NRS 429V Week 4 Discussion 1 NEW SYLLABUS

NRS 429V Week 4 Discussion 1 NEW SYLLABUS
NRS 429V Week 4 Discussion 1 NEW SYLLABUS
 
Using the family structural theory (see the textbook as a model) how can families created following second marriages learn to function as one?
 
NRS 429 Topic 4 DQ 1 OLD SYLLABUS
What are the methods a nurse can use to gather cultural information from patients? How does cultural competence relate to better patient care? Discuss the ways in which a nurse demonstrates cultural competency in nursing practice.
NRS 429V Week 4 Discussion 1 NEW SYLLABUS
PARDEEP
Re: Topic 4 DQ 1
Nurse can gather patient culture knowledge with various ways, In this Nurse can talk to the patient and can explore the patient to get more knowledge about patient’s culture, beliefs and traditions. Nurse can research online the different cultures and beliefs and traditions of particular race or religion of the patient. Maintaining a level of awareness of the culture around a service area enables a Nurse to quickly assess the medical needs of the patient as well.
Berlin and Fowkes designed the memonic, LEARN in conducting the Culture assessment
Listen– Nurse should always pay attention about what is patient saying and what is his/her perception regarding his/her disease.
Explain-Explain your perception about the patient’s problem to patient, that what do you understand or perceive about the diagnosis.
Acknowledge– Always acknowledge the similarities and differences between patient perception and your perception.
Recommend- Nurse can recommend the patient based on the conversation in first 3 steps, according to her/his understanding.
Negotiate– Sometime patient may need negotiation in a treatment plan. To provide the best care possible sometimes negotiation is necessary.
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Understanding the different cultures helps to provide high quality care to the patients. When patient comes to the hospital, they may be highly stressed because of pain, nerves, fear and worry, especially in this pandemic when family cannot visit the patient, nurse can play a role of family member and health team member as well, in this Nurse understand the patient culture beliefs and traditions, patient can feel more comfortable and will feel in safe hands more. Being cultural competent means nurse to be aware of differences related to culture and adjusting plans for care in according to the patient’s choices and beliefs (Grand canyon University,2018) Nurses always be continuing their eduction in order to be culturally competent. If patient is behaving more traditional health care system then it will be easier for the nurse to provide care since they seek meidcal attention from license professionals (Grand Canyon University,2018).
Reference
Grand Canyon University (Ed). (2018). Health promotion: Health & wellness across the continuum. Retrieved from: https://lc.gcumedia.com/nrs429vn/health-promotion-health-and-wellness-across-the-continuum/v1.1/
 
RESPOND
Hello Pardeep,
I agree with your statement that, “Maintaining a level of awareness of the culture around a service area enables the nurse to quickly assess the medical needs of the patient as well”. It is evident that with the increased cultural awareness of the nurses they will be better placed in terms of communication with the patients, which in itself is a major step towards ensuring delivery of quality healthcare services (Kaihlanen et al., 2019). Cultural competency of the nurse is likely to improve the patient’s safety and promotes patient’s satisfaction. Furthermore, it will promote patient’s adherence to the treatment and enhance information seeking and sharing between the patient and the nurse (Jongen et al., 2018). There are a number of ways a nurse can use to gather cultural information from the patients, these include having unstructured interview with the patient which will allow the nurse more freedom to get deeper and obtain more information from the patient. Secondly the nurse can obtain the information through observation and interaction with the patient and family members. During the interaction the nurse should create a rapport with the patient and build trust, this will result to the patient opening up and giving more information that would be culturally sensitive hence promote better understanding of the patient’s beliefs, traditions, religion and culture. A nurse can demonstrate cultural competency by allowing the patients to practice their own traditions, culture and religion while undergoing treatment as long as it does not affect the treatment regimen. If in case any aspect of culture or tradition or religion undermines the treatment procedure, a culturally competent nurse might involve family members and together reach out to the patient and discuss with the patient on the best possible way undergo the treatment but still enhancing the cultural components to achieve a win-win situation.
References
Jongen, C., McCalman, J., & Bainbridge, R. (2018). Health workforce cultural competency interventions: a systematic scoping review. BMC Health Services Research, 18(1). https://doi.org/10.1186/s12913-018-3001-5
Kaihlanen, A.-M., Hietapakka, L., & Heponiemi, T. (2019). Increasing cultural awareness: qualitative study of nurses’ perceptions about cultural competence training. BMC Nursing, 18(1). https://doi.org/10.1186/s12912-019-0363-x
 
 
WHITNEY
Re: Topic 4 DQ 1
The best way to gather patient’s cultural information is through assessment. The Heritage Assessment Tool (HAT) is one way to gather patient cultural information. This questionnaire discusses family history, where they grew up, and what type of school they attended, their spiritual / religious beliefs, and cultural preferences (Falkner, 2018).
The Centers for Disease Control and Prevention (CDC) recognizes cultural competency as the ability to operate effectively in various cultural contexts, and changing practices to reach every cultural group (CDC, 2020). Cultural competencies the ability to care for everyone, regardless of race, ethnicity, socioeconomic status, or culture. A nurse must be able to care for all patients even if their beliefs and value differ from their own in order to provide culturally competent care. This helps eliminate health care disparities that are so prevalent. It doesn’t mean a nurse needs to know all there is to know about every culture, but they must realize where they lack in understanding, and keep an open mind. Then use the cultural preferences to guide their care (Falkner, 2018).
 
