What Native Americans want nurses to know : Attitudes and behaviors desired in client/nurse relationships

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OBJECTIVE: This study examined Native American perceptions of attitudes and behaviors desired in their client/nurse relationships for the purpose of informing cultural-competency education and practice.

DESIGN: A descriptive-qualitative methodology was used and face-to-face interviews were conducted.

SAMPLE: A targeted sampling approach was applied; the sample included Native Americans employed at a western reservation casino.

ANALYTIC STRATEGY: Thematic analysis involved constant-comparison through the examination of similarities and differences, and relationships between concepts.

RESULTS: Theme I, Native American Experiences with Nurses and Theme II, Native American Experiences with Other Native Americans. Subthemes offer participant perspectives of the dynamics within their client/nurse interactions. Participants offer advice to both nurses and other Native Americans that promotes mutual understanding and respect.

CONCLUSIONS: Becoming a culturally competent nurse is a complex developmental journey. Four implications are offered. First, nurses can feel confident doing what they do best; valued nurse attributes and behaviors are being taught and practiced that are foundational for cultural competence. Second, within the context of a population-health focus, consider individual preferences and beliefs. Third, empower Native American self-advocacy. Lastly, disrupt racism at the relationship level by seeking cultural humility and practicing critical self-reflection and dialogue.

Medienart:

E-Artikel

Erscheinungsjahr:

2021

Erschienen:

2021

Enthalten in:

Zur Gesamtaufnahme - volume:38

Enthalten in:

Public health nursing (Boston, Mass.) - 38(2021), 2 vom: 01. März, Seite 176-185

Sprache:

Englisch

Beteiligte Personen:

Purtzer, Mary Anne [VerfasserIn]
Thomas, Jenifer J [VerfasserIn]

Links:

Volltext

Themen:

Cultural competence
Journal Article
Native Americans
Nursing education
Public health nursing practice
Qualitative research
Relationships
Research Support, Non-U.S. Gov't

Anmerkungen:

Date Completed 28.03.2022

Date Revised 07.12.2022

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1111/phn.12810

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM315072253