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Nursing Essay on Pacific Cultural Competencies


Task: Nursing Essay Task: To develop an understanding of Pacific worldview including values, beliefs and practices in relation to Pacific Peoples health and wellbeing. Describe Pacific Cultural Competency and a Pacific Health Model in relation to working alongside Pacific Peoples. Using a personal reflection, describe your understanding of Pacific worldview, cultural awareness and Pacific Cultural Competency in relation to nursing practice.


Cultural competencies examined in the present context of nursing essay are widely involved in nursing practices. Cultural competencies mean involving more people belonging to different cultural backgrounds. Therefore, there is a growing need for cultural competencies in nursing practices. Through this reflective paper, the views of“Pacific” cultural competencies involved in nursing practicesare highlighted. This report highlights my opinions based on the relevance of “Pacific” cultural competencies in the health industry and further illustrates the awareness of “Pacific” cultural competencies. Further, this report also attempts to analyze and explain a reflective overview of the current knowledge of the “Pacific” worldview and “Pacific” cultural competencies. This reflection paper also highlights my learning and knowledge that has been gathered from the experience.

Influence Of Pacific World View On Nursing Practices
“Cultural Competency” is the process in which the health system incorporates values, believes and other associated important knowledge for the wellbeing of the people. Likewise, the “Pacific”“Cultural Competency” is a contemporary development. It is the process of a wellbeing framework to improve wellbeing and prosperity by incorporating social practices and ideas into wellbeing administration conveyance. For the most part, it is thought of as a social methodology and capacities on the rule that conduct changes must be accomplished as a matter of first importance by changes in demeanor (Taylor, &Haintz, 2018). The ability to influence perspectives and practices is affected by numerous elements, remembering administration for the field, admittance to data, altruism, educated dynamic, a learning climate, best-quality practices, and hierarchical cycles and systems.

Moreover, one of the“Pacific” worldviews on “Pacific”cultural competencies is thatit is rigorous. Accordingly, there is no equivocalness in the social practices or convictions of the “Pacific” People" which demonstrates that they are frequently uncertain about what works the best for them.“Pacific” social ability is a respectably novel thought, and no sensible explanations are present (Foliaki et al., 2020). In any case, the official explanations consolidate the capability to fathom and properly apply social characteristics that help “Pacific People" gatherings' viewpoints and overviews on wellbeing as well as the prosperity of individuals. In addition, “Pacific” "Social Competency" includes different worth frameworks of the various societies and this culture guzzles everything. “Pacific” "Social Competency" has moreover been described as the ability to facilitate “Pacific”characteristics, guidelines, developments, viewpoints and practices into the thought and transport of organization to “Pacific” clients, their families and organizations (Juliet Boon-Nanai et al., 2017). “Pacific” People" bunches have been in "New Zealand" for longer than a century and have contributed through and through to the political, social and social surface of this overall population (Wilson et al., 2018). “Pacific” People" bunches sway, and will continue to affect, the portion plan, socio-social features and in everyday prosperity and thriving of "New Zealand" later on as the general population additions and ages. Besides, "The "New Zealand" Health Practitioners Competence Assurance Act 2004(HPCA Act)" occurred in September 2004, and covers all prosperity experts.Its work is to secure the wellbeing and security of “New Zealand”ers to provide components for ensuring guarantee of wellbeing experts are howsoever required to follow guidelines. The “HPCA Act” necessitates proficient enrollment for authorities to help insetting principles of nursing practices, social fitness and moral lead as well as a guarantee of seen by witnessing the wellbeing of the people with the help of the experts (Sa'uLilo et al., 2020). While accompanying experts of possessing the knowledge for executing social skills for nursing, it is imperative that the option to show it is provided to them.

Consequently, the authorities need to create and uphold competency norms as the initial action to keep up that it is both sensible and pivotal that the HPCA Act give exceptional consideration to the routes in which the framework of the medical service can turn out to be more compelling intending to the wellbeing of people and unique necessities gatherings (Schmidt-Busby et al., 2019). This incorporates “Pacific” People” groups. Therefore, the nursing practice has incorporated some of these social practices and helps in the healing practice of the people. Some of these social practices were incorporated into contemporary nursing practices to ensure the wellbeing of the people.

Health Concern
One of the major health concerns for the people of “Pacific”withinAotearoais the higher chances of chronic disease among theircommunities.This disease is of great concern among the “Pacific”People”s within Aotearoa because this kills the people of “Pacific” at comparatively young ages and this causes difficulty for the people of “Pacific”. The young generation is more important to maintain and sustain for the country because these people are the ones who provide proper guidance to the country and take it forwards (Curtis et al., 2019). The young population is the biggest asset for a country and therefore it is important to take care of their wellbeing (Hunter& Cook, 2020).

