PubMed · 2543901
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L Ferrell. 1989. Differentiated practice: today, tomorrow and the future.. https://pubmed.ncbi.nlm.nih.gov/2543901/
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Providing health care in developing nations results in cultural and ethical challenges for health care professionals. The authors' intent is to raise readers' awareness of how to maintain an ethical and culturally sensitive approach to practice in developing nations. Four practical approaches to ethical decision-making, developed from the literature and praxis, in conjunction with traditional moral theory and guidelines from professional and international organizations are discussed. Ethical multiculturalism, a view that combines universalism and multiculturalism undergirds culturally appropriate and ethically responsive decisions.
Nursing has a long history of focusing on the cultural dimension of care, dating back to Florence Nightingale and the early days of public health nursing. Nursing education studies advocated for including social science concepts in nursing curricula well before the founding of the first university school of nursing in the United States in 1910. A brief review of the highlights of major nursing curriculum, licensing, funding, accreditation studies, and initiatives reveals that culture competence in nursing education continues to receive increasing emphasis and support.