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Cultural issues in nursing
Essay on cultural competence in healthcare
Cultural issues in nursing
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I feel strongly that “cultural safety begins by acknowledging diversity and educating nurses to model change” (Kellett, & Fitton, 2016, p.4). With exposure, cultural shock may be experienced by a non-LGBTI aware student nurse, in the clinical environment (Carabez, Dariotis, Eliason et al., 2015). Contemporary Australia, however, is so diverse that a student choosing nursing has no option but to stare down prejudice and initiate equalitarianism. Even our national anthem “Advance Australia Fair” says “For those who’ve come across the seas, We’ve boundless plains to share. With courage let us all combine. To Advance Australia Fair” (Kelen, 2003. p.168). The anthem references we and us as, a politically correct multicultural identity of ‘Australianess” …show more content…
What influences decisions to neglect personal health? A lack of knowledge, fear of safety, neglected childhood or lack of skills applied to parenting an LBGTI child? appropriation or not being able to see past self- actualization? Maslow’s “hierarchy of needs” pyramid, depicts significant insight to understanding patient’s and I use it as part of my repertoire of nursing skills (Crisp & Taylor, …show more content…
An experience that imprinted on my mind recently, was employing empathic listening to a ninety-four-year-old woman, who confided her eighty-nine-year-old secret of being sexually abused by her father. To console, empathise and appropriately reiterate her feelings, whilst offering her coping mechanisms, as a student was a huge undertaking. But, through theory I was able to apply the “Power as Knowing Participation Change Tool”; although at that time, I didn’t recognise it (Barrett & Caroselli, 1998). In my patient’s confession, she wanted to be released of the burden, along with the nightmares and post traumatic seizures that she had, so she could pass freely into the next world. The realization of the potential, that I possess to influence; and the power that we pertain as nurses is beyond my previous connotation of what being a nurse would be (Barrett & Caroselli, 1998). It symbolically leads me to think of the Scales of Justice.
The NMBA expect that we, as nurses, will be reflective practitioners throughout our nursing careers. Whilst nursing during a shift, I intend to demonstrate daily, my accountability with a patient load. I generally take responsibility for my actions, so through provision of safe patient centred care, in a culturally competent way and with a
It reflects trust, intimacy, and responsibility, which are elements essential to any nursing relationship. It is the core of nursing. In the article, “Dimensions of Caring: A Qualitative Analysis of Nurses’ Stories”, an analysis was done on over two hundred stories submitted by nurses around the world, illustrating the point that the practice of nursing encompasses much more than just technical skills. In one of the stories, a nurse stood by the side of a young mother grieving the loss of her baby with nobody else to turn to. This nurse accompanied the 19 year old mother to the cemetery the day after the baby’s death, New Year’s Eve, to bury her baby that had been born at just 22 weeks gestation. She bought her a book on grieving and loss and supported the woman during that difficult time. This nurse did not have to do that—she did not have to go above and beyond for this stranger. But she did. She felt empathy and compassion for this woman and she acted on that. That is what nursing is about, going above and beyond, making emotional investments into the lives of other people. The significance of the actions of this nurse cannot be overstated. We will never know the full impact that this nurse made on that young woman’s life; perhaps she saved her life, or changed the direction of it for the
Nurses are able to reflect upon their past experiences of work and build and improve this ensuring their level of competence and skills is in line with NMC guidelines. Improving the quality of care provided to patients is an ongoing process and requires practitioners to contently reflect and improve their practice. (Howatson-Jones, 2013) One way in which reflection can improve the quality of care is through the use of professional supervision, as stated by (Daly, Speedy and Jackson, 2014) a focus for supervision should be enhancing a nurse’s skills and ability to reflect on practice. It should reflect on the standard of care provided and highlight areas for improvement such as further training. This, in turn, leads to a greater self-awareness of practitioners’ own abilities. The process is not about finding faults, but to improve and learn to ensure the quality of care is high and professional for all patients. Being self-aware is a skill important to reflection and the provision of quality of
Provision 8 also states, “The nurse also recognizes that health care is provided to culturally diverse populations in this country and in all parts of the world. In providing care, the nurse should avoid imposition of the nurse’s own cultural values upon others.” (Nursing World, 2001). The ANA Code of Ethics does not explicitly define diversity. However, in clinical settings, I strongly believe that I am continually being exposed to people of diverse backgrounds – socioeconomic status, gender, race, ethnicity, religion, age, sexual orientation, etc. As a student nurse and a future nurse, I will set aside my own bias and view my world through a panoramic lens in order to provide quality care with sensitivity to others. As a student ...
...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).
