Sample on Competent Care in a Culturally Diverse Nation: Film Review

Competent Care in a Culturally Diverse Nation: Film Review

The YouTube video “Competent Care in A Culturally Diverse Nation” by Joe Turner, addresses various aspects of competent care in the healthcare environment, particularly in reference to the work of nurses. The video starts with a description of what cultural competence is, and its place in the nursing environment. Cultural competence, in the context of this video, is the ability to obtain and apply knowledge related to different cultures. The video likens cultural diversity to biodiversity in the sense that in contemporary society, the divergence of cultural value has been increasing, and so has the need for care providers to identify these diverse values and to offer care in a way that does not jeopardize the patients’ understanding of their cultures (Turner, 2013). Nurses have to be flexible enough to understand other cultures, see the bigger picture, and offer quality and effective care. The video claims that nurse needs to understand the differences between their own world views and those of the patients to enable them to provide competent care in a way that is non-stereotyping and without the misinterpretation or misapplication of scientific knowledge. The clear alignment between the video’s representation of cultural competence and past data confirms the reliability of the information, as it is repeated.

Content Review

The description of cultural competence as presented in the video is similar to that discussed by Truong, Paradies, and Priest (2014). These authors describe the foundation of cultural competence as the need to provide quality and effective healthcare to minority populations. The increasing cultural divergence has resulted in communities that have a mixture of cultures, and the ability of nursing and other healthcare professionals to give effective healthcare services is pegged on their ability to understand cultural diversity. Therefore, Truong et al. (2014) define cultural competence based on frameworks that characterize the concept with different dimensions of knowledge, attitudes, and skills. The authors also posit that cultural competency has expanded beyond the scope of the interpersonal relationship between the patient and the practitioner. Similarly, Turner (2013), clarifies the concept of cultural competence the author takes into account the understanding of health and illness and the probable management of different illnesses. Using this perspective, the film proves that cultural competence does not only involve the relationship between the patient and the practitioner, but also an understanding of how their individual perceptions of health and treatment differ. Comprehending the perceptions helps nurses and other practitioners to establish healthcare management procedures that promote health outside the constraints of cultural norms and biases.

The video also emphasizes the need for nurses to avoid imposing their cultural beliefs on patients. Being unimposing the essence of cultural competence since the ability to adapt to different cultural beliefs implies that the nurses have respect for those particular cultures and beliefs. The film also defines culture as a set of values, ways of doing things, traditions, or beliefs to which a group of people ascribes. Additionally, Turner argues that every person has a particular culture (2013), an argument that confirms the high probability of having a nurse and a patient from different cultural backgrounds, and the potential challenges in helping patients with cultural backgrounds that are different from those of the nurses attending to them. The video goes further to highlight the need for nurses to consider the golden rule of treating others as one would want to be treated when dealing with patients and respect their values and cultures.

The accuracy of the implications of cultural competence is unmatched in this video. For instance, the call for the respect of other cultures echoes the findings discussed by Murphy (2011). Cultural competence is linked to cultural acceptance, which can only come through the combination of cultural knowledge, skills, and attitudes. Various studies such as Murphy (2011) and Shepherd et al. (2019), have also mentioned how these aspects of cultural competence promote effectiveness in cultural communication. Nurses ought to be effective in cultural communication, which embodies care and empathy regardless of the cultural backgrounds of those involved. According to Murphy (2011), the concept of cultural competence describes cultural knowledge as the awareness of the basic cultural underpinnings of the patient’s background. Features, such as the language, spirituality, customs, communication patterns and procedures, and the role distribution in the family unit, are mentioned as some of the characteristics that help to distinguish cultures. In the video, a similar perspective is shared through the mention of specific cultural elements that nurses need to be aware of, including nonverbal communication practices, religion, ceremonies, and the family unit in general. The similarity between the shared ideas provides sufficient evidence of the accuracy and validity of the data.