“Pacific”People”s by and large have demise, illness and injury designs like those of other youthsof“New Zealanders". Data about optional school understudies are accessible through wellbeing and prosperity reviews which show the increasing number of discontinuity because of chronic diseases. The 2017 review tracked down that a somewhat more modest extent of “Pacific” optional understudies detailed that their wellbeing was fantastic, awesome or great, yet there was no distinction in their announced degrees of general prosperity. 92% of “Pacific” understudies detailed that they were happy with their lives.Somewhere in the range of 2001 and 2012, there was a 4% reduction in the extent of “Pacific” understudies with burdensome manifestations, and their rates were the same as those of Aotearoa understudies.

Notwithstanding, “Pacific” understudies were somewhat bound to report self-mischief and multiple times as prone to have endeavouredself-destruction over the most recent a year. In 2017 about 20% of “Pacific” understudies studied had been or were presently explicitly dynamic, like the extent of European understudies. 33% of explicitly dynamic “Pacific” understudies announced utilizing condoms and half utilized some type of contraceptives. Half of the European understudies utilized condoms and 3/4 utilized some type of contraceptives.This may help in reducing the pregnancy rates. “Pacific” understudies (76% in 2017) were more as compared to Aotearoa (18% in 2017) to be overweight or fat. More “Pacific” young ladies (46%) were fat than “Pacific”young men (20%). In any case, “Pacific” understudies were bound to report eating the day by day suggested measure of products of the soil (Pacific Island health, 2021).

The drinking examples of “Pacific” individuals are additionally more destructive, with higher detailed paces of brutality related to drinking than for everyone. A recent report tracked down that 57% of “Pacific” individuals drank liquor, contrasted with 85% of the absolute populace. Be that as it may, “Pacific” individuals had a more noteworthy normal yearly utilization of liquor (21 litres) than the “New Zealand” normal (11 litres). Likewise, 33% of “Pacific” buyers ate up enough to feel failed at any rate after quite a while after week – as against 9% of customers comprehensively. This general model was asserted in the 2017/19 "New Zealand" Health Survey. 56% of “Pacific” people 15 and over had eaten up alcohol in the earlier year, appeared differently about a well-known person of 71.5%, yet they had higher speeds of risky drinking. “Pacific” people are excessively affected by tireless contaminations achieved by smoking, not exactly heavenly eating normal and real dormancy.

A couple of assessments have shown that more than 75% of “Pacific” people are chubby. Heaviness is one of the critical purposes behind persistent shortcoming. The figures were more unfortunate for M?ori and “Pacific” children separately. A significant reason for weight is the utilization of undesirable food and sugar-improved drinks, and the absence of standard active work. These are the major lifestyle and health issues that increase chronic disease even more. Moreover, another important issue is thatmaintaining the lifestyle for the peoples of “Pacific” is very important otherwise the rate of such diseases will eventually increase and it will be very difficult for the people to recover. Therefore, a harmful lifestyle must be avoided (Kurtz et al., 2018).

One of the major current health care resources that are prevailing in the “Pacific” to help people recover is Chronic Diseases Self-ManagementProgram.The National Centre for Chronic Disease Prevention and Health Promotion helps to encounter this health program and help people cure in the “Pacific” region (Antón-Solanas et al., 2021). This program is mainly a workshop that is carried out for a short span of 6weeks series and people who are diagnosed with Chronic Diseases are suggested to enrol in this. This workshop program helps in reducing the pain and encourages people to carry their activities withmore enthusiasm and motivation. This program also focuses on the improvement of health and wellbeing.

Personal Reflection
In my opinion, the “Pacific” Cultural values and social practices is a very recent development and therefore the traditional healing conceptions are mostly lacking in this. However, I was happy to learn about the recent developments in the cultural practices of “Pacific” People” for the health and wellbeing of the “Pacific” People”. I was also happy to learn that Social capability is the limit of a wellbeing framework to improve wellbeing and prosperity by incorporating social practices and ideas into wellbeing administration conveyance. Generally, it is considered a conduct approach and capacities on the rule that social changes must be accomplished by changes in disposition. The ability to influence mentalities and practices is impacted by numerous factors, remembering authority for the field, admittance to data, generosity, educated dynamic, a learning climate, best-quality practices, and hierarchical cycles and methodology.Moreover, I also had the opportunity to learn about the Social practices that do not recommend treating all individuals from a social gathering similarly. Therefore, it is important to recognize the positive impacts and analyze the impacts to understand the positive improvements.

As regards the amazing opportunity, I could encounter by enrolling in this course, I could learn so many things with regards to the “Pacific” practices of cultural competencies and how they were incorporated into the nursing practices. I had the opportunity to learn about the changes and gather knowledge that will help me to excel shortly. Moreover, I am overwhelmed that I had the opportunity of understanding the social practices of Nursing practice and this has helped me to incorporate these traditional healing methods in my nursing practice. I could learn new and traditional remedies to treat chronic issues and increase my awareness.

