Incorporating cultural diversity in nursing care: an action plan.
This article examines the context of culture from the perspective of the increase in immigration and concomitant growth of diversity within the United States. It proposes that nurses who deliver culturally competent care are brokers of three cultures: their own; the health care system; and the client. The mechanism for creating approaches to care that utilize this concept is the nursing process. A culture-specific assessment can be achieved using the explanatory model of illness. The inadequacies of some frequently used strategies such as nursing diagnosis are also discussed with suggested changes.
Dennis
Betty Pierce
BP
Department of Nursing, North Carolina Central University, Durham, NC 27707, USA.
Small
Ernestine B
EB
D001291:Attitude of Health Personnel; D001294:Attitude to Health / Q000208:ethnology; D002160:Cambodia / Q000208:ethnology; D018864:Cultural Diversity; D004641:Emigration and Immigration; D005260:Female; D006801:Humans; D008875:Middle Aged; D016294:Models, Nursing; D024802:Nurse's Role; D009733:Nursing Diagnosis; D009736:Nursing Process; D009740:Nursing Staff / Q000523:psychology; D010347:Patient Care Planning / Q000458:organization & administration*; D012945:Social Values; D016746:Transcultural Nursing / Q000458:organization & administration*; D014481:United States