Last updated on May 27th, 2025 at 12:56 pm
After reviewing Cultural Humility Is a Nursing Clinical Competency” and the “Health Literacy Universal Precautions
Topic 2 DQ 1
After reviewing Cultural Humility Is a Nursing Clinical Competency” and the “Health Literacy Universal Precautions Toolkit, 2nd Edition,” located in the topic Resources, choose an ethnic minority group and explore health disparities for the chosen group. Describe how to integrate the components of health literacy and cultural considerations into a health promotion teaching plan for one health disparity identified in the research and how health literacy supports overall health promotion.
Required resource
https://www.ahrq.gov/health-
Read “Cultural Humility Is a Nursing Clinical Competency,” by Becze, from ONS Voice (2021).
Expert Answer and Explanation
Cultural Humility and Health Promotion
Currently, Hispanic/Latino people experience poor health outcomes as compared to other people. This is attributed to many factors, including limited access to healthcare services. Notably, most Hispanic people do not have insurance coverage, and this usually makes healthcare very expensive for them. Additionally, some of them experience language barriers as they do not understand English, the primary language spoken in the country.
It is also notable that they have higher rates of chronic diseases such as diabetes, obesity, and other conditions (Dragomanovich & Shubrook, 2021). Another issue is the low health literacy levels. Most of them are concerned with working and do not focus on health knowledge or how to interact with the healthcare system. Overall, this reduces their health outcomes, making it crucial to enhance their health integration literacy.
How To Integrate the Concept of Health Literacy
When considering Latino/Hispanic people, healthcare providers should use plain language when integrating the concept of health literacy. Using complex medical terms makes it hard for laypeople to understand the idea and miss out on the essential aspects (Babalola et al., 2021). Additionally, it is crucial to provide information in Spanish and English as Hispanic/Latino people mainly speak the language. In the health literacy program, other aspects apart from speaking should be used. This can include visual aids or videos showing a health issue and how the population can protect themselves.
Cultural Considerations
When educating Hispanic/ Latino communities, it is crucial to be respectful of their traditional beliefs and practices. Most of them have deep religious beliefs, and going against them can be considered to be insensitive and inconsiderate, and therefore, they might be dismissive of the lessons (Ly et al., 2023). It is also crucial to involve family members in the process, as family is an essential unit in the Hispanic culture. Moreover, when suggesting activities they should carry out to enhance their health, it is crucial to understand their culture’s position on such activities.
Teaching Plan For Diabetes Prevention
One of the health issues experienced by Hispanic/Latino people is a high prevalence of diabetes. The learning objectives include understanding the risk factors for diabetes. This will make them understand the factors that can lead to obesity and try to avoid them (Goff et al., 2020). Another learning objective is to identify healthy eating habits that will reduce the risk of having diabetes. Additionally, it is essential to teach them about the importance of physical activity to general health and in lowering diabetes prevalence in general.
The teaching method will include a combination of activities, presentations, and discussions that will engage participants. Through the interactive lesson, it will be possible to ensure that the participants understand all shared information (Dragomanovich & Shubrook, 2021). Additionally, there will be peer support groups, which will provide a chance for individuals to discuss with each other and even share their experience with the disease and how to avoid it for others. All material shared must be culturally sensitive.
They will be asked to restate the primary information to evaluate the learners. Additionally, the health educator will gather their feedback on the lesson and clarify any information that is still vague.
Health Literacy Supports Overall Wealth Promotion
Through health literacy, individuals can make informed decisions concerning their health. This way, following the health belief model, they can take control of their health and even make better decisions concerning their well-being. Additionally, they can navigate the healthcare system and get all the resources needed for their well-being. It is also notable that through health literacy, individuals can self-manage chronic disease, reducing costs and improving their well-being.
References
Babalola, O. M., Garcia, T. J., Sefcik, E. F., & Peck, J. L. (2021). Improving Diabetes Education in Mexican American Older Adults. Journal of Transcultural Nursing, 32(6), 104365962199466. https://doi.org/10.1177/1043659621994664
Dragomanovich, H. M., & Shubrook, J. H. (2021). Improving Cultural Humility and Competency in Diabetes Care for Primary Care Providers. Clinical Diabetes, 39(2), cd200063. https://doi.org/10.2337/cd20-0063
Goff, L. M., Moore, A., Harding, S., & Rivas, C. (2020). Providing culturally sensitive diabetes self-management education and support for black African and Caribbean communities: a qualitative exploration of the challenges experienced by healthcare practitioners in inner London. BMJ Open Diabetes Research and Care, 8(2), e001818. https://doi.org/10.1136/bmjdrc-2020-001818
Ly, A. L., Flynn, P. M., & Betancourt, H. M. (2023). Cultural Beliefs About Diabetes-Related Social Exclusion and Diabetes Distress Impact Self-Care Behaviors and HbA1c Among Patients with Type 2 Diabetes. https://doi.org/10.1007/s12529-023-10179-w
Topic 2 DQ 2
Consider how culture, ethnicity, socioeconomic status, education, employment, support networks, and environment or neighborhood impact health promotion practices. Analyze to what extent access and quality of health care can affect health promotion. Provide examples from your community.
