#32
#63
#67
#69
#72
#76
#77
#81
#93
#113a
Significantly, “Cultural competence and respect for others becomes especially important for us in the nursing practice because we are patient advocates. We all begin the process of learning the behaviors and beliefs of our culture at birth. We become assimilated into that culture and the way that we express is often without conscious thought. Our culture can have a definite and profound effect on how we interact with others, and also how we relate to the healthcare system.” (Anderson, 2012, How Culture Affects Healthcare section, para. 1,3)
In my practice, I had a palliative client who’s a member of Jehovah’s witnesses by religion. While doing a chart rounds, I noticed about her religion
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I knew as a nurse that as much as I want to do something good for the patient to promote health, I can’t do anything but to respect her decision since she has the legal right to refuse any treatment and make health care decisions. In this situation, even though I want to promote life and health, I also put into consideration the patient’s legal rights which are the right to refuse a treatment and make a choice. (C.#67) (C. …show more content…
We respected it and I let them signed the refusal of treatment form and documented it in the patient’s chart. Despite our diversities and differences in terms of religion and belief, I didn’t judged their decision of refusing a life-saving treatment but rather I considered and respected it as I understand that culture is very important aspect of our lives. (C.#77). (C.#113a – Leadership) (C. #81) I knew that as a nurse I should be a pro-life, that my main function is to promote health, prolong and save life but I also kept in my mind that I should be a patient advocate to their wishes and rights. So to help the patient, the doctor just ordered Erythropoietin to promote formation of red blood cells, so, I administered it as prescribed and I gave my health teachings and encouraged to eat foods that are rich in iron and also Vitamin C which promotes iron absorption. (C.#76) (C.113a – Knowledge Application) (C.
According to the oncologist, Nurse L. was acting immorally and unprofessional when informing her patient Michael Q. of all his treatment options including chemotherapy, and alternative treatments such as natural therapies. I strongly disagree that the nurse was acting immoral because it was the patient’s medical and legal right to know all of his options, not just the ones that may be most successful, or ones that medical professional determines as the best options. That being said, I do not believe the patient’s physician should have the final decision about their treatment, unless the patient is unable to make a final decision for himself and has no family to assist him. Because the oncologist did not tell his patient about all the treatment options, Michael Q. was not was not fully informed and therefore his agreement to receive the chemotherapy treatment was not informed consent.
Cultural competency can be described as the ability to interact with different cultures in a positive manner. Many cultural differences can become apparent in a number of situations. According to Fadiman, doctors have a moral duty to save lives even if they don’t agree with the values or beliefs of someone else’s culture (1997). This paper will address the topic of cultural competency, with a concentration on the importance of cultural competency in the medical field. It is hard to imagine how frustrating it may be to come across a patient that resists a professional’s opinion because they have solid beliefs or do not understand what doctors are attempting to convey.
The nurse's role in this would be to advocate for the patient in granting the order and respecting the patient's right to
Issue: Is it legal and ethical to withdraw life-sustaining medical treatments from a terminally ill adult patient? Yes, the right of an adult patient in receiving or not receiving medical treatment under the legal and ethical standards requires the patient to provide informed consent. If the patient cannot provide informed consent, a legally authorized surrogate can make a decision. The same legal and ethical standards apply for the terminally ill adult patient in the case of withdrawal of life-sustaining treatments.
In health care today, there are many different cultures found in our patient population. Patients often have difficulty conforming to medical regimens due to their cultural beliefs and practices. Completing a comprehensive cultural assessment is the key to understanding the specific components of their culture to facilitate effective and efficient nursing care. In this paper I will describe the key components of a comprehensive cultural assessment. Two of the components will be discussed in relation to the Afghan culture and how that impacts providing culturally diverse care.
For example, a nurse once told me that they had never had any exposure to people that did not look like them, talk like them, or think like them. I was not judgmental, but I was amazed that this is possible at this day and time. I felt like this person was missing out on so many cultural differences. I want nurses to have cultural awareness and cultural sensitivity and to have some knowledge and understanding that there are many different cultures that their patients bring to the health environment. Culturally competent nursing care helps ensure patients’ satisfaction and positive patient outcomes.
Cultural competence is much more than awareness of cultural differences, as it focuses on the capacity of the health system to improve health and wellbeing by integrating the understanding and appreciation of different cultures. To become more culturally competent, a health service or professional or system needs to value diversity, have the capacity for cultural self-assessment, be conscious of the dynamics that ,occur when cultures interact institutionalise cultural knowledge, adapt service delivery so that it reflects an understanding of the diversity between and within Cultures. Equity of Australian healthcare access is important for all Australians and is difficult to achieve when access issues are not addressed. As well as these issues, some patients from a culturally and linguistically diverse background experience discrimination from the system of health care due to their country of origin, cultural background, and religious beliefs. Healthcare professionals need to recognise this potential and be prepared to advocate for their patients when necessary to ensure adequate care.
As a healthcare provider you should give your patients the best care possible, and that can only be achieved when you are accommodating to different needs. There is no place for ethnocentrism in today's world, and healthcare
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.,
On Grace Hospital’s website, the hospital doesn’t list their own mission, vision, and values statements. Instead, Grace Hospital has referenced the Winnipeg Regional Health Authority’s own mission, vision, and values statements. Mission Statement The Winnipeg Regional Health Authority’s mission statement is “to co-ordinate and deliver safe and caring services that promote health and well-being.” At Grace Hospital, there is a need to work collaboratively in order to provide patient-centred care to our patients. This involves the coordination of services by various health care providers including physicians, nurses, and allied health professionals.
Nurses are faced with ethical dilemmas related to clinical issues, and disease and treatment decisions daily (Kangasniemi,
That it is our responsibility as a health care professional not to push our culture on to other, to be non-judgmental, open to asking and understanding
One of the most integral parts of cultural competency is the process of successfully becoming culturally competent. After synthesizing available research on the topic I have constructed four main steps in becoming culturally competent. Those include self-awareness, understanding various aspects of the culturally diverse population for whom you care for, practice evidence based medicine as it relates to culturally diverse populations and continuing education (Kodjo, 2009; Purnell, 2012). The first step includes becoming self aware of one’s own beliefs.
To begin, the journal article is broken up into three sections. The first section, conceptual framework, gives the foundation on how to become more culturally competent. The second section, cultural skill, explains how to understand patients of different culture. Finally, the last section, cultural encounters, brings all the information that is explained in the two sections into practice. In the first section, a model depicts how important it is for a nurse to become culturally competent rather than be culturally competent.
The practice of health care includes many scenarios that have to do with making adequate decisions when it comes to a patient’s life, and the way they are treated. Having an ethical code in all health care organizations is very important, because it helps health care workers with reaching a suited and ethical decision when it comes to the patient. In health care, patient will always be put first, and their autonomy will always be respected. Nevertheless, when there is a situation where a patient might be in harm, or might be making their condition worse because of the decisions they made. Health care workers will always be there to