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Religious considerations in healthcare
Cultural diversity in hospital setting
Protocol for medical interpreters
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Recommended: Religious considerations in healthcare
“The strength of a family, like the strength of an army, is in its loyalty to each other.” Mario Puzo, American author. A nurse at a hospital in an emergency department is attending to his patients when he gets a new critical patient. The nurse thinks it’s important to gather information about the patient prior to the arrival of the patient by ems. The nurse reads that the patient is of a different nationality and speak English fluently. Their nationality states they have to have certain prayers and rituals before and after every procedure. The nurse has never heard of these rituals and prayers before so the nurse fails to consider the patient’s wishes and decides to treat this patient as any other patient. It’s important that nurses gain the …show more content…
For example think of a scenario where there is an adolescent girl who is pregnant at the age of 16 and she is married to an older man. Does the family allow the soon to be mother of the child to see and hold the child or do they immediately take the child without her ability to nourish the child. Also does the family allow the father of the child to be present in the room when the birth of the child occurs or if he is required to not be present at all. Campinha-Bacote states that Cultural skill as a process is concerned with carrying out a cultural assessment (Campinha-Bacote, 2002, p.5). This refers to the scenario by whether or not the nurse fulfills the requests of the family during this particular procedure by allowing their traditions to be met and also if the family lacks the ability to speak fluent English then the nurse can help fulfill that by having an interpreter in the room while providing care, as long as the qualities of the interpreter meets the families wishes. If the request is fulfilled this will raise patient satisfaction by letting the family have their wishes and beliefs fulfilled. In a quote produced by the Joint Commission that is cited in Purnell states that “A lack of knowledge of patients language abilities and cultural beliefs and value can result in serious threats to life and quality of care for all individuals” (p.8). The Joint is stating that every person has a different perception of culture and that as nurses we cannot assume that what culture we believe in is the same as what other ethnical group believe. A nurse has to change his or her perception on how they take care of each of their patients if they want to build a strong trust and relationship with their patient. With these core fundamentals this is why nurses need to be culturally aware and sensitive to their patients and
Cultural Competency is fundamentally linked with the principles of social justice and human rights because it provides the nurses with the opportunity to develop interpersonal skills to provide equal care despite one’s cultural background. However, using the principles of social justice and human rights to educate nurses allows them to learn how to negotiate cultural differences. Removing their own cultural filters, and seeing events through the eyes of those who are culturally different accomplish this. An embedded experience, in which nurses interact with various cultures, would encourage them to adopt Cultural Competency knowledge (Office of the High Commissioner for Human Rights, 2008).
Issues of culture are often controversial. LaBorde (2010) has noted that culture is always a factor in conflict. Ironically, conflict can provide nurses with an excellent opportunity for developing compassion that will lead nurses unto a place of meeting in which there is a deep respect for differences and equally intentional openness to the possibility of connection. Healthcare practitioners are confronted in a daily basis with the practical manifestation of these issues. In particular, nurses are more confronted by cultural issues than the other healthcare providers because nurses spend majority of their time with patients. However, some nurses are reluctant to confront and discuss the cultural issues because of lack of knowledge in dealing with patients of diverse cultures (Tjale & Villiers, 2004).
Cultural Competence is important for many reasons. First, it can help develop culturally sensitive practices which can in turn help reduce barriers that affect treatment in health care settings. Second, it can help build understanding, which is critical in competence, in order wards knowing whom the person recognizes as a health care professional and whom they views as traditional healer, can aid the development of trust and improve the individual’s investment and participation in treatment. Third, our population in the United States is not only growing quickly but also changing, cultural competence will allow us as educators and healthcare workers keep up wi...
Providing culturally competent care is a vital responsibility of a nurse’s role in healthcare. “Culturally competent care means conveying acceptance of the patient’s health beliefs while sharing information, encouraging self-efficiency, and strengthening the patients coping resources” (Giddens, 2013). Competence is achieved through and ongoing process of understanding another culture and learning to accept and respect the differences.
Nursing is a profession that prides itself in integrity, honesty and trustworthiness. True nursing revolves around service and commitment to the wellbeing of others, prevention of illness, and promotion of good health. I believe this is the hallmark of nursing.
