Nurses playing an important role in communication with the patient. ”communication is a life long learning process for nurse.’’(P & P). Nurses are working with patients and their families from their birth to death. It is mandatory to the nurse to maintain or create a therapeutic relationship, communication throughout their caring process. For effective communication the nurse should understand their cultural belief, and values, etc. One person’s personal beliefs, traditions and values can influence their recognition of their health and wellness. Based on that they will choose their medical care and treatment. (Nadline Caron). Aboriginal people are the original inhabitants of the Canadian land. Aboriginal peoples are living with their …show more content…
It can also accompany with the necessary work of determining, if the patient is showing any variation of illness denial. (Lumbinsky MS). Most of the people they express their desire about their disease diagnosis, prognosis and condition of their illness. Shunning information is one of the valid psychological coping mechanism. Discussing the information and requesting for another diagnostic test is the key for scheduling next counselling with the patient. In the fourth step, the nurse should warn the patient, the bad news is coming soon. So the patient cannot embarrassed too much. Example;” I have one bad news for you” I am sorry to tell you that”. The nurse conveys this bad news in simple language for patient understanding. The care provider should use’sample of tissue” instead of” biopsy.” Nurse can share only small chunk of information with the patient and simultaneously assess the patient understanding level. If the patient’s prognosis is poor, tell about the pain control and symptom management. In the fifth step, nurses having greatest challenge, in managing the patient’s emotion after they heard about their bad news. The patient may show their feelings like, anger, denial ,unbelievness, and …show more content…
When patient stated to showing this emotion, the care provider can render support and empathic response. Empathic response consists; the nurse should assess the patients any kind of emotions like silence, shock and tears. Find out the emotion experienced by the patient. Example; if the patient looks like sad, ask open ended questions. Identify the reason for the emotion. The nurse can spend time with the patient , encourage the patient to express his feelings and clarify the patients doubts as well. In the sixth step, the patient should have the clear knowledge about their disease treatment plan. In this situation, the patient is making the decision about his treatment. (SPIKES). Aboriginal people speak English or English as their second language serious obstacle can find due to the cultural difference, that is the one affecting communication. Due to the lack of common language between the care provider and the patient can have many consequences for their communication. Cultural influence plays very elaborate role in communication.
... To provide Indigenous people with adequate health care, emphasis needs to be placed on understanding indigenous beliefs and the social detriments Indigenous communities are faced with. Applying a suitable model of health to each individual situation will provide the best outcome. This was evident in the case study discussed in the essay. Rodney’s experiences within the medical world ended with a positive and desirable result, but if the appropriate transcultural care was not given, that positive result would have created a negative outcome, which could have been detrimental to Rodney’s future health.
...fficient training for health workers, communication barriers, a general mistrust in the health care system and culture shock has contributed to issues in delivering services to many Indigenous communities. The reason to why these issues have emerged is a result of two main factors, the lack of health services that are needed to address the issue and the silence of Indigenous communities which leads to misunderstanding between the government and Indigenous communities. Indigenous Australian’s experience this major disadvantage and neglect in the Australian society due to the poor healthcare system and policies that haven’t had a positive effect on the issue. For the issue of Indigenous health to be resolved, the Government and social policies need to address and meet the need of Indigenous people to overcome the poor health conditions that these communities suffer.
...ir personal encounters with Aboriginal classmates that they might have had in high school. Life experiences, parental upbringing, ethnic roots, social status and education all shape nursing practices. Nurses and other health care professionals are trained in institutions that fail to recognise the socio-political injustices that occur in health care settings. In addition to this, their experiences in their work and in their personal lives and communities, they already have opinions about certain groups of people. “Cultural safety would encourage nurses to question popular notions of culture and cultural differences, to be more aware of the dominant social assumptions that misrepresent certain people and groups, and to reflect critically on the wider social discourses that inevitably influence nurses’ interpretive perspectives and practices” (Browne, 2009, p. 21).
As we learned throughout the duration of the course through lecture, readings and discussions, Indigenous Canadians are faced with many determinants of health.
Mentioning a diversity of culture and language in Australia with Aboriginal and/or Torres Strait Islander Australians, the fact sheet indicates that these cultural differences may impact on the practitioner-client relationship and on the delivery of services. Therefore, in order to achieve good practice and health outcomes, physiotherapist should effort to understand the cultural needs and contexts of different patients. To be specific, practitioners need to be aware that some patients or clients have additional needs and modify their approach appropriately. For example, the Code of conduct strongly recommends becoming familiar with and using qualified language interpreters or cultural interpreters to help meet the communication needs of patients. Besides, it also includes more detailed information about Indigenous Australians. It stipulates significant disparities in the health status of Indigenous Australians result from the socio-economic inequities. Lastly, it is also comprised Aboriginal people’s preference of consultation or treatment by a same gender practitioner because of their traditional
Providing culturally competent care is a vital responsibility of a nurse’s role in healthcare. “Culturally competent care means conveying acceptance of the patient’s health beliefs while sharing information, encouraging self-efficiency, and strengthening the patients coping resources” (Giddens, 2013). Competence is achieved through and ongoing process of understanding another culture and learning to accept and respect the differences.
