Feb 23, 2024 NRS 429 Topic 4 Discussions GCU
NRS 429 Topic 4 Discussions GCU
NRS 429 Topic 4 DQ 1
What are the methods a nurse can use to gather cultural information from patients? How does cultural competence relate to better patient care? Discuss the ways in which a nurse demonstrates cultural competency in nursing practice.
NRS 429 Topic 4 DQ 2
Discuss why nutrition is a central component in health promotion. What are some of the nutritional challenges for emerging populations? What roles do nutritional deficiency and nutritional excess play in disease?
Cultural information can be gathered through a good nursing assessment with motivational interviewing. The nurse can ask about the patient’s “preferences, values and beliefs, language, cultural traditions, barriers to care, family of origin, and socioeconomic conditions.” (Stubbe, D.E. 2020.) It is very important for the Registered Nurse to understand the scope of Cultural sensitivity and to design a plan of care which keeps interventions in a realistic context for the patient. Family members may assist with providing a history and social context, in addition to translating for the patient.
Cultural competence leads to better patient care because the patients feel heard and understood when the nurse is culturally sensitive. The nurse is prepared with interventions which have respect for the patient’s right to cultural practices and beliefs.
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One example of an intervention is to offer to call Clergy for a family who is experiencing a trauma and in need of support. Clergy needs to be notified in a timely manner and nurses can assist with making the connections and contacting the patient’s pastor or priest. (Reed, C. 2017.) Diverse cultures have many different ways of preparing for the end of life, and nurses should be prepared with an open mind to respond to a patient or family member’s requests.
A nurse can demonstrate cultural competency by educating herself on the practices and major beliefs of different cultures and major world religions. The nurse can be prepared to answer questions and to consult Chaplaincy for spiritual support and guidance. Interventions can be very respectful of the patient’s cultural needs and timelines, such as mourning and burial timelines. Above all, the nurse should demonstrate respect and sensitivity to all cultures and seek guidance when needed.
References:
Stubbe D. E. (2020). Practicing Cultural Competence and Cultural Humility in the Care of Diverse Patients. Focus (American Psychiatric Publishing), 18(1), 49–51. https://doi.org/10.1176/appi.focus.20190041
Reed, Cindy RN. Cultural Competence. AJN, American Journal of Nursing: July 2017 – Volume 117 – Issue 7 – p 13 doi: 10.1097/01.NAJ.0000520925.34279.30
One of the methods that can be used to gather cultural information from patients is simply asking the patient about his/her cultural beliefs that the patient would like to be practiced while hospitalized. The other method is inquiring from the family members and the patient’s behaviors using non-verbal signs. When providing patient care, nurses must suspend personal biases and fully respect patients despite differences in culture. Cultural competency does not mean becoming an expert on every culture encountered, instead, nurses should recognize what they do and do not know to provide appropriate care (Falkner, 2018).
Cultural competence relates to better patient care in the sense that knowing the diverse feelings, values, and beliefs of patients leads to increased respect and mutual understanding from patients and increased participation from the local community, which consequently results in improved health outcomes. Cultural competence has been defined in a variety of ways but usually is understood as one possessing the attitudes, knowledge, and skill necessary for providing quality care to a diverse population; in other words, the capacity to deliver culturally appropriate care. To promote culturally competent health care, nursing leaders have developed a clearly articulated set of standards necessary for providing culturally appropriate nursing care. The twelve standards have been designed to serve as a guide for nurses by emphasizing culturally competent care as a priority for all patients (Hines, 2013).
There are various ways to demonstrate cultural competence in nursing practice, one of them being the way the nurse speaks to the patient. The nurse should speak to the patient in a way that is easy to follow and understand. The nurse should not disregard or judge the belief or religious backgrounds of a patient. Instead, the nurse should encourage the patient to do what works best for he/she thinks works best.
