NRS 429V Week 4 Discussion 1 NEW SYLLABUS
NRS 429V Week 4 Discussion 1 NEW SYLLABUS
Each culture has its own set of values and beliefs, which may have an impact on their treatment plan (Falkner, 2018). It is our responsibility as nurses to assess our patients. As we’ve discovered, assessing our patients shouldn’t be limited to their outward appearance. When evaluating patients, we must be more transparent in our interactions. What are the names of their families, what motivates them, how eager are they to learn, and do they have any cultural preferences? My workplace is familiar to me; one of our admissions questions is whether the patient has any cultural preferences. In this box, we can specify the patient’s religion. As a result, as healthcare providers, we will have a better understanding of the patient’s options. This also allows me to arrange for a pastoral care consultation for the patient if they so desire. It is our responsibility as healthcare providers to care for patients regardless of their age, ethnicity, or culture. Of course, we will not be familiar with all religions and their customs. However, we must respect our patients’ choices. If a patient practices a faith with which you are unfamiliar, look it up. There is no reason to be embarrassed. Our patients deserve the best care possible; it is our responsibility to learn about their perspectives so that we can provide appropriate care.
(see the textbook as a model) how can families created following second marriages learn to function as one?
NRS 429 Topic 4 DQ 1 OLD SYLLABUS
What are the methods a nurse can use to gather cultural information from patients? How does cultural competence relate to better patient care? Discuss the ways in which a nurse demonstrates cultural competency in nursing practice.
Re: Topic 4 DQ 1
Nurse can gather patient culture knowledge with various ways, In this Nurse can talk to the patient and can explore the patient to get more knowledge about patient’s culture, beliefs and traditions. Nurse can research online the different cultures and beliefs and traditions of particular race or religion of the patient. Maintaining a level of awareness of the culture around a service area enables a Nurse to quickly assess the medical needs of the patient as well.
Berlin and Fowkes designed the memonic, LEARN in conducting the Culture assessment
Listen– Nurse should always pay attention about what is patient saying and what is his/her perception regarding his/her disease.
Explain-Explain your perception about the patient’s problem to patient, that what do you understand or perceive about the diagnosis.
Acknowledge– Always acknowledge the similarities and differences between patient perception and your perception.
Recommend- Nurse can recommend the patient based on the conversation in first 3 steps, according to her/his understanding.
Negotiate– Sometime patient may need negotiation in a treatment plan. To provide the best care possible sometimes negotiation is necessary.
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Understanding different cultures can help you provide high-quality care to your patients. A patient may be extremely stressed when they arrive at the hospital due to pain, nerves, fear, and worry. In this pandemic, when family members are unable to visit the patient, the nurse can serve as both a family member and a member of the health team. The patient will feel more at ease and secure when the nurse understands his or her culture, beliefs, and traditions. Cultural competence entails being aware of cultural differences and tailoring care plans to the patient’s preferences and beliefs (Grand canyon University,2018) To be culturally competent, nurses must constantly educate themselves. If the patient uses a more traditional health care system, the nurse will have an easier time providing care because the patient seeks medical attention from licensed professionals (Grand Canyon University,2018).
Reference
Grand Canyon University (Ed). (2018). Health promotion: Health & wellness across the continuum. Retrieved from:
RESPOND
Hello,
“Maintaining a level of awareness of the culture surrounding a service area enables the nurse to quickly assess the patient’s medical needs as well,” you say. It is obvious that as nurses’ cultural awareness grows, they will be better equipped to communicate with patients, which is an important step toward ensuring quality healthcare services (Kaihlanen et al., 2019). The cultural competency of the nurse is likely to improve patient safety and satisfaction. It will also improve patient adherence to treatment and the exchange of information between the patient and the nurse (Jongen et al., 2018). A nurse can collect cultural information from patients in a variety of ways, including conducting an unstructured interview with the patient, which allows the nurse to dig deeper and obtain more information from the patient. Second, by observing the patient and interacting with family members, the nurse can gather information. During the interaction, the nurse should build rapport and trust with the patient, which will lead to the patient opening up and providing more culturally sensitive information, promoting a better understanding of the patient’s beliefs, traditions, religion, and culture. A nurse can demonstrate cultural competency by allowing patients to practice their own traditions, culture, and religion while receiving treatment, as long as they do not interfere with the treatment regimen. If any aspect of culture, tradition, or religion interferes with the treatment procedure, a culturally competent nurse may involve family members in reaching out to the patient and discussing the best way to proceed with the treatment while still enhancing the cultural components to achieve a win-win situation.
References
Jongen, C., McCalman, J., & Bainbridge, R. (2018). Health workforce cultural competency interventions: a systematic scoping review. BMC Health Services Research, 18(1).
Kaihlanen, A.-M., Hietapakka, L., & Heponiemi, T. (2019). Increasing cultural awareness: qualitative study of nurses’ perceptions about cultural competence training. BMC Nursing, 18(1).
Re: Topic 4 DQ 1
The best way to gather patient’s cultural information is through assessment. The Heritage Assessment Tool (HAT) is one way to gather patient cultural information. This questionnaire discusses family history, where they grew up, and what type of school they attended, their spiritual / religious beliefs, and cultural preferences (Falkner, 2018).
