Gerontological Nursing

THIRD EDITION

CHAPTER 4
Cultural Diversity

Copyright 2014, 2010, 2006 by Pearson Education, Inc.

All Rights Reserved
 Learning Objectives

1. Discuss the importance of the

Transcultural Nursing Society Care
Standards and the culturally and
linguistically appropriate services
(CLAS) in health care.
2. Apply the CULTURALCARE triad to the
complex interrelationships of the
nurse, caregiver, and patient within
community and institutional (home or
residential) settings.
Gerontological Nursing, Third Edition
Patricia A. Tabloski
 Learning Objectives

3. Identify potential areas of conflict

derived from the demographic,
ethnocultural, and life trajectory
variables of the people within the
triad.
4. Describe the value and process of
heritage and life trajectory
assessments of nurses, caregivers,
and patients.

Gerontological Nursing, Third Edition

Patricia A. Tabloski
 Learning Objectives

5. Create a plan of care for the older

adult integrating CULTURALCARE.

Gerontological Nursing, Third Edition

Patricia A. Tabloski
 Introduction

Cultural diversity affects the ability to

provide safe nursing care to older adult
patients.

Gerontological Nursing, Third Edition

Patricia A. Tabloski
 Introduction

The two main goals relating to the

delivery of culturally competent care
are:
To develop cultural and linguistic
competence by nurses and other
healthcare providers.
For healthcare organizations to
understand and respond effectively to
cultural and linguistic needs.

Gerontological Nursing, Third Edition

Patricia A. Tabloski
 Transcultural Nursing Care
Standards
The Transcultural Nursing Society has
developed 12 standards for cultural
competence in nursing practice.
These standards must be met by most
healthcare-related agencies.

Gerontological Nursing, Third Edition

Patricia A. Tabloski
 CULTURALCARE

Professional nursing care that is

culturally sensitive, culturally
appropriate, and culturally competent.

Gerontological Nursing, Third Edition

Patricia A. Tabloski
 CULTURALCARE Triad

It is composed of three distinct

populations:
Nurse
Patient
Direct caregiver

Gerontological Nursing, Third Edition

Patricia A. Tabloski
 Demographic Change

By the year 2020, it is predicted that

people of color will be the majority
population and the major source for
population growth will be immigrants.

Gerontological Nursing, Third Edition

Patricia A. Tabloski
 Table 4-1 Population by Race for the United States: 2000 and 2010
Source: Humes, K. R., Nicholas, A. J., & Ramirez, R. (2011). Overview of race and
Hispanic origin: 2010. Census Briefs, p. 4. Retrieved from
http://2010.census.gov/2010census/data

Gerontological Nursing, Third Edition

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 Nurse

The demographic profile of professional

nurses represents a demographic
disparity from the overall demographic
profile of the United States.

Gerontological Nursing, Third Edition

Patricia A. Tabloski
 Caregiver

In many long-term care facilities, the

setting may be one in which the nurses
are White, and the staff, especially the
certified nurses aides who provide
hands-on care, are people of color.

Gerontological Nursing, Third Edition

Patricia A. Tabloski
 Patient

The population of people 65 years and

over has grown significantly since the
2000 census.

Gerontological Nursing, Third Edition

Patricia A. Tabloski
Major Components of a Persons
Heritage
Culture
Ethnicity
Religion
Socialization

Gerontological Nursing, Third Edition

Patricia A. Tabloski
 Ethnocultural Life Trajectories

Changes in the past several decades

have created cultural barriers that
openly create misunderstandings,
tensions, and often conflicts between
family members, coworkers, and
individualsand between patients and
caregiversin the practice of
gerontology.

Gerontological Nursing, Third Edition

Patricia A. Tabloski
 Heritage Assessment Tool

The tool that has been developed to

determine how deeply a given person
identifies with a traditional heritage or
is acculturated into the modern,
dominant culture.

Gerontological Nursing, Third Edition

Patricia A. Tabloski
 Cultural Appropriateness

The determination of culturally

appropriate care is necessary so that
the comfort levels of both the patient
and the caregivers are met and
respected.

Gerontological Nursing, Third Edition

Patricia A. Tabloski
 Steps to Cultural Competency

Steps to cultural competency:

Become aware of your own
ethnocultural heritage.
Become aware of the ethnocultural
heritage and life trajectory described by
both the patient and the caregivers.
Become aware of adaptations that the
patient and caregivers made to live in
the North American culture.
Form a CULTURALCARE nursing plan.
Gerontological Nursing, Third Edition
Patricia A. Tabloski
Implementing CULTURALCARE
Nursing
Recognizing the patients and
caregivers viewpoints and finding
mutually agreeable solutions is
required.

Gerontological Nursing, Third Edition

Patricia A. Tabloski