The following nursing diagnosis would be applicable in this case: ineffective health maintenance (Ackley & Ladwig, 2014, p. 412). Nursing interventions and rationales include: assess influence of cultural beliefs, norms, values and client’s ability to modify behavior; assess the effect of fatalism on a client’s ability to modify behavior; clarity culturally related health beliefs and practices; provide culturally targeted education and health care services (Ackley & Ladwig, 2014, pp. 413–414). Ideally nurse would possess certain level of knowledge about the patient culture or asked the coworkers to assist. On the other hand it would be impossible to posses knowledge about every culture and its customs. Nurse should explain details of procedures or necessary changes that would bring positive healthy results, withhold the judgement and attempt to understand the patient
In gaining knowledge of specific groups Campinha-Bacote (1998) and Purnell (1998) state the four stages nurses experience: unconscious incompetence, conscious incompetence, conscious competence and unconscious competence. Being unaware that an individual is lacking in cultural knowledge is referred to as unconscious incompetence. Such healthcare professionals may read articles or attend classes about cultural diversity. They may hence know that culture plays a role in the delivery of care but do not know how to use this knowledge (Campinha-Bacote, 1998). While this student agrees with Narayanasamy (2002) that it is almost impossible to be an expert in all cultures, it is however expected that healthcare professionals make efforts to gain an insight into the cultural backgrounds of patients under their care. !
The case of Lia Lee can be used holistically to showcase the negative effects which a culture and language barrier can produce between doctor and patient. It can reveal how communication and cultural sensitivity can aid in medical practice. Nevertheless, Lia’s case also shows the need for doctors and healthcare practitioners to learn more of about a culture so that treatment may be administered smoothly and without complete comprehension of the patient and their
as cited in Roberts 2004). Autonomy is described as an individual’s right to self-governance around their care and the requirement of healthcare professionals to respect these decisions (Kirby et al. 2004). However the patient and healthcare professional can sometimes have conflicting views regarding a person’s capacity for autonomy particularly persons who are acutely unwell. Despite JB expressing his dislike of being placed in seclusion, nursing and medical staff agreed JB’s capacity to make an informed autonomous decision was impaired due to his current mental distress. Roberts (2004) states that the paternalism in mental health is rationalized through the concept that mental illness can inhibit a persons’ competency and ability to act autonomously in the governance of their care and therefore principles of beneficence and non-maleficence must be introduced to ensure that person receives adequate care.
Faizaan Amanat 1st Trimester Exam 1. “WOW... Jar Jar Binks is soo funny! He totally didn’t ruin the entire Star Wars franchise for almost two decades!”
However, this is only 3% of the total 338 seats in Parliament (Fontaine, 2015), while 5% of people in Canada are Indigenous (Statistics Canada, 2016). Even though this is below equal demographic representation of Indigenous people in the House of Commons, it remains a positive sign. As of 2006, 53.2% of Indigenous people resided in urban areas, with the other 46.8% living on reserve or in rural areas (Statistics Canada, 2008). Thus, the 5 Indigenous Members of Parliament from urban areas and 5 Members of Parliament from rural areas shows that both urban and rural Indigenous people are being represented
But, without trust patients are less-confident that decisions made are in their best interest. communication influences understanding and cooperation increases trust between both parties, nurses must monitor their interaction with patients to avoid a false sense of security. This false sense may cause potential harm to patients because substitute treatments are not offered. So, to lighten or reduce this concern the nurse must understand and listen to the patient’s life circumstances. A failure to do so may limit how much the patient’s concerns are considered in the decision making process(
From the perspective of a person within the health sector, autonomy may and may not be practical for the purposes of preventing liability from litigation and avoiding ethical criticism, especially when it 's measured against the patients’ best interests. In certain circumstances such as cases where patients don 't have the decision-making capacity, then nurses may treat the patient without consent. This type of situation is usually grounded on the principle of necessity. When professionals working within the health sector act under necessity, they must be able to prove that they did no more then what was necessary and in the best interests of the patient. This is a common problem in today 's nursing homes as many residents are not of sound mind and are unable to make decisions that affect them.
In conclusion, nurses should make sure they are careful not to be prejudiced, or discriminate in their care of their patients, and understand their own cultural baggage. Nurses should also be careful not to use their cultural beliefs to impose them on their patient’s. Ethnocentrism could hinder good care given by a nurse if the nurse is unwilling to listen and be open to someone else’s opinions on how to care for a patient. Cultural congruence allows for the patient, team members and family to have input into the plan of care, which is vital to give good, cultural care. Lastly, I discussed the five step process in how to give culturally congruent nursing care.
Nurses can use the process, of diverse assessment, to gather information that identifies what is culturally important to the patient. Through anticipatory planning, the competent nurse can effectively work within the cultural context of an individual’s specific needs. This process can help the nurse to better understand, plan, and evaluate towards the overall health and wellness of the patient. Considerations such as lack of understanding, gaps in provisions of health insurance, lack of culturally sensitive care, and misunderstanding of cultural norms and values are all barriers that patients face routinely. Therefore, to help dissolve some of these challenges, community health promotion and maintenance programs can be researched, planned, and built to provide cultural competent care for a whole community (Andrews & Boyle,
1980 A huge jump occurred to 69,409 with 112.4 people per square mile. With this huge jump, I was curious if there were any shifts in the racial demographics. The only change was a small degree with 1.39% blacks in Monroe County. 2000
The first correctional facility to be introduced in the United States was the Eastern Penitentiary, and was constructed to hold only a couple hundred inmates at max capacity. Despite arguments discussing a decrease in current prison population, studies have shown that prisons are actually overpopulating and causing safety concerns. Prison population increasing over the years has led to seventeen states holding inmates at max capacity level. For example, Illinois’s prisons are currently holding over 48,000 inmates when their facility’s design capacity was to hold only about 33,000 prisoners (Bureau of Justice Statistics, 2015). There have been many strategies suggesting to lower the population, for example, sending fewer offenders for drug crimes
A part of developing cultural competency is being aware of our own biases, stereotypes and prejudices. We do this by having the understanding that we perceive the world differently because of the way we were taught and being careful not to assume the practices of an individual based on their ethnicity. In assuming cultural habits of a patient, one may unintentionally neglect the individual preferences and/or offend a patient resulting in unwanted outcomes. Moreover, we should aim to eliminate our preconceived ideas about the world in the healthcare field and understand they are not truths but simply perceptions we developed through a culture of our own. It is best to be mindful of differences in cultures but also aware of the intra-ethnic variation
Cultural competence is a term I understand as a person being consciously aware, tolerant, and accepting of multiple ways of thinking, being and believing. I believe one cannot grasp the concept of cultural competence without first educating themselves on multiple, different cultures and religions. Ignorance is the number one cause of cultural bias, and ridding oneself of ignorance will open up perspectives and views. Cultural competence is about developing empathy, understanding and compassion for every race, and respecting the unique differences that each individual culture abides to.
Research Questions: How does the Hmong culture affect Hmong people’s social identity in American society? Thesis: The Hmong culture affect social identity with its beliefs, values, and traditions due to the older generations continuing to practice the culture in order to pass it down to the next generation. The Hmong culture continues to express the ideals of its ancestors. However, the Hmong people holds traditions as the most valuable aspect of Hmong culture.