Evaluating the Impact of Culture in Nursing

Type: Research Paper

Subject: Community Health Nursing

Subject area: Nursing

Education Level: Undergraduate/College

Length: 2 pages

Referencing style: APA

Preferred English: US English

Spacing Option: Double

Title: Evaluating the impact of culture in nursing

Instructions: first part annotated bibliography 150 words • using bullet points/outline format • select 1 research article per student related to one clinical practice problem that you have an interest in • identify the research question in the article • the reference list must have all the articles in apa style second part evidenced based research paper 1 page • focusing on the same clinical problem you focused on for the assignment • review the literature related to this clinical problem ? (fifty percent of the research articles must be from nursing researchers.) • identify 1 theoretical framework ( http://currentnursing.com/nursing_theory/) • give a rationale for the chosen theoretical framework • identify the research design, with rationale for selection and description • briefly describe how the following was handled: ? sample selection and an estimated number of participants you will need ? confidentiality ? informed consent ? measurement / instrument (quantitative) or interview guide/structure (qualitative) ? methods of data collection procedures ? relative to the design you selected, briefly describe how validity and reliability might be addressed. • the reference list must have all of the articles in apa style

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Evaluating the Impact of Culture in Nursing

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Evaluating the Impact of Culture in Nursing

Shier, V., Khodyakov, D., Cohen, L. W., Zimmerman, S., & Saliba, D. (2014). What does the evidence really say about culture change in nursing homes?. The Gerontologist, 54(Suppl_1), S6-S16.

• According to Shier et al (2014), in most countries across the globe as well as the significant increase of global movements, the world has turned out to be multicultural. However, the cultural diversity currently being experienced across the globe, nurses have been forced to face the challenge of working with patients from different cultural backgrounds
• . Nurses and healthcare professionals working in a multicultural environments should therefore be aware of the existence of other cultures other than their own and avoid assuming that other people should confirm to a specific cultural pattern. Making judgments of people from different culture is a serious healthcare problem and can result to misjudgment and poor quality of care. 
• Despite the increased interest in cultural change, there is no a common guide that can fully inform the implementation of cultural change initiative particular in nursing homes. 
• The researchers in this article employed an analytic theoretical framework to evaluate the existing evidence for effects of cultural change on the quality of nursing homes.
•  It explains how healthcare homes are designed by modifying their physical environment, beliefs, standards and organizational structures to become resident-centered. 
• The end aim of improving the quality of the nursing home is to optimize the quality of life for people living there. 
• Care home quality, therefore, is a multidimensional structure including residential care, the environment and the management of disease. 
• The researchers used a comprehensive review of peer-reviewed literature articles published between 2005 and 2013 as an attempt to identify and evaluate interventions that addressed at least one cultural change domain.
•  Out of the 4,982 identified research publication on the nursing problem, 625 underwent full review, 27 peer reviewed and 9 gray literature studies met the inclusion criteria. 
• The search strategy included searching peer-reviewed publications indexed in PubMed, CINAHL, PsycInfo, Web of Science, and Evidence Based Medicine Reviews.
•  The additional data provides details of each study's venue, design, sample, overview of the cultural change, field(s) of cultural change, tools for measuring culture change and outcomes. 
• The majority of studies (n = 28) were conducted in the US, seven in the UK, and one in Canada. Though approximately half of all studies in three or more nursing homes (n=19) had over 30 observations in sample dimensions (n=18), there was large varying size of intervention. 
• The nature and results of studies differed greatly. Most were concerned with more than one field of cultural change; the most popular were resident management, homeland and close ties.
•  Few studies measured the implementation of culture changes, but most validated instruments were used for measuring results. 
• While few studies have shown negative results, little evidence of good effects has been shown. 
• In relation to the importance of the transition in home culture, there is a possible policy opportunity to promote the collection of data in order to ascertain its effectiveness.
•  This would be a benefit, given that change in culture is increasing without clear proof of its effectiveness. 
• It is difficult to conclude if a certain domain of cultural change is correlated with one specific outcome because of the changes that are being made and evaluated in each form of intervention result.

References

Shier, V., Khodyakov, D., Cohen, L. W., Zimmerman, S., & Saliba, D. (2014). What does the evidence really say about culture change in nursing homes?. The Gerontologist, 54(Suppl_1), S6-S16.