcapacities that adequately prepare the nation for Ebola relatedemergencies. This includes developing capacities that allows nationsto conduct public health surveillance and report significant eventsrelated to the disease. Additionally, the world health organizationrequires any affected nation to strike a balance between human rightsand freedoms and national economic interest in case of confirmedincidences of Ebola (Gostin, 2014).

Thefact that Ebola was reported in other parts of the world, other thansub Saharan Africa is an indication that it is a public health issuethat requires international intervention. Ebola is a deadly viraldisease that has no cure or vaccine. It is highly contiguous andminimum contacts with an infected person or animal puts an individualat a risk of infection. Therefore, control of infection by avoidingisolation or quarantine of infected or suspected individual is acritical aspect of Ebola management. This is the basic area thatrequires international cooperation and collaboration. For example,during the 2014 Ebola epidemic in West Africa, individuals travelingfrom affected countries were screened extensively at the airport toprevent incidence of secondary infections. This included closingborders of the neighboring countries. Dealing with the epidemic hadfar reaching financial and economic implications in the affectedcountries. Therefore, global support in medical suppliers and humanresources is critical in the combating Ebola outbreaks (Sunit et al,2014).


Gostin,L. (2014). “The Ebola Epidemic. A Global Health Emergency”. JAMA.312(11):1095-1096.

Sunit,K. et al. (2014). Viralhemorrhagic fevers.Boca Raton: CRC Press, Taylor &amp Francis Group.

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