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Fundamental Aspects of Transcultural Nursing
Quay books, Sep 2007, Pages: 120
This book is designed to provide a foundation to the theory and practice of transcultural nursing. It will therefore be of use to students beginning to study nursing at undergraduate level and to practising nurses who are providing care to patients from an increasingly diverse society. It is not intended as a comprehensive account of different cultural groups, however, where appropriate, it draws on cultural knowledge to underpin a transcultural assessment. In addition, this book provides transcultural nursing knowledge that is applicable in cross-cultural transactions. In doing so, students and qualified practitioners will acquire a sound knowledge base from which to develop generic cultural competency as a prerequisite to the development of specific cultural competency. The book concludes with information on how transcultural nursing can be incorporated into the nursing curriculum and will be of use to nurse educators involved in planning and delivering transcultural nursing education.
Chapter One introduces the context, considers the changing nature of society and the demands placed on nurses to meets the needs of a multicultural population. A number of approaches to transcultural care have predominated in the UK over the past five decades, consistent with the history of and patterns of migration. These are considered as an explanation of emerging trends in transcultural nursing.
Chapter Two considers the theoretical underpinnings of transcultural nursing, including the use of appropriate language, race, ethnicity, human rights, multicultural health-care provision and emerging models of cultural competency. The chapter identifies the principles of good practice in relation to transcultural nursing.
Chapters Three, Four, Five and Six explore aspects of transcultural nursing that relate to the care of adults, children, and clients with mental health needs and with learning disabilities. The intention of this chapter is not to advocate a particular model of transcultural nursing; rather the reader is encouraged to reflect on the knowledge provided and to apply the principles of good practice in transcultural nursing within the framework of a preferred model. Please note that the detailed explanations of the ethnic culture within each case study are variable in scope and depth; in some cases diet is considered at length, and in other cases more attention is paid to economic factors. The reason for is that only certain cultural differences have relevance to the specifics of each case study covered, depending on a specific place, time, and social and medical history - to cover equally all aspects of these cultures in each case would be pointless for the purposes of this exercise.
Chapter Seven draws together and summarises considerations for undertaking a transcultural nursing assessment. It then addresses issues for nurse educators when planning how to incorporate transcultural education into the nursing curriculum. Guidance is offered to nurse educators who have responsibility for ensuring that nurses are capable of caring for patients, clients and carers from an increasingly diverse society and in increasingly complex and varied situations.
This book is written by a white English person - a former nurse and now university lecturer. As such, this means that the perspective of what it is like to practice as nurse in the UK as someone from a minority ethnic background in a multiethnic society (and, for example, to have to respond to the racism of some patients/clients, carers and staff) is not addressed in this book. But the work of learning how to nurse people from diverse backgrounds is the task of all nurses, from whatever background they themselves come. We cannot simply say that it is the responsibility of minority ethnic nurses to deal with transcultural issues. It is up to all of us to try to learn and develop. This means stepping outside of your comfort zone and taking risks.
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