This essay will focus on outlining the fundamental principles of cultural diversity and how effective nursing interventions are used when providing an adequate amount of care for an individual from a culturally diverse background and how this may collide with the nursing therapeutic engagement. This essay will give the reader an insight upon culture whilst giving a significant explanation of cultural differences within a health setting. The patient’s real name will not be used and will be referred to as Mr. X. This is in line with the Nursing and midwifery Council 2008 (NMC, 2008) requirements to maintain confidentiality at all times.
Mr. X is a 54 year old, single unemployed man, who is from an Afro-Caribbean background, he has been in contact with psychiatric services on and off since 10th april 1987 with a diagnosis of paranoid schizophrenia. Schizophrenia is arguably the most serious major psychiatric disorder, and often has profound effect over the lifetime on daily functioning (Kim T. Mueser, Dilip V.Jeste, 2008) Mr. X is a Rastafarian, and has one of the most visible practices of Rastafarians ‘dreadlocks’ The layers they are in; means the appearance of a lion’s mane, represent strength, naturalness, simplicity and the Rasta’s’ roots in Africa, cited from, Morrish (1973). Mr.X has been using an illicit substance called cannabis before admission – Mr. X explains that he uses this as a medicinal purpose as it is a cultural ritual to use marijuana. In this particular situation it leads the author to understand that cultural differences can prevent effective communication and mutual understanding between two cultures. Patient X has a tendency to sometimes be vocal, argumentative with loud speech. Once asked to lower his voice...
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Unlike cultural competence, Anti- racism and the Anti-oppression framework has a clear focus, to directly address oppressive practices, and privilege in large institutions. In the “ More than being against it: Anti– racism and Anti –oppression in mental health services “ the authors Simon Corneau and Vicky Stergiopouls, identify seven strategies of the anti-racism and anti-oppression that should be employed when practicing direct service with clients. These seven strategies are "empowerment, education, alliance building, language, alternative, healing strategies, advocacy, social justice/activism, and fostering reflexivity” (Corneau & Stergiopoulos, 2012). The goal of using these seven strategies with clients is to engage the client in the process of care by recognizing the strengths and knowledge that the client brings to the relationship and honoring the idea that there is a racial feature of oppression that is inherent in the dynamics of the client clinician relationships. For example, the use of this practice in my current job with the Family Drug Courts could have a profound effect on the outcomes for both parents and children involved in the program. One example is the case of a 28-year-old mother of three that was separated from her children because of her drug addiction. This parent had an extensive history of trauma,
These differences in origin accounts for diversity in socio-cultural backgrounds and nurses must develop the knowledge and the skills to engage patients from different cultures and to understand the beliefs and the values of those cultures (Jarvis, 2012). If healthcare professionals focus only on a narrowly defined biomedical approach to the treatment of disease, they will often misunderstand their patients, miss valuable diagnostic cues, and experience higher rates of patient noncompliance with therapies. Thus, it is important for a nurse to know what sociocultural background a patient is coming from in order to deliver safe an effective
My patient Gerald –according to the video- is diagnosed with a textbook case schizophrenia. He exhibits paranoid thinking and his speech is disorganized, his thoughts are loosely connected, and he has formed delusions, he exhibits mood disturbances, and exhibits disordered behaviors (Schizophrenia: Gerald, Part 1). The goal for Gerald is multi-factorial; first, it is important to place into context that Gerald’s schizophrenia is refractory to pharmacological management. Due to Gerald’s complex presentation of multiple symptoms, the goal for the interaction is improved m...
McClimens, A., Brewster, J., & Lewis, R. (2014). Recognising and respecting patients ' cultural diversity. Nursing Standard (2014+), 28(28), 45.
The SSSC codes of conduct contains 10 codes 5 are for employees and other 5 are for employers where as in the NMC there is 4 codes which are, prioritise people, practise effectively, preserve safety and promote professionalism. Both codes are very similar even when dealing with different patient groups both codes state in 1.1 to prioritise people and treat each person as an equal individual. These both codes of conduct should be followed correctly at all times by anyone working in the health and social care. The NMCs aim is there to protect the public and decides if a nurse or midwife is fit to practice up to their high standards. The NMC was published on the 29th January 2015 but didn’t come effective to 31st March 2015.
