TRANSCULTURAL NURSING

 
 
 
 
TRANSCULTURAL NURSING: MANAGING DIVERSITY

Managing diversity in contemporary nursing practice involves pluralism in both the ranks of professional nurses and patient populations. Increasing cultural pluralism within the nursing profession emphasizes the need to both understand and manage group processes in contemporary healthcare organizations. The delegation of autonomy to groups within nursing practice empowers nurses within groups to develop the strategies that effectively integrate pluralistic perspectives. The integration of culturally differing perspectives within healthcare organizations is accomplished through the process of group dynamics. For the nurse manager developing care practice plans for members of foreign cultural groups residing within the United States, intervention strategies designed to promote self-concept and role functions that will positively affect adaptation will be the most difficult to develop. Persuading such patients that is important for their own health to become actively involved in decisions related to her or his own personal care must occur in such a way that additional tension is not created for the patient. Creating a stronger self-concept for such patients; however, should be a primary goal of such interventions.

While the United States has long been considered to be a nation of immigrants, the bulk of the newcomers during most of the nation's history were from the various European cultures with w


     
 
 
 
    

 

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owever, that not all immigrants to the United States from dominantly non Christian cultures share the majority religious values of those cultures, and that this minority among immigrants require a different set of care practices (Luna, p. 22). Additionally, even among immigrant with shared religious values, significant cultural differences often exist as a consequence of the various national cultures from which they came. Thus, immigrants require the development of special care practices, the nurse cannot expect a single set of care practices to be appropriate for all immigrant groups (Meleis pp. 98-103). Within Islam, as an example, there are a variety of sects, as is true among Christianity and Judaism. Across the sects of Islam, however, there exists the phenomenon of Islamic fundamentalism, a movement whose goal is to return Islamic society and religion to essential and traditional Islamic values, as those values are understood, interpreted, and enunciated by the adherents of movement. The Islamic fundamentalist movement is strongly represented among the Middle Eastern immigrant communities in the United States. The cultural status of women in many immigrant cultural groups in the United States frequently poses particula

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