The video also provides other essential elements of cultural competence, with a focus on what should be considered to describe a healthcare facility as culturally competent. In this area, factors such as value for diversity institutionalized cultural knowledge, the capacity for self-assessment, consciousness of the dynamics of cultural interaction, and adaptations of service delivery that reflect an understanding of cultural diversity (Turner, 2013). These elements can be defined within the scope of the three dimensions of cultural competence namely, knowledge, attitudes, and skills. Cultural knowledge would encompass the value for diversity and the institutionalization process while attitude would include capacity for self-assessment and consciousness of cultural interaction dynamics. Skills would involve all activities that are associated with the adaptation of service delivery. These are the basics for upholding and practicing cultural competence, but are not the most important as the video recognizes that the essential aspect is not the values and beliefs that the nurses uphold to help them be aligned with the expectations of the clients, but the clients themselves (Turner, 2013). A similar perspective is reported by many authors as the basis of cultural competence. Particularly, Epner and Baile (2012) mention that cultural competence is founded on the principle of patient-centered care. Consequently, no matter what cultural differences exist, the nurse always has to ensure that the patient actually accesses care and the service offered is of good quality and with positive outcomes.

The video goes further to discuss various elements that have been construed to imply efficiency and cultural competence, yet can have different implications in diverse communities. Some of these elements include time, language, different forms of nonverbal communication, and the perception that there may be a recipe for cultural competence (Turner, 2013). Challenges to achieving cultural competence, including the lack of recognition of clinical differences between people, communication barriers, differences in ethics, and trust, are also mentioned. Addressing these challenges requires understanding the immediate needs of patients and their distinguishing cultures, and using those as the basis for treatment planning. Shepherd et al. (2019)also mentioned some of these challenges, particularly communication barriers and ethics, and advise that for nurses to be able to deliver effective care, there has to be a clear course of communication, supported by interpreters where necessary. These arguments are consistent with those in Turner’s video.

Accuracy, Validity, and Reliability

Given that the content in the film is academic and scientific, the film has been subjected to an evaluation of the accuracy, validity, and reliability of the information presented as done for scientific research articles. The accuracy of a scientific argument is described as the extent to which information presented therein finds support in other studies. Studies such as Murphy (2011); Kaihlanen, Hietapakka, and Heponiemi (2019), present various arguments on cultural competence that have similar content to that of this video. Additionally, the content is based on what has been a subject of discussion for years, particularly after the enactment of the Affordable Care Act. A review of the content presented in the video reveals that it is not only an accurate description of what cultural competence is but also explores the actual application principles in healthcare, founded on the concepts of care and empathy, which are principles in nursing. The accuracy of the data also confirms its reliability. An evaluation of the content based on other studies besides those referenced in this particular review, would yield the same findings, and describe cultural competence in nursing in the same manner. Since accuracy and reliability are the premises upon which validity is determined, it can be concluded that the video is also valid. Therefore, the video is acceptable as a source of reference on cultural competence in nursing.

Conclusion

The video by Turner (2013) provides an overview of cultural competence that is similar to that presented by many previous studies on culturally competent care. The principles outlined in the video correspond to those presented in peer-reviewed academic articles. A review of the video, therefore, confirms the accuracy and reliability of the content it presents and thus the validity of the video as an information source for scientific reference.

References

Epner, D.E., & Baile, W.F. (2012). Patient-centered care: The key to cultural competence. Annals of Oncology, 23(3), 33-42. Retrieved from academic.oup.com/annonc/article/23/suppl_3/33/207052

Kaihlanen, A.M., Hietapakka, L., & Heponiemi, T. (2019). Increasing cultural awareness: Qualitative study of nurses’ perceptions about cultural competence training. BMC Nursing, 18(38). Retrieved from bmcnurs.biomedcentral.com/articles/10.1186/s12912-019-0363-x

Murphy, K. (2011). The importance of cultural competence. Nursing Made Incredibly Easy, 9(2), 5. Retrieved from journals.lww.com/nursingmadeincrediblyeasy/fulltext/2011/03000/the_importance_of_cultural_competence.1.aspx

Shepherd, S.M., Willis-Esqueda, C., Newton, D., Sivasubramaniam, D., & Paradies, Y. (2019). The challenge of cultural competence in the workplace: Perspectives of healthcare providers. BMC Health Services Research, 19(135). Retrieved from bmchealthservres.biomedcentral.com/articles/10.1186/s12913-019-3959-7

Truong, M., Paradies, Y., & Priest, N. (2014). Interventions to improve cultural competency in healthcare: A systematic review of reviews. BMC Health Services Research, 14(99). Retrieved from www.ncbi.nlm.nih.gov/pmc/articles/PMC3946184/

Turner, J. (2013). Competent care in a culturally-diverse nation. YouTube Video. Retrieved from www.youtube.com/watch?v=WdNVKIP9R8A