As a nurse it is important to become culturally competent in every area. Recently the definition of culture has expanded to include lesbian, gay, bisexual, and transgender (LGBT) as a culture group (Linda Dayer-Berson, 2014). The nurse must recognize any knowledge deficit and seek learning opportunities to provide the best nursing care to the LGBT population. The challenges and difficulties a lesbian couple can come across when seeking prenatal care is discrimination, hostility, patronizing treatment, intimidation, attempts to change the patient’s sexual orientation, denial of care, neglect, and undue roughness in the physical exam. As a health care professional it is imperative we don’t display any of this behaviors. This can cause the LGBT
These can also result to various forms of violence toward the LGBTQ individual from verbal and physical violence to neglect.
Puerto Rican Culture Religion, culture, beliefs, and ethnic customs can influence how patients understand health concepts, how they take care of their health, and how they make decisions related to their health (U.S. Department of Health & Human Services, 2015). As a nurse, it is important to understand that not every patient shares the same healthcare beliefs. A nurse must be able to perform his or her duties without judgement and care for each patient with respect for their own unique set of beliefs and morals. In this paper, the Puerto Rican culture will be discussed, from family units to religious and cultural beliefs, as well as how Western Medicine fits into their healthcare. Explain the culture.
I think having proper documentations will inform employers more about the immigrant nurses. Immigrant nurses should be up to date on their immunizations and how to follow the US's laws and regulations. Where they come from will help employers do some research on how much the nurses know and the differences between their country's laws and regulations. I do think it is a tad bit disappointing that there is currently a shortage on nurses but I am not worried.
The current political atmosphere has ethical ramifications for the welfare of LGBTQ+ students and school climate. In March 2017, Education Secretary DeVos met with a group of LGBTQ+ school advocates, stating, “Every school and every school leader has a moral responsibility to protect all students and ensure every child is respected and can learn in an accepting environment” (U.S. Department of Education, 2017). However, in May 2017, Secretary DeVos qualified this position, stating she will not restrict federal funding for schools who ban LGBTQ+ students (Turban, 2017). Similarly, Vice President Pence wrote on a campaign website: "Congress should oppose any effort to recognize homosexual’s [sic] as a ‘discreet and insular minority’ entitled to the protection of anti-discrimination laws similar to those extended to women and ethnic minorities" (Pence, 2000). The actions of Secretary DeVos and the sentiments of Vice President Pence are unethical and harmful to
Case Analysis: Gay-For-Pay Introduction This case takes place in Wichita, Kansas, a midsize city in the Midwest. Located in Wichita is the Wichita Center for Families (WCF), an agency that provides a variety of services for at-risk families and youths. Alicia Hall is a 25-year-old MSW student from Wichita State University, currently interning within the "youth-at-risk outreach unit" at WCF. Alicia has 2 years of bachelor level case management experience with adults with mental illness and has a passion for the LGBT community.
Canadians take pride in their health care system; however, most Canadians are unaware of the disparities that exist for transgender persons within health care. Being ridiculed, denied care, or treated unjustly because of a self-identification as transgender goes against the core values of the nursing profession (Canadian Nurses Association, 2009); despite this, ten percent of transgender participants in the Ontario Trans PULSE survey reported that they had experienced these demonstrations of prejudice when accessing emergency room services. This statistic may be lower than the reality due to transgender persons frequently avoiding the health care system (Bauer & Scheim, 2015). According to the Canadian Nurses Association (CNA) Code of Ethics (2009) nursing staff are expected to provide, “safe, compassionate, competent, and ethical care” (p. 3); however, due to lack of policies and lack of education nursing staff and physicians are detrimentally adding to the stressors of transgender life.
The Centers for Disease Control and Prevention define the term, “Latino” or, “Hispanic” as “a person of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture or origin” (Arias, 2010). In the United States, Latinos have comprised 16 percent of the population, making them the largest minority. Some sources project that this proportion will increase to 30 percent by 2050 (Juckett, 2013). With such a presence of Hispanic people, it is very likely that nurses will have the opportunity to provide culturally competent care to these individuals. As such, it is important to know how the Latino culture generally regards health, illness, disease, and death.