Reference
Hines, D. (2013). Cultural competence: Assessment and education resources for Home Healthcare Now. LWW. Retrieved March 16, 2022, from https://journals.lww.com/homehealthcarenurseonline/Fulltext/2014/05001/Cultural_Competence__Assessment_and_Education.3.aspx
Falkner, A. (2018). Cultural Awareness. CCC web books by AWS & CDD. In Grand Canyon University. Retrieved March 16, 2022, from https://lc.gcumedia.com/nrs429vn/health-promotion-health-and-wellness-across-the-continuum/v1.1/#/chapter/3
I completely agree with you that the best way to get information about cultural competence is by asking the patient or family directly and not assuming based on information we have at hand or read about. This is because not everyone believes in every cultural practices of their ethnicity so generalizing the cultural beliefs would not be beneficial in providing effective patient care and nursing outcome
“Cultural competence in health care means delivering effective, quality care to patients who have diverse beliefs, attitudes, values, and behaviors. This practice requires systems that can personalize health care according to cultural and linguistic differences.” (Tulane University, 2021, p.1) I completely agree that it is important for the nurse to speak to the patient in order to know their beliefs. Each individual is different, and it is important for a nurse to know and understand their patient. This all begins with assessment and communication.
Reference:
How to improve cultural competence in health care. Online Public Health & Healthcare Administration Degrees. (2021, March 1). Retrieved October 22, 2022, from https://publichealth.tulane.edu/blog/cultural-competence-in-health-care/
Cultural competence is the ability to understand and effectively interact with people from cultures different from our own. It means been able to negotiate across cultural differences to accomplish a practical goal. The American Association for Health Education defined cultural competences as the ability of an individual to understand and respect values , attitudes , beliefs and mores that differs across cultures and to consider and respond appropriately to these differences in planning, implementing and evaluating health education and promotion programs and interventions. Cultural competence is the ability to give the best medical care to patient while demonstrating cultural awareness for patients beliefs, race and values
The nurse utilizes nursing assessment tool and questionnaires to gather cultural information.. The cultural assessment includes, ethnic background, religious preference, family patterns, food preference, eating patterns and health practices.
Cultural competence fosters good interpersonal relationship between the nurse and patient which results in good communication and improved client outcome.
Cultural competence results in patients satisfaction
It helps to eliminate professional inequality and ensures professional equity
It promotes quality professional nursing care
It promotes patient centered care
The nurse demonstrates cultural competence by:
Acknowledging and respecting the cultural beliefs of the patient
Accommodating and educating the patient
Acknowledging and accepting patients culture
By not be judgmental or stereotyping
Reference
Falkner, A. (2018). Cultural Awareness. Health Promotion: Health & Wellness Across the Continuum. (Chapter 3). Grand Canyon University. https://lc.gcumedia.com/nrs429vn/health-promotion-health-and-wellness-across-the-continuum/v1.1/#/chapter/3
U.S. Department of Health and Human Services. (2021, July 7). Cultural respect. National Institutes of Health. Retrieved October 18, 2022, from https://www.nih.gov/institutes-nih/nih-office-director/office-communications-public-liaison/clear-communication/cultural-respect
There are a number of ways a nurse can learn about a patient’s cultural background. Simply asking the patient about their culture is one method. In addition, asking prevents the nurse from making incorrect assumptions. For instance, a nurse might inquire about the patient’s religion and faith in order to ensure that the nurse does not disrespect the patient’s faith and maintains respect throughout the interaction. Being culturally competent improves patient satisfaction. Cultural competence also
makes patients develop trust with the nurses and thus create a good working relationship.
Cultural competence can be defined as cultivating an awareness of one’s own existence, thoughts, beliefs, and environment without allowing this awareness to have an excessive impact on people from other backgrounds. A cultural assessment tool or questionnaire can be used by a nurse to gather cultural information from patients. A nurse must be aware of cultural trends while respecting the preferences of patients because research shows that the majority of behavioral traits seen in patients are partially influenced by their cultural background. The first and most crucial method by which a nurse can obtain cultural information from a patient is through a thorough cultural assessment, asking questions about a patient’s culture and preferences. This means the nurse is getting first had information from the patient. This ensure that the patient’s needs are met by the care plan.
