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Essays on cultural competence in nursing care
References on the importance of evidence based practice in patient care
Essays on cultural competence in nursing care
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A 65-year-old Chinese woman, who is currently being treated for a suspected urinary tract infection (UTI), has enquired to whether cranberry juice is effective for preventing and treating UTIs. After querying the RN, they too are unsure how effective the therapeutic intervention is. Thus, there must be an investigation utilising evidence-based practice (EBP) to determine the effectiveness of the therapeutic intervention and provide accurate information to the patient. Furthermore, when delivering the information to the patient, culturally appropriate care must be considered, to ensure clear and coherent communication to the patient. EBP provides health professionals a method to use critically appraised and scientifically proven evidence for delivering healthcare. EBP equips nurses to make clinical decisions based upon evidence, combined with clinical experience and patient expectations (Adams & Cullen, 2011). However, sufficient literature searching knowledge is essential to retrieve current, relevant and accurate evidence. Thus, the databases utilised for this search was the Cumulative Index to Nursing & Allied Health (CINAHL), MEDLINE and Cochrane Library, due to these authoritative databases are comprised of systematic reviews, meta-analyses, randomised controlled trials (RCTs) and case studies (Monash University Library, 2012). CINAHL is a comprehensive research database that is prominently utilised by nursing students due to it provides authoritative coverage of literature related to a wide variety of nursing and allied health topics (Wishart, 2009). MEDLINE is the United States National Library of Medicine premier bibliographic database that provides medical information, specifically relating to medicine, nursing and allie... ... middle of paper ... ...e access to services, through the implementation of accessible interpreter service for clients who are non-proficient in English, by Queensland Health. The Queensland Health Interpreter Service provides assistance 24 hours a day, seven days a week in more than 130 languages, and most importantly, at no charge to the client (Queensland Health, 2012). The case study demonstrates the necessity of culturally appropriate care from nurses, when interacting with patients and delivering healthcare to ensure satisfying and effective healthcare has been provided. While, the patient’s enquiry of the effectiveness of cranberry juice in treating and preventing UTIs shows the indispensability of EBP, through enabling nurses to make informed clinical decisions based upon scientifically proven and clinically appraised evidence, their clinical experience and patient expectations.
Melnyk’s Hierarchy of Evidence is a system often use for assigning levels of evidence in nursing by integrates clinical expertise and patient choices with the best available research. It is represented by a pyramid that enumerates the levels of strength of the evidence from 1 to 7, of which level 1 is the higher level. The higher level on the pyramid, the more likelihood that the research is valid; therefore, answering a clinical or practice question. “The systematic review or meta-analysis of randomized controlled trials are at the top of the evidence pyramid and are typically assigned the highest level of evidence, due to the fact that the study design reduces the probability of bias” (Melnyk, 2011). The weakness of the system is that when
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
The absence of cultural competency in some health care providers, lack of community perspective integration in health care facilities, and low quality health care received by women in developing countries.These are the three most pressing health care concerns that need to be addressed in our ever changing world. The first of the issues I’ll be discussing is the lack of cultural competency amongst health care providers, as well as the shortage of education and training in cultural competency. As we all know and see the United States is a racially and ethnically diverse nation which means our health care providers need to be equipped with the necessary education and training to be able to provide for diverse populations. As an East African
LoBiondo-Wood, G., & Haber, J. (2014). Nursing Research: Methods and Critical Appraisal for Evidence-Based Practice (8th ed.). St. Louis, MO: Elsevier, Inc.
In gathering articles for this review, numerous methods were used to narrow journal articles that were relevant to nursing. A search was conducted on EBSCO HOST for key terms such as ________. This was narrowed down to articles which were between 2009 and 2014, plus articles which had full text...
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.
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.
When performing evidence based practice research, the Iowa Model uses a team or individual approach to assist nurses in the journey to quality care. The Iowa Model begins by offering a process of selecting a proper clinical topic, which is often a recurring problematic issue (Polit & Beck, 2012). This topic is formulated as a question to improve a technique or procedure. Once the researcher determines that an ample amount of reported investigation exists on the desired question, information may be gathered and presented for approval (Polit & Beck, 2012). The research may lead to a gradual change in nursing practice.
230) in EBP. Clinical opinion, together with the best relevant research evidence, provides the framework to for the best patient outcome. The nurse’s clinical opinion is acquired through knowledge and skills developed from undergraduate, graduate, or continuing education, clinical experience, and clinical practice (Melnyk & Fineout-Overholt, 2010). Clinical opinion also includes internal evidence, which is generated within a clinical setting from quality improvement outcomes, management initiatives or EBP implementation projects (Melnyk & Fineout-Overholt, 2010). Nurses use their clinical opinion when they identify each patient’s condition, individual risks, personal values and expectations, benefits of possible interventions, and gather evidence for EBP. When searching for the best available evidence, there is a hierarchy in the strength of evidence. The highest level of evidence usually comes from a systematic review or an evidence-based clinical practice guideline based on a systematic review. Systematic reviews provide the strongest evidence through a summary combining the results from many relevant, unbiased studies, to answer a particular clinical question. Nurses critically assess the individual studies, to gather the best evidence available for patient care. Systematic
Evidence-based practice integrates best current evidence with clinical expertise and patient/family preferences and values for the delivery of optimal health care (qsen.org). Like most medical professions, nursing is a constantly changing field. With new studies being done and as we learn more about different diseases it is crucial for the nurse to continue to learn even after becoming an RN. Using evidence-based practice methods are a great way for nurses and other medical professionals learn new information and to stay up to date on new ways to practice that can be used to better assess
In the clinical setting, nurses are believed to spend the most time with patients. This involves regularly dealing with people coming from different ethnicities and with different cultural practices and beliefs (Brown & Edwards, 2012). Given this cultural diversity, every patient may have his/her own cultural beliefs and practices regarding his/her own health and its treatment which can be similar or different to those ... ... middle of paper ... ... nternational Journal for Quality in Health Care, 8(5), 491-497.
Evidence - Based Nursing, An introduction (2008, p.1) “ At is core evidence based ‘anything’ is concerned with using valid and relevant information in decision making” “high quality research is the most important source of valid information”.
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.
This causes problems about the diagnosis as well as how nurses may tell patients about issues with their care. A way a nurse can overcome this is by having an interpreter when they know that a patient doesn’t know English, but this is not always the case for most nurses as there are not a lot of interpreters around. In health practice language isn’t always to do with culture but it can be the way a nurse or doctor speaks to the patients so they may adopt certain types of jargon and the patients may feel intimidated. Madeleine Leininger, who is the founder of transcultural nursing, says that providing competent care across all cultures and to be customized to fit patient’s different beliefs and traditions and different languages that a patient may speak. Divi et al (2007) claims that language barriers increase the risk of patient care and safety as they will find it difficult to understand what is going on with their care, so it is important for patients to have access to language services such as an
In health care, evidence-based research is crucial. Nurses revolve their practice on evidence so that they may provide the best health care. Without research, there would be no evidence to prove health care related findings (Shmidt & Brown, 2012). With appropriate