Culturally Sensitive Care: A Case Study

If a Jehovah witness comes into the hospital in need of a blood transfusion the doctors and nurses must respect the patient’s wishes not to have a blood transfusion.

A lot of people are unfamiliar with Jehovah’s Witnesses (J.W.) population and their religious believes. As stated in the Funk & Wagnalls New World Encyclopedia, J.W., Christian sect, founded in 1872 in Pittsburgh, Pa., by the American clergyman Charles Taze Russell, with congregations throughout the world. The legal governing body of J. W. is the Watch Tower Bible (Funk & Wagnalls New World Encyclopedia, 2014). After researching the values and beliefs of J.W. and comparing them to Christianity, Professor Watson found quite a few differences (Walston, R., 2004). One of the major differentiating characteristics of J. W. is their refusal to accept blood transfusions because it is considered to be a sin. Members of this sect refuse blood mainly based on the Book of Acts that says to abstain from blood. They see blood as

Jehovah's witnesses’ faith allows them to seek medical help; however, they do not accept blood transfusions. This belief arises from a biblical passage that states "Only flesh with its soul- its blood-you must not eat (Genesis 9:3-4), "You must not eat the blood of any sort of flesh, because the soul of every sort of flesh is its blood. I will set my face against that person who eats blood...Anyone eating it will be cut off” (Leviticus 17:10, 13-14). These passages are interpreted by Jehovah's witnesses as forbidding the transfusion of any blood products. The following presentation will address legal and ethical issues that can arise from this scenario.

Both articles express how important it is to be culturally self-aware and in touch with your personal beliefs, views, and morals. If you aren’t aware of what your cultural beliefs are you won’t be able to provide you patients with the cultural care and respect that they require in their recovery to become healthy again. In addition, the two articles (Newson 2009, Byrson 2012) both talk about how important it is to be open minded with people who may have a different opinions and views on certain things. If you aren’t open to treating you patients in the cultural way that they want to be treated, your patient will feel disrespected and unimportant. Therefore, their health will suffer because of your incompetence to accommodate their cultural needs. A nurse needs to be culturally self-aware, they need to know what their own personal views are first so they can understand that not everyone’s views will be the same. This means they need to be capable of being open and accepting to other people’s cultural wants and needs. By being these two things you will be able to provide people of all cultures with the respect and treatment they

It is important for policy makers to create services that are culturally sensitive since the United States is a culturally diverse country; moreover, Healthcare professionals needs to be culturally competent so that they can guide policy makers in making sustainable systems for individual communities. “Efforts to improve cultural competence among health care professionals and organizations would contribute to improving the quality of health care for all consumers” (GeorgeTown Health Policy Institutes, 2004, para 31). Language barrier is another culture issue that prevents the community from getting the care that they deserve. “Cultural and language differences and socioeconomic status interact with and contribute to low health literacy, defined as the inability to understand or act on medical/therapeutic instructions” (Shaw, Huebner, Armin, Orzech, & Vivian, 2009, p.1). There should be health policy addressing this issue because of the confusion and inappropriate treatment that many

The main ideas that Lisa Bourque Bearskin is stating in this article is that nurses need to be more sensitive to cultural care. They need to be aware of the issues in healthcare and strive to remove any barriers for certain groups, such as the first nations, and they need to disrupt any unequal relations in the social, political and historical aspect of healthcare. The way this can be done is by shifting their thoughts from cultural competence to cultural safety by way of relational ethics. Cultural competence is explained as the knowledge, skills, and attitudes that nurses need to use to care for cultural differences. Another framework described cultural competence as going through the stages of cultural awareness, cultural knowledge, cultural skill, cultural encounter, and cultural desire. Cultural competency works very well when making policies in an agency but this view fosters a view of culture that does not encourage nurses to ask questions. (Bearskin, 2011) Cultural Competence causes different cultures to be put in a box, which cannot be done because cultures are constantly changing and every person’s culture is different. Culture is individual. Lisa Bourque Bearskin goes on to say that cultural safety is what nurses should use for ethical practice. In cultural safety, a nurse must strive to improve health care and its access for all people, while recognizing that there are many different cultures that have a right to be recognized. Bourque

Allowing someone to die: Some religious affiliations (Jehovah’s witness) will not receive a blood transfusion. They have decided not to take advantage of medical technology to preserve life. If such person is in a life & death situation and required a blood transfusion in order to survive the choose to die vs. receiving a blood transfusion.

