A Cuban Nurse
This piece contains an interview conducted via Facebook messenger to Evelyn Leon. She is a current Cuban nurse. She had a very limited Internet access, but the most important information has been collected. This paper contains her scope of practice, primary health concern for patients and country, professional organizations, salary, specialty, and health care division.
Scope of Practice
Ms. Leon, a Cuban nurse, says that in Cuba the nursing scope of practice is based on the level of study achieved. There are two levels of studies in nursing which are: “Técnico Medio en enfermería and Licenciatura en enfermería”. Likewise, in the United States of America (USA) they are the Associate Degree in nursing and the Bachellor of Science in nursing, respectively. She also explained that nurses with an ADN are the ones who will work directly with patient care. Like nurses in the USA, Cuban nurses give medication via oral, intramuscular, and intravenous route. They perform all type of wound care and even remove stitches. They insert and remove Foley catheters. In contrast with nurses in the USA, they do CNA tasks all of the time as well since there is not nursing assistant’s help at all. Here in the USA the nurses have knowledge about patient hygiene, which is included in our training; however, the most probable is that we delegate it to our assistant. In contrast, Cuban nurses do not insert nasogastric tubes. Neither, their scope of practice includes head to toe
Indeed, nurses play an indispensable role in connecting patients with a new culture of care and serving as a voice for the socially marginalized. My contribution to the mission of the Nurse Corps Scholarship program in providing care to underserved communities will entail great knowledge base of different medical conditions with the ability to know my patients, their family situations, their cultural identities, social situations, the barriers and challenges they face in dealing with their
During clinical time in the nursing program there are many opportunities for students to explore their new found nursing skills. While engaging in patient care responsibilities there are many languages, customs, values, lifestyles, beliefs, and behaviors that will differ from their own. Each patient may need healthcare providers to consider certain aspects in order to provide culturally competent care. There are many cultures that have migrated to the United States over the years including the people of Haiti. There are many aspects of their healthcare ideals that may need to be considered while providing healthcare in the hospital setting. This cultural assessment will consider the healthcare matters of an 81-year-old woman on the
This paper will discuss various aspect of the future of health care focusing on the future of how nursing will play an ever-important role in the reformation of health care. Presentation regarding, the Robert Wood Johnson Foundation Initiative on the future of nursing, at the Institute of Medicine report entitled, “Future of Nursing: Leading Change, Advancing Health,” will help set the stage for this paper. Discussion will be had regarding the relationship of the Institute of Medicine to that of the nursing profession and the foreseeable changes to practice based on the Institute of Medicines recommendations. Further discussion will be had no the
The nature of the work is very similar for the C.N.A. and L.P.N. A C.N.A. work includes performing routine tasks under the supervision of nursing staff. They answer call bells, deliver messages, serve meals, make beds, and help patients eat, dress, and bathe. Aides also provide skin care to patients, take pulse, temperature, respiration, and blood
This essay will discuss the nurse’s role in giving holistic care to patients and their family members and also promoting a healthy life style. It will give a brief description of the pathophysiology of type 2 diabetes and its impact on individual and their family across their lifespan. In addition the determinate factors that plays a major role, with increasing the risk of an individual to become type 2 diabetics will be addressed. A conclusion will follow summarizing with aids, especially form the governing body for nurses which advocates their role, contribution and the professional responsibilities to individual’s with type 2 diabetes and their family members/careers according to (NMC, 2008).
Nursing got defined according to the meta-paradigm for its ability to develop and sustain a connection and concern, which gets exhibited through the existence of a strong relationship between the patients and the nurses. According to Masters, (206), nursing gets views as the nature of care and the research into the illness, health and disease, and the relationship between the three aspects of a patient’s body. In my position as a Registered Nurse, we engaged in various missions aimed at checking the wellness of patients and the sustainable healthcare of the patients.
