Proposed strategies
The first step to promote culture, as a determinant of health is to have a case conference with the resident, the family and multidisciplinary care team. The Australian Society for Geriatric medicine (2001) indicated that the best way of meeting health needs of people in aged care is through a Case Conference. Having the multidisciplinary team members, family and the caregivers gives the opportunity to discuss issues and bring about a solution (Halcomb 2009).
The second step is the development of care plan specific to Barina’s cultural needs. The information needed can be gathered at the case conference. Because there are other staff involved in Barina’s care they also need to be involved in developing and implementing the
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Language is a key barrier in Barina’s case and if the staff and residents understood Barina’s language it would be beneficial to Barina and others involved in her care. Having an interpreting service available to help with people like Barina could make a huge difference to Barina and people involved in her care, as they will be able to understand Barina and meet her needs accordingly (Keehan 2013).
A research conducted by Lucanin & Lucanin 2012 showed that there is strong association between health, functioning and psychological factors. Barina is in a situation where people do not speak her language and she doesn’t know anyone. This may affect her psychologically leading to decline in her health and functioning. So she needs to be encouraged to participate and maintain her independence.
The management also needs to hire people form different culture. Having people from different culture will help staff with interpretation, understand better about different culture and become more acceptable of different culture and understand that health needs differ form culture to culture (Betancourt
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Case conference involves and takes time, so the manager should be providing staff with necessary resources. The manager and the care coordinator should encourage and promote staff to focus on person-centered and culturally competent care through trainings and handover meetings. The care coordinator or any supervisors at the floor level have to ensure that everyone involved in Barina’s care is following the plan of care.
Who needs to be involved?
The people involved are the people involved in Barina’s care, which includes the manager, the family, the multidisciplinary care team, the care staff and the lifestyle staff.
The manager to provide necessary resources and training, the care coordinator for developing plan of care and making sure everyone is following the plan of care, the care staff for providing necessary care for Barina, the multidisciplinary care team to discuss any issues regarding care and find solutions and the lifestyle staff to promote healthy lifestyle and maintain health.
Having a staff that understands Barina’s language in each shift would be helpful for Barina and the staff involved. The residents at the facility could also play a part by supporting Barina and making her feel welcomed and she is a part of the family.
Resources and support
There are physicians, recreational therapists, dietary/nutritional and nursing staff as well as Environmental staff. You have administrative professionals including the facility administrator, Director of Nursing and Human Resource Personnel.
For example; If a patient does not speak the language of which country they are in, interpreters or translators may be needed in order to help communicate with people from the local area. These are important to keep the person informed about what is happening and what is going to happen. Supporting individuals to express their needs and
The first semester of internship, I realized Ben Massell Dental Clinic (BMDC) provide serve to a lot of people. BMDC deliver services to people of many different races, gender, belief, and customs. A high percentage of clients that BMDC serve are African American and Caucasian. There are few Native Americans, Pacific Islanders, and Hispanics. Along with cultures, there are different languages. Unfortunately, at the clinic, there is only one language that staff members know, which is English. In the waiting area, there are magazines for clients to read that is in English and only English. There have been a few moments, where BMDC have encountered a client who does not speak English. Lucky, the clients, would come in with a family member or friend that can translate for them. There are times when members of the clinic try to contact the client, who does not speak English, and no one is around to translate for them. The client and the worker have a difficult time understanding each other because of the language barrier. Eventually, leaving the customer to become frustrated and having to find out information later or not at all.
As stated in, CMSA Standards of Practice for Case Management, the core steps of case management are: 1. identifying and selecting clients, 2. recognizing problems/opportunities and making an assessment, 3. developing the plan of care, 4. implementation of the care activities, 5. evaluation of the case management plan, 6. termination of the case management process (Marion et al., 2010). All the steps allow for an organized process to occur when evaluating a patient and creating a proper, specific care plan for them. The case managers use evidence based guidelines to create their observations and assessment on the plan of care (Marion et al., 2010).
One example of conflicts that exist among providers and some of the people we serve are challenged with a trio of cultural, linguistic, and health literacy barrier. Nurses are the key people to facilitate the interconnections between patient’s
Another outstanding point that you made in reference to applying cultural competence in your personal life is phenomenal. I believe getting to know who we are will help us pinpoint the areas that are not the strongest when providing cultural care to patients. Allowing us to work on our weaknesses and become proficient in the areas we lack. In order for us to become an expert in cultural competency and cultural care we need to apply it in every aspect of our lives.