The Centers for Disease Control and Prevention (CDC) recognizes cultural competency as the ability to operate effectively in various cultural contexts, and changing practices to reach every cultural group (CDC, 2020). Cultural competencies the ability to care for everyone, regardless of race, ethnicity, socioeconomic status, or culture. A nurse must be able to care for all patients even if their beliefs and value differ from their own in order to provide culturally competent care. This helps eliminate health care disparities that are so prevalent. It doesn’t mean a nurse needs to know all there is to know about every culture, but they must realize where they lack in understanding, and keep an open mind. Then use the cultural preferences to guide their care (Falkner, 2018).
Falkner, A. (2018). Cultural Awareness. Retrieved from https://lc.gcumedia.com/nrs429vn/health-promotion-health-and-wellness-across-the-continuum/v1.1/
The Centers for Disease Control and Prevention. Cultural Competence In Health and Human Services. (2020). Retrieved from https://npin.cdc.gov/pages/cultural-competence
RESPOND
Hello
I do agree with you that a nurse should be able to provide care for all regardless of their social, cultural, traditional or religious affiliations or beliefs. And this is what really defines a culturally competent nurse. In a diverse and globalized world, the component of cultural competency in nurse practice is a valuable skill and it has emerged to be a more relevant than it was initially (How to Strengthen Cultural Competence in Nursing Practice, 2018). The nurse can gather cultural information from the patient through the interviews with the patient, through observation for instance by checking on the documents of the patients and sometimes the mode of dressing, especially for some religions. A nurse can demonstrate cultural competence by enhancing improved communication with the patient and acknowledging the cultural differences that do exist (A Guide to Culturally Competent Nursing Care, 2019). Additionally, the nurse can include the patient’s opinion and seek information on matters of decision making on some medication, procedures or processes as long as it does not compromise the quality of care
References
A Guide to Culturally Competent Nursing Care. (2019, February 20). Alvernia Online.
How to Strengthen Cultural Competence in Nursing Practice. (2018, February 13). MAS Medical Staffing.
Re: Topic 4 DQ 1
It can sometimes feel uncomfortable to ask a patient about their culture as it may feel as if it is too personal and unrelated to their medical care, however it is important to express that it is in fact an impactful part of the care provided as a nurse. Their culture is a part of who they are and how they will heal, acknowledging that will make their stay and recovery better suited to their needs. The simplest way is to ask in a straightforward manner, “Do you have any religious or cultural beliefs that would effect your care?”. In order to provide culturally competent care, a nurse should be open and aware of their patient’s differences without judgment, regardless of their ethnicity, spoken language, race, traditions, or socioeconomic background (Falkner, 2018). Over time, the nurse can pick up on cues after more exposure to other culture’s beliefs, such as ice water or room temperature, pain medication or comfort measures, blood products or not. The nurse can begin to use this recall in the future and ask in an innocous way based on comfort and preference.
Beliefs of patients will differ from the nurse’s, yet they share a common goal of returning the patient to optimal health. There is a difference between a patient having different beliefs on what they feel works for them versus a knowledge deficit on their condition, they may fully understand what is happening with their body and may still prefer not to consume medication, instead relying on alternative treatments such as accupuncture, herbal remedies, or meditation (Lavretsky, 2017). Patients must always be given their autonomy. The nurse must adjust their approach to include these treatments (not perfomring them per se), still offering care in the areas the patient is willing to accept. When a nurse builds this rapport, there may be more trust and willingness to receive care or information they were initially hesitant about.
Falkner, A. (2018). Cultural awareness. Retrieved from
Lavretsky, H. (2017). Complementary, alternative, and integrative medicine use is rising among aging baby boomers. The American Journal of Geriatric Psychiatry, 25(12), 1402-1403. doi:10.1016/j.jagp.2017.08.004
RESPOND
Hello ,
I agree with your statement,” In order to provide culturally competent care, a nurse should be open and aware of their patient’s differences without judgment, regardless of their ethnicity, spoken language, race, traditions, or socioeconomic background”. Indeed, this is the true meaning of a culturally competent nurse (A Guide to Culturally Competent Nursing Care, 2019). The nurse should be equipped with skills, knowledge and attitude that will embrace diversity and handle the patients differently based on their cultural or religious beliefs without compromising the quality of care. I also agree with you that sometimes its uncomfortable for the nurse to ask some questions especially if it is not related to medical and it might result to significant miscommunication. Therefore, it is the responsibility of the nurse to be able to communicate to the patient and emphasize on the need for such information to help on the course the treatment process (Jongen et al., 2018). In their practice nurses can show cultural competency by promoting listening to the patients point of view and advising them appropriately, enhancing patient participation in their treatment process and giving information to the patients or family members on the options of treatment or care available for the patient.
References
A Guide to Culturally Competent Nursing Care. (2019, February 20). Alvernia Online.
Jongen, C., McCalman, J., & Bainbridge, R. (2018). Health workforce cultural competency interventions: a systematic scoping review. BMC Health Services Research, 18(1).
