EBP: Cultural Diversity, Spirituality and Ethics in Healthcare

Course Description

This course focuses on the fundamentals of an evidence-based approach to examining a range of cultural norms, religions, and alternative health care practices of varied racial and ethnic groups, and how these practices affect the definition, design and implementation of culturally competent, individualized health care. Variations in race, ethnic, age and gender groups, family structure and patient support will be explored. Emphasis will be placed on summarizing intercultural aspects and how the multicultural professional nursing workforce can collaborate to assess, plan, and manage care according to the cultural and spiritual needs of individual patients and populations.

Course Learning Outcomes

By the end of this course, students should be able to:

  1. Identify and contextualize the factors that constitute their personal culture, beliefs, and upbringing to understand how those factors influence interactions with patients and the environment. (PLO 2)
  2. Discuss variations in cultural, and religious backgrounds and practices of patients and families, and their effect on compliance with treatment. (PLO 3, 7, 9)
  3. Analyze alternative healthcare practices and the effect they have on the provision of patient centered care. (PLO 3, 7, 9)
  4. Synthesize aspects of knowledge and communication principles pertinent to the intercultural aspects of patient care, and manage care according to the cultural and spiritual needs of individual patients. (PLO 2, 4, 5, 6)
  5. Evaluation of knowledge of the impact between morals and ethics and how they direct patient and provider choices for treatment across the lifespan. (PLO 2, 8, 9)

Welcome to Week 6

It’s in the DNA… or is it? This week you will learn about the effect of genetics and how that relates to your diverse patient population. Additionally, you will bring the course into perspective and be challenged on how care and caring play a role in the overall cultural competence of your nursing practice.

There are a number of approaches to help you provide the appropriate care for patients from diverse backgrounds. Such as:

  • Developing an awareness of one’s own existence, sensations, thoughts, and environment.
  • Continuing to learn cultures of patients to whom one provides care
  • Demonstrating knowledge and understanding of the patient’s culture, health-related needs, and meanings of health and illness
  • Accepting and respecting cultural differences in a manner that facilitates the patient’s and the family’s ability to make decisions to meet their needs and beliefs.
  • Resisting judgemental attitudes
  • Having contact and experience with the communities from which patients come
  • Being open to new cultural encounters

Purnell, L. D. & Salmond, S. (2013). Individual cultural competence and evidence-based practice. In L. D. Purnell Transcultural Health Care: A culturally competent approach (4th ed., p46). Philadelphia: F. A. Davis Company.


Choose one of the following questions [from the text] to discuss (state which question you are presenting at the start of your discussion)

  1. Discuss the care and caring challenges encountered within the healthcare system overall.
  2. Discuss the specific or unique challenges encountered in the setting where you work in striving to meet the care and caring needs of patients.
  3. Will genetics and genomic expand or reduce healthcare disparities, why or why not?

Include at least one article within the past 5 years to support your discussion-other than the articles from this course.


McFarland, M. R. and Wehbe-Alamah, H. B. (2018). Leininger’s Transcultural Nursing: Concepts, Theories, Research & Practice (4th ed.). New York: McGraw Hill Education ISBN: 978-0-07-184113-9 chapters 9 and 12


Review code of ethics: 


References (not older than 5 years) with corresponding in text citations using APA format 7th edition

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