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Competent nursing care regarding culture
Cultural diversity in patient care
Competent nursing care regarding culture
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Conflict
Conflict can be explained as a multidimensional concept with both detrimental and beneficial effects. Most explanation settles on conflict as a process involving two or more individuals, where a person perceives the opposition of the other. The nursing occupation is one that is centered on collaborative relations with both coworkers and patients. The situation requires individuals to work closely with others with varying backgrounds or cultures. Individuals can embrace diverse values, hypothetically affecting these relationships, which could result in conflict.
Cultural diversity, coalesced with the strain of delivering quality care, often results in conflict. Consequently, an unsettled conflict leads to hurdles for staffs, teams,
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It adds to both the patients’ well being and their health. Conflict can hinder these collaborative nurse- patient relations by not permitting the nurse to wholly support the patient in achieving the patient’s health goals. It necessitates individuals to work closely with others who have diverse backgrounds or philosophies and, hold diverse principles that can potentially result in conflict. Accordingly, Imogene King 's theory, the theory of goal attainment and nursing process focuses on assisting patients to attain and sustain their goal health. King 's theory suggests an "individual touch" within itself. Nurses always speak with patients for the assessment and evaluation of the perceived problem, developing a communication towards a mutually decided upon goals. These goals will be accomplished by the patient through the support of a nurse that will restore the patient 's well-being and will later on result in the patient 's ability to function and sustain "goal” …show more content…
Nurses need to attain effective team building abilities within nursing groups in order to deliver quality and productivity needed for the organizational structure. The choices nurses make in team-managed environs are more superior to choices made in a hierarchal environment in terms of both quality and cost effectiveness. Nurses must acquire successful conflict resolution skills to be able to function successfully in the evolving healthcare structure.
The process of conflict resolution is a chance for growth and change in a work environment, with great possibility for an optimistic outcome. On an individual level, conflict resolution is imperative for individual achievement. On a structural level it is significant for the bottom line and overall success. Therefore, if properly understood and managed, conflict can lead to a positive outcome for both nurses and healthcare organizations and also contributes to higher effectiveness, trust, and openness in a work
McClimens, A., Brewster, J., & Lewis, R. (2014). Recognising and respecting patients ' cultural diversity. Nursing Standard (2014+), 28(28), 45.
Cultural competency is a very significant necessity in health care today and the lack of it in leadership and in the health workforce, is quite pressing. The lack of cultural competency can bring about dire consequences such as racial and ethnic disparities in health care. It may not be the sole reason for these disparities, but it certainly places a significant role. A patient and health care provider relationship is very significant and can make or break the quality of care that is given. The lack of cultural competency leads to poor communication which then leads to those of diverse backgrounds to feel either unheard or just plain misunderstood. As an East African
Some research shows a connection between teamwork and reduced incivility in the workplace because a good team establishes a level of trust and effective communication, therefore, allowing nurses to feel empowered and supported (Logan, 2016, p. 48). Teamwork produces healthier environments with better healthcare outcomes. It is essential for staff to be proactive by attending staff meetings and committees such as shared governance and learn how to become effective mentors for new nurses.
The purpose of this paper is to discuss the issue of incivility in nursing and how this affects the work environment, the importance that this has in the microsystem and the nursing profession and how suggestions on how to create healthy work atmosphere through my advanced practice in the family nurse practitioner field.
From patients not wanting people of color to deliver care to them and patients from different religion having difficulties with the value of care. Healthcare organizations are working tremendously to develop cultural competence in it facilities. An article titled “Why Diversity matters in Health Care?”, defines cultural competence as “the ability of systems to provide care to patients with diverse values, beliefs and behaviors, including the tailoring of delivery to meet patients’ social, cultural and linguistic needs.” Diversity is one important aspect in the healthcare system because different people from different backgrounds, cultures and religions all seek care one or the other. Having this change in the healthcare system will really help deliver the quality of care to all patients. Strengths-based practices that will be effective in helping with healthcare diversity, will be to respect the differences of patients’ cultures and background. Also staffs have to be culturally sensitive about everything associated with the patients’ social identity too. Even with domestic violence that goes on among African American women, a patient who has been abuse can come into the hospital and staff must show respect and treat them as
When examining the circumstances under which incivility thrives in nursing education, it is imperative that the issue is looked at from not only the perspective of the faculty, but from the nursing student
College of Nurses of Ontario,(2009).Practice Guidelines: Conflict prevention and management. Retrieved April 3, 2014 from http://www.cno.org/Global/docs/prac/47004_conflict_prev.pdf
The nurse and patient works towards achieving the set of goals established by the nurse and patient. The aim of the concept for the analysis to King’s theory of goal attainment is for the nurse to assess and identify the patient perception of themselves and their health current health (Current Nursing, 2012 para 12). The nurse assists the patient with setting goals with their health based upon the initial assessment. This helps the patient with clarifying a new meaning and understanding the importance goal attainment in regards to their health. Imogene King concepts are being utilized in the hospital with the nurse and patient interaction, as well as with co-workers and their interaction with one another on their job ("Goal Attainment Theory: KEY CONCEPTS," 2017). There is some database in which utilizes the literature as well such as: Cumulative Index to Nursing and Allied Health Literature and Nursing and Allied Health Database. When defining the attributes of Imogene King concepts, this will include is the interaction between the nurse and patient. The interaction is done through communication,
