Cultural baggage attributes to propensity by one person to place his or her culture, a way of thinking and behavior above all others (Andrews & Boyle, 2016). It would be important for nurses to respect the patient’s view of things, although it might not be correct or just plain different. While it is hard to disregard the background that each nurse is coming from, the patience and attempt to understand would assist in the proper assessment. From personal experience, I recall a patient coming from a different country, who did want to deal and even talk to the nursing staff, and demanded to see the physician with every concern. Ethnocentrism is a view of a group of people placing themselves in a center and making themselves superior to others, while all other groups of people excluded from it (Andrews & Boyle, 2016).
Identify any relevant professional law or guidelines When there are ethical dilemmas can be resorted to: The GMC , The BMA 5. The subject of the dilemma of critical analysis. Some dilemmas need balance and are more cautious and listen to the opinions of patients and groups and if you are in doubt ask for help It is very helpful when you get into trouble to refer to a medical ethics committee for consideration 6. Be able to explain the decision with sound arguments. Do not expect to be non exhaustive but work reasonably and be able to justify and expect you to solve the moral dilemmas of one direction and yet work that coincides with those good positions to engage in those situations where moral dilemmas confront the recording of medical observations with illness or colleagues and also refer to any petition Professional and medical advice and legal bodies are recorded in the notes In this way there is logic behind the decision (2) To Teach Medical Ethical • lectures • Seminars • Programmed, simulated patients • Role playing • Video interviews • Case
Furthermore, Leininger interprets individuals tightly connected to his or her cultural heritage, and appropriate patient care is only possible when understanding the cultural background (Masters, 2015). My personal nursing philosophy concurs with addressing the importance of cultural diversity and adjusting patient care accordingly. Reviewing the major concept of people, Leininger defines a person as a human being, family, or institution (Masters, 2015). However, my personal nursing philosophy views the person as a human being, who is lacking a piece or multiple pieces of the physical, mental, or environmental component to achieve wholeness again. Besides the various parts of the environment mentioned by Leininger, my personal philosophical statement includes the nature in general.
While everybody views empathy as central to health care and the patient-physician relationship, there is less agreement on what the construct of empathy means. In social science, this term is applied to various phenomena that cover a broad spectrum. Empathy has been described in various ways, such as feelings of concern for others that create the motivation to help, experiencing emotions that match those of another individual, knowing what another is thinking or feeling, and even as blurring of the line between self and other . In medicine, empathy often describes the ability to understand another’s experience, to communicate and confirm that understanding with the other person, and then to act in a helpful manner . This conceptual diversity explains the difficulties in measuring empathy.
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
Introduction Evidence-based practice(EBP) is defined as "the integration of best research evidence with clinical expertise, and patient values in making clinical and patient care decisions." (Sackett et al., 2001, p. 1). It also involves the integration of research evidence, scientific theories, local circumstances and existing resources. While undertaking evidence-based practice has the advantage of improving clinical practice and the quality of care, the development of EBP is still not prevalent in nursing. In this essay, barriers hindering the development of EBP in nursing will be discussed and elaborated with examples.
The Oxford English Dictionary defines dignity as "The state or quality of being worthy of honour or respect"(2015). Although there are many definitions of this word, I am going to use this definition in this assignment as it is closest to that of my personal beliefs of what dignity is. It is important to respect the dignity of patients as individuals as each patient has individual needs and dependencies from the nurse and these requirements cannot be pooled. These people are individuals and we must assess them and treat them with dignity as individuals. Dignified care involves integrating respect, compassion and sensitivity into your nursing care.
These are the medical objectives. But a patient may well have in mind circumstances, objectives, and values which he may reasonably not make known to the doctor but which may lead him to a different decision from that suggested by a purely medical opinion”. The starting point, he said, (which sounds presciently modern), is the right of the patient to make her own decision about whether or not to undergo the proposed treatment. The doctor’s duty is to inform the patient of the material risks. A material risk is one that a reasonably prudent patient in the patient’s position would think significant.
This requires not only that the patient trust the doctor, but even before that, the doctor appreciates and understands the context of those behaviours; behaviours that are influenced by the patient 's environment. In his essay, "Unreality Star", Andrew Marantz agrees that while all mental illnesses have rules, " clinically recognized delusions conform to a familiar set of themes, including persecution, grandiosity and erotomania", however, he emphasizes the context may vary, "form is fixed, content is not". The essayist stresses the importance of this content when he quotes Joel Gold, a former attending psychiatrist at Belleview Hospital, “All productions of the mind have meaning. To disregard any content, no matter how psychotic it is, seems to me to be a miscarriage of what the discipline was founded on". This content is based on the environment of the patient-an interplay of his social, cultural and technological experiences.
Based on the above observations, analysis, and discussions on various studies and systematic reviews on Task shifting model, we propose following suggestions while using Task shifting as an alternative survival strategy or health organizations which suffer due to a shortage of professionally qualified medical doctors to treat chronic and long intervention related diseases in their organizations. (1) Strategy for Patient cure & Satisfaction : With the concept of something is better than nothing, patients should get at least minimum care even if there is an acute shortage of qualified physicians, the alternative survival strategy of task shifting is suggested as an optimum solution to the problem. (2) Strategy of organizational sustainability