I need a comment for each paragraph
Paragraph 1
Cultural competence can be defined as “effective, individualized care that demonstrates respect for for the dignity, personal rights, preferences, beliefs, and practices of the person receiving care while acknowledging the biases of the caregiver and preventing these biases from interfering with the care provided” (Cheever & Hinkle, 2014). Nurses are expected to provide culturally competent care to an emerging diverse population of patients. In order to provide the most appropriate care to a patient the nurse must first assess how much they already know and believe pertaining to a patients culture and ethnic background and then thoroughly assess the patients background and identify areas that are important to them or highly value. Honoring the patients cultural traditions and belief system will gain the patients trust and sense of safety with the nurse who is providing direct care to them. Patients will be more receptive to education and adhere the treatment plan when given by a nurse who is respectful of their differences, thus resulting in positive patient outcomes. A beneficial method to assessment is The Heritage Assessment Tool, this questionnaire is geared specifically towards collecting cultural information that will paint a picture for the nurse to use when creating an individual plan of care. Another tool is the use of Giger and Davidhizar assessment model which guide nurses in exploring the the six cultural phenomena that might affect nursing care. Communication, space, time orientation, social organization, environmental control, and biologic variations are the identified phenomenas( Cheever & Hinkle, 2014). Some examples of nurses providing culturally competent care include, a nurse observing and being aware of a patients body positioning towards them and then determining how much space between the nurse and patient is comfortable and acceptable to the patient, by knowing that some people in the Native American culture view avoiding direct eye contact and looking at the floor while one is speaking as a sign of respect and active listening the nurse can better understand the patients behavior that may seem strange to them at first, among many Asian cultures people believe that the head is sacred and that the “spirit resides there” (Cheever & Hinkle, 2014) and that it is impolite to touch a persons head without asking permission first, therefore, it is culturally sensitive of the nurse to ask the patient before performing a close up head/neck assessment ( Cheever & Hinkle, 2014).
Paragraph 2
Assessment of culture is an essential step in providing effective nursing care to a culturally diverse Patient population. The purpose of this study was to describe the beliefs and self-reported practices of pediatric nurses from four Children’s Hospitals regarding the process of assessing culture. The 584 respondents indicated they worked with a culturally diverse patient population and frequently experienced culture conflicts. Findings indicated cultural assessment were not routinely performed. The majority indicated that learning more about the child’s culture would improve the effectiveness of their nursing care (journal of Pediatric Nursing,1999). For example, I always find out about the culture of my patients by assessing them and by asking them questions about their country and their culture. I tried to be familiar to their culture in order to understand them and care for them more effectively. Cultural competence represents good clinical practice and can be defined as such that a clinician regards each patient in the context of the patient’s own culture as well as from the perspective of the clinician’s cultural values and prejudices. The EPA Guidance on cultural competence training outlines some of the key issues related to cultural competence and how to deal with these. It points out that cultural competence represents a comprehensive response to the mental health care needs of immigrant patients and requires knowledge, skills and attitudes which can improve the effectiveness of psychiatric treatment. (European Psychiatry,2015). Cultural competence is one of the principal foundations of clinical nursing. The six defining attributes of cultural competence were cultural awareness, cultural knowledge, Cultural sensitivity, cultural skill, cultural proficiency, and dynamicity. Antecedents included cultural diversity, cultural encounter and interaction, cultural desire, cultural humility, general humanistic competencies, educational preparation, and organizational support. (International Journal of Nursing, 2019. One of my supervisors used to tell that Nurses who care for patients with different culture need to good communication skill, to ability to listen to their patients, to respect their belief, and to be non judgemental.
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W4h1b1219
/in Uncategorized /by developerI need a comment for each paragraph
Paragraph 1
One way for the nurse to gather cultural information from patient would be the use of the Heritage Assessment Tool (HAT). This method helps nurses to gather cultural information on their patients by asking questions such as: where was your mother born, in what setting did you grow up, who lived with you while growing up, do you practice religion in your home and do you participate in ethnic activities. This helps the nurse in obtaining information based on the patient’s culture, beliefs, needs and practices that can affect their health care and treatment (Falkner, 2018). Nurses are culturally competent when caring for patients. This means a nurse provides care while being aware of differences related to culture, and is able to tailor plans of care based on patient choices that can be based on their culture (Falkner, 2018). This approach helps to provide holistic care to patients and the nurse addresses psychosocial and physical needs. Cultural competence relates to better care because the nurse incorporates the patient’s beliefs and wants into their health care. There is a trusting relationship between the health care team and patient, increased cooperation from the patient and increased participation from the community. With this cooperation, there is an action plan to help reduce health disparities. One way a nurse provides culturally competent care to Arab Americans, for example, would be having same-sex health care providers. Modesty is valued, so therefore, should be honored by the nurse to preserve this value.
Paragraph 2
Nurses can improve healthcare delivery and close the gap on healthcare disparities when they provide culturally competent care (Falkner, 2018). Nurses can gather cultural information from their patients by asking about their diet at home, carefully taking note of any restrictions that are important to the patient such as vegetarianism. I have had experience with patients who are Kosher and therefore are unable to have Heparin. It is important for nurses to continually educate themselves on other cultures, especially if they are unfamiliar with the patient’s culture. Also, nurses must remain aware of their own biases while delivering culturally competent care (Murphy, 2011). Nurses demonstrate cultural competence when they use a translator to communicate with their patients. The beds in the ICU where I work all have some basic phrases and even some questions that can be played on the bed’s speaker for the patient to hear; for example, telling the patient where they are/what the day is to help reorient intubated/sedated patients. We use the beds language feature along with the hospital approved translator.