Ethnocentrism can be defined as judgement of different cultures based on standards of one’s own culture. Therefore, whilst providing care, it is important for nurses to avoid ethnocentrism as this approach can have negative consequences for the patient and quality of care is jeopardised. Generally, everyone has their own beliefs, practices and values thus it becomes an issue for someone to impose own views upon someone else. In terms of a nurse imposing their percepective on a patient the patient’s reaction can differ from becoming passive, to being defiant to receiving care. Refusal of care potentially leads to a situation that could be harmful or detrimental to their health. Ethnocentrism leads to assumptions and stereotype that can cause nurses to fail in treating patients as an individual. Consequently patient centred care is neglected meaning individual care requirements are no met. Additionally there would be negative feelings from patients towards nurses thus the relationship build is one that lack trust. The possible result of the mistrust and lack of comfort could be reluctance to communicate. Communication offers sharing of information and idea thus care is better provided when patient provide information on their health. Lack of communication can potentially lead to health deterioration. In short, ethnocentrism can be harmful as it hinders quality of care thus it is beneficial for patients if nurses avoid practicing in such a
Cultural competence is a skill essential to acquire for healthcare providers, especially nurses. Cooperating effectively and understanding individuals with different backgrounds and traditions enhances the quality of health care provided by hospitals and other medical facilities. One of the many cultures that nurses and other health care providers encounter is the American Indian or Native American culture. There are hundreds of different American Indian Tribes, but their beliefs and values only differ slightly. The culture itself embodies nature.
As nurses entering the medical field understanding the culture of our patients is crucial to proper care. Each culture has their own set of beliefs and values that are shared among groups of people which influences personality, language, lifestyles, house hold, level modesty, social standings, foods, health treatment and identity. Culture affects how people view health and illness; dictating when, where and what type of medical treatment they will receive and who will be their care provider.
By understanding the way a culture factor influences nursing care, we are able to improve our teachings, improve understanding and provide overall better care for a healthier outcome for our patients. An example of this could be having a staff member that is bilingual or teaching materials written in a different language. 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 goals for the patient and those involved with the patient’s care.
“Nursing encompasses an art, a humanistic orientation, a feeling for the value of the individual, and an intuitive sense of ethics, and of the appropriateness of action taken’, said Myrtle Aydelott (Hammarskjold, 2000). Nurses have our patients trust with their lives every day. These patients have needs that must be understood and met, whether; physical, psychological, or emotional. Nurses must provide nonjudgmental care to those in need, regardless of culture, religion, lifestyle choices, financial status, or hues of the human race. To quote Jean Watson, nursing theorist, “I am here to care for others, regardless of where they came from” (Hammarskjold, 2000). I believe that the nursing profession chose me because I have always had a calling to help those in need. Nursing
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.
Cultural competence can be defined as using the ability of one’s awareness, attitude, knowledge and skill to effectively interact with a patient’s many cultural differences. Madeline Leininger, a pioneer on transcultural nursing describes it this way; “a formal area of study and practice focused on comparative human-care differences and similarities of the beliefs, values and patterned lifeways of cultures to provide culturally congruent, meaningful, and beneficial health care to people” (Barker, 2009, p. 498). The importance of cultural diversity in healthcare allows for the delivery of appropriate cultural autonomy. Showing respect for others will lead to trust between nurse and patient which in turn improves healing and health.
Characteristics can be as diverse as ethnic background, language spoken, gender status, physical appearance, race, and religion to name a few. Migration from various countries is creating a diverse population with different cultures and languages within the United States. Due to these cultural differences and lack of knowledge, disparities are increasing. Studies have shown that both language barriers and lack of cultural customs can hinder the services provided to the patient by the healthcare worker (Renzaho, Romios, Crock, & Sonderlund, 2013). This study provided a positive outcome when communication and cultural mutual understanding took place and patients had a more positive health outcome. It is very important that nurses are diversified in various cultures in order to better care for our patients. According to Mareno and Hart (2014), cultural competency has become one of the core values being taught in nursing programs. Their study showed that the perceived level of cultural awareness and skills among the nurses provided was low. Awareness and knowledge levels increased with higher education. It was highly recommended that self-awareness exercises be incorporated into the nursing course and continued to be addressed during the remaining curriculum until
Miller, Leininger, Leuning, Pacquiao, Andrews, and Ludwig-Beyer, (2008) support that the skill of cultural competency in nursing is the ability to gather relevant cultural data on the presenting problem of the patient. This cultural assessment is defined as a "...
Nurses need to have a nonjudgmental attitude and accept the fact that we are all different. People come from different cultures, where they have different beliefs. Transcultural caring in nursing is respecting the fact that people come from different cultures and nurses need to treat them as patients. In some situations nurses face an ethical dilemma. Sometimes, the nurse knows what is best for the patient, however it goes against their culture. In this situation the nurse to discuss different options with the patient and educate