A man stands outside of a shop on a busy city street and yells at his reflection while waving his limbs about frenetically. People walk by and write him off as a crazy person; they are trying to ignore the man as they hurry along to their offices. Little do they know that this man suffers from the baffling mental disease commonly known as schizophrenia. This chronic brain disorder affects nearly one percent of Americans and causes delusions, hallucinations, thought disorders, movement disorders, and a disruption of normal emotions and behaviors (“Schizophrenia” NIMH). Unbeknownst to the rest of the world, the man is suffering from ravish delusions caused by his disease. A person afflicted with schizophrenia must acquire treatment, if they hope to regain any degree of normalcy in life. Schizophrenics must first obtain diagnosis of the disease from a psychologist and then start the process of treatment either utilizing antipsychotic drugs or psychotherapy.
The processes and skills listed below are all relevant to nurses working in the contemporary hospital environment today. Interpersonal skills are the life skills we use every day to communicate and interact with people. “To effectively communicate we must realize that we are all different in the way we perceive the world and use this understanding to guide our communication with others.” (Anthony Robbin). It is important for the nurse to be aware of the effects their personal values and beliefs can have on their patients.
NMC, 2010. The code: Standards of conduct, performance and ethics for nurses and midwives. [online] Available at: [Accessed 13 November 2013]
This discussion board post is discussing cultural background of nurses and the delivery of nursing care. I will give my definition of diversity, and provide some benefits of having a diverse health care workforce. Then I will provide some barriers to having a diverse health care workforce. Lastly, I will describe how my diverse cultural background affects the care I provide.
(9) United Kingdom Central Council for Nursing, Midwifery, and Health Visiting. (UKCC) (1992). Primary Health Care, Code of professional conduct for the nurse, midwife and health visitor. London: UKCC.8 (2)
Kelly, M and Nazroo, J (2008) Ethnicity and health. In Graham, S. ed. Sociology as applied to medicine. 6th ed. London: Saunders, pp. 159 - 175
Transcultural nursing requires us to care for our patients by providing culturally sensitive care over a broad spectrum of patients. The purpose of this post is to describe cultural baggage, ethnocentrism, cultural imposition, prejudice, discrimination, and cultural congruence. I will also give an example of each term to help you understand the terminology related to nursing care. I will definite cultural self-assessment and explain why it is valuable for nurses to understand what their own self-assessment means. Finally, I will describe the five steps to delivering culturally congruent nursing care and how I have applied these concepts in my nursing practice.
...Council, M., & Federation, A. N. (2008). Codes of Professional Conduct & Ethics for Nurses & Midwives, 2008: Australian Nursing and Midwifery Council.
As a nurse strive to provide culturally sensitive care, they must recognize how their client's and their perceptions are similiar as well as different. Nurse enhance their ability to provide client-centered care by reflecting on how their beliefs and values impact the nurse-patient relationship. To provide appropriate patient care, the nurse must understand her/his culture and that of the nurse profession. Cultural biases can be particularly difficult to identify when the nurse and client are of a similar cultural backgroup. When we recognize and know a culture, we will know what is right for our patient, and thus may impose our own values on the client by assuming our values are their values. Recognizing differences a present an opportunity not only to know the other, but also to help gain a greater sense of self. In this paper, I will explain more about diversity and cultural competence in case study.
Madeleine Leininger is a nurse who realized that cultural care was an important concept in nursing. In the 1950s she found that behavioral issues in children stemmed from a cultural basis due to nursing having a lack of knowledge in a variety of cultural awareness (Buschur-Betancourt, 2015). The purpose of this paper is to identify the eight reasons Madeleine Leininger states transcultural nursing is necessary. I will describe the cultural diversity and how it relates to my field of nursing. I will also provide three ways that I have incorporated culturally sensitive care toward my patients.