Patient-nurse cultural encounters : a case study

Material Information

Title:
Patient-nurse cultural encounters : a case study
Series Title:
Barry University Dissertations -- College of Nursing and Health Sciences
Creator:
Russell, Gayle Marie Packard
Place of Publication:
Miami, Fla.
Publisher:
Barry University
Publication Date:
Language:
English
Physical Description:
xxii, 371 leaves : ill. ; 28 cm

Thesis/Dissertation Information

Degree Disciplines:
Nursing

Subjects

Subjects / Keywords:
Nurse and patient ( lcsh )
Intensive care nursing ( lcsh )
Minorities -- Medical care ( lcsh )
Nursing -- Cross cultural studies
Genre:
Academic theses ( lcsh )

Notes

Abstract:
Background: The overall U.S. population is increasing in diversity without parallel demographic changes in the nursing profession, which increases the probability that at least some culturally diverse patients will not receive nursing and health care services they deem culturally acceptable and congruent. Purpose: To identify and explicate how the phenomenon of multiculturalism was operationalized in terms of cultural competence in nursing in an acute care health care organization from the perspective of patients whose cultures were different from their health care providers. Theoretical Framework: The Purnell model for cultural competence. Methods: The qualitative case study research design was (a) instrumental, (b) exploratory/ descriptive, (c) single case, and (d) embedded organizational. Data were collected from archival documents of the participating health care organization, from RNs at the executive, middle management, and direct care levels, and culturally diverse patient participants. Results: Themes revealed were caring, centering, diversity, facilitating/mediating, and improving health. The themes were compared to and supported selected domains of the Purnell model and Watson’s (2008) Caritas Processes. Conclusions: The concepts of caring, cultural competence, and improving health were theoretically interrelated. Caring nurses improved the health of individuals and communities when the nurses delivered culturally congruent and acceptable (culturally competent) nursing services to culturally diverse patients.
Thesis:
Thesis (Ph.D.)--Barry University, 2009.
Bibliography:
Includes bibliographical references (leaves 274-294).

Record Information

Source Institution:
Barry University
Holding Location:
Barry University Archives and Special Collections
Rights Management:
Copyright Gayle Marie Packard Russell. Permission granted to Barry University to digitize, archive and distribute this item for non-profit research and educational purposes. Any reuse of this item in excess of fair use or other copyright exemptions requires permission of the copyright holder.
Resource Identifier:
RT120.I5 R87 2009_RussellGayle ( BU-Local )
Classification:
RT120.I5 R87 2009 ( lcc )

BUDC Membership

Aggregations:
Barry University
Theses and Dissertations