One journal published in Texas Law Review reports on the treatment of queer patients (Ritter, 2011). The author states that although the NHRA has had some success in improving the conditions of nursing homes, there is evident abuse and neglect of queer patients (Ritter, 2011). There are reports of nursing home staff that have abused and ridiculed patients based on their sexual and gender identity. The lack of training and awareness of queer culture is a large contributor to this stigmatizing behavior evidenced by these staff members. Reports of this type of mistreatment is on the rise in nursing homes (Ritter, 2011).
Madeline Leininger’s Cultural Care Diversity and Universality Theory, deals with the impact of culture on health and healing. In health care today, a nurse must deal with people from many backgrounds, cultures, and ethnic origins. Transcultural nursing is practiced throughout nursing when caring for people from different cultures. The purpose of Leininger’s theory is to produce knowledge related to nursing care of people from diverse nationalities, who value their ethnic heritage and culture. Leininger’s theory recognized and understood cultural differences and similarities while caring for patients of different backgrounds.
Some of the cultural considerations a health worker has to be aware of when addressing issues related to the female reproductive system are like taboos, believes and practices. Norms, values,attitudes of the different cultures with their working. These are important to avoid when you do not want to offend the patient.
Notably, the “T” in LGBT stands for transgender, which includes those who do not conform to the traditional ideals of their ‘gender’ or birth sex (Ard & Makadon, 2012). In some cases, these individuals may decide to go through hormonal therapy or surgery to alter their gender identity. Due to the fact that the transgender population in the US is known to only be 0.3%, many are uneducated about the medical needs of these individuals, including physicians (Ard & Makadon, 2012). Moreover, a policy to diminish LGBT care disparities should also educate people (especially physicians) in understanding the cultural context of their patients’ lives (LGBT individuals) in order for all people to attain the best possible
Affirmative Therapy offers a positive angle on how to work through one’s issues of sexuality (Laureate Education, 2012i). In addition to the therapy, it is also important for Dr. Patterson to have an understanding and self-reflection of her own biases and stereotypes towards the Lesbian, Gay, Bisexual, the client Tracy is at a stage in her life where she is questioning her sexual orientation. It appears that she already knows the answer but is struggling with the consequences of acting on her potential decision. There is a discrepancy and denial between their true selves about Lesbian, Gay and Bisexual (LGB) individuals who hide their sexual identity (Pachankis, 2004). Dr. Patterson does a great job in understanding her clients’ issues and
Minority sexual orientation is also associated with higher levels of mental health morbidity in Australian women. Over 34.8 per cent of lesbian and bisexual women had been diagnosed with depression by a doctor compared to 22.8 per cent of women in the general population. Almost one in five (19.3 per cent) lesbian and bisexual participants in a West Australian study reported current treatment for a mental health problem including anxiety, depression, and stress-related problems compared to 8.5 per cent of women in the general population. Stigmatisation, discrimination and lack of social support may play a role in explaining poorer mental
To explain further what she means is that, by treating patients right, then instead of assuming their gender or sexuality, and just be nice and help them get what they need. Then, it will make things run faster and smoother. Most patients do not go to the doctor because of the reason they think that they will be turned away or embarrassed by the doctor. “There are different thoughts as to why bisexuals seem to be worse off than lesbians with regard to mental health. Hypotheses include that bisexuals may be perceived to be heterosexual, or that individuals who identify as bisexual may still struggle with how to classify their sexual orientation, or bisexuals may not feel that they are welcomed - due to perceived discrimination - into the LGBT community in the same way as those who identify as homosexual” (NDNR).
Importance of nurses A nurse is a health care professional who is engaged in the practice of nursing. Nurses are men and women who are responsible (along with other health care professionals) for the treatment, safety and recovery of acutely or chronically ill or injured people, health maintenance of the healthy, and treatment of life-threatening emergencies in a wide range of health care settings. Nurses may also be involved in medical and nursing research and perform a wide range of non-clinical functions necessary to the delivery of health care. Nurses develop a plan of care, sometimes working collaboratively with physicians, therapists, the patient, the patient 's family and other team members.