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Cultural competency in healthcare
Cultural competency in healthcare
Cultural diversity in healthcare 1
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Anne is a ten- year- old girl who has presented to hospital with appendicitis. She is one of five children from an Indian family who own and run a restaurant. This essay will go into details in regards to the pathophysiology of the patient and her symptoms as well as the growth and development, family centred care and how this hospitalisation will affect not only Anne but her family. To provide a quality of care for the patient and family, the health care professionals must take into consideration racial, ethnic, cultural and socio-economic backgrounds (Nettina, 2013). It is also important to consider the stresses and fears of both the patient and family and how they might be coping with these emotions and what the health care professionals …show more content…
A family centred care model- FCC should be used in all hospitals as it deliveries a quality of health care that is important for the wellness of a child and adolescent (“The Royal Children’s Hospital Melbourne”b). Some aspects of FCC include communication, dignity/ respect, collaboration and participation (“The Royal Children’s Hospital Melbourne”b). Preparing for a child to have surgery is also preparing the child’s family. Support must be made based on age, developmental stage, personality and have regards to any history of hospitals or with health care professionals (Nettina, 2013). The family and patient may have a lot of questions and fears about the procedure and it can be very distressing for all (Nettina, 2013). Therefore, it is important to acknowledge these concerns and explore and provide feedback for the patient and family in regards to their feelings, fears, and to give them the information that they need (Nettina, 2013). This also builds up the therapeutic relationship and creates a trusting environment (Fraser & Grant & Mannix, 2016) in which the child’s wellbeing is priority, but the family is just as important as the health care professionals in making sure the patient becomes well again. An important aspect is making sure Anne is understanding of the procedure and what it entails. She is at a developmental stage where she can think logically and abstractly and so would be able to understand that she is sick and needs to have surgery to help her get better. Building a therapeutic relationship (Fraser & Grant & Mannix, 2016) with the patient and her family and respecting their autonomy (Shaul, 2014) is vital to their
•Due to the symptoms Mrs. Wong experiences in her lower right abdominal quadrant as she awaits evaluation in the emergency room. It is necessary that the doctor surgically removes her appendix diagnosing Mrs. Wong with appendicitis.
At Cook Children’s Hospital, NICU parents are not only seen as the parents of the infants, but they also incorporate them as part of the team. Parents are highly encouraged to spend as much time as they possibly can with their premature infants, to have physical contact with them by giving them kangaroo time, which allows parents to have skin-to-skin contact with their infant, as soon as the infant reaches the stage in which he or she is a suitable candidate to be in physical contact with their parents. Siblings who are over 3 are allowed to visit their siblings at the NICU at specific times of the day, and child life specialists help siblings understand what is going on with their baby brother or sister who is in the NICU. If they have any specific questions, the child life specialist is there to assist them. Families are referred to other institutions that will be able to help them if their facilities aren’t able to fulfill their needs. One of the institutions that...
This essay will critically analyse Care Programme Approach (CPA) assessment and care plan in an OSCE I undertook. By utilising the CPA and sources of current literature, I hope to demonstrate my knowledge and understanding in relation to this skill as well as identifying areas with scope for learning.
The purpose of this Reflective assignment is to demonstrate how the application of the Registered Nurses standards for practise (2016) can be used in reflective practise. The Registered Nurses standards of Practise (2016) states that RN’s should develop their practise through reflecting on experiences, knowledge, actions, their feelings and beliefs and recognise how these factors shape professional practise(RNSP, 1.2).Reflection allows individuals to look back on their day-to-day situations and how they made us react and feel; what we would change if we had the chance, to create a different outcome; and what we would do next time to enhance the way we conduct ourselves in a professional manner.
Family centred care (FCC) encompasses the concept of parental participation in their infants care (Franck and Callery 2004). It aims to place the needs of the infant in the context of the family (Saunders et al 2003). FCC is adopted within many neonatal units and is considered the gold standard of care aiming to underpin and guide neonatal care towards the partnership between health professionals and parents (Hutchfield 1999). Subsequent to the interruption of the bonding process between infant and family when a baby is admitted to the Neonatal Intensive Care Unit (NICU) it is suggested that the NICU provides an ideal opportunity for FCC practice (Allerman Beck et al 2009) as nurses and parents are compelled to develop an effective relationship in order to satisfy the infants care needs (Reis et al 2009). However a study by Higman & Shaw (2008) found that it appears to be more difficult to achieve on the neonatal unit as FCC is reliant on the family’s relationship with the child. In order to deliver effective FCC neonatal nurses need an understanding of parents needs and how to address them. Mundy (2010) in a study researching the assessment of family needs in neonatal Intensive Care Units found that assumptions of parent’s needs were often made by healthcare professional’s resulting in unfounded and inappropriate conclusions. The importance of treating each family as individual is paramount when assessing how best to involve parents in the care of their infants (Higman & Shaw 2008). Review of the literature shows a lack of research into these assessments and highlights that enhancing family centred care requires appropriate assessments of family needs and the incorporation of this into individualised plans of care. A study into nurse’s perceptions about the delivery of FCC by Higman and Shaw (2010) supports this view, throughout the study it is apparent that although nurses realise the importance of FCC it is not always consistent within their own practice. Peterson et al (2004) suggests reasons for these inconsistencies could be the deficiency of adequate training and, the stress implementing FCC can impose on nursing staff due to an already demanding workload, potentially creating negative attitudes towards the relevance and practicalities of its delivery. The consensus view of FCC is positive although limitations to its execution are manifested throughout the literature. Staff shortages are suggested to hinder the performance of FCC within the clinical area, creating time constraints with nurses having very little opportunity to build good relationships with the families (Higman and Shaw 2008).