A nurse should not make assumptions about a patient’s culture, beliefs, literacy level, or values. This is one way a nurse can demonstrate cultural competency in nursing. Every patient has the right to know the specifics of their care, so it’s important to explain the plan of care in detail and avoid using medical terms. If there is a language barrier, use an interpreter to make sure the patient understands. Communication is made easier with cultural competence, which ensures patient’s safety. Healthcare providers are able to gather accurate information through open communication. It fosters lively discussions in which patients and providers can clarify misunderstandings, ask questions, and cultivate trust.
Cultural and linguistic competence is a set of congruent behaviors, attitudes, and policies that come together in a system, agency, or among professionals that enables effective work in cross-cultural situations. ‘Culture’ refers to integrated patterns of human behavior that include the language, thoughts, communications, actions, customs, beliefs, values, and institutions of racial, ethnic, religious, or social groups. ‘Competence’ implies having the capacity to function effectively as an individual and an organization within the context of the cultural beliefs, behaviors, and needs presented by consumers and their communities.
Health Resources and Services Administration
https://www.hrsa.gov/cultural-competence/index.html
Georgetown University
https://nccc.georgetown.edu/
National Prevention Information Network
https://npin.cdc.gov/
In order to gather cultural information, nurses must perform a cultural assessment. A cultural assessment examines the cultural beliefs, values, and practices of the client. This type of assessment is done by asking culturally appropriate questions (Falkner, 2018). Questions should include how the client feels about becoming ill or having a chronic disease, what they may fear about an illness or treatments, and how the client feels it affects or may influence their daily life (Falkner, 2018). Social disparities of health should also be considered during the cultural assessment.
Nurses need to be cognizant of the client’s income and health literacy. These two variables play a major role in the ability of clients to access and understand the health care system (Hurrell et al., 2021) Nurses need to be aware of family dynamics and make-up, as well as the client’s access to resources. Resources may include community or federal programs or financial assistance, free or low-cost clinics in the client’s neighborhood, and information available on reliable websites or in print. The combination of all of this information will help the nurse provide individualized care for each client and their family.
Cultural competence relates to better client care by helping nurses become more aware of their clients. This helps the nurse provide holistic care of the client and their family. Holistic care includes the mind, body, and spirit. Nurses demonstrate cultural competency by respecting different cultures and their beliefs. Nurses also demonstrate cultural competency by adjusting the client’s plan of care in relation to those cultural differences. Nurses should be respectful of the client’s health care choices made based on their culture. Being a culturally competent nurse is a continuous process of self-awareness, education, and evaluation of both one’s own beliefs and biases, and the clients served (Falkner, 2018).
Falkner, A. (2018). Cultural awareness. In Grand Canyon University (Ed.), Health promotion: Health & wellness across the continuum. Grand Canyon University. https://lc.gcumedia.com/nrs429vn/health-promotion-health-and-wellness-across-the-continuum/v1.1/#/chapter/3
Hurrell, S. R., Cliff, T. L., & Robertson, C. L. (2021). School nurse cultural competency development using the national CLAS standards: A quality improvement project. The Journal of School Nursing: The Official Publication of the National Association of School Nurses, 37(6), 532–541. https://doi-org.lopes.idm.oclc.org/10.1177/1059840519877436
A nurse can gather information about cultural competency and cultural values by simply asking instead of assuming what the patient would prefer. It could be a wide variety of things, for example some cultures have different dietary preferences and have restrictions on types of meat or food they can consume. Also, you never know some patients might prefer a male only or female only caregiver due to cultural preferences and that in turn affects patient care. I think a nurse should educate themselves on cultural competency and learn as much as he/she can about other cultures but also simply by asking, being aware, and not assuming cultural preferences is another great and effective way to provide culturally competent care. By being aware as a nurse we have good assessment skills and can pick up on when a patient is feeling uncomfortably or uneasy, so being aware is a big one too.
Nurses should not assume patient preferences regardless of cultural beliefs or religion. Interventions should be completed based on nursing assessments. Learning about different cultures, their views on health, and their preferences make health professionals aware of differing beliefs and implement cultural competence. Cultural competence is when an individual can acknowledge various cultures and implement specific beliefs in their care without discriminating against them. Preferences can include same-gender care, dietary, communication, and learning styles. When learning about minority groups, is there a time when certain methods and preferences change? Most follow traditional beliefs, but it would be interesting to know if these evolve with time. Overall, being well-rounded by other cultures and ethnicities is essential when educating or providing treatment. Patient outcomes improve, and professional relationships are formed.
