Curriculum Outcome : Patient Centered Care

The increasing population of immigrants in the United States has contributed to health disparities in the health care system. Cultural competence can remove health disparities by eliminating personal biases, and treating every person with respect. Simply recognizing and accepting different cultures is not enough, one must be able to consistently recognize and understand the differences in order to be culturally competent. Knowledge and culturally competent practices are a must for nurses to deliver quality care in our rapidly changing multicultural world (Edelman, 2014 p. 25).

Provides comprehensive safe, quality practice to achieve agreed goals and outcomes that are responsive to the nursing needs of people

rganizing the delivery of health care around the needs of the patient may seem like a simple and obvious approach. In a system as complex as health care, however, little is simple. In fact, thirty years ago when the idea of “patient-centered care” first emerged as a return to the holistic roots of health care, it was swiftly dismissed by all but the most philosophically progressive providers as trivial, superficial, or unrealistic. Its defining characteristics of partnering with patients and families, of welcoming―even encouraging―their

While working as a nurse in health care, there is a large diversity of people I will care for. Some specific groups are easier to deal with than others, and there will definitely be challenges due to diversity in my career. The easiest group for me to care for will be children. I love working with little kids, and it isn’t a huge challenge to get along with them to provide adequate care. While some children may fear the hospital and its staff, the majority of them won’t refuse your service because of who you are. I’ve heard stories of people who refuse to be cared for by those of a different race, and unless the child has already learned this behavior from their guardians they more than likely won’t refuse a health care provider for such reasons. Another easy group for me to care for will be those who are in the middle and lower class of society. While it isn’t fair to assume all of those in the upper-class have an “I’m better than you are” personality, that is the only attitude those I’ve met in the upper-class have presented me with. It will be difficult for me to deal with that kind of attitude from someone, especially when I’m providing them with the care that they cannot give to themselves. The people that I have interacted with from the middle and lower class have always been extremely friendly to me in the workplace. I used to work at Shopko, and if a coupon had expired, those who didn’t portray themselves as high class were the ones who apologized to me instead,

I am a Brazilian black male with military experience and diplomatic knowledge who grew up in a low-income household in a developing country. In addition, I have traveled to about 35 countries and am acquainted with people from different socioeconomic backgrounds, religions, ethnic groups and nationalities. These characteristics and experiences allow me to see the world from perspectives that are unusual for most people. Besides being open-minded and non- judgemental toward all my future patients, I personally understand the difficulties faced by people of color, immigrants and individuals from low-income families. In sum, my background and my cultural literacy will allow me to be a sensitive and culturally aware patient-centered care.

In a perfect world, race, ethnicity and culture would have no negative effect on the medical care we receive, yet problems do arise and it affects the quality of care the patient receives. Language barrier, poor socioeconomic status, and poor health literacy also contribute to health care disparity. For Lia, it was more than her skin color, it was all of the above, her parents did not speak English and they were illiterate. They had trouble understanding the American healthcare system, had trouble or little interest in adjusting to or understanding the American culture. They didn’t work, which in addition to cross cultural misunderstanding, helped contribute to animosity between the Hmong and the host community, because some in the Merced area did not like or appreciate the fact that some Hmong did not work and relied on welfare to make ends meet. All these factors, contributed to the poor quality of

• Patient-centered—providing care that is respectful of and responsive to individual patient preferences, needs, and values and ensuring that patient values guide all clinical decisions.

A nurse-patient relationship is the basic requirements in all practice settings. Its usage is to manage communication between an organization and a public while maintaining boundaries in the therapeutic relationship. Based on Peplau’s interpersonal theory, communication takes place in a nurse-client relationship where therapeutic process occurs involving complex factors such as environment, attitudes, practices, and beliefs in the dominant culture (seu.edu, 2015). The actions of each person in a nurse-patient relationship is measured on the collaboration of their thoughts, feelings, and experiences. Nurse’s work to attain, maintain, and restore the patient’s health until patient have fulfilled the health care needs. Patient must be guided and provided a well-respected environment until a better health and specific needs are fully considered in the relationship. In this kind of setting, nurse’s must create relationship with patients by communicating receptivity, assimilating the concepts of empathy, trust, genuineness, respect, and confidentiality into their interactions.

An ability to provide nursing care utilizing a holistic approach in compliance with the standards of The College of Nurses of Ontario and Ministry of Health and Long-Term Care

This mutually beneficial partnership helps health services and health care workers, place the person at the centre of their own care. It is simply treating patients as they want to be treated.

In the physical realm of patient-centered care pain, comfort, sleep, and rest are important aspects of the fourth dimension of patient-centered care. Patient-centered care is the complete focus of the medical team on providing respectful care to meet patient needs, preferences and values guide decisions on each individual patient care. To understand the subjective view of the patient, these four aspects are at the forefront of their needs within the hospital setting to provide the best patient outcome. Nurses provide good patient-centered care by actively partnering with patients to determine care priorities and plans to tailor their level of involvement, according to their preferences, and being flexible by changing the care plan as the situation changes including providing smooth transitions between care goals. By doing this, nurses can assist patients with all pain by providing comfort and assuring the patient that there will be no deficiency of their quality of sleep.

Aside from the Giger and Davidhizar Model, I will also be focusing in on Hispanic culture regarding children and families. Some parts of the United States are more diverse than others; however, according to the Economic Policy Institute, by 2043 “nonwhite racial and ethnic groups will make up more than half of the U.S. population” (Wilson, p. 1). This is important as health care workers because our duty is to the patient and not to our beliefs regarding ethnicity. The four nursing guidelines as described by the ANA Code of Ethics are to restore health, prevent illness, alleviate suffering, and promote health. Through these we are called to treat every patient equally and provide them will loving care (Slate,

The other challenge was different personalities among the nurses. Some nurses especially from the surgical units seemed to down look others from other units such as labor and delivery. However, this problem was solved by addressing the members on the need of putting all our differences aside and working as a team to help the patients (Cameron, Harbison, Lambert & Dickson, 2012).

From an early age we are instilled the importance of teamwork. The lessons may come from a soccer field, a classroom group project, or even a song on Sesame Street. Regardless of our future careers, we are all likely to experience some sort of teamwork requirement, even if it is as simple as getting along with your co-workers.

This means people from different disciplines all working together with the same goal or interest, it involves doctors, nurses, physios, occupational therapists, social workers and many other agencies working in the best interest of the patient. This ensures that continuing care is a smooth process from hospital admission and beyond. Respecting work colleagues and working as a team, listening to their contributions and sharing your knowledge will have an important impact on the patients care, maintain their dignity and respecting this will give the best outcome for them. This aspect of the NMC code sets good standards and guidelines for understanding the principles when providing nursing care, nurses have a responsibility to deliver safe and effective care for the best interest of the patient, which is