DQ: Using the family structural theory (see the textbook as a model) how can families created following second marriages learn to function as one?

DQ: Using the family structural theory (see the textbook as a model) how can families created following second marriages learn to function as one?

Re: DQ 1 for Topic 4

There are many ways for a nurse to learn about a patient’s culture. In this case, the nurse can chat to the patient and can explore the patient to learn more about the patient’s culture, beliefs, and traditions. The nurse can do internet research about the many cultures, traditions, and beliefs of the patient’s particular race or religion. A nurse is better equipped to identify the patient’s medical needs rapidly by keeping up with the local culture in a service region.

The memonic, LEARN, was created by Berlin and Fowkes for the Culture Assessment.

Nurses should always listen to what patients are saying and how they are feeling about their conditions.

Explain-Explain to the patient your understanding or in terms of the patient’s problem.

Always note the parallels and discrepancies between your view and the patient’s perception.

Recommend – Based on the discussion in the first three phases and her/his understanding, the nurse may suggest the patient.

Negotiate: A patient’s treatment plan may occasionally require negotiation. Negotiation may be required from time to time in order to deliver the finest care.

It is easier to serve patients with high-quality care when you are aware of the many cultures. Especially in this pandemic when family members cannot visit the patient, patients may be under a great deal of stress when they enter the hospital due to pain, nerves, fear, and worry. Nurses can fill the roles of both a family member and a member of the health care team. By understanding the patient’s cultural beliefs and traditions, patients can feel more at ease and like they are in good hands. Being culturally competent requires a nurse to be aware of cultural variations and adapt care plans to the patient’s preferences and beliefs (Grand canyon University,2018) To be culturally competent, nurses must constantly pursue new learning opportunities. Since people seek medical attention from licensed professionals, it will be simpler for the nurse to offer care if the patient exhibits more standard health care system behavior (Grand Canyon University,2018).


(Ed) Grand Canyon University (2018). Health & wellness promotion: a continuum approach. The information was retrieved from https://lc.gcumedia.com/nrs429vn/health-promotion-health-and-wellness-across-the-continuum/v1.1


I concur with your remark that the nurse can swiftly identify the patient’s medical needs by “maintaining a level of awareness of the culture around a service location.” It is clear that when nurses become more culturally aware, they will be better able to communicate with patients, which is a significant step toward assuring the provision of high-quality healthcare.

services (Kaihlanen et al., 2019). The nurse’s cultural competency is likely to increase the patient’s safety and satisfaction. Additionally, it will encourage the patient’s compliance with the recommended course of action and improve information-seeking and -sharing between the patient and the nurse (Jongen et al., 2018). Having an unstructured conversation with the patient will provide the nurse more leeway to go deeper and get more information from them. This is one of the strategies a nurse may utilize to collect cultural information from the patients. The nurse can also learn information through observing the patient and family members and by interacting with them. The nurse should establish a relationship with the patient during the encounter and foster trust since this will lead to the patient opening up and providing more culturally sensitive information, promoting a better knowledge of the patient’s beliefs, traditions, religion, and culture. By enabling patients to practice their own customs, cultures, and religion while receiving treatment, as long as it does not interfere with the treatment plan, a nurse can demonstrate cultural competency. If a patient’s culture, tradition, or religion interferes with the treatment process in any way, a culturally competent nurse may enlist family members to help the patient and explore the best method to receive care while preserving traditional aspects to create a win-win situation.


McCalman, J., Jongen, C., and Bainbridge, R. (2018). Cultural competency training for the health workforce: a thorough scoping review. Health Services Research in the BMC, 18 (1). https://doi.org/10.1186/s12913-018-3001-5

A.-M. Kaihlanen, L. Hietapakka, & T. Heponiemi (2019). A qualitative study of nurses’ opinions of cultural competence training aimed at raising knowledge of different cultures. 18 BMC Nursing (1). https://doi.org/10.1186/s12912-019-0363-x

Re: DQ 1 for Topic 4

Assessment is the most effective technique to learn about a patient’s cultural background. A method for gathering patient cultural data is the Heritage Assessment Tool (HAT). This survey asks about the respondent’s family history, upbringing, type of education, spiritual and religious beliefs, and preferences in terms of culture (Falkner, 2018).

Cultural competency is defined by the Centers for Disease Control and Prevention (CDC) as the capacity to function well in a variety of cultural situations and altering behaviors to reach every cultural group (CDC, 2020). The capacity to treat people with respect regardless of their color, ethnicity, social level, or culture. To provide culturally competent care, a nurse must be able to care for all patients, even if their views and values differ from their own. The widespread inequities in health care are eliminated as a result. A nurse does not necessarily need to be completely knowledgeable about every culture; rather, they must be aware of their limitations and maintain an open mind. Utilize cultural preferences to direct their care then (Falkner, 2018).

A. Falkner (2018). Cultural Intelligence. from https://lc.gcumedia.com/nrs429vn/health-promotion-health-and-wellness-across-the-continuum/v1.1

center for disease prevention and control Health and Human Services Cultural Competence (2020). Printed from Npin.Cultural CDC.gov’s Competence Pages.



I do concur that a nurse should have the ability to provide care for everyone, irrespective of their social, cultural, traditional, or religious affiliations or views. And this is the actual mark of a nurse who is culturally competent. The ability to perform nursing with cultural competency is a useful talent in today’s diverse and globalized world, and it has become more important than it was at first (How to Strengthen Cultural Competence in Nursing Practice, 2018). The nurse can learn about the patient’s culture through interviews with the patient, observation (such as looking at the patient’s paperwork or occasionally their manner of dressing, especially for some religions), and sometimes through both. By fostering better communication with the patient and recognizing the existing cultural differences, a nurse can exhibit cultural competence (A Guide to Culturally Competent Nursing Care, 2019). As long as it doesn’t violate the standard of care, the nurse may also ask the patient’s opinion and gather information before making decisions about a particular medicine, technique, or process.

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