A cultural assessment interview is very important when taking care of patients or their families who may be from a different culture than the nurse’s. In order to be able to better take care of a patient, we first need to know their own interpretation of disease and illness within their cultural context, values, and beliefs. Since I am Indian and my culture is a mix of the Indian cultural beliefs and my religion Islam, I was looking forward to this interview so that I am able to learn more about different cultures using my assessment.
Treating the patient and family as one, can have improved outcomes, decrease hospital stays, increased patient satisfaction, and improved reimbursements for the hospital. Developing a relationship with not only the patient, but family as well, can pay off in the long run by providing better communication, better quality of care, and trust. The patient and family can be strong advocates for improved performance improvement efforts. Including family in the treatment of the patient treats the “whole” patient through their hospitalization. Involving the family can enhance the patients care.
This essay will explain what patient centred care is, how nurses use it in practice, the benefits of using it, and the barriers that need to be overcome to able to use it, and the key principles of patient centred care. It will explain how patient centred care enables nurses to communicate and engage with the patients in a more effective way, and how it helps understand the uniqueness of each patient, which helps professionals avoid ‘warehousing’ patients (treating them all the same). It will also demonstrate how this type of care can help maintain the dignity of patients when nurses carry out tasks such as personal care.
Parental presence is an issue that has been debated upon for a long time. An important statistic to consider is that currently only 40% of US hospitals have a policy that supports family presence (Chorney & Kain, 2010). Not every situation allows a parent to be present, but research has found that parents prefer to be present during their child’s procedure. “Boie et al. (1999) carried out a survey in the US and found that 97.5 percent of 400 parents surveyed wished to be present with their child during venipuncture” (as cited in Gilboy & Hollywood, 2009). Procedures that children may undergo include venipuncture, dental procedures, and minor outpatient procedures. According to Townsend (2009), signs of anxiety in children include crying, shaking, quietness, and acting scared or frightened (p. 17). Doctors, n...
This piece of work will be based on the pre-assessment process that patients go through on arrival to an endoscopy unit in which I was placed during my second year studying Adult Diploma Nursing. I will explore one patient’s holistic needs, identifying the priorities of care that the patient requires; I will then highlight a particular priority and give a rationale behind this. During an admission I completed under the supervision of my mentor, I was pre-assessing a 37 year old lady who had arrived at the unit for an upper gastrointestinal endoscopy. During the pre-assessment it was important that a holistic assessment is performed as every patient is an individual with unique care needs as the patient outlined in this piece of work has learning disabilities it was imperative to identify any barriers to communication (Nursing standards 2006). There were a number of nursing priorities identified, the patient also has hypertension.
The provision of patient/family-centered care, which assure safety and quality in the service, would have a team work approach as a foundation and underpinning. In a healing process or in the preservation of health intervene several factors, some of them are closely related with the environment. Healthcare providers constitute an important part of that environment, and definitely, communication with patients, families, and among themselves, have a significant impact on it. The environment would influence the patient’s perception of care, and the staff’s level of
Hence, we provide specific care to each child keeping in mind their medical status in order to ensure optimal outcome. Starship, 2015.Retrieved from http://www.starship.org.nz/for-health-professionals/interested-in-working-at-starship/nursing-staff/philosophy-and-values/. Reference:(https://www.starship.org.nz/foundation/current-fundraising-projects/starship-national-air-ambulance-service/) 2. Starship Hospital is exceptional in being a medical teaching centre carrying out research projects which facilitates enhanced paediatric research and training. The.
Throughout the interview RR provided a vast array of knowledge pertaining to the diverse domains of the Punjabi culture. His detailed responses gave great insight regarding various aspects of the Punjabi people’s life. He shared personal experiences that helped gain a greater understanding of the different viewpoints expressed during the interview. RR also provided information on why the Punjabi rituals are important within their culture, which is not always discussed. As a nurse, it is crucial to treat all different cultural backgrounds with the same respect. Therefore, by understanding the differences among opposing ethnic backgrounds, equal quality care will be achieved.
To the doctor and hospital staff, it is crucial that the girl has the operation, in order to keep to keep her alive. The old-fashioned thinking can be understandable, but I think the grandmother was too stubborn and the mother was a bit unreasonable. They need the doctor’s help, yet they refused to listen to him, even to the extent that the hospital had to keep the two women at bay. After the operation, instead of being anxious, the mother demanded, “ Well?”. This is so ungrateful on the mother’s part. If you need the other party’s help, you should at least be polite rather than rude.
I do think that our group did work together well in finding a topic to research. There weren't any issues in communicating in our group. I do agree that the classes we are in right now has greatly helped guide our project. We have been able to figure out topics that are very prevalent in the medical system and also very interesting to learn about. I think that focusing on how family centered care affects health outcomes will be very beneficial because we will be able to apply it in our practice as nurses. I also felt that picking research studies was very difficult because there are so many studies, but it is hard to find ones that will really support our topic. I think we are in a very good position for our project right now and we will