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DEFINITION: Bridging, negotiating, or linking the orthodox health care system with a patient and family of a different culture |
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Determine the nature of the conceptual differences that the patient and nurse have of the illness |
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Discuss discrepancies openly and clarify conflicts |
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Negotiate, when conflicts cannot be resolved, an acceptable compromise of treatment based on biomedical knowledge, knowledge of the patient's point of view, and ethical standards |
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Allow the patient more than the usual time to process the information and work through a decision |
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Appear relaxed and unhurried in interactions with the patient |
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Allow more time for translation, discussion, and explanation |
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Use nontechnical language |
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Determine the "belief variability ratio"the degree of distance the patient sees between self and cultural group |
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Use a language translator, if necessary (e.g., signing, or Spanish) |
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Include the family, when appropriate, in the plan for adherence with the prescribed regimen |
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Translate the patient's symptom terminology into health care language that other professionals can more easily understand |
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Provide information to the patient about the orthodox health care system |
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Provide information to the health care providers about the patient's culture |
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Caudle, P. (1993). Providing culturally sensitive health care to Hispanic clients. Nurse Practitioner, 18(12), 40-51. |
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Jackson, L.E. (1993). Understanding, eliciting, and negotiating clients' multicultural health beliefs. Nurse Practitioner, 18(4), 36-42. |
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Rairdan, B., & Higgs, Z.R. (1992). When your patient is a Hmong refugee. American Journal of Nursing, 92(3), 52-55. |
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Sloat, A.R., & Matsuura, W. (1990). Intercultural communication. In M.J. Craft & J.A. Denehy (Eds.), Nursing Interventions for Infants and Children (pp. 160-180). Philadelphia: W.B. Saunders. |
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Tripp-Reimer, T., & Brink, P.J. (1985). Culture brokerage. In G.M. Bulechek & J.C. McCloskey (Eds.), Nursing Interventions: Treatments for Nursing Diagnoses (pp. 352-264). Philadelphia: W.B. Saunders. |
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Figure 8.1
Culture brokerage, NIC. An intervention requiring the nurse to mediate between medical belief systems.
Source: NIC, second edition. |
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