Caring in the Margins

Abstract

Nurses must learn essential skills based in transcultural nursing to address issues of equity and social justice. The development of a model for nursing practice for an urban nurse-led drop-in center for individuals experiencing marginalization provides an opportunity for student nurses to learn transcultural nursing skills that shifts care from acknowledging the need of others to accompanying others on their health journey. The practice model provides the opportunity for undergraduate and graduate nursing students at Augsburg University to de-emphasize tasks and build relationships. Students learn to listen to others' stories and acknowledge their struggles in the margins. Four stages of nursing practice skills, acknowledging others' needs, attending to their struggles, affirming strengths, and ultimately accompanying others, are taught and experienced. At the core of the nursing practice model is the concept of "hospitality." The nursing practice model serves as guide for student nurses to learn to suspend disbeliefs, withhold judgment, and ultimately reduce stereotypes and stigma to offer a safe space for individuals living in the margins seeking care. The future of nursing requires essential knowledge, skills, and attitudes that shift care from need-based care to accompaniment to address health inequities and provide culturally appropriate care.

Meta-Analysis of Cultural Influences in Trauma Exposure and PTSD Prevalence Rates

“…As explained by Tosun and Sinan (2020), students can learn to describe patient cultural characteristics without understanding the cultural determinants of the patient's health. To begin to address these gaps, advanced practice programs in nursing now prepare learners in population health social justice and social economic structures that restrict access to the means of health or, in other words, the upstream cultural determinants of social inequities and their downstream health disparities (Enestvedt et al, 2018). We theorized that TC models of population health for displaced refugees must promote health protective cultural resilience.…”

Demonstrating Nursing Excellence Through Equality: The Relationship Between Magnet® Status and Organizational LGBTQ Client Services and Support

“…Clients report higher satisfaction of care when it is culturally appropriate; and data support positive relationships between Magnet recognition and higher scores on formal care satisfaction inventories, like Healthcare Consumer Assessment of Healthcare Providers and Systems evaluations (Chen, Koren, Munroe, & Yao, 2014; Zhu, Dy, Wenzel, & Wu, 2018). Providing culturally appropriate care is an essential transcultural nursing concept; and it will be increasingly important in the future as populations within the United States continue to diversify (Enestvedt et al, 2018).…”

Culturally based caring model in nursing services

“…The quality of nursing services is influenced by the caring attitude of nurses towards clients (Sacco and Copel, 2018). Several studies have stated that caring behavior cannot be optimally implemented because it is influenced by several aspects, one of which is the cultural aspect (Enestvedt et al, 2018). Aspects of caring behavior that have been used so far have not been integrated with cultural aspects.…”