Trancultural Nursing 11

Chapter 11: Community and Community Nursing

• Learning Objectives: Focus on community and community nursing

• Transition from acute care to community-based nursing

• Emphasis on cultural aspects in community settings

• Community Nursing:

• Definition: Nurses working within communities rather than in hospitals or acute care settings

• Focus on the entire population of a community, not just individuals

• Community nurses: operate in the front lines, aiming to empower communities regarding health care access

• Important Concepts:

• Health Equity: Fairness in health status and health care access

• Cultural Diversity: Recognizing a variety of cultural backgrounds within communities

• Partnership and Empowerment: Collaborating with communities to enhance health

• Aggregate:

• Definition: A collection of individuals in a community seen as a whole, regardless of cultural differences

• Healthy People Initiatives:

• Healthy People 2030: New goals reflecting health equity and addressing social determinants of health, aiming for improvements in health across life stages

• Applicable for nurses as a resource for providing culturally congruent care

• Cultural Assessment:

• Importance: Essential for determining appropriate care strategies

• Focuses on establishing shared goals between health care providers and patients

• Cultural Considerations in Nursing:

• Understand diverse cultural factors influencing health care needs

• Use cultural data to establish mutually shared goals

• Cultural Norms:

• Definition: Standard behaviors expected within a particular community or culture

• Examples include respect for elders and participation in education

• Demographics and Health Care:

• How demographics of a community affect health care access and delivery

• Recognize cultural norms within demographic groups to tailor care

• Refugee and Immigrant Populations:

• Distinctions between refugees (fleeing persecution) and immigrants (seeking better opportunities)

• Challenges in providing care include language barriers and financial constraints

• Cultural Integration and Values:

• Importance of maintaining traditional values while providing health care

• Challenges arise from economic status, discrimination, and geographic limitations

• Community Responses in Crisis Situations:

• Health care professionals, including nurses, play critical roles in disaster preparedness and response

• Addressing both health care needs and other community needs (e.g., access to food, shelter) during disasters

• Mitigation and Education:

• Proactive planning to address potential cultural issues during crises

• Importance of understanding community fears and hesitancies (e.g., vaccine hesitancy) during health crises

• Community Assessment:

• Focus on broad goals, such as improving overall health status

• Importance of identifying specific health risks within cultural groups to guide nursing interventions

• Cultural Competence and Sensitivity:

• Developing cultural competence requires knowledge and experience

• Cultural sensitivity is essential to building relationships within diverse communities

• Family Structure and Health Beliefs:

• Assess family dynamics and communication styles to provide culturally relevant care

• Understanding individual and family health practices within cultural contexts is critical

Chapter 12: Group Projects and Future Work

• Group project preparations focusing on health risks within selected cultural groups
• Presentations to address cultural beliefs and health care implications
• Importance of defining roles and responsibilities within the group to ensure effective collaboration