The human factors that affect efficient communication involve patients’ moods or reactions towards the services provided by the nurses. Therefore, nurses are advised to exercise patience and understanding of the conditions of their patients. They should seek to serve the clients regardless of whether they are rude or welcoming. In cases where communication is hindered due to lack of cooperation from the patient, the nurse can seek assistance from their supervisors. Also, nurses are advised to shun from forming predetermined perception of patients to ensure that they can communicate
Disadvantages Even though the advantages outweigh the disadvantages of informed consent, it is still vital to talk about the shortcomings involved. It is important for health care professionals to understand the disadvantages of informed consent just as much as the advantages so that they can prevent these drawbacks, if possible. The disadvantages I will be discussing in this section is the act of coercion and undue influence, emergency situations and special circumstances where informed consent does not apply, and therapeutic privilege. When informing patients about their care options, the health care provider may be convinced that one way is the best and may inadvertently pressure a patient to make a different decision than they originally
These are two potential of nurses one is misconduct when guidelines are not adhered to and second is the factors that might promote or inhibit guideline adherence among nurses. (Davies, Edwards, Ploeg, & Virani, 2008) According to Ismaile Samantha (2014), there are similar and different promoter and barriers to adherence with clinical Practice guidelines. The two main factors that impact to adherence with clinical practice guidelines among nurses, one is environmental factors that are patient, organization, standard guidelines, and second is personal factors which included knowledge, attitude, and skills, intention.
In healthcare, nurses are constantly interacting with individuals who may not share the same characteristics, therefore, it's very important to recognise these differences in order to successfully develop a therapeutic alliance which will lead to a healthy therapeutic relationship (Rasheed, 2015, p. 213 - 214). Nurses that don't take into consideration self-awareness tend to project personal opinions and beliefs onto those who may not share the same values. (Rasheed, 2015, Bibi, 2016) Therefore, being aware and staying neutral will allow nurses to be person-centred, participating in active listening and having mutual understanding. Reflection is an important aspect of self-awareness and allows health professionals to look back and analyse practices, identifying which aspects need further development (Rasheed, 2015, p. 214, Bibi 2016).
Cultural competence for nurses is defined as the willingness or the desire to understand another person’s culture, the ability to learn about diverse cultural belief systems, and to work effectively as a healthcare professional. This includes, understanding the dynamics of a patient’s culture as it relates to their relationships, interactions, and understanding of overall health. Awareness of one’s own culture, along with the understanding of other cultures, and how this relates to nursing care is essential to improve outcomes for patients (Kardong-Edgren et al., 2010). In 2010, the United States Census revealed that 37% of the population considered themselves to be minorities, and by 2020 this demographic will increase by 40%.
If nurses lack of understanding regarding community demographics and cultural differences, they can have unintentional bias, and stereotype patients due to a lack of awareness of the cultural demographics of the community they serve (Camphinha-Bacote, 2011). Cultural competence is the understanding of different cultures and how that impacts the provision of patient care. Cultural competence in nursing is defined as one willingness or the desire to understand a patient’s culture, the ability to learn about a defined cultures belief system, and to work effectively as a healthcare provider understanding the dynamics of the patient’s culture as it relates to their relationships and care (Kardong-Edgren et Al.,
In psychiatric nursing in particular, following this model can allow a nurse to encourage a patient to be as independent as possible. Upon evaluation, while it provides a pattern to follow in order to deliver nursing care, it is too linear. Each patient’s recovery and circumstances are unique, and a nurse sometimes must adjust the level or order of care provided in order to suit the patient. Orem’s theory sets the standard of how nursing care should be delivered, when this isn’t realisitic. Overall, Orem’s model is a comprehensive pattern in providing nursing
However, in health care, there is an implied duty to help by virtue of the physicians relationship with the patient. This duty is both legally and morally based in that it is reasonable for patients to expect a professional caregiver to act in ways that will promote their health and well-being. On the other hand, there is generally a recognised limit to the level of service and sacrifice owed to a patient by any particular health care professional(10). As with harm, the definition of good is difficult.
That is, one must be willing to suspend judgments until one truly understands another point of view and can articulate the position that another person holds on an issue. So this will help nurses come to rational decisions so this will make can act competently in practice. The nurses continually monitor their thinking; questioning and reflecting on the quality of thinking should be occurring in what they want to achieve in nursing practice. However, the nurses with sloppy, superficial thinker can lead to poor nursing
One such example would be, nurses have to frequently assess any change on patient’s condition and notify doctor immediately if there are changes. Delaying may increase the complication and makes it harder to treat. Other than that, nurses must document down all the information in accordance to approved standards of practice which includes evaluation of how treatments work, assessment, compliance, reaction of patient and communication. Evidence by charting can help to prevent liability in a malpractice suit. Lack of documentation can alter the nursing intervention, such as in the scenario which stated medication was not discontinued when the resident was at high risk for bleeding.
Cultural Analysis Korean Americans America is filled with increasing diversity, though this may bring an abundance of possibilities through interacting with other ethnic groups, it also comes with many problems. These problems are particularly for those who are in the health care system whether you are a health care provider, social worker or nurse. The challenge at hand is about cultural competence. Cultural competence is the ability to adequately provide the linguistic and ethical needs of your patient.
They may have a lack of confidence in their ability to adapt to new technologies, or may perceive the change as a threat. Some nurses have adopted a short cut process of administering medication to save time, which is pre-pouring medications. Workaround is another big barrier which occurs when nurses pass the medication without scanning the medication and the patient’s identification (ID) band, to save time and scan them later. Which is dangerous, and a high risk for making an error. The change agent or the nurse leader will need to use the driving forces that will help the project to be successful.
If need be, the nurse should assist Mike attain information about the Mature Minor Doctrine and other relevant information about pediatric patient’s rights. Conclusion When an ethical dilemma arises, a nurse has to consider the outcomes of each choice. In a pediatric situation, it is pertinent to remember that the parents are considered as patients too.
The journal “Patient Opioid Education” explains how opioid abuse is better if researched health care providers can better educate their patients on the issue. According to Ms. Costello, research is being done to further educate patients about the drugs they are taking. In fact “a quasi-experimental pretest posttest design was used to evaluate nurses’ knowledge of opioids,” (309). Although, the research reveals that patients have a lack of knowledge about safe opioid use this is because nurses lack the understanding of the addiction. Accordingly, all health care providers should have education on opioid dependence to avoid such addictions.
Cultural Competency in general is related to the ability to serve people in an appropriate way where they feel respected. In health care this refers to comfortable treatments that meet the standards of the patient from any backgrounds with all their different ways of living. Health care is a very important matter to every culture with different beliefs, traits, linguistics, etc. As Tamu Nolfo, the certified prevention specialist states in the short video “What is cultural competence and why is it important?” , there is still a problem with inequality in the United States.