How can community health nurses apply the strategies of cultural   competence to their practice? Provide at least one example from each   of the following four strategies: cultural preservation, cultural   accommodation, cultural repatterning, and cultural brokering. What is   a possible barrier to applying the strategy/example chosen? Use an   example that is different than the postings of other students. This   example should include an evidence-based article that addresses a   cultural issue. Response should include an APA referenc Purchase the answer to view it

Community health nurses play a crucial role in providing culturally competent care to individuals and communities. In order to effectively apply the strategies of cultural competence to their practice, nurses must have an in-depth understanding of their patients’ cultural backgrounds and beliefs. This understanding allows them to tailor their care to meet the specific needs and preferences of diverse populations. In this paper, we will explore four key strategies of cultural competence: cultural preservation, cultural accommodation, cultural repatterning, and cultural brokering. We will discuss how community health nurses can apply each strategy to their practice and provide an example for each. Furthermore, we will identify a possible barrier to applying one of the strategies and describe an evidence-based article that addresses a cultural issue.

Cultural preservation is a strategy that involves actively preserving and promoting the cultural practices, beliefs, and values of individuals and communities. Community health nurses can apply this strategy by supporting and respecting cultural traditions, rituals, and healing practices. For example, when caring for a patient from a Native American background, a nurse may collaborate with traditional healers and incorporate traditional medicine into the patient’s care plan. By respecting and integrating the patient’s cultural practices, the nurse can improve trust and promote positive health outcomes.

Cultural accommodation is a strategy that involves adapting healthcare practices to align with the cultural beliefs and values of patients and communities. Community health nurses can apply this strategy by modifying their communication styles, treatment plans, and healthcare delivery methods to accommodate diverse cultural backgrounds. For instance, when caring for a patient from a Middle Eastern culture, a nurse may consider gender preferences during physical examinations and ensure that a same-gender healthcare provider is available if needed. This approach demonstrates respect for the patient’s cultural values and helps establish a trusting relationship.

Cultural repatterning is a strategy that involves assisting individuals and communities in re-establishing healthier behavioral patterns that are consistent with their cultural beliefs. Community health nurses can apply this strategy by working with patients to identify culturally acceptable alternatives to harmful behaviors and promoting positive health-related behaviors. For example, when working with a community that has high rates of smoking, a nurse may collaborate with local leaders to develop culturally tailored smoking cessation programs. By involving the community in the decision-making process and incorporating their cultural beliefs, the nurse can increase the effectiveness of interventions and promote long-term behavior change.

Cultural brokering is a strategy that involves acting as a bridge between patients or communities and the healthcare system. It entails advocating for the needs and preferences of culturally diverse populations and facilitating their access to healthcare services. Community health nurses can apply this strategy by serving as cultural mediators and translators, helping patients navigate the healthcare system, and addressing any cultural barriers that may exist. For instance, when working with immigrant populations, a nurse may collaborate with interpreters to ensure effective communication between healthcare providers and patients. By doing so, the nurse can enhance access to care, improve patient satisfaction, and reduce health disparities.

While these strategies of cultural competence are important in providing effective healthcare, there can be barriers to their application. One possible barrier is the lack of cultural awareness and understanding among healthcare professionals. If nurses are not adequately trained in cultural competence or have limited exposure to diverse populations, they may struggle to apply these strategies effectively. For instance, a nurse who lacks awareness of the cultural practices and beliefs of a specific community may unintentionally disregard their preferences or inadvertently offend them. To overcome this barrier, nurses should engage in ongoing cultural competence training and seek opportunities to interact with diverse populations to expand their knowledge and understanding.

An evidence-based article that addresses a cultural issue related to the strategies of cultural competence is “Cultural Competence and Quality of Care: Obtaining Data to Evaluate the Impact of Cultural Tailoring” by Betancourt et al. (2016). This article discusses the importance of cultural competence in healthcare and provides examples of interventions that have effectively addressed cultural issues. It emphasizes the need for healthcare organizations to collect data on patient satisfaction, experiences, and outcomes to evaluate the impact of culturally tailored care. By utilizing evidence-based approaches, healthcare providers can strengthen their understanding of cultural issues and improve the quality of care provided to diverse populations.

In conclusion, community health nurses can apply the strategies of cultural competence to their practice through cultural preservation, cultural accommodation, cultural repatterning, and cultural brokering. Each strategy involves respecting and promoting the cultural values and practices of patients and communities. However, there may be barriers to applying these strategies, such as a lack of cultural awareness among healthcare professionals. Overcoming such barriers requires ongoing cultural competence training and exposure to diverse populations. By consistently applying the strategies of cultural competence, nurses can improve health outcomes and reduce health disparities among diverse communities.