Philippines and India. These nurses come from different cultures, ethnic backgrounds, beliefs and values from those of the Saudi population . The commitment to population health drives nurses to serve in the midst of a variety of...
morePhilippines and India. These nurses come from different cultures, ethnic backgrounds, beliefs and values from those of the Saudi population . The commitment to population health drives nurses to serve in the midst of a variety of population health concerns such as shifts in population aging in developed countries, man-made and environmental-related disasters, economic woes, conflicts and the related migration of peoples to other countries (Hall & Roussel, 2017). Granted, the work of nurses and midwives was to have been limited to the private sphere of home and household. But as women moved into these roles, they not only undermined the Senegalese traditional roles of wives and mothers, but also use their specialized knowledge in ways that created empowering opportunities (D'Antonio, Fairman & Whelan, 2013). Because globalization, whatever form it takes, impacts so many people in so many places, and this impact will influence, if not determine the health and well-being of most, and perhaps all, human populations on the globe, it is worthy of our serious attention (Tschudin & Davis, 2008). With the benefits of globalization come the shortcomings. Health issues emerging from diverse viewpoints about health and illness; geopolitical strife; war, communicable and infectious diseases; poverty; nutrition deficiencies; global spread due to travel; or characteristics of genetic engineering, biotechnology, and environmental pollution all pose serious health concerns that are exacerbated by globalization (Ray, 2010). Now, the big challenge is -how does nursing fit into a globalized Republic of the Philippines CAMARINES SUR POLYTECHNIC COLLEGES Nabua, Camarines Sur GRADUATE SCHOOL 3 world of economic power and privilege and what role should nursing play vis-àvis international and global health (Breda, 2012). Across different countries, poor wage earners in exporting sectors or in sectors with incoming foreign investment gained from trade and investment reforms. Conversely, poverty rates increased in previously protected sectors that were exposed to import competition (Harrison & McMillan, 2010). According to Pryde (2014), although the nurses would be paid less than Western nurses however more than what they would receive in their own country, the nurses had jobs, the Saudi hospitals were staffed; became a win-win situation. However, Western nurses were paid three times as much as the nurses from the Philippines. Wage discrimination did not sit well with some nurses; nevertheless, relative to their living standards, they were paid more than they would receive in their own country as a result they were able to live comfortably and support their families back home. Almutairi (2012), explained that while there are differences between the nationalities through qualifications and experience of recruits, all differ from the Saudi culture and expected norms, which can cause cultural conflicts arising from nurse-patient interaction to the extent that it can threaten the quality of care and patient safety. Almaeena (2015) stated that while Saudi patients' cultural needs are an issue, media reports describe frequent attacks on nurses and violation of their rights such as underpayment and abuse of working conditions. In some cases verbal abuse is followed by physical abuse as well, and Republic of the Philippines CAMARINES SUR POLYTECHNIC COLLEGES Nabua, Camarines Sur GRADUATE SCHOOL 4 unfortunately, those in charge often fail to speak up and defend the right of nurses to be treated with dignity and self-respect. Caring for racially and ethnically diverse populations require the need for cultural competence training and educational programs. A variety of models describing cultural competence's multiple dimensions and instruments to measure it has become a focus of attention over the past several decades (Loftin, Hartin & Branson, 2013). The successful delivery of health care in a multicultural setting is often hampered by a host of factors, including chiefly language and non-verbal communication barriers between carer and patient, lack of respect and/or awareness of cultural traditions and beliefs in the practitionerclient relationship and interpersonal as well as institutional stereotyping and prejudice. Accordingly, several health-care models have been proposed to shift from a somewhat paternalistic health-care model to an approach that engages the patient in decision making and self-care. Such models include cultural competence (CC) and patient-centered care (PCC) models (Renzaho, Romios & Crock, 2013). As a Filipino Nurse who had been working in the (K.S.A.) Kingdom of Saudi Arabia for the past 20 years, the researcher has encountered several occasions where her cultural competence was challenged. The researcher realized that these experiences were essential elements to the success of this undertaking. While it is absolutely true that the Arab world is entirely the opposite of Filipino culture, due to many reasons, yet she decided that this country is still a Republic of the Philippines CAMARINES SUR POLYTECHNIC COLLEGES Nabua, Camarines Sur GRADUATE SCHOOL 5 place to work and live in. Of course, being a Muslim country, there is evidently predominantly use of male power. Saudi males dominate the society, in every aspect, may it be at school, supermarkets, malls, streets and most of all in the hospitals. The females are not allowed to worship and pray in the mosques outside their houses, except in the two Holy Mosques situated in Makkah and Medina. There were numerous accounts that the researcher encountered discrimination from the Saudi patients. One instance was when the Saudi patient screamed at the researcher (who was her nurse during the shift) because as a neophyte, she was not able to understand the language. Another experience was that when one of the researcher's charge nurse ill-fatedly treated her while transferring a patient. These occurrences prompted the researcher to conduct a study on how Filipino nurses can cope up with a diverse population. At this point, the researcher hopes to determine the level of cultural competence of Filipino nurses working with diverse population in one hospital of Riyadh, K.S.A. Since Filipino nurses are bound to interacting with the diverse population of Saudi Arabia, therefore, it is worthwhile for them to be culturally competent and be able to adapt to the diverse culture of their patients and coworkers. The researcher developed a guidebook that will be used as a guide by the Filipino nurses going to the Middle East particularly in K.S.A. The guidebook contains information regarding the process of acquiring cultural competence with the integration of cultural awareness, cultural skills, cultural knowledge, cultural encounters and cultural desire. Republic of the Philippines CAMARINES SUR POLYTECHNIC COLLEGES