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South Eastern Kenya University *

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Nursing

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Nov 24, 2024

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Running head: APPLICATION OF THEORY 1 Application of Theory Name Institutional Affiliation

APLLICATION OF THEORY 2 Application of Theory The effectiveness of the nursing practise depends on the models or theories that have been applied over the decades. The nursing models are valuable in providing a shared view of the utilization of the concepts of metaparadigm. As a nurse practitioner, the application of different models in the diagnosis, prescription of medication, and initiating treatment help to improve the competency required. The paper will analyze the cultural or Campinha-Bacote Model, which argues that health practitioners strive to achieve effectiveness while working competently with the patients under the cultural context. The theory of Campinha-Bacote stresses that becoming culturally competent is a process, and the professionals continuously make efforts to work effectively within the cultural context provided by the client. The theory applies five concepts in its explanation, which includes cultural awareness, knowledge, skills, desire, and encounter (Harkess and Kaddoura, 2016). Cultural knowledge provides how health professionals seek and receive education on the different cultures of the people and groups. The experience thus helps them in integrating the values, beliefs, and disease prevalence in the provision of healthcare. Cultural awareness is a self-evaluation of bias on cultures and becoming aware of the racism in healthcare. The ability to effectively conduct and present relevant data on patients relating to culture is referred to as cultural skills. Modification of the existing professional beliefs requires face to face engagement with different clients with diverse cultures. Finally, cultural desire is the motivation to participate in all of the above cultural aspects. The application of these concepts is essential in improving the quality of care in nursing practice. The nurse practitioner may or may not work under the doctor and can play the role of diagnosis, medication prescription, and initiation of treatment to the client. The Nurse

APLLICATION OF THEORY 3 practitioner is required to adhere to the four nursing paradigm, which can be achieved through incorporation of the cultural model of competency. The person metaparadigm encompasses the client receiving medical care and may include a person’s status, cultural beliefs, family and friends, spirituality, and socioeconomic condition (Bauce, Fitzpatrick, and McCarthy, 2014). As a licensed nurse practitioner, the utilization of cultural awareness may help in proving quality care for any patient regardless of cultural and spiritual beliefs. Importantly, having cultural skills can be useful in the collection of cultural data and associating with patients from any socioeconomic background. The environmental metaparadigm relates to both the internal and external factors that affect the condition of the patient, such as the health condition and interactions. The practitioners, as the surrounding of the patient, can influence their health condition. Culturally competent providers will create a suitable environment for the patients since they have cultural awareness, knowledge and skills. The health metaparadigm, on the other hand, refers to the extent of care and wellness that is provided to the patient by the nurse (Bauce et al., 2014). Competency on the various cultural concepts is the key to the provision of quality care and improving the wellbeing of the clients. The nursing metaparadigm incorporates the application of nursing knowledge and skills in the delivery of quality care. The ability to apply the five concepts of cultural competency provides an upper hand to achieving quality health outcome. Just like the physician, nurse practitioners can diagnose and prescribe medication to the patients. Healthcare and professionals depend on the theoretical framework to guide their practice in the provision of quality care. The cultural model presents the concepts that can be utilized by the nurse practitioner in the delivery of care to all groups of people regardless of background and culture (Young and Guo, 2016). The competencies, like cultural knowledge,

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APLLICATION OF THEORY 4 enable the nurse practitioner to be educated on the issues relating to culture, thus becoming informed. Cultural skills allow the nurse practitioner to diagnose the patient and identify information relating to beliefs. Cultural awareness is essential in creating a good relationship with the patient, thus giving the nurse practitioners with such competency an upper hand in achieving a quality outcome. With the increased immigration of people from the diverse origin in the country, health care is becoming diversified and offering services to different groups of people. In the future, it will require the nursing practice to have the cultural competency to improve service quality. For instance, an African immigrant in the country may be deeply rooted in the use of traditional and organic forms of medication and have beliefs that affect the delivery of care. For example, some people argue that the belief in God may contribute to neglect of conventional methods of treatment. In such a case, the utilization of the model can be useful in offering therapy to the client (Shen, 2015). The cultural knowledge, skills, and awareness are the main link to the client, thus creating a positive relationship and trust, which then can be utilized to convince the patient on medication. The model, therefore, uses the concepts of cultural awareness, knowledge, skills, encounter, and desire to help the nurses in the provision of a shared view of the metaparadigm. The health, person, environment, and nursing metaparadigm basics are achieved through cultural competency made possible by the model. The model can be useful in all areas of healthcare and most often, where patents are from diversified groups. I think the model can help to do away with health disparities that are common in most of the care settings caused majorly by lack of cultural competency.

APLLICATION OF THEORY 5 Reference Bauce, K., Fitzpatrick, J., & McCarthy, G. (2014). Cultural competence model. Theories guiding nursing research and practice , 159-171. Harkess, L., & Kaddoura, M. (2016, July). Culture and cultural competence in nursing education and practice: The state of the art. In Nursing forum (Vol. 51, No. 3, pp. 211-222). Shen, Z. (2015). Cultural competence models and cultural competence assessment instruments in nursing: a literature review. Journal of Transcultural Nursing , 26 (3), 308-321. Young, S., & Guo, K. L. (2016). Cultural diversity training: the necessity of cultural competence for health care providers and in nursing practice. The health care manager , 35 (2), 94- 102.

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