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Culturally competent care means providing care within the context of a patient’s culture and beliefs. To provide this care as a community health nurse, you need to continually acquire knowledge, refine skills, and assess yourself. Becoming culturally competent is an ongoing process. Nurses can develop cultural competence in different ways, but the key elements are experiences with patients from other cultures, an open-minded awareness of these experiences, and a respect for cultural differences. As part of the development process, community-health nurses should assess their cultural competence (Huber, 2009).

Cultural Preservation: Nurses apply this concept by supporting the use of scientifically acceptable cultural practices in nursing. Nurses can understand these practices through interaction with the local communities in which they operate. This promotes the culture of the local community; the members of the communities feel a sense of belonging to their community and cultural identity. For example, Mwarobainini herb is believed to cure forty ailments in Kenya.

Cultural accommodation: This is the support by nurses of cultural practices that are not harmful. It is believed in china that placing a metallic object on a fractured bone facilitates the recovery of the fractured bone. Although not proven harmful the practicality of this practice has not yet been proved however cultural accommodation encourages nurses to propagate such practices. This is a way of promoting the culture of the local communities.

Cultural repatterning: Some cultural practices are harmful to the patient. For example, some herbs can cause harm to patients when used, for example the Msemei herb which has been used by medicine men in Ghana to cure cough in children has been proved to be harmful to health. Cultural repatterning involves the nursing discouraging the use of cultural practices that have been proven harmful.

Cultural brokering: This is the use of cultural practices combined with the health care practices to improve the healing process of the patient. Some herbs used in some communities have been proven to cure some diseases. The nurses may use such herbs in conjunction with the health care plan to improve the healing process (Paulanka ; Purnell, 2005).

Practice of the above strategies can be hindered if nurses lack knowledge of the cultural practices of the communities they serve. Nurses should therefore posses’ knowledge of the cultural practices of their communities because some of them may be helpful in healthcare.


Health_Care.pdf?paperid=5464057. Retrieved from

Huber, L.M. (2009). Making Community Health Care Culturally Competent. Retrieved from

Paulanka, B.J., & Purnell, L.D. (2005). Guide to culturally competent health care. Philadelphia: Davis. Retrieved from

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