Is It Safe Care For Justin?

“Health is influenced by culture and beliefs” (NRS-429V, 2011, p. 1). In order for the nurse to properly care for the patient, she must know and understand the patient’s culture. “Cultural care is a comprehensive model that includes the assessment of a client’s cultural needs, beliefs, and health care practices” (NRS-429V, 2011, p. 1). It is not enough to just know where the patient lives or where he came from. The nurse must embrace the concept of cultural competence and cultural awareness. This requires not only the awareness of the cultural beliefs and values of their patients, but also

Cultural safety and patient centred care are terms commonly used in the training of health care professionals. Each term focuses on best practice techniques while promoting a holistic manner of care for patients. As a concept, it enhances the professional and ethical role of health practitioners. Cultural safety and patient centred care are aspects which are crucial for health professionals who strive to deliver the highest level of quality care to all patients (Nguyen, 2008). This essay will analyse and demonstrate that cultural safety is patient centred care by using examples from practice. Through this it will discuss professional standards, science, health policies and health models.

Cultural competence in nursing is imperative for effective patient care. A nurse must know his or her own values and beliefs as well as knowing about a patient cultural practices in relation to healthcare. Cultural competence is defined by some as: “the learned, shared and transmitted values, beliefs, norms and lifeways of a particular group that guides their thinking, decisions and actions.” Also it is noted that an important change to this definition is “the recognition of the dynamic,

Critically analyse one of the main challenges, barriers, and enablers for cultural competence in health care when working in a cross-cultural environment.

Cultural competence can be defined as using the ability of one’s awareness, attitude, knowledge and skill to effectively interact with a patient’s many cultural differences. Madeline Leininger, a pioneer on transcultural nursing describes it this way; “a formal area of study and practice focused on comparative human-care differences and similarities of the beliefs, values and patterned lifeways of cultures to provide culturally congruent, meaningful, and beneficial health care to people” (Barker, 2009, p. 498). The importance of cultural diversity in healthcare allows for the delivery of appropriate cultural autonomy. Showing respect for others will lead to trust between nurse and

Cultural Competence is important for many reasons. First, it can help develop culturally sensitive practices which can in turn help reduce barriers that affect treatment in health care settings. Second, it can help build understanding, which is critical in competence, in order wards knowing whom the person

How can nurses successfully work with and care for the nation's increasingly diverse patient population? Here are some general guidelines: Don't make assumptions, explain every detail to the patient, ask about alternative approaches to healing, withhold judgments, and accommodate and educate. To deliver truly culturally competent care, "We have to look at where our patients are coming from and what their ideas of wellness and illness are," Hasenau says.

Cultural aspects of holistic assessment is relevant in the provision of nursing care as it provides the care team with an overview of cultural needs of the patient as well as providing information in which the patients’ health problems have arisen. Culture is defined as values, beliefs, artifacts, behaviors, attitudes and customs influencing and regulating interactions between members of a social group (Stein-Parbury 2010: 91; Johnstone 2006: 67). It is the nurses responsibility to adhere to the ANMC, competency 2.3, ‘accepts individuals/groups to whom care is provided regardless of race, culture, religion, age, gender, sexual preference, physical or mental state’ (ANMC 2006, p. 4). Kozier & Erb (2012: 360) discuss that cultural sensitivity, appropriateness, competency and safety are all factors that are required to be taken into consideration so that the patient can be provided with the best possible health care. Kozier & Erb (2012: 360) also explain that conflicts in health care have been apparent due to cultural misunderstandings. An example of a cultural misunderstanding is the level of pain. In some cultures, it is normal to dramatically express ones level of pain whereas in other cultures people do

Mental health illnesses affect everyone. It is highly prevalent affecting people of all ages, gender, cultures, and social groups. Attitudes towards mental health illnesses vary among individuals and often are highly influenced by the various cultures that the individuals identify with. Culture as a social concept can be defined as a set of norms, values, behaviours, and beliefs that are common and shared amongst a group of individuals (U.S. Department of Health and Human Services, 1999). Culture can be applicable to groups like Asians and Americans but also to groups of shared norms, beliefs, and values established within professions such as the culture of patients and practitioners. Culture provides these groups with structure and context to understanding their society and the world as a whole. Culture influence a wide range of aspects of mental health, including how mental health is perceived by the patient, how the patient will experience mental health stigma, and how they cope with symptoms of mental health illness. Additionally, these cultural influences impact the relationship between the patient and the practitioner in a number of ways.

