By NuWest

December 23, 2023

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How to Build Cultural Competency in Travel Healthcare

NuWest provided this article.

Cultural competency, as defined by the CDC, is the capability of understanding and serving people across cross-cultural situations. Building a healthcare workforce that reflects the needs and beliefs of its patients is a cornerstone of patient-centric healthcare.

In our experience working with close-knit cultures in Guam, Saipan, and American Indian and Alaska Native (AI/AN) tribes and organizations, the benefits of understanding the unique cultures, concerns, and languages of patients are truly remarkable.

cultural competency

For clinical travel staff, understanding various cultural norms is also a great way to get a leg up in competitive job opportunities. For example, in our work with Seattle-area tribes, patients and administrative staff are pleased that NuWest Group has an interview and onboarding process that “blinds” applicant profiles to avoid bias while helping identify applicants with experience working with American Indian and Alaskan Native (AI/AN) groups.

Honing our cultural competency clinical skill set doesn’t mean you need to commit extensive time to learning languages or delving into anthropologic studies. But, we’ve found there are certain resources that can be incredibly useful in this area.

cultural competency
NuWest RNs and RRTs on assignment in Guam, trying their famous Coconut Candy for the first time

CEUs with a Cultural Competency Focus

Many Travel Healthcare agencies will reimburse the cost of CEUs for active travelers, so be sure to ask your recruiters if this is part of their compensation plan. At NuWest, it is one of our many perks and benefits. But whether you foot the entire bill and can get reimbursed, several programs can help develop your cultural competency. Here are just a few:

  • Nurse.com CE: Their cultural competency section is one of the most robust we’ve seen, with specific course offerings by culture, religion, race, gender, and sexual orientation. 
  • CEU Academy: Here, you can take 1-hour educational, and cultural courses for $3.50/ course.
  • Think Culture Health: They offer free educational courses broken down by care focus areas.
  • EDX Learning: Check out the free course on unconscious bias created by Stanford’s online program.
  • EmblemHealth Training Guide: You’ll find a TLDR pdf with tips, communication strategies, and information on how to serve minority patient populations.
  • Quantum Units Education: They offer 6-course options covering a variety of treatments and interventions based on data from diverse communities.  

Expanding Your Language Skills

A great way to understand and communicate with various cultures as a traveling nurse is to learn multiple languages. If you are interested in expanding your language skills, there are a plethora of medical terminology language resources for healthcare professionals (including American Sign Language (ASL) learning). If you aren’t sure where to start, you can choose whatever language is most abundant in your region or city of work. In certain parishes of Louisiana, that might be French. Of course, Spanish is the second most common language in the U.S. To help you decide, below are the top 5 most common languages in the U.S. broken down by percentage of the population.

  • English – 245 million (78.5%)
  • Spanish – 41.3 million (13.2%)
  • Chinese (all varieties) – 3.40 million (1.1%)
  • Tagalog (including Filipino) – 1.72 million (0.5%)
  • Vietnamese – 1.52 million (0.5%)

Whatever language(s) you choose to learn, luckily, in today’s world, learning language has never been easier. Tools like Google Translate* and MediBabble* can help in a pinch but aren’t ideal long-term and may even be restricted* from use at your place of work. Some other top language learning options include:

Babbel: Learn everything you need via real-world conversations, from vocabulary words to culture, in as little as 10 minutes a day.

Duolingo: Free and paid plans of gamified learning through quick, bite-sized lessons. You can earn points and unlock new levels while gaining real-world communication skills, including options such as a Spanish medical lesson.

HelloTalk: Uses direct connections to peers to help users learn a language for free by chatting with native speakers around the world.

Rosetta Stone: Explore free and paid plans from $48 for 3 months or $200 for lifetime use on some language courses.

Disclosure: Some hospitals have policies against using apps like Google Translate and MediBabble to avoid any miscommunications in care due to their translations (they’re good, but not perfect!). Beware and ask before using. And never rely on a computer translation tool when communicating important medical information.

Our job board is a great place to search for your next travel nurse assignment. We have you covered with our housing page if housing is an issue. You can search for what you are looking for.

If you are a new travel nurse or looking into becoming a travel nurse:

Travel Nurse Guide: Step-by-Step (now offered in a PDF Downloadable version!)

