Community Health Nurses – Care Example

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"Community Health Nurses" is a wonderful example of a paper on care. Nurses are responsible for providing culturally congruent patients care to people during their practices. To treat patients, nurses belonging to community health centers apply four strategies including cultural preservation, cultural accommodation, cultural re-patterning, and cultural brokering (Georgetown University Center, 2011). Cultural Care Preservation The concept of cultural preservation indicates the process of treatment where nurses are primarily focused on meeting the client’ s demands. Community health nurses work towards treating the patients’ by providing care with due regard to cultural competencies. Cultural care preservation is defined as making efforts for assimilating the preferences of the clients’ and choices while delivering them the desired care.

These strategies are useful for treating patients’ through emotional, spiritual, and physical health treatment. The approach of cultural care preservation is useful only when the preferences or demands of the patients do not involve any sort of risk or threat which can harm the patient's health (College of Nurses of Ontario, 2009). Examples A patient has encountered a leg injury due to a fire accident for which the patient demands home care support from the nurses.

During the visiting time, the patient requested the nurse to put a picture of St. Francis of Assisi as it will provide her with a positive vibe towards life. In this context, the nurse has accepted the advice of the patient for her better and quick recovery.         Culture Care Accommodation   The culture care accommodation is a particular approach of community health care nurses that are used for exploring the ways of honoring clients’ choices or preferences with minimum risk.   This process mainly helps in describing the approach of accommodating the key elements of the client’ s request during negotiation with the same for implementing appropriate intervention for a positive outcome (College of Nurses of Ontario, 2009). Examples A nurse has been providing an elderly client with direct observation as the patient is a patient with angina.

The client has been prescribed nitroglycerine. The patient reveals her concern regarding the diseases as she believes that the evil eye is a major reason for her illness. In this regard, the patient has requested the nurse for adopting her own remedy, which can prove to be dangerous for her (College of Nurses of Ontario, 2009). Cultural Brokering The cultural broker is a strategy within the cultural competence treatment process.

The cultural brokering strategy is to inculcate the support and help of the families and friends of patients during interventions (Huber, 2009). Example                       A diabetic patient requires regular home visiting nurses for better treatment and quick recovery. The patient is prescribed a strict diet to be followed in the process. In this regard, the family of the patient has to be supportive of ensuring the adherence of the patient to this diet (Huber, 2009).           Culture Care Re-Patterning The cultural care re-patterning is a concept or framework that will be helpful for clients as well as nurses for making the treatment process a much easier one.   .

Through this approach, clients and nurses are developing proper patterns for conducting the treatment process. The newly developed patterns by the nurses and clients will work towards ensuring quick and utmost recovery of the patients (College of Nurses of Ontario, 2009). Example             A patient, who is a Hindu and is non-vegetarian, has been prescribed a vegetarian diet after dialysis.

In this regard, the duty of the nurse is to make the patient comfort and console him to change the diet for his better health (College of Nurses of Ontario, 2009). The possible barrier of implementing the mentioned strategies can mainly be in the form of the health condition of the patients. The risk factor that has been associated with the patients’ health is highly observed during the implementation of the strategies. For instance, if any person does not want to continue with the prescribed medicine any nurse cannot allow them to do the same (Huber, 2009).                                  


College of Nurses of Ontario. (2009). Culturally sensitive care. Practice Guideline, 1-16.

Georgetown University Center. (2011). Cultural brokers help families and providers bridge the cultural divide. National Center for Cultural Competence, 1-8.

Huber, L. M. (2009). Making community health care culturally correct. American Nurse Today, 13-15.

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