Cultural competency is a set of appropriate behaviours, attitudes and policies among professionals and enables them to work efficiently in cross-cultural situations (NCCC, 2006). A culturally competent health care system can eliminate cultural inequities, provide greater quality of care, and have less patient dissatisfaction and more positive health consequences. A conclusion reached in a study (Palafox et al., 2002) states, culture influences the outcome of medical examination and; therefore, it is vital to provide culturally competent health care services. Cultural competency is especially important in the context of radiographic examination due to the variety of culturally different patients a radiographer comes in contact. The following case study effectively highlights the impact of cultural competency.

Cultural competence in health care describes the ability to provide care to patients with diverse values, beliefs and behaviors, including tailoring health care delivery to meet patients’ social, cultural and linguistic needs. The need for healthcare systems to increase cultural competence and personalize care for ethnic patient minorities should not be ignored. Healthcare systems should promote better understanding and communication between diverse ethnic patients and caregivers. Hospitals should design a system that caters to the needs of all the populations they serve and not just apply a one-size-fits-all approach. Becoming a culturally competent health care organization is a critical component in reducing health care disparities.

Notably, Jehovah Witness patients’ religious teachings prohibit their believers from Blood transfusion, euthanasia, autopsy and Artificial insemination. These medical practices are against the Biblical teachings of the Jehovah Witness since they consider them to be unholy. Further, they believe the medical interventions to interfere with God’s intentions for human life hence they disallow their followers from practicing

The United States is a diverse accumulation of cultural backgrounds which can often set the stage for feelings of confusion, anger, mistrust, and a host of other emotions when dissimilar cultures disagree. Cultural competence in nursing can help eliminate these barriers and provide a platform for nursing to follow in the quest to understand a patient's culture and background. When a nurse takes the time to learn about a given culture prior to providing care, it conveys she respects the patient's right to their beliefs, customs, and culture. It does not necessarily mean the nurse agrees with their practices but

For many people Christianity is the religion of choice and a way of life. Jehovah?s Witnesses are one subgroup of the Christian faith. The JW religion was founded in 1872 by Charles Taze Russell. They comprise 1.2 million of the U.S. population (Campbell, Y., Machan M., & Fisher, M., 2016). They present a unique challenge to the medical community because of their stance on blood transfusions. Part I will provide a

In the case where the patient makes their strong religious beliefs verbal to the healthcare provider they have an obligation to make certain there is no documented religious preference in their previous records or if the patient has a Living Will on file. The recent admission documentation may have been entered incorrectly or the patients religious preference many have not been transcribed. If this was my patient and he expressed his strong objections to a blood transfusion. I would have documented this and brought this to the attention of his doctor prior to the procedure. Also, I would exhaust every avenue to insure that this patient had no documents on file. The healthcare provider should feel an obligation to check all prior admission documentation available in unique situations. I believe this is incumbent that personnel make the best choice possible in sensitive cases. Also, contacting the patient’s primary care physician may offer some missed documentation concerning the patient’s religious preference. If no religious preference past or present has been documented. I would ethically have a problem with the blood transfusion based on my conversation with the

As nurses, we adjust our care accordingly to each patient. It is vital that we not only assess our patients physically, but assess all aspects of their lives, including their cultures. For this paper I will discuss the key components of a comprehensive cultural assessment. I will also choose two of the key components and discuss my own culture and how it affects my attitude to culturally diverse care. Last, I will identify two nursing diagnoses that would relate to a patient with a culture other than my own, as well as give proper interventions.

"You shall not eat the blood of any creature, for the life of every creature is its blood" (Lev. 17:14). This is just one of the several scriptures found in the bible from which the Jehovah Witnesses base their beliefs. To summarize the above excerpt, Jehovah Witnesses strongly believe that contributing to the health of their bodies by way of any type of blood material is not intended by God’s will. However in dire cases, ethical questions need to be raised regarding the patient’s mental capacity and legal competence. In particular cases concerning minor patients, where mental capacity is accounted for, parents should not have the dominant opinion about how their child wants to receive surgery based on their own personal beliefs.