...on is important. Obtaining daily shift reports and communicating concerns not only to the nurses and staff but also the administrator ensures our vision for quality care is followed through. I am not only committed to the continuous, lifelong learning and education for myself but also for the nurses through encouragement, schedule flexibility, and company programs such as tuition reimbursement. As I had stated, the entire nursing department is not only certified brain injury specialists (making our company the only alliance in the mid-west with over 60% staff certification), we also belong to the Association of Rehabilitative Nursing program. With any profession and as a fellow nurse, respect and dignity is a must. Even if one is a manager, leader, prominent within the company, respect and dignity provides for productive, empowered, and self-sufficient individuals.
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.
In the past two decades, there has been a push for appropriate staff to client ratios. However, measuring client needs and nursing efforts have been around since 1922 (Lewinski-Corwin, 1922, pp. 603-606). The earliest recorded effort was by the New York Academy of Medicine. Superintendents and nurses from ten training schools documented the time spent providing bedside care. From complied information, the researchers revealed each client required an average of five hours and four minutes of care in a 24-hour period. From these observations, they evaluated staffing issues in New York City. At that time, none of the hospitals were sufficiently staffed (Lewinski-Corwin, 1922, pp. 603-606).
Burkhardt, M. A., & Nathaniel, A. K. (2014). Ethics & issues in contemporary nursing (4th ed.). Stephan Helbra.
A nurse’s role in our society today is exceptionally significant. Nurses are somewhat idolized and looked to as our everyday “superman”. “The mission of nursing in society is to help individuals, families, and groups to determine and achieve physical, mental, and social potential, and to do so within the challenging context of the environment in which they live and work” (“The Role of a Nurse/Midwife”). Many Americans turn to nurses for delivery of primary health care services and health care education (Whelan). In our country, there is constantly someone in need of health care. There will always be a baby being born or a person dying, someone becoming ill or growing old. Some people due to their physical and/or mental state of health are completely dependent on a nurse and wouldn’t be able to get through the simple obstacles of every day, or achieve the necessary requirements of a simple day without their aid. Not only do nurses help, and assist you when you’re sick, but also act to promote good health to others. They end...
Continued Professional Development is now an important part of ongoing registration with the NMC and is essential in maintaining professional standards. In order to revalidate, nurses must write 5 reflective accounts within a 3 year period and each reflective account must explain what the nurse has learnt from the CPD activity and explain how it relates to the Code of Conduct and in particular the 4 themes of Prioritising People, Practicing Effectively, Preserving Safety and Promoting Professionalism and Trust.. Nurses also have to discuss the written reflective accounts with another NMC registered nurse coving the 5 reflective accounts Section 9.2 of the NMC code of conduct asks nurses to “gather and reflect on feedback from a variety of sources, using it to improve your practice and performance” (NMC, 2015) This is why the NMC promotes reflective practice as it ensures the nurse is practicing within their competency and in a safe manner while identifying any areas for improvement in their practice Reflective practice also makes the nurses more accountable for their actions.. (NMC, 2015) Reflective writing is an important feature of professional practice. Nurses have to keep a record of their continued professional development. At annual reviews nurses are able to present evidence of their development through a portfolio which should contain reflective accounts of their practice. These reflective accounts will help them identify strengths and weaknesses, highlight their performance, improve their skills and highlight any area that could be
Transcultural nursing requires us to care for our patients by providing culturally sensitive care over a broad spectrum of patients. The purpose of this post is to describe cultural baggage, ethnocentrism, cultural imposition, prejudice, discrimination, and cultural congruence. I will also give an example of each term to help you understand the terminology related to nursing care. I will definite cultural self-assessment and explain why it is valuable for nurses to understand what their own self-assessment means. Finally, I will describe the five steps to delivering culturally congruent nursing care and how I have applied these concepts in my nursing practice.
One of the many challenges in being a nurse is demonstrating the professional responsibilities of ones own practice in order to provide proper care to the patients and their families. It is crucial that nurses are in a healthy mental and physical state in order to provide adequate care for the patient. An example of Standard 1, professional responsibility and accountability, Indicator
The main aim of this reflection is to demonstrate that I provided this care. During my training as a student nurse, I have been involved with many patients with complex needs of a with the support of a mentor, however this was, primarily, the first time since qualified and on completion of my registration that I became responsible and accountable for my practice.
Introduction McCurry et all (2009/2010)?? ** state ‘Nursing as a profession has a social mandate to contribute to the good of society through knowledge-based practice.’ Acknowledging this statement and in recognition of the challenges faced in today’s healthcare system it is imperative that nurses know who they are as a profession. Without an explicit understanding of our identity as nurses and our role in society we have no worth or purpose other than to aid and promote the medical discipline (Newman et al., 2008).
What is culture and what does it mean to be culturally competent? How does being culturally aware apply to nursing? How can I become a nurse who is culturally sensitive to work with patients who expect care that fits their cultural needs? As you begin your general practice as a nurse, these are all questions you may ask yourself and they are indeed questions that should concern you. After all, culturally adequate care is fundamental to incorporate into your practice.