Culture Shifts

Abstract

Nurse theorists need to clarify the usefulness of the emerging theories to the discipline, nurse educators should incorporate structural theories and concepts into curricula, practicing nurses will want to include structural screening assessment tools in their provision of care, and nurse researchers will need to develop skills in conducting and measuring the impacts of structural interventions.

Testing the Assumptions in the Process of Cultural Competence in the Delivery of Healthcare Services Using Empirical Data, Focusing on Cultural Awareness

“…The idea of increasing cultural awareness through focusing on encounters where cultural issues are placed at the center might also need to be revised based on critique of the concept of cultural competence and related models ( Botelho & Lima, 2020 ). Such critique highlights that primarily focusing on the culture of the patients might lead to essentializing differences between groups of people and stereotypification as well as a disregard of the structural or social determinants of health ( Drevdahl, 2018 ; Shepherd, 2019 ).…”

“I Can't Breathe”: Biopower in the Time of COVID-19

“…Structural competency is intended for health care workers and, similar to critical consciousness, implores us to recognize the power of structural factors that foster health inequities. 35 Metzl and Hansen 5 describe “structures” as institutional and social conditions that influence interpersonal clinical interactions such as stigma. Structures create infrastructures that uncritically privilege dominant groups.…”

“…Nurse educators can transform the curriculum from the old paradigm of individualistic, behavioral, or cultural approaches to one that addresses structural factor. 35 , 37 Nurses must use an intersectional lens to address how biopower manifests in multiple identities such as gender, ethnicity, class, and sexual orientation. 40 Structural competency is the pedagogical framework that can guide us as health care workers to use our agency to mitigate inequities.…”

Healthcare Simulation Standards of Best PracticeTM Professional Integrity

“…5 • Consciously aware of diverse worldviews and individual differences that characterize patients, populations, and the health team. 13 • Respectful of the unique perspectives related to cultures, values, roles, responsibilities, and expertise of other health professions and the impact these factors can have on health outcomes. 5…”