“Communication is the heart of nursing… your ability to use your growing knowledge and yourself as an instrument of care and caring and compassion” (Koerner, 2010, as cited in Balzer-Riley, 2012, p. 2). The knowledge base which Koerner is referring to includes important concepts such as communication, assertiveness, responsibility and caring (Balzer-Riley, 2012). Furthermore, communication is complex. It includes communication with patients, patient families, doctors, co-workers, nurse managers and many others. Due to those concepts and the variety of people involved, barriers and issues are present. Knowing how to communicate efficiently can be difficult.
It disappoints me to learn of all the suffering Aboriginal people are facing even though they live in a first world country with a highly praised healthcare system that is free of cost. I have extended my knowledge to the traditional approaches to healthcare that Aboriginal people practice and the importance of maintaining balance on their ‘Medical Wheel,’ this approach to health care and treatment looks at all aspects of someone’s wellbeing and ensures all aspects of someone’s health is in harmony, instead of the traditional biomedical tactic of diagnosing through running tests and prescribing medicinal drugs. The proper actions must take place before we can see change as a country. Aboriginals’ health care systems, institutions and providers should be up to pare with the rest of Canadian citizens and the only way this can be achieved is if the government of Canada gives them the attention, support and funding Aboriginal people need in order to maximize their quality of life while still practicing and preserving their culture and
Improving the overall health and wellbeing of Indigenous people in Australia is a longstanding challenge. Considering the poor health status, the government has implemented hypothetical clinical placements that are designed and implemented to expand the provision of health and wellbeing services through Aboriginal Community Controlled Health Service (ACCHS). These health services are provided in the local area of Broome, where they focus on the concept of self-determination. The Broome Regional Aboriginal Medical Service provide services and programs that are culturally suitable towards Aboriginals and Torres Strait Islanders. Upon working with Indigenous people, it is important to deliver culturally safe nursing care through continuous professional
The study used the theory appropriately because it recognized the different cultural groupings in a care unit at a particular time while acknowledging the deficits t6hat the nurses have ibn caring for this diverse cultures. “Australia has a culturally diverse health population, which expects to receive quality services that are culturally sensitive. At any one point in time, there may be as many as 20 different cultural groupings in a care unit, and some with no spoken English. A culturally competent nurse recognizes that cultural differences
The difficulties met in any cross-cultural health service delivery setting seem to be magnified by the disparity existing between Aboriginal culture and mainstream Western culture. There has been adaptation of the Aboriginal people’s ‘traditional’ beliefs to the changing situations in which they live (Maher,1999, pp 229–236). While over the time, there have been changes made in Aboriginal viewpoints of treatment, only little change has taken place in terms of their beliefs regarding what causes illness. This may be the result of health beliefs in continuously playing a role in bringing in meaning to events that take place in their lives, thereby assisting people in handling serious illness and death.(Maher,
With this new affiliation, I may be taking care of traditional Native American in the near future. Native Americans believe in respecting elders, using active listening, and that autonomy is extremely important. They believe in a universal energy and spiritual balance. Illness occurs if there is a disruption in that balance. The nurse should always discuss cultural needs with every patient and that a medicine man may be requested or seen along with their health care provider. Death is viewed as a natural part of the lifecycle because things only live for a certain amount of time. In order to deliver culturally competent care, nurses must understand and respect cultural differences. As nurses, we cannot let our beliefs and values affect how we treat others. We should strive to deliver culturally competent care to all of our
Literature Critique This literature critique reviews Catherine McCabe’s article, Nurse-patient communication: an exploration of patients’ experiences (McCabe, 2002). She has obtained many degrees related to health care (Registered General Nurse, Bachelor of Nursing Science, Registered Nurse Teacher, and Master Level Nursing). She has many years of experience and is currently teaching at Trinity Center for Health Sciences. As stated in the title, this study will review the patient’s interactions with nurses in relation to their communication. This study used a qualitative approach, as stated within the article, by viewing the life experiences of the participants.
During my shift, I had good communication with patients and the RN who I worked with. I applied assertive communication technique by remaining calm and confident, taking charge and responsibility, respecting self and others, expressing self, and standing up for nursing principles. One example of the manifestation of asserting communication technique was my insistence on logging out of the patient e-MAR portal every time I leave the computer. The Nurse was frustrated with me why I log out every time and forcing her to log me in again and again. I calmly and openly discussed with her the importance of maintaining patient confidentiality by logging out every time after accomplishing the required task for a patient in the e-MAR portal. The nurse
Being culturally competent is the center of nursing. So many patients come from different cultural backgrounds and as nurses we have to be se...