In this essay I plan on addressing my concepts in caring for diverse cultural populations, how things have changed for me or not changed for me in caring for diverse cultures, and the importance of culturally competent care for patients. To begin my journey need to first assess my placement in each of the five categories. A very important area is cultural awareness. Thinking of cultural awareness the nurse needs to take into consideration a variety of different areas. The first area I would address is communication styles.
The importance of being able to communicate effectively is just as important as providing laity care. You have to be able to explain to the patient what is going on and if there is a language barrier and you cannot communicate effectively then an interpreter would needs to be used. According to Alleviate: Translation requires knowledge of medical terminology, a good memory, the ability to concentrate, and the ability to know how and when to edit messages so that the true meaning can be accurately transmitted. The ideal professional interpreter is bacterial and has a good grasp Of both medical and cultural nuances. Alleviate 1999, p. 1 1) The interpreter is a great resource to use when ring to convey difficult subjects or a lot of information to a patient. Secondly, learning styles are very important. As a nurse would have to take in to consideration the best learning style for me patient. Many cultures have different styles of learning. Some cultures learn from reading material, some learn from listening, and some cultures need pictures. When taking consideration for different learning styles like to take into consideration gender, age, and level of education.
This will also help me develop material that is educational and appropriate for my patient. An additional concept that I would apply would be understanding folk levels of different cultures. Patients have a tendency to bring their beliefs to light when something bad happens. Since I work in the health field as a nurse, most of the time, I encounter people when something wrong is going on with a patients’ health. Find this very interesting and think it is important that we don’t downplay their belief systems. It could come across disrespectful and potentially could push the patient away.
The ultimate goal with our patient is understanding why they believe in what they do. By doing this we can build a rapport with them and ultimately come up with the most beneficial care for hem. Lastly, the role of religion plays a huge part in the care of a patient who has a strong belief system. This pertains to numerous cultures and ethnicities. It is truly important to understand the patients’ views on medical care and how it will either help or interfere with their well-being. “Religious beliefs and customs may affect thee acceptance and the administration of more standard rehabilitation practices. ” (Alleviate 1999, p. 5) understanding why a patient will or won’t receive certain forms of treatment is important when dealing with medical issues and religion. It comes down to accepting someone’s oral and ethical viewpoints. “One well-known point of conflict is the refusal of a person who is a Jehovah Witness to allow a medical intervention if it requires a blood 1999, p. 15) This can conflict when caring for a patient, but as a patient advocate it is our job to understand our patients’ wishes and respect their right to religion. Moving on I would like to discuss how the concepts of cultural competence and my understanding has changed.
I can honestly say that never thought to myself going into nursing school the importance of having a trusting relationship with people from different cultures. Eve always been a compassionate caring person. That’s great in all, but compassion and care and only get you so far with your patient. First you have to be able to successfully communicate with your patient. Communication is the key to understanding your client. With this you will be able to tie a nursing assessment in with your understanding of cultural differences. “Understanding the concept of culture is the key to understanding cultural competence. (Alleviate 1999, p. 1) I never thought that communication would be a challenge in the medical field, so I had never given it much thought until I darted reviewing and learning about cultural competency. I know now it is part of my job to provide the best care possible for my patients. By doing so need to be able to communicate thoroughly. I have always understood that religion plays a big role in the medical care of some people. Knew that respecting ones wishes regarding their care or the care of loved ones would be an easy thing for me to do. It does come into to a different light though when dealing with life or death.
Ultimately, it is up to the person or the family member to make medical decisions regarding care. Most people who have strong religious convictions will have advance receives or someone who is appointed to make medical decisions for the patient. Although, there are people who have not had a will or advance directives put in place, and this would be an opportunity to educate them on the importance of doing so. This would be an area of change for me. Education is important when dealing with this topic, but also knowing how to accept someone else’s moral and ethical viewpoints is very important also.
Now would like to discuss the importance of applying patient centered and culturally competent care in my nursing practice. The ultimate goal here it so improve health care quality. It is important to me as a nurse to improve the quality of care that my patients will receive by improving my skills and knowledge in cultural competence. “The primary goal of the patient-centered movement has been to provide individualized care and restore an emphasis on personal relationships. It aims to elevate quality for all patients. ” (Camping-Become 201 1, p. ) Cultural competence is obtaining cultural information and then applying that knowledge. As a nurse, it is important when doing an assessment on a patient, to conduct a cultural assessment as well. By doing so this will help the nurse not only get a physical treatment for he patient but also make it culturally relevant to the patient also. Depending on what medical problem exists the nurse may have to come up with one or several culturally relevant treatment plans. It is important to understand the patient’s perception of the illness. There have been successful ways to conduct a cultural assessment. Berlin and Evokes suggested the mnemonic, LEARN, in conducting a cultural and Evokes 1982, p. 934-938) Listen, Explain, Acknowledge, Recommend, and Negotiate. This is a great guideline on determining the amount of information the patient already knows and this old give a great education opportunity as a nurse. Then this will help the nurse provide options for health care and if there are discrepancies with beliefs then it will keep an open door for negotiations. “Levine, Like, and Goodliest put forward still another mnemonic tool called ETHNIC. (Camping-Backdate 2011, p. 4) Explanation, Treatment, Healers, Negotiate, Intervention, and Collaboration. This mnemonic is very similar to the last one that I shared. After the nurse negotiates with the patient to find a mutual agreement for health treatment, whether it’s mutual or not the nurse an then provide an intervention to provide alternative treatments for the patients. Lastly with this mnemonic it is important to collaborate with the patient, family, other health professionals, and community resources to enhance to assessment process.