COMMUNITY PUBLIC HEALTH NURSING 1
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& 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 &DeMarco, 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 &DeMarco, 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 & 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., & DeMarco, R. (2012). Community and publichealth nursing: Evidence for practice. Philadelphia: WoltersKluwer Health/Lippincott Williams & Wilkins.