The first step, like with any social issue, is awareness. Avoid assuming anything. It’s crucial for nurses to refrain from assuming anything about cultures they are unfamiliar with. As a result, the patient may be less accepting of the treatment and trust between the nurse and the patient may deteriorate.
Study different cultures. Learning as much as you can about your patient is a part of your duty as a nurse. Consider the various cultures you’ve experienced in your work in healthcare, as well as the cultures present in your neighborhood. Make an effort to immerse yourself in such cultures in order to learn about them.
Regardless of their patients’ racial or ethnic backgrounds, nurses need to establish trust with them. Try to get beyond any language obstacles as well. Understanding how cultural variations may affect healthcare decisions and being able to adapt care to the patient’s culture are two aspects of cultural competency. Respect is the foundation of cultural competency; patients who feel that their healthcare professionals respect their beliefs, customs, values, language, and traditions are more inclined to speak openly and honestly, which can help to lessen healthcare inequities and enhance patient outcomes. For instance, patients are more willing to participate in preventative healthcare and are less likely to miss medical appointments when they feel heard and understood by their healthcare professionals. This can lower medical mistakes and associated legal fees.
Being aware of social issues and cultural beliefs is crucial to nursing practice. However, it is not in our practice to assume a patient’s needs based on different views. Awareness starts with initiating an assessment regarding one’s culture, values, beliefs, perceptions of healthcare, and dietary or care preferences. This encourages a health professional to become culturally competent and avoid judgment about differences. A proper assessment encourages the patient to trust the healthcare staff by ensuring their needs are managed on their terms.
Nurses have learned about cultures since the beginning of nursing school. Lessons are taught about each minority group, communication, language barriers, traditional or nontraditional health systems, herbal remedies, and cultural preferences. Knowledge of different minority groups can be implemented in the appropriate care plan; however the care plan must be individualized to meet the patient’s needs or barriers. A health professional’s well-roundedness in culture can improve patient satisfaction and affect how each culture portrays nurses and healthcare professionals.
I’m sure many of us have had a difficult shift, especially recently if you’re working in hospitals with COVID patients.
Just for a stress reliever and participation credit, tell us briefly, without HIPAA violations, what happened and how you dealt with the issues.
You are very right, its both a challenge and an achievement for me as a night nurse to balance between work and studies, but finding it fun to practice what I’m learning is my greatest achievement. Although, sleeping during the day is a mandatory as a night nurse, it seems not enough since I find myself dozing off on my computer when I’m off duty and trying to work on my assignments.. By working smart, I’m balancing the two and getting the best out of both aspects. The night i was working, we were discussing with my CNA how we feel satisfied getting home feeling we touched some ones life in a positive way. This gives me courage to wake up to a new day.
The good point is that the most challenging situation I’m ever in as a novice nurse, especially working at night shift, is when I’m coming home in the norming if I’m not too tired, I have to make a choice between going to bed or staying awake to do school activities if I’m tired, I sleep and get up after a few hours in fronte my computer to do my assignment. When I’m not too tired coming home trying to stay awake. Sometimes my daughter tells Mom, you need to sleep. When you want a good accomplishment in life, sacrifice is important. If takes family, working, and schooling take a lot out of me, but so far, so good; I’m learning and sharing.
The biggest issue we are dealing with in Labor and Delivery is the visitation policy. This makes it very hard as a nurse to watch as a patient who is experiencing one of the most joyous times in her life, not be able to have those she loves surround her. Our facility has just now allowed a patient to have two people with them in the delivery room. Recently I had a patient who really wanted her mother and step mother (who helped raise her) and her partner in the room. She and her mother had recently reconciled their relationship, her mother is now ill and wanted nothing more to be at her daughters side, however the patients step-mother raised her from a young age.
She was so torn and distraught, hormones and pain exasperated these feelings. I spoke to the charge nurse to present my argument to her, to allow them
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