To make good nursing decisions, nurses require an internal roadmap with knowledge of nursing theories. Nursing theories, models, and frameworks play a significant role in nursing, and they are created to focus on meeting the client’s needs for nursing care. According to McEwen and Wills (2014), conceptual models and theories could create mechanisms, guide nurses to communicate better, and provide a “systematic means of collecting data to describe, explain, and predict” about nursing and its practice (p. 25). Most of the theories have some common concepts; others may differ from one theory to other. This paper will evaluate two nursing theorists’ main theories include Sister Callista Roy’s
In nursing practice, this goal attainment is apply in many areas (public vs private and urban vs rural) of nursing practice. King’s theory involves individuals interacting with one another, and guide nurses in working as team with patients. According to our reading, there are three advantages of king’s theory to nursing practice: first, the long-lasting values. For examples our group talk about what values kept us in nursing and we reflect on our role. This verbal exchanges include both spoken and written communication. Secondly, the nursing situations where the needs of patients are assess and evaluate, or what the nurses do as nursing actions in the situation. And finally, nurses connect values and the nursing situations to serve a specific need in society. For a collaborating situation, nurses would identify risks of disease, injury or premature death; identify also the needs (physical and emotional needs), the values, the strengths and resources for their patients. Another way for king’s theory goal of attainment is for nurses to lead patient, family and community by increasing their quality of life. We know that quality of life is very subjective because health is based on individual perception, cultural background, and education, moral and ethical values. The interactive perspective suggested by King’s theory goal attainment sees nursing roles as more changeable,
When a nurse is providing patient care, he/she creates a safe environment for the patient and enables the choice to establish a relationship on a human to human interaction or on a transpersonal level. The patient will be acknowledged as a person with the wholeness of their soul despite their illness or number on the bed. The ten carative factors in this theory are used as an education tool for nurses around the world and should be applied to the different care situations in practice. Nurses use the factors to promote growth in themselves and within the patient. A nurse should respect the patient’s decisions and take the time to fully be present in the moments with the patient. A lot of nurses complain about the time limitations they have and do not provide the necessary amount of time to listen and gather the patient’s perspective of the situation. Another way this theory can be applied to practice is by recognizing the caring moment between you and the patient. This will determine how the relationship will
Conflict has been an issue for man since the dawn of civilization. In today’s fast paced world conflict, especially in the workplace, is a frequent occurrence. When that workplace is a health care environment where lives are at stake, emotions run high and collaboration with many different disciplines is required conflict often becomes a prevalent part of everyday life. Conflicts in the workplace can lead to reduced morale, lowered productivity resulting in decreased patient care and can cause large scale confrontations (Whitworth 2008). In the field of nursing whether a conflict is with a peer, supervisor, physician, or a patient and their family, conflict management is a necessary skill.
In being a nurse for just under two years I have come across many different types of conflicts between nurses, physicians, and/or administration. The better question is; what type of conflict is worth fighting for along with a solution. For my very first nursing job I worked on a Medical-Surgical floor in a popular city hospital. On our east side we had 12 rooms (36beds) and on our west side we had 8 private beds that were reserved for surgical hips, knee’s and orthopedic patients. On the east side we had type and true “medical-surgical” patients including, abdominal pain, falls, confusion, ICU transfers, and most of all post surgical patients. Our floor was always and constantly filling up and we were never without a bed. Overtime, the physicians and nurses started to notice more and more isolation patient coming onto our unit. This started to bother the physicians and the nursing staff because of the overwhelming amount of insolation patients. We all could no understand how we would have so many isolation patients on a floor where over half of our patients were fresh surgicals. We brought this concern to management and it did not go anywhere. We were told that we do not discriminate against any patient so in denying a patient who was on isolation would not be ethically. We were very confused because how was it ethically to put fresh surgical patients at risk for infections such a C-diff or MRSA? I personally do not believe management and administration was expecting us to question this new trend we were seeing. On most nights, we had 2 or
Many people enjoy working or participating in a group or team, but when a group of people work together chances are that conflicts will occur. Hazleton describes conflict as the discrepancy between what is the perceived reality and what is seen as ideal (2007). “We enter into conflicts reluctantly, cautiously, angrily, nervously, confidently- and emerge from them battered, exhausted, sad, satisfied, triumphant. And still many of us underestimate or overlook the merits of conflict- the opportunity conflict offers every time it occurs” (Schilling, nd.). Conflict does not have to lead to a hostile environment or to broken relationships. Conflict if resolved effectively can lead to a positive experience for everyone involved. First, there must be an understanding of the reasons why conflicts occur. The conflict must be approached with an open mind. Using specific strategies can lead to a successful resolution for all parties involved. The Thomas-Kilmann Conflict Mode Instrument states “there are five general approaches to dealing with conflict. The five approaches are avoidance, accommodation, competition, compromise, and collaboration. Conflict resolution is situational and no one approach provides the best or right approach for all circumstances” (Thomas, 2000).
Hanucharumkul, S. (1989). Comparative analysis of Orem's and King's theories. Journal of Advanced Nursing, 14, 365-172.