Incorporating Cultural Issues in Education for Ethical Practice

Abstract

The population of most non-dominant ethnic groups in the USA is growing dramatically. Faculty members are challenged to develop curricula that adequately prepare our future nurses. An increased focus on clinical ethics has resulted from the use of sophisticated technology, changes in health care financing, an increasing elderly population and the shift of care from inpatient to outpatient settings. Nurses frequently face situations demanding resolution of ethical dilemmas involving cultural differences. Nursing curricula must include content on both ethics and cultural sensitivity. Active student participation is an important element providing a foundation for ethical practice. A proposed educational format was introduced with graduating baccalaureate students. In a pilot study, curricular content on cultural sensitivity and ethical practice was taught in separate modules. Students were then asked to identify and problem solve an ethical dilemma involving patients and professional caregivers from vastly different cultures. Course faculty members provided discussion questions to guide the students' thinking.

Factors Influencing Cultural Sensitivity among Nursing Students

“…문화적 역량과 민감성의 영역을 명확하게 구분하는 것은 어려움 이 있으나, 문화적 민감성은 문화적 역량을 개발하기 위한 기초적 이고 필수적인 요인으로 지적되고 있다 (Choi, Kim, & Lim, 2008;Hughes & Hood, 2007 (Lee, Anderson, & Hill, 2006;Yarbrough & Klotz, 2007). Glittenberg (2004)…”

Mediating Effect of School Nurses' Self Efficacy between Multicultural Attitude and Cultural Sensitivity in Korean Elementary Schools

“…The score was lower than the one found for college students at nursing schools in Korea [21]. There was agreement that the cultural sensitivity of health care providers affects the quality of health care services both directly and indirectly [22,23]. That is, when health care providers have high cultural sensitivity, they are better able to appreciate and accommodate cultural differences in clients and are better at resolving any issues related to health care services [22e24].…”

“…Given the relatively low mean scores of cultural sensitivity in this population, the need to develop educational content and programs to improve the levels of cultural sensitivity of school nurses seems urgent. Health care providers, including nursing students who have received various types of training on cultural sensitivity, showed a heightened level of understanding and communication capabilities in multicultural issues as well as strong capability in their general clinical practices [22,23]. The United States, a country with a long tradition of multiculturalism, also regards cultural sensitivity as one of the essential objectives for professional workforces in local communities [24].…”

End-of-life experiences and expectations of Africans in Australia

“…The insights and cultural information provided in this article are expected to contribute to the preparation and delivery of better training for nurses, doctors, social workers and personal support workers to enhance their cultural competence. 46,47,49 We also hope that our call for the adoption of appropriate ethical frameworks that include Afro-communitarian principles will create interest among researchers and practitioners to look for alternative ethical models that integrate individual autonomy and the common good.…”

“…25,46,47 This article has endeavoured to shed light upon some of the cultural and experiential differences and nuances displayed by Africans in Australia and how these may affect their views and experiences of, as well as access to, end-of-life care in Australia. These differences have implication for how palliative care and hospice services are provided to Africans in Australia and elsewhere and deserve further attention if meaningful and equitable care is to be provided to these communities.…”