Expert Answer and Explanation
T2DQ2 Culture, Ethnicity, and Socioeconomic Status
Culture, ethnicity, and socioeconomic status significantly influence health promotion practices. Cultural beliefs shape how individuals perceive health, illness, and treatment, often affecting their willingness to seek medical care. For instance, in some cultures, traditional healing practices may take precedence over modern medicine, impacting the acceptance of preventative care (Easterbrook et al., 2020). Ethnicity can also determine access to healthcare, as minority groups often face language barriers, mistrust of the healthcare system, and discrimination. Socioeconomic status, including income and education level, is closely linked to health outcomes, with individuals from lower-income households more likely to experience health disparities due to limited resources, lack of insurance, and reduced access to health services.
Education and employment also play pivotal roles in shaping health behaviors. Higher education levels typically correlate with greater health literacy, allowing individuals to make informed decisions about their health, adhere to medication regimens, and understand the importance of preventative measures like vaccinations or screenings. Conversely, individuals with lower levels of education may struggle to comprehend complex medical information, leading to poorer health outcomes (Majid et al., 2020). Employment can influence access to employer-sponsored healthcare plans, with stable jobs often providing better benefits.
In my community, access to and the quality of healthcare are evident factors influencing health promotion. For example, areas with a higher concentration of healthcare facilities and providers, like urban centers, tend to have better access to preventative services such as regular check-ups and health screenings. In contrast, rural or underserved neighborhoods may lack the necessary healthcare infrastructure, leading to delays in diagnosis and treatment (Song et al., 2020). Low-income neighborhoods may have fewer high-quality healthcare options, with residents relying on overburdened public health services or clinics. In these cases, individuals might avoid seeking care until health issues become critical, demonstrating the critical link between access, quality of healthcare, and effective health promotion.
References
Easterbrook, M. J., Kuppens, T., & Manstead, A. S. (2020). Socioeconomic status and the structure of the self‐concept. British Journal of Social Psychology, 59(1), 66-86. https://doi.org/10.1111/bjso.12334
Majid, Z., Welch, C., Davies, J., & Jackson, T. (2020). Global frailty: the role of ethnicity, migration and socioeconomic factors. Maturitas, 139, 33-41.
Song, H., Lewis Jr, N. A., Ballew, M. T., Bravo, M., Davydova, J., Gao, H. O., … & Schuldt, J. P. (2020). What counts as an “environmental” issue? Differences in issue conceptualization by race, ethnicity, and socioeconomic status. Journal of Environmental Psychology, 68, 101404. https://doi.org/10.1016/j.jenvp.2020.101404
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FAQs
Is cultural humility a nursing clinical competency?
Yes, cultural humility is increasingly recognized as an important clinical competency in nursing. It involves a lifelong commitment to self-evaluation, recognizing and addressing power imbalances, and being open to learning from patients about their cultural identities and experiences. Cultural humility helps nurses provide more respectful, personalized, and effective care, especially in diverse healthcare settings. It complements cultural competence by emphasizing ongoing growth rather than assuming full mastery of another’s culture.
Why is cultural competency and cultural humility important in public health and healthcare?
Cultural competency and cultural humility are essential in public health and healthcare because they promote respectful, effective communication and care across diverse populations. Cultural competency ensures providers understand and consider cultural factors that influence health beliefs and behaviors. Cultural humility emphasizes continuous self-reflection and learning, helping providers build trust and reduce health disparities. Together, they improve patient outcomes, enhance satisfaction, and support equitable, inclusive healthcare for all communities.
What is an example of cultural humility in nursing?
An example of cultural humility in nursing is when a nurse asks a patient about their cultural or spiritual beliefs before creating a care plan, rather than assuming based on the patient’s background. The nurse listens respectfully, acknowledges their own limitations in understanding the patient’s culture, and adapts care to align with the patient’s values and preferences. This approach fosters trust, respect, and personalized care.
Why cultural humility is important in assessment and diagnosis?
Cultural humility is important in assessment and diagnosis because it helps healthcare providers avoid biases and assumptions that can lead to misdiagnosis or ineffective care. By approaching each patient with openness and respect for their cultural background, providers can gather more accurate information and understand how cultural beliefs may influence symptoms, communication, and health behaviors. This leads to more personalized, respectful, and effective assessments and diagnoses, ultimately improving patient outcomes and trust.
Examples of cultural practices that affect health
Examples of cultural practices that affect health include dietary restrictions (such as avoiding pork in Islam or vegetarianism in Hinduism), traditional healing methods (like acupuncture or herbal medicine), and beliefs about illness causes (such as viewing illness as spiritual imbalance). Other practices include fasting during religious observances, preferences for same-gender healthcare providers, and differing attitudes toward mental health. Understanding these practices helps healthcare providers deliver respectful and effective care.
Examples of cultural barriers in healthcare
Examples of cultural barriers in healthcare include language differences, mistrust of the medical system, differing health beliefs, and limited health literacy. Other barriers may involve reluctance to discuss certain health issues due to stigma, preferences for traditional healers over modern medicine, or expectations around gender roles in care. These barriers can affect communication, compliance, and access to quality care, making cultural awareness and sensitivity essential for healthcare providers.
Health practices and beliefs examples
Examples of health practices and beliefs include using herbal remedies for healing, relying on prayer or spiritual rituals for wellness, and following dietary restrictions based on religious or cultural rules. Some cultures may believe in balancing bodily energies, such as yin and yang, or practice fasting for health or spiritual reasons. Others might prioritize family involvement in healthcare decisions or view illness as a test of faith. These beliefs influence how individuals seek care and manage their health.
