Cultural Competence Recognizing differences and building- up self Cultural Competence Recognizing differences and building- up self awarenessawareness

An Inpatient Unit InitiativeAn Inpatient Unit InitiativePaule Joseph, RN-BC, BSN, CRRN, ASLNC-C, Eric Diaz, BSN, RN-BC & Gretchen Hodge-Penn, MSN, RN-Clinical Nurse Manager

The Mount Sinai Hospital ● New York, New York

The purpose of this project is to incorporate cultural competence projects and create sub-cultural committee within an inpatient unit to promote culturally based care , continue to provide excellent patient care and staff teamwork.

PURPOSE

IMPLICATIONS FOR NURSING PRACTICE

ACKNOWLEDGEMENTS

BACKGROUND AND SIGNIFICANCE

It is said that by the year 2042 minorities will account for nearly half the population. Our country is increasingly more culturally and linguistically diverse and so are the patients we serve at Mount Sinai. Disparities in health care access, health outcomes, and health status are major issues. ( Swirsky, 2009)Cultural Competence refers to the ability to provide health care measures that are congruent with patient needs by: accepting and respecting differences & not allowing one’s personal belief to have an influence on those whose worldview is different from one’s own ( Ginger et. al, 2007).

Increased awareness and sensitivity toward diverse patient populations is a first step in understanding culturally influences health behaviors at The Mount Sinai Hospital .

Development of Cultural Competence training and new initiatives for inpatient units can assist in improving the quality of care for diverse patients in New York City.

It will help to validate the role and importance of Cultural Competent Care in improving patient satisfaction scores

Development of Cultural Competence inpatient initiatives helps to respond to demographic changes; eliminate disparities in the health status of people of diverse, ethnic & cultural backgrounds; improving quality of services and outcomes;.

DOCUMENTATION DEVELOPMENT/METHODOLOGY

DOCUMENTATION DEVELOPMENT/METHODOLOGY (Cont’d)

FUTURE GOALS

Marilyn Jaffe-Ruiz, EdD, RN for her continued support, encouragement and mentorship.The Staff of GP 10 East for helping identify the needs to create a cultural competence sub-committee in GP10 East.Sylvia, McBurnie, RN, MA & Virginia Defina, NP, RN, Nurse Educators for their continued support in these projects. The Nursing Education Department of Mount Sinai Hospital for allowing current training of RNs and PCAs during orientation.

Development of researched based education materials for the GP 10 East based of the Population being served.

Research on the impact of culturally based care to provide effective pain management to the population being served.

Embracement of the Cultural Competence concept and adaptation of models/theories to provided Culturally Evidenced Based Care.

The project assessed the needs of the patients in 10 East GI/ Step-down Surgical Unit.

Assessment of demographic data for the population being served by Mount Sinai 10 East GI/ Step-down Surg. Unit.

Assessing knowledge and cultural experiences of the staff

Posting educational material for easy access when questions arise for a particular cultural group for the staff

A literature review was conducted to identify the current research in the influence of patient satisfaction and patient outcomes.

Survey our current staff to determine which country they were from.

Picture frame with each staff name and country flag was developed

Development of unit slogan: “The United Nations of GP 10 East. We are The United Nations of GP 10 East. We are

united in caring for youunited in caring for you”

REFERENCES

Giger, J. et al. (2007). American Academy of Nursing Expert Panel Report: Developing cultural competence to eliminate health disparities in ethnic minorities and other vulnerable populations. Journal of Transcultural Nursing. 18 (2): pp 95-102.

Leininger, M. M. (1990). The significance of cultural concepts in nursing. Journal of Transcultural Nursing, 2(1), 52-59.

Swirsky, L. (2009). Disparities. In covering Health Swirsky, L. (2009). Disparities. In covering Health Issues. 5Issues. 5thth Eds. Eds. The Alliance for Health ReformThe Alliance for Health Reform. . Retrieved from www.allhealth.orgRetrieved from www.allhealth.org

The State of Health Care Diversity and Disparity : A Benchmark Study of U.S. Hospitals, Institute for Diversity in Health Management, October 2008.

UNITED NATIONS OF GP10 EASTUNITED NATIONS OF GP10 EASTThe staff of GP 10 East is culturally diverse and represent the following countries:

AntiguaBarbadosChinaColombiaCosta RicaDominican RepublicGuyana Haiti HondurasHong KongIndia

IrelandIsraelItalyJamaica JapanKoreaMexicoNigeriaPanamaPakistanPhilippinesPoland

Puerto RicoRussiaSt. KittsSpain Sri LankaTrinidad & TobagoU.S Virgin IslandsUkraineUSABritish Virgin IslandsVenezuela