Cultural preservation, accommodation, repattering, and brokering are types of strategies nurses use to enhance their skills to provide culturally competent care. Cultural preservation enables individuals to maintain practices from their culture that have been medically proven to promote healthy behaviors (Grand Canyon University, 2017). For example, in the Chinese community, pain is viewed as a disharmony between them and the environment. They often do not take pain medication, opting out for non-pharmacological therapies like acupuncture. Acupuncture has been shown to relieve some forms of pain. With cultural accommodation we support their practices if they have not been proven to be harmful for their health. In the Hispanic community, parents place a red bracelet that contains a brown seed symbolic of a “deer’s eye” on their infants hand. This serves as a type of amulet used to protect infants from evil things or the evil eye (mal de ojo) a person can place on them during their first months of life. This provides some sort of relief and helps decrease stress in parents as they know, spiritually their infant is safe. Cultural repattering involves helping individuals change harmful health practices (Huber, 2009). African Americans, especially those who live in the South, tend to cook with a lot of fat and salt. Through thoughtful education we can help them modify their cuisine by making it more heart healthy and helping them decrease their risk for heart disease. The best example of cultural brokering I can think of is making sure a translator is used when providing them important information regarding a procedure. They must be able to understand their risks and benefits, and have the right to know alternative forms of treatment before they sign a conse
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