Nurses have the responsibility of caring for a diverse group of people. These people come from different cultures, races, and religious backgrounds. Religion plays a major role in patient care and has for many years. Cultural competency is a major component of nursing practices. Understanding culture is imperative in knowing what is important to a patient and how to address his or her healthcare needs. Understanding culture is also important when determining what suggestions to make about interventions for treatment. Culture is defined as many people interacting and sharing with one another their patterns of behavior, beliefs and values (Burkhardt, G. & Nathaniel, A., 2014).

When creating care plans for children it is so important to include the child’s family in their care as it will benefit in this case both James and his family in helping to meet his milestonesIt is especially important when creating care plans for children to include where possible the philosophy of children’s and young person’s nursing which is family centred care. (Glasper and McEwing, 2010). Family centred care does not mean that parents have to remain with their child at all-times in hospital.it Care planning is all about prioritising what is best for the patient and putting the patient first (in this scenario James) but also incorporating family centred care in the patients plan. As discussed in care plan 3, we saw how James experienced anxiety as a result of hospitalisation for the first time and how his mother also suffered from anxiety as a result of not being able to stay with James all the time. In spite of this, James’ individualised care plan alleviated this problem by assigning him a nurse that he built a trusting relationship with and by creating a home environment for him by bringing in some family photos and comforts like his blanket and favourite toys.

Cultural competence is defined as a set of behaviours and attitudes that professionals must encounter to work effectively in cross-cultural situations. (National Institute of Health, 2015) Cultural competence enables professionals to adopt policies and procedures that reflect the varied mix of cultural differences and be open minded to new culture. (Adler et al., 2009) Cultural competency is a crucial aspect in the delivery of patient care in a pharmacy or any other health system.

Tim is a Twenty-year-old Jehovah Witness that is in the hospital diagnosed with a condition that will be fatal within days, without a blood transfusion. Jehovah Witness’s refuse all blood products, as a matter of religious beliefs (Wiley-Blackwell, 2013). Tim is very ill and getting sicker by the moment, before coming to the hospital the family utilized customary practices within their culture and religion, finally, bringing Tim into the hospital when he was nearing death. The Peer Advisor is called in by the charge nurse on duty, Cathy; she is concerned about her staff in coping with this situation, the family is aggressively faithful, often getting in the way to pray over Tim, while the caregivers are administering important medications, the situation is dire for all involved. All of the hands on care givers feel that Tim, wants to live, however, feels forced to adhere to his parent’s beliefs. It is imperative that the Peer Advisor engage all available resources to assess and advise in this situation, this includes the psychological liaison, clergy, legal, patient liaison, and cultural leaders, all available for guidance (APA, 2002 pg.5: 2.05). Once the Peer Advisor reaches the floor they speak with the charge nurse to get an overview of the situation. (APA, 2002 pg.6 3.10).

Communication is the leading factor in heath care errors (book). (Treas & Wilkinson Book p463) defines communication as “a dynamic, reciprocal process of sending and receiving messages. The messages may be verbal, non-verbal,

2015). As Kathleen’s radiotherapy to reduce her risk of metastases progresses she will present with new symptoms, and increasing care needs which will not be met within her community (Bryant & Knights 2015). Although Kathleen has palliative care respite planned, this is causing distress for both Kathleen and Ann. Cultural sensitivity is needed, as the palliative care at the local hospital is required, but separating Kathleen and her daughter may be detrimental to the patient’s health (Farrell 2017; Wicking 2015). The health of Indigenous people encompasses physical, social, cultural, and emotional wellbeing of their entire community, so having Kathleen spend as much time as possible in the community, or exploring options for Ann to stay with Kathleen in hospital is essential (Duggleby et al.