In the field of nursing, cultural framework is used to enable caregivers overcome the challenges that are prevalent in culturally divergent communities (Kozier, 2000). Caregivers encounter cultural issues such as race, language barriers, gender, linguistic diversity, and conflicting cultural beliefs. In such situation, a caregiver must uphold the good values of nursing by promoting equality regardless of the clients’ background, and delivering the best healthcare regardless of the challenges they may be facing (Kozier,
Recognising a cultural identity, cultural values and beliefs takes up an important part of ever-greater needs of the multicultural community within culturally diverse health care environment. Cultural value is a barometer of whether is right, wrong, acceptance and justice within specific society’s view. Each individual member of the community has tendencies to show respect and follows normative values sanctioned in the culture group (Spencer, 2012). The cultural beliefs can also be good examples of showing how the individuals from different culture processing ideas on health care service expectation, healthcare providers, and their levels of compliance for available care option (Dana, 1997, p.64). Above mentioned cultural concepts are crucial
service users, thereby improving healthcare outcome (Chaloner, 2007). Their main concern is to guide the activities of healthcare providers by utilization of the professional code of conduct so that professionalism in practice will be maintained, informed decision making and ensuring patient’s safety (DH, 2012; NMC, 2008). These also contributes to improvement in the quality of life by reducing morbidity and mortality rate, thus, promoting consistency of care (Hansson, 2009; Corey et al., 2014). According to Corey et al.
Kong, Qin, Zhou, Mou and Gao (2014) support this suggestion and adds that effective communication is a vital component of nursing practice contributing to wise decision-making and effective patient management. A holistic assessment which is culturally sensitive, ensures that healthcare is concordant to a patient’s values and beliefs (Tucker, Roncoroni & Sanchez, 2015). Cultural competence in nursing, requires health professionals to have an understanding of the diversity of cultures among patient groups and in doing so, to provide care which is respectful and culturally-centred (Tucker et al., 2015). Using the reflective model of situation, task, action and response (STAR) below, I was able to recall a clinical experience and review my practice in nursing (Swinburne University,
Ethical dilemmas are a big part of healthcare, and specifically EMS. It is probable that you will encounter an ethical dilemma at some point in your career, and I think that you need to be equipped properly to deal with this inevitability. Most systems for solving ethical dilemmas follow the same model, roughly, and try and adhere to a policy of “most benefit, least harm”, or, “no harm no foul”. There is no problem with this, however, in a healthcare setting, we often must leave emotion, and sometimes patient preference out of the equation due to laws, protocols, and to protect ourselves, even more so today I think with the way our society is trending towards more and more litigious behavior. When you encounter an ethical dilemma,
The reason why I would choose one of these viewpoints is because I would try and choose the best ethical decision that would allow the patients to benefit in the most morally, ethically, and humane way possible. Fair and impartial treatment would need to be made in some situations, as people do need to follow rules and standards while working in the health field. Additionally, while making these decisions, as a nurse, I would try and respect all rights of individuals while also trying to make the most proper decisions that would benefit not only this patient but potentially another patient as
Summary Nurse must have knowledge about on different cultural factors such as language, beliefs, and values. Having an education on all of these will allow competent care. Nurse that don 't understand those factors are challenged while providing care and it also leads to other barriers. However, if they can communicate to the patient well they can advocate for the best possible outcome of the patient 's health. If conflict arises in the patient 's health choices the nurse will be courageous by continuing to advocate for what is ethical and best the the patients.
Autonomy involves the right of self-determination or choice, independence, and freedom. This is closely tied to informed consent because it requires that clients be provided clear and sufficient information to make good decisions for themselves (Ellis & Hartley, 2012, p. 291). This principle is an important ethical and legal principle. In this scenario there is a conflict between the physician’s choice and patient’s autonomy (that he wants to rescind his DNR order).
Continuity of care is an essential determinant of both quality of care and health outcome. Good indicators of continuity of care include likelihood of having regular doctor, and the organization of referral and feedback among providers and the same level of care and between levels of care. Continuity is essential and crucial for guaranteeing coordination of care. Lack of coordination mostly affects people with higher needs for care, such as those with chronic conditions and older people. Given the increasing burden of chronic diseases and the presence of comorbidities a single patient might move from one provide to the next without any coordination, and therefore a high risk of duplicating tests and harmful prescriptions of drugs.
“One of the movement’s major aims is promotion of best practice in healthcare based on the best available evidence” (Daly, Speedy & Jackson, 2010, p.140). As in any research the ethical dilemma is present. So research subjects (patients) have got rights to autonomy, confidentiality and are protected from any harm (Craven & Hirnle, 2009). As Erica calls attention to nursing is a long lasting learning. So her colleagues and herself stay up with the latest with new advancements and research accessible in her field to convey the most ideal treatment to her patients.
From the lessons learned from the patients-centered medical home (PCMH), the NCQA was motivated to develop an accreditation process for ACOs. The NCQA tried to accommodate the lessons that they learned from the PCMH programs so as to develop a very excellent program that recognizes that provisions of the high-quality primary care are the foundation of good health. NCQA also recognizes that although the evaluation of the result is very imperative, it is also critical to assess the ACOs using evidenced based criteria. Through these measures, the organizations can learn more about what is needed and what they need to do so that they can be compliant. They can also learn the key elements required for successful transformation of the ACO.
The NHS Constitution established the principles and values that are fundamental to service users on how appropriate clinical decisions are made for the delivery of quality care (Department of Health 2010). It provides explicit information for patients to understand their care, what to expect, and feel more empowered involving in their own care (DH 2010). The NHS constitution explains the behaviour expected from stakeholders such as staff, patients and the public (DH 2010). This prevent the government from making alteration and give the NHS complete autonomy and protection against political change without the full involvement of stakeholders to achieve transparency in the delivery of care (DH 2010).
The case of Anna’s premature labour describes the difficult and ethically – challenging situations that are present in health care settings. The scenario outlines the moral values and principles that are in question, such as the patient’s autonomy, beneficence and the sanctity/ quality of life. Autonomy, is the ability for the patient to exercise her choice, beneficence is the act of benefiting others. The sanctity and quality of life which reflect the value of life, and the values of choice and self-determination (Collier & Haliburton, 2015 p. 440). The decisions that could be taken in this case involve, Anna agreeing with Dr. Brown and not to have any treatment to her baby, thus allowing the child to die, or disagreeing with Dr. Brown and
Make and keep your major health decisions with advance health care directives. While they vary by state, advance directives can carry significant importance, especially as one gets older and increasingly concerned with health care and end-of-life decisions. Typically, two basic advance directives can cover a patient’s needs: the durable power of attorney for health care and the living will. Both serve the purpose of empowering the individual concerning personal health care in the case of incapacitation by illness or injury.
To help make a choice, they should first look at their personal and professional values that define their nursing practice. After, they need to look at ethical principles and legal documents to help guide their decision. In the end, they must compare and contrast these factors together to come up with the ethical decision that they ultimately feel is best for their