By Samantha Keller

August 16, 2019

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Cultural Sensitivity for Travel Nurses in Caring for LGBTQ+ Patients

Guest article provided by: Samantha Keller, Samantha is a contributing writer for OnlineMSWPrograms.com which provides both current and future social workers and other healthcare professionals with education and career information. Below you will find her perspective on caring for patients of the LGBTQ+ community.

cultural sensitivity
Photo by Chris Barbalis on Unsplash

One of the wonderful things about travel nursing is the ability to meet people from all walks of life and within a variety of cultures. With so many options to choose from, a travel nurse never knows where the next assignment may lead. In order to provide optimal patient care, travel nurses must practice cultural sensitivity in every setting to which they are assigned. Since members of the LGBTQ+ community include individuals of varying ages, socioeconomic statuses, genders, races, religions, and ethnic backgrounds—understanding their unique needs is essential to providing the best in patient care.

With so many options to choose from, a travel nurse never knows where the next assignment may lead. In order to provide optimal patient care, travel nurses must practice cultural sensitivity in every setting to which they are assigned. Since members of the LGBTQ+ community include individuals of varying ages, socioeconomic statuses, genders, races, religions, and ethnic backgrounds—understanding their unique needs is essential to providing the best in patient care.

Embracing Cultural Diversity in Travel Nursing

Trusting relationships are important in any setting—and the healthcare environment is no different. However, as noted in How To Be Culturally Sensitive Working with Clients with a Range of Identities, trusting healthcare providers may be difficult for some individuals. There are a variety of factors involved in this dynamic—such as a history of discrimination, disparity in representations of diverse people as care providers, and lack of recognition of the unique challenges that some patients face.

As a travel nurse, you’re frequently required to adapt to new people and new environments

—so you’re familiar with both the challenges of doing so and how helpful it is when someone tries to understand your specific needs. In this sense, you may have a special understanding of the importance of embracing cultural diversity as you travel around the country, caring for patients with unique needs of their own.

Honing Cultural Sensitivity

Cultural sensitivity requires that nurses possess the skills that are needed to affirm diversity and embrace the values of people from different social or cultural backgrounds. Practicing it is key to building relationships with patients, since it helps nurses broaden their perspectives to better understand the unique needs that patients may have. 

An important aspect of honing cultural sensitivity is engaging in self-examination.

One place to start is by evaluating whether you have any internal assumptions, phobias, biases or beliefs that may influence your behavior. It’s also important to be aware of your own reactions and body language.

In addition to self-examination, nurses can use empowering strategies to help patients feel understood and accepted—such as those included in The National Education Association’s (NEA) Diversity Toolkit:

  • Use inclusive language in written and verbal discussions.
  • Ask each client for their preferred pronouns, even when you feel sure of their gender.
  • Ask for permission before touching or hugging each person.
  • Encourage patients to have a family member accompany them if privacy is needed.
  • Know the cultural or diversity-related resources in your community.

Caring for LGBTQ+ patients

Understanding important terms related to LGBTQ+ patients is essential to understanding their unique needs.

The NEA’s Diversity Toolkit: Sexual Orientation and Gender Identity defines several key terms:

  • Sexual orientation is “an identity based on whether someone is attracted to people of a sex different from their own, the same sex, or both sexes (i.e., heterosexual, homosexual, bisexual).”
  • Gender identity is “a person’s internal sense of being male, female, or somewhere else along the gender spectrum.”
  • Transgender is “an umbrella term for people whose gender identity is different from their biological sex or the sex they were assigned at birth.”

Another excellent resource is The Cleveland Clinic Diversity Toolkit, which is an in-depth guide to hundreds of cultural, religious and ethnic identities. When working with LGBTQ+ patients, the toolkit recommends keeping key points in mind, including the following:

  • Create a non-judgmental, open, caring atmosphere. This is essential due to the “intense difficulty some patients experience disclosing same sex behaviors in a clinical setting.”
  • Maintain strict confidentiality. An “inadvertent ‘outing’ of a patient could have a significant impact on their family relationships, livelihood, social status, and personal safety.”
  • Explain the medical record documentation process. “Gay patients may be particularly conscious of protecting their medical information.”
  • Extend respect. “Friends and partners of gay patients should be given the respect and privileges usually afforded to a spouse or relative.”
  • Avoid using gender specific terms. Use “gender neutral terms like ‘partner, mate, companion or spouse.’”
  • Recognize that families may have nontraditional structures. Examples may include same sex parents, or multiple parent situations.
  • Remember that a patient who has a child is not automatically heterosexual.
  • Support children who express an attraction toward the same sex. Don’t assume that the information is false.

As a travel nurse you will have many opportunities to care for patients from all walks of life—which is why embracing diversity and practicing cultural sensitivity are essential to providing excellence in patient care.