Falkner, A. (2018). Cultural Awareness. Retrieved from https://lc.gcumedia.com/nrs429vn/health-promotion-health-and-wellness-across-the-continuum/v1.1/
The Centers for Disease Control and Prevention. Cultural Competence In Health and Human Services. (2020). Retrieved from https://npin.cdc.gov/pages/cultural-competence
 
RESPOND
Hello Whitney,
I do agree with you that a nurse should be able to provide care for all regardless of their social, cultural, traditional or religious affiliations or beliefs.  And this is what really defines a culturally competent nurse. In a diverse and globalized world, the component of cultural competency in nurse practice is a valuable skill and it has emerged to be a more relevant than it was initially (How to Strengthen Cultural Competence in Nursing Practice, 2018). The nurse can gather cultural information from the patient through the interviews with the patient, through observation for instance by checking on the documents of the patients and sometimes the mode of dressing, especially for some religions. A nurse can demonstrate cultural competence by enhancing improved communication with the patient and acknowledging the cultural differences that do exist (A Guide to Culturally Competent Nursing Care, 2019). Additionally, the nurse can include the patient’s opinion and seek information on matters of decision making on some medication, procedures or processes as long as it does not compromise the quality of care
References
A Guide to Culturally Competent Nursing Care. (2019, February 20). Alvernia Online. https://online.alvernia.edu/articles/culturally-competent-nursing-care/
How to Strengthen Cultural Competence in Nursing Practice. (2018, February 13). MAS Medical Staffing. https://www.masmedicalstaffing.com/2018/02/13/cultural-competence-in-nursing-practice/
 
 
 
 
PATRICK
Re: Topic 4 DQ 1
It can sometimes feel uncomfortable to ask a patient about their culture as it may feel as if it is too personal and unrelated to their medical care,  however it is important to express that it is in fact an impactful part of the care provided as a nurse. Their culture is a part of who they are and how they will heal, acknowledging that will make their stay and recovery better suited to their needs. The simplest way is to ask in a straightforward manner, “Do you have any religious or cultural beliefs that would effect your care?”. In order to provide culturally competent care, a nurse should be open and aware of their patient’s differences without judgment, regardless of their ethnicity, spoken language, race, traditions, or socioeconomic background (Falkner, 2018). Over time, the nurse can pick up on cues after more exposure to other culture’s beliefs, such as ice water or room temperature, pain medication or comfort measures, blood products or not. The nurse can begin to use this recall in the future and ask in an innocous way based on comfort and preference.
Beliefs of patients will differ from the nurse’s, yet they share a common goal of returning the patient to optimal health. There is a difference between a patient having different beliefs on what they feel works for them versus a knowledge deficit on their condition, they may fully understand what is happening with their body and may still prefer not to consume medication, instead relying on alternative treatments such as accupuncture, herbal remedies, or meditation (Lavretsky, 2017). Patients must always be given their autonomy. The nurse must adjust their approach to include these treatments (not perfomring them per se), still offering care in the areas the patient is willing to accept. When a nurse builds this rapport, there may be more trust and willingness to receive care or information they were initially hesitant about.
 
Falkner, A. (2018). Cultural awareness. Retrieved from https://lc.gcumedia.com/nrs429vn/health-promotion-health-and-wellness-across-the-continuum/v1.1/
Lavretsky, H. (2017). Complementary, alternative, and integrative medicine use is rising among aging baby boomers. The American Journal of Geriatric Psychiatry, 25(12), 1402-1403. doi:10.1016/j.jagp.2017.08.004
 
RESPOND
Hello Patrick,
I agree with your statement,” In order to provide culturally competent care, a nurse should be open and aware of their patient’s differences without judgment, regardless of their ethnicity, spoken language, race, traditions, or socioeconomic background”. Indeed, this is the true meaning of a culturally competent nurse (A Guide to Culturally Competent Nursing Care, 2019). The nurse should be equipped with skills, knowledge and attitude that will embrace diversity and handle the patients differently based on their cultural or religious beliefs without compromising the quality of care. I also agree with you that sometimes its uncomfortable for the nurse to ask some questions especially if it is not related to medical and it might result to significant miscommunication. Therefore, it is the responsibility of the nurse to be able to communicate to the patient and emphasize on the need for such information to help on the course the treatment process (Jongen et al., 2018). In their practice nurses can show cultural competency by promoting listening to the patients point of view and advising them appropriately, enhancing patient participation in their treatment process and giving information to the patients or family members on the options of treatment or care available for the patient.
References
A Guide to Culturally Competent Nursing Care. (2019, February 20). Alvernia Online. https://online.alvernia.edu/articles/culturally-competent-nursing-care/
Jongen, C., McCalman, J., & Bainbridge, R. (2018). Health workforce cultural competency interventions: a systematic scoping review. BMC Health Services Research, 18(1). https://doi.org/10.1186/s12913-018-3001-5
 
 
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