When was the last time you were in the hospital or a loved one was in the hospital, and ever wondered where the nurse is, and they haven 't returned for hours. You finally push the assistance button several times, and they open the door and hurriedly say, “I will be right back”, then you don 't see them for a while again. When they come back to check up on you, you explain to them what you need, and then they send in a less qualified staff member to assist you. At this point, you become very annoyed and frustrated not to mention scared to be admitted in the hospital to begin with. Little do you know, your nurse has ten other patients and other non-nursing tasks that they are responsible taking care of. They have been working a double shift and are extremely exhausted, and a large stack of charts that they will have to do before their shift is over. As a patient, you now become frustrated and are not happy about this; as a nurse, they are just as frustrated as you are, not only because the amount of work they have but more importantly they can 't deliver the appropriate care they long to give. For most hospitals they do not hire enough registered nurses for reasons that are good and bad. This is an issue that needs to be addressed not only locally but nationally and on a constant basis. When there are too many patients for one registered nurse to attend to, nurses become exhausted, mistakes are made, and patients are unsatisfied. A minimum nurse to patient ratio needs to be
The Republic of Haiti is in the western part of the island of Hispaniola in the West Indies. It is densely populated and has the lowest per capita income in the western hemisphere (Kemp, 2001). The population of more than seven million is made up of mostly descendents of African slaves brought to the West Indies by French colonists. The horrible conditions in Haiti, such as crushing poverty, unemployment and illiteracy, and high rates of acute and chronic illnesses and child and infant mortality, result in the illegal immigration of many Haitians to the United States, France, and other countries in Western Europe. Most immigrants are adults and teens who leave Haiti in tiny boats, despite the
It is essential when entering health care as a professional nurse to realize that health care workers, doctors, nurses, and other health care providers, form their own culture with their own beliefs and attitudes about the care that’s delivered and the patients whom they serve. Because there are significant barriers to health care for Hispanics, particularly those that are Mexican-American, in order to provide culturally competent care, the professional nurse must implement effective communication, convey respect to the patient, and take a thorough health history from each patient. The purpose of this paper is to discuss the background of the Mexican-American Hispanic patient, compare and contrast their culture to the culture of those that work in health care in the United States, and recommendations for the professional nurse using Purnell’s Cultural Theory for support and a reflection on Wellness Day for Health Promotion focusing on Hispanic heritage including Curanderismo.
The Republic of Haiti is in the western part of the island of Hispaniola in the West Indies. It is densely populated and has the lowest per capita income in the western hemisphere (Kemp, 2001). The population of more than seven million is made up of mostly descendents of African slaves brought to the West Indies by French colonists. The horrible conditions in Haiti, such as crushing poverty, unemployment and illiteracy, and high rates of acute and chronic illnesses and child and infant mortality, result in the illegal immigration of many Haitians to the United States, France, and other countries in Western Europe. Most immigrants are adults and teens who leave Haiti
An appointment was made with this family prior to the visit scheduled and the purpose of the visit and the role of this student nurse in health promotion and disease prevention through stages of family development was explained as an introduction part. The entire family was invited to participate in the discussion. The family was made aware of HIPPA violation and the responsibility of the nurse to keep all information shared confidential. Mathew’s family consists of him, his wife
There are three educational pathways for registered nurses. One is a two year community college program, earning a student an associate degree in nursing (ADN), a three year diploma program offered by hospitals and a four year university or college program, earning the student a bachelor’s of science degree in nursing (BSN). The practice of the ADN and Diploma nurse is the same. Each nurse is eligible to sit for the NCLEX-RN licensing exam. This paper will compare the competency levels of BSN and ADN/Diploma nurses.
Fidel Castro and the M-26-7 successfully seized power of Cuba’s government in 1959, after years of fighting. The M-26-7’s nationalist movement was able to knock the corrupt leader, Fulgencio Batista, out of power, and in 1961 Castro deemed the revolution to be officially of a Marxist nature. Throughout his 40-year stay as president, Castro has not allowed his revolution to stall, but rather he has allowed it to progress and adapt as he has seen fit. In relation with Castro’s revolution in Cuba has been another revolution, that of the Cuban women. Castro himself described the changes in women’s public and private lives as "a revolution within a revolution". In a true system of equality, as in the one Castro holds as his ideal, equality
Any nurse would admit that preparation to becoming a nurse is a difficult task. Mostly because the practice of nursing consists of many things to follow in order be a great nurse for the patient. To make the preparation less difficult for nurses or nurse to be, Ida Jean Orlando contributed to the Discipline of the Nursing Process to further prepare those in nursing. The Discipline of Nursing Process is a theoretical approach to nursing that follows a nurse-to-patient relationship that would improve the patient’s behavior to seek beneficence and autonomy of the patient (Orlando, 1972). This provides nurses or upcoming nurse the strategies to deal with real life circumstances in nursing and improves the skills of the nurse to improve a patient care. This piece will focus on the theorist, Ida Jean Orlando, the meaning of the nursing process and the reason for the nursing process, any discrepancies that may be associated with nursing such as medical procedures and professional nurses, studies associated with the use of the nursing process and how the nursing process influence personally.
Today when people move across continents with the help of technology their culture and heritage moves along with them. Almost each and every continent is populated with people from different nations who have diverse traditions and cultures. Thus knowledge of health traditions and culture plays a vital role in nursing. People from different cultures have a unique view on health and illness. Culture-specific care is a vital skill to the modern nurse, as the United States continues to consist of many immigrants who have become assimilated into one culture. I interviewed three families of different cultures: - Indian (my culture), Hispanic and Chinese. Let us see the differences in health traditions between these cultures.