Provides leadership guidance over all departments within the hospital in the absence of Administration. Addresses patient care issues, staffing of departments according to a financial grid, and oversees hospital conflicts that arise. Provides leadership supervision over staffing coordinator, nursing departments, and performs administrative leadership roles. Investigates occurrences during the shift, ensuring appropriate documentation and resolution. Determines if an issue warrants support from the Administrator on call. Collaborates with patients, family members, and physicians to ensure patient needs are met and outcomes are positive.
In 2004 my grandmother and I moved from Haiti to United States without a speck of English in our language. After few years living in the states, my grandma started to get ill and she had to seek monthly medical assistance. At the time, my mother was working multiple jobs and I was a full time undergrad student that lived on college campus. Our busy schedule posed a challenge for us to bring grandma to her medical appointments. Most times it was hard for us to find someone to go with her and assist her with language translation. When it was time for her to go by herself, the health providers would have trouble finding a professional translator on the spot to assist my grandma. This became a repetitive problem and my grandma’s case was not getting any better. If she had the ability to communicate with her provider using her own language, she would have been able to be more expressive about her symptoms and the doctors would have assisted her to her needs. Just like my grandma, many people that speaks little to no English, are having trouble interpreting their medical diagnosis and communicating with their healthcare providers.
Healthcare organizations should strive to have a diverse workforce that reflects the communities they serve. According to a study by Williams et al. (2019), "diversity in the healthcare workforce may lead to improved access to care and patient satisfaction. " Having staff members from different cultural backgrounds not only enhances the organization's ability to provide culturally competent care, but also fosters a sense of belonging and understanding among both staff and patients. Another strategy that healthcare organizations can implement is having their policies and procedures reflect their promotion of diversity, equity, and inclusion.
Our nursing team provides individualized care during the scheduled visits and also provide support and valuable information to family members on how to care for their loved one. Members of our nursing team add that personal touch to professional services that make our care compassionate. RN Case Manager will be responsible for your overall care and managing your needs along with DON. Nurses visit the patient as often as necessary and coordinate delivery of medication and equipment to helping hands to patient and family.
This leader is the Nursing Supervisor of a Post Anesthesia Care Unit. She supervises 12 registered nurses and 4 logistic technicians. She earned a degree in Bachelor and Masters in Nursing. The leader’s role includes utilizing her expertise in the nursing process and delivery of high quality patient focused care. She oversees her team members and acts as a role model and resource person. She also helps the manager with budget planning, staffing, scheduling, monitors meal breaks, work attendance, tardiness and overtime. She aids the manager in creating departmental goals, initiating interdepartmental collaborations and participates in the evaluation of newly hired employees. She conducts her team’s annual individual evaluation. She acts as a catalyst for effective changes within Nursing in the unit. She collaborates with the organization by actively participating in quality improvement projects. She is the team leader for the committee on shared governance in the unit. Her clinical responsibilities includes providing direct and indirect patient care in accordance to the National Patient Goals and Policies. This includes following guidelines such as identifying patients correctly by using two patient identifiers. The date of birth and medical record number are confirmed prior to giving medications or sending blood specimens to the laboratory. Another example is monitoring staff to
The effective patient-centered, culturally competent, holistic care can be provided only by culturally competent nurses, able to “recognize and understand the differences in their culture and the culture of others; to respect other 's values, beliefs, and expectations.”(Edelman, Kudzma, Mandle, 2014). In order to provide quality, safe and efficient care and meet patient 's needs, nurses must expand their cultural knowledge, be aware about patient 's culture, and have “an honest desire to disregard personal biases and to treat every person with respect.“(Edelman, Kudzma, Mandle, 2014). The Heritage Assessment Tool (HAT) was introduced by Rachel Spector in 2000. This tool assists “to determine both inter and intra-ethnic group differences in respect to a given heritage and also to traditional health and illness beliefs and practices:” (Spector). The HAT is a combination of twenty nine questions, aimed to gather information from different families: about the family members, place of birth, relationship within the family, language, beliefs, traditions and etc. The information, gathered during the HAT interviews, is useful to understand more about the patient 's culture, beliefs, traditions, spiritual beliefs, patient 's understanding of health and illness before starting the care and developing an individual care plan related to health maintenance, health protection with health restoration. According to R. Spector, being “culturally sensitive, culturally appropriate, and
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