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 reference. Purchase the answer to view it

Community health nurses play a crucial role in addressing the health needs of diverse populations. To effectively serve these populations, community health nurses must apply strategies of cultural competence in their practice. Cultural competence can be defined as the ability to recognize, understand, and effectively interact with individuals from diverse cultural backgrounds (Andrulis, Delgado, & Geller, 2012). By applying cultural competence strategies, community health nurses can promote equitable and culturally appropriate care. In this paper, we will explore the strategies of cultural preservation, cultural accommodation, cultural repatterning, and cultural brokering, and provide examples of how community health nurses can apply these strategies in their practice.

The first strategy, cultural preservation, involves recognizing and respecting the cultural beliefs, traditions, and practices of individuals and communities (Leininger, 1997). Community health nurses can apply cultural preservation by acknowledging and incorporating cultural rituals and practices into their care. For example, when providing end-of-life care to a patient from a specific cultural background, the nurse can involve the patient’s family in decision-making and provide space for cultural rituals and ceremonies. This preserves the patient’s cultural beliefs and ensures that care is delivered in a manner that aligns with their values.

The second strategy is cultural accommodation, which refers to actively adapting healthcare practices to meet the unique cultural needs and preferences of individuals and communities (Narayan, 2013). Community health nurses can apply cultural accommodation by using interpreters or cultural brokers to facilitate effective communication with patients who speak a different language or have limited English proficiency. For instance, a nurse working with a non-English-speaking immigrant population can collaborate with a trained interpreter to ensure accurate and culturally sensitive communication during healthcare encounters. This helps to bridge the language barrier and facilitates better understanding of patients’ healthcare needs.

The third strategy, cultural repatterning, involves promoting positive changes in healthcare practices that are inconsistent with the cultural values and beliefs of a particular population (Campinha-Bacote, 2003). Community health nurses can apply cultural repatterning by engaging in cultural sensitivity training and reflecting on their own biases and stereotypes. By doing so, they can challenge and modify their own attitudes and behaviors that may contribute to healthcare disparities. For example, a nurse may recognize that they have unconscious biases towards certain cultural groups, which may influence their decision-making and provision of care. Through self-reflection and continuous learning, the nurse can work towards rectifying these biases and providing equitable care to all patients.

The fourth strategy, cultural brokering, involves advocating for and mediating between individuals, communities, and healthcare systems to facilitate culturally appropriate care (Andrews & Boyle, 2016). Community health nurses can apply cultural brokering by serving as a bridge between patients and healthcare providers, and by advocating for the needs and rights of diverse populations. For instance, a nurse may collaborate with community leaders and organizations to address healthcare disparities among marginalized populations. Through grassroots initiatives and policy advocacy, the nurse can promote access to culturally appropriate healthcare services and help shape healthcare systems to better meet the needs of diverse communities.

While applying these strategies can enhance cultural competence in nursing practice, several barriers may hinder their implementation. One possible barrier is a lack of awareness or understanding of cultural differences. Nurses may lack knowledge about diverse cultural practices and may unintentionally engage in ethnocentric assumptions or stereotypes. This can result in a lack of attention to cultural preservation, accommodation, repatterning, and brokering. Furthermore, time constraints in healthcare settings can be another barrier to applying these strategies. Nurses may have limited time and resources to engage in cultural learning and foster relationships with diverse communities. These time constraints may hinder their ability to apply strategies of cultural competence effectively.

One evidence-based article that addresses a cultural issue related to community health nursing is the study by Butler, LeBlanc, and Bonner (2014) titled “Addressing culturally competent end-of-life care for African Americans: Recommendations for clinical practice, policy, and research.” This study highlights the barriers and challenges in providing culturally appropriate end-of-life care to African Americans, and provides recommendations for improving practice and policy in this context. The authors emphasize the importance of cultural preservation, accommodation, repatterning, and brokering in order to enhance the delivery of end-of-life care to African American patients and their families. They suggest strategies such as incorporating culturally sensitive advance care planning and involving the community in discussions around end-of-life care decisions.

In conclusion, community health nurses can apply strategies of cultural competence in their practice to effectively address the healthcare needs of diverse populations. By employing strategies such as cultural preservation, accommodation, repatterning, and brokering, nurses can promote equitable and culturally appropriate care. However, barriers such as lack of awareness of cultural differences and time constraints may hinder the application of these strategies. Thus, it is essential for community health nurses to continually educate themselves about diverse cultures and advocate for culturally competent care in order to reduce healthcare disparities and improve health outcomes for all individuals and communities.

References
Andrulis, D. P., Delgado, J., & Geller, J. (2012). Cultural competence and health care disparities: Key perspectives and trends. Health Affairs, 21(1), 91-102.
Andrews, M. M., & Boyle, J. S. (2016). Transcultural concepts in nursing care. Wolters Kluwer.
Butler, J., LeBlanc, A., & Bonner, A. (2014). Addressing culturally competent end-of-life care for African Americans: Recommendations for clinical practice, policy, and research. American Journal of Hospice and Palliative Medicine, 35(8), 998-1007.
Campinha-Bacote, J. (2003). Many faces: Addressing diversity in health care. Online Journal of Issues in Nursing, 8(1), 1-2.
Leininger, M. (1997). Overview of the theory of culture care with the ethnonursing research method. Journal of Transcultural Nursing, 8(2), 32-42.
Narayan, M. C. (2013). Culture, health, and illness. Taylor & Francis.