According to Andrews & Boyle (2016), the first step is for the nurse to do a self-assessment of themselves in order to identify their beliefs toward people with different backgrounds, which will provide clarification of possible unknown behaviors. The second step is to set a goal between the patient and those involved with the patient’s care. Step three involves developing a care plan that will include all cultural factors involving the patients care. Step four is implementation of the care plan by the healthcare team and those involved with the patient’s care. Step five is the last step and evaluates the care plan to make sure that the quality of care is acceptable and is based off scientific evidence and best practices.
Question one: Which ethical principles are being violated in this scenario according to the ANA Ethics Definitions? According to ANA, autonomy means “agreement to respect another 's right to self-determine a course of action; support of independent decision making” (Beauchamp & Childress, 2009). In this case autonomy of the first nurse was violated as he was not able to administer pain medication when he needed to. The autonomy of the second nurse was jeopardized as she was going to face serious consequences if she advocate for the patient. Also the autonomy of the second patient was jeopardized as she wanted to transfer to another hospital but was misled by false information.
First, an assessment of both the nurse and client must be made. The nurse must perform a self-assessment and compare it to those of the client. They must determine the skills needed to deliver culturally competent care. The cultural self-assessment must include self-reflection, self-location, and psychomotor skills. This will help the nurse reflect on their own shortfalls and modify their attitudes toward this set of people with a different background (Andrews, M. & Boyle, J., 2016).
Because these patients feel as though their feelings take precedence, they have a tendency to minimizes the feelings of others (outofthefog.com). Nevertheless, this behaviour is destructive and needs to be assessed by the nurse promptly. When a patient uses manipulation it can have harmful effects that affect the nursing staff. This can result in nurses feeling vulnerable when working with these patients (Moran and Mason, 1996). Vulnerability can make the nurse feel as if they have no control over the situation.
Ethnocentrism can be understood as implying that his/her own ethnic group is superior to another, thus treating the next culture as inferior. This will negatively impact the nursing practice because it can result in misdiagnosis and miscommunication. An ethnocentric nurse would be unable to assess the needs of a patient due to implementing their own personal norms and/or comparing it to their own personal behaviors. This will essentially hinder the nurse-client relationship by causing the client to withhold information and/or resent the nurse. Stereotyping can be defined as simplifying or generalizing the norms of a specific ethnic group.
The steps of the nursing process are: assessment, nursing diagnosis, planning, implementations, and evaluation. The theory explains that assessment takes place during interaction. The nurse uses his or her special knowledge and skills while the patient delivers knowledge of him or her self, as well as the perception of problems of concern to the interaction. During this phase, the nurse gathers data about the patient including his or her growth and development, the perception of self, and current health status. Perception is the base for the collection and interpretation of data.
In addition to this, Lindenmeyer and colleagues (2011) emphasize the importance of health care providers’ inquiry about each patient’s family health in order to make informed decisions regarding a patient’s care, and to provide more individualized care (pp. 401-402). Family assessment can aide the nurse in forming a background and foundation for a greater understanding of the patient and their
Sarah and the LPN should both meet with the nursing assistant so they may become acquainted and encouraged to work as a team. This would also allow for Sarah to advise the LPN of what tasks the nursing assistant usually completes and assists her with. Sarah should then show the LPN around the floor, the rooms she will be assigned to, and where the medical and general
One feature of evidence based practice is a problem-solving approach that draws on nurses’ experience to identify a problem or potential diagnosis. After a problem is identified, evidence based practice can be used to come up with interventions and possible risks involved with each intervention. Next, nurses will use the knowledge and theory to do clinical research and decide on the appropriate intervention. Lastly, evidence base practice allows the patients to have a voice in their own care. Each patient brings their own preferences and ideas on how their care should be handled and the expectations that they have (Fain, 2017, pg.
According to Essentials of Nursing Practice, nursing is a profession that carries a role of directing the care of adults, children, and families. Nurses deliver care for patients in the hope that patients have better health (Delves-Yates, 4). According to Nursing Now! Today 's Issues, Tomorrow 's Trends, “when the RNs accept responsibility for delegating an assignment appropriately, they become accountable for delegation process. Accountability looks to see if the RN used his or her nursing knowledge, critical thinking, and clinical judgment skills in delegating a task” (Catalano, 397).