Wednesday, July 12th, 2017

Culturally Competent Care

February 23, 2011 by  
Filed under Certified Nursing Assistant

The idea of “culture change” has been around for some time, at least fifteen years. Many of those working in nursing homes are familiar with the concept that nursing homes should be less institutional and more intimate. As a nurse who worked in the field of geriatrics in the majority of my nursing career, to accept the change. Why, then, is a step toward changing the culture so terribly slow?

“Culture Change” means different things to different people. Some people take out a transformation of resident directed care. Some image contains fragments gradually work into the institutional framework for the selection.

My vision of cultural change is simple. If people can do something at home, without interference from anyone else, should be able to continue their lifestyle, if they need nursing home. This is usually not the case. Nursing homes on the edge between what individual people want, and how their choices affect other residents. In addition to regulation, there are tastes of families and doctors must be taken into account. Also a philosophy of nursing home yourself, or society to which it belongs. It is the emphasis on individuality or community? It evaluated the effectiveness above all else? What really matters, residents, or bottom line?

Many agree with the idea of cultural change, but come from a dead stop when it comes to implementing changes. Why this is logical, humanizing effort so hard to start? Change the model of institutions, hospitals, nursing homes warm, nurturing environment is not easy. Most facilities do not have the chance to start with small families, each with its special guardians.

Nursing homes are the homes. What a person does affects others. The staff is often such that a nurse is to meet the needs of ten to fifteen or more residents. These staffing ratios, care is seen by staff as a series of tasks to be performed as efficiently as possible.

What happens in a department also affects other departments. This is particularly true for nurses and food services. If residents are late for meals or meals are late out of the kitchen, the sparks fly!

What a look of nursing home as changed? Residents can get up and go to bed whenever they want. They eat meals when they want. They want choice, what they eat. Meals are often one of the only things that people look forward to. Catering is an excellent place to begin to implement cultural change.

Staff members have more time to spend with residents. They need more time, because the family environment is not effective as a body, but who wants to live in an institution? The number of staff should be increased, because at least in the short term, because the changes are made. Change in itself is inefficient, and makes all the discomfort until you get used to new routines.

Is all this effort and disruption worth it? Residents living in areas of humanization shout a resounding yes! Studies have shown that depression, feelings of worthlessness and use of analgesics is lower in nursing homes, which have been made to change the culture. Staff turnover is reduced because caregivers do what they want to do – spend time and make a difference for residents.