Underpinnings show that “Pacific” cultural competencies are being incorporated by the nursing community of “Pacific” and thus it becomes important for the “Pacific”People’s.”Moreover, “Pacific” people death rate and demise rates are bound to reflect helpless admittance to wellbeing data and medical services than a natural inclination to infection. These contamination and downfall graphs are moreover consequence of more anticipation of dangerous things for specific sicknesses. Unanticipated dangers are more difficult to handle and that is why it is important to anticipate the dangers prior, for instance, falls and motor vehicle crashes – are the fundamental wellsprings of admission to the facility, followed by asthma, stroke and coronary ailment. In 2002, notwithstanding similar speeds of people yielded to the clinical facility with coronary disease, Europeans were on different occasions more likely than “Pacific” people to have coronary diversion an operation, and on numerous occasions bound to have angioplasty. “Pacific” people were loather to go to experts' operations and clinical centres, provoking a more prominent measure of them being surrendered to the clinical facility than everyone. They were a response to advancing issues with induction to fundamental clinical consideration which was market-driven, remedially drew in and sometimes torpid to the prerequisites and suspicions for “Pacific” people. There was in like manner no game plan for public commitment to fundamental clinical consideration organization transport, and a genuine insufficiency of experts who could impart in a “Pacific” language. “Pacific”-guaranteed prosperity organizations have improved choices for “Pacific” people, yet a large portion of the “Pacific” people continues being served by standard providers. During the 2010s “Pacific” people in "New Zealand" continued being low customers of clinical consideration organizations paying little mind to have high prosperity needs. “Pacific” people were developing new strategies and striving for prosperity, yet more liberal changes were required to gain prosperity in the nursing practices.

Antón-Solanas, I., Huércanos-Esparza, I., Hamam-Alcober, N., Vanceulebroeck, V., Dehaes, S., &Kalkan, I. et al. (2021). Nursing Lecturers’ Perception and Experience of Teaching Cultural

Competence: A European Qualitative Study. International Journal Of Environmental Research And Public Health, 18(3), 1357. doi: 10.3390/ijerph18031357

Curtis, E., Jones, R., Tipene-Leach, D., Walker, C., Loring, B., Paine, S., & Reid, P. (2019). Why cultural safety rather than cultural competency is required to achieve health equity: a literature review and recommended definition. International Journal For Equity In Health, 18(1). doi: 10.1186/s12939-019-1082-3

Foliaki, S., Pulu, V., Denison, H., Weatherall, M., &Douwes, J. (2020). Pacific meets west in addressing palliative care for Pacific populations in Aotearoa/New Zealand: a qualitative study. BMC Palliative Care, 19(1).doi: 10.1186/s12904-020-00604-2

Hunter, K., & Cook, C. (2020). Cultural and clinical practice realities of M?ori nurses in Aotearoa New Zealand: The emotional labour of indigenous nurses. Nursing Praxis Aotearoa New Zealand, 36(3), 7-23.doi: 10.36951/27034542.2020.011 Juliet Boon-Nanai, VaoivaPonton, Ailsa Haxell, & Ali Rasheed. (2017). Through Pacific/Pasifika Lens to Understand Student’s Experiences to Promote Success Within New Zealand Tertiary Environment. Sociology Study, 7(6).doi: 10.17265/2159-5526/2017.06.001

Kurtz, D., Janke, R., Vinek, J., Wells, T., Hutchinson, P., &Froste, A. (2018). Health Sciences cultural safety education in Australia, Canada, New Zealand, and the United States: a literature review. International Journal Of Medical Education, 9, 271-285. doi: 10.5116/ijme.5bc7.21e2

Pacific Island health. (2021). Retrieved 15 May 2021, from

Sa'uLilo, L., Tautolo, E., & Smith, M. (2020). Health literacy, culture and Pacific peoples in Aotearoa, New Zealand: A review. Pacific Health, 3.doi: 10.24135/pacifichealth.v3i0.4

Schmidt-Busby, J., Wiles, J., Exeter, D., &Kenealy, T. (2019).Self-management action and motivation of Pacific adults in New Zealand with end-stage renal disease. PLOS ONE, 14(9), e0222642. doi: 10.1371/journal.pone.0222642

Taylor, J., &Haintz, G. L. (2018). Influence of the social determinants of health on access to healthcare services among refugees in Australia. Australian journal of primary health, 24(1), 14-28.

Wilson, D., Heaslip, V., & Jackson, D. (2018).Improving equity and cultural responsiveness with marginalised communities: Understanding competing worldviews. Journal Of Clinical Nursing, 27(19-20), 3810-3819. doi: 10.1111/jocn.14546


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