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W4h1c1219
/in Uncategorized /by developerI need a comment for each paragraph
Paragraph 1
Cultural competence can be defined as “effective, individualized care that demonstrates respect for for the dignity, personal rights, preferences, beliefs, and practices of the person receiving care while acknowledging the biases of the caregiver and preventing these biases from interfering with the care provided” (Cheever & Hinkle, 2014). Nurses are expected to provide culturally competent care to an emerging diverse population of patients. In order to provide the most appropriate care to a patient the nurse must first assess how much they already know and believe pertaining to a patients culture and ethnic background and then thoroughly assess the patients background and identify areas that are important to them or highly value. Honoring the patients cultural traditions and belief system will gain the patients trust and sense of safety with the nurse who is providing direct care to them. Patients will be more receptive to education and adhere the treatment plan when given by a nurse who is respectful of their differences, thus resulting in positive patient outcomes. A beneficial method to assessment is The Heritage Assessment Tool, this questionnaire is geared specifically towards collecting cultural information that will paint a picture for the nurse to use when creating an individual plan of care. Another tool is the use of Giger and Davidhizar assessment model which guide nurses in exploring the the six cultural phenomena that might affect nursing care. Communication, space, time orientation, social organization, environmental control, and biologic variations are the identified phenomenas( Cheever & Hinkle, 2014). Some examples of nurses providing culturally competent care include, a nurse observing and being aware of a patients body positioning towards them and then determining how much space between the nurse and patient is comfortable and acceptable to the patient, by knowing that some people in the Native American culture view avoiding direct eye contact and looking at the floor while one is speaking as a sign of respect and active listening the nurse can better understand the patients behavior that may seem strange to them at first, among many Asian cultures people believe that the head is sacred and that the “spirit resides there” (Cheever & Hinkle, 2014) and that it is impolite to touch a persons head without asking permission first, therefore, it is culturally sensitive of the nurse to ask the patient before performing a close up head/neck assessment ( Cheever & Hinkle, 2014).
Paragraph 2
Assessment of culture is an essential step in providing effective nursing care to a culturally diverse Patient population. The purpose of this study was to describe the beliefs and self-reported practices of pediatric nurses from four Children’s Hospitals regarding the process of assessing culture. The 584 respondents indicated they worked with a culturally diverse patient population and frequently experienced culture conflicts. Findings indicated cultural assessment were not routinely performed. The majority indicated that learning more about the child’s culture would improve the effectiveness of their nursing care (journal of Pediatric Nursing,1999). For example, I always find out about the culture of my patients by assessing them and by asking them questions about their country and their culture. I tried to be familiar to their culture in order to understand them and care for them more effectively. Cultural competence represents good clinical practice and can be defined as such that a clinician regards each patient in the context of the patient’s own culture as well as from the perspective of the clinician’s cultural values and prejudices. The EPA Guidance on cultural competence training outlines some of the key issues related to cultural competence and how to deal with these. It points out that cultural competence represents a comprehensive response to the mental health care needs of immigrant patients and requires knowledge, skills and attitudes which can improve the effectiveness of psychiatric treatment. (European Psychiatry,2015). Cultural competence is one of the principal foundations of clinical nursing. The six defining attributes of cultural competence were cultural awareness, cultural knowledge, Cultural sensitivity, cultural skill, cultural proficiency, and dynamicity. Antecedents included cultural diversity, cultural encounter and interaction, cultural desire, cultural humility, general humanistic competencies, educational preparation, and organizational support. (International Journal of Nursing, 2019. One of my supervisors used to tell that Nurses who care for patients with different culture need to good communication skill, to ability to listen to their patients, to respect their belief, and to be non judgemental.
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/in Uncategorized /by developerOutline the concept of professional accountability as it pertains to nursing. Provide examples of how a nurse demonstrates professional accountability in clinical expertise, the nursing process, and evidence-based practice.
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W4h3
/in Uncategorized /by developerReview the Institute of Medicine’s 2010 report “The Future of Nursing: Leading Change, Advancing Health.” Write a 750-1,000 word paper discussing the influence of the IOM report on nursing practice. Include the following:
Prepare this assignment according to the guidelines found in the APA Style Guide. An abstract is not required.
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/in Uncategorized /by developerDiscuss how professional nursing organizations support the field of nursing and how they advocate for nursing practice. Explain the value professional nursing organizations have in advocacy and activism related to patient care.
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W5h1a
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Professional Nursing Organizations are very important in the profession to nurses. They provide a sense of unity and community, as well as giving nurses additional resources for professional growth and backing. For many years nursing was a ill thought of career; as was discussed through this class we have seen exactly how that has changed. The same goes for nursing organizations. They have given nurses the tools and ability to connect with others and exchange research and ideas about complex cases. It is like social networking for nurses, I like to think of it. In professional organizations they can bring up important issues that happen through out the country in nursing; for example staffing ratios is a big issue that the country is dealing with at this time, with a whole organization backing up each other it creates a more solid fighting ground than if only a few voices band together. There have been collective bargaining units who have helped with activism over the course of time for and by nurses who want there to be safe and productive conditions in the workplace.
Comment
The American Nurses Association (ANA) believes that advocacy is a pillar of nursing. Nurses instinctively advocate for their patients, in their workplaces, and in their communities. The ANA works with legislature to ensure that nurses are protected as it pertains to the nurse patient ratio and a safe environment for practice. Organizations advocates for nurse to further their studies in the field of nursing in order to become more efficient as it pertains to the reduction of infections, mortality rate and overall the best and safest outcome for the patient and family members. As stated in the Nurses Bill of Rights, “Nurses have the potential to lead the way in improving health and health care for all, but in order to realize that potential they must operate in an environment that is safe, empowering, and satisfying.”
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W5h1b
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The ANA is such an astonishing association. They help with new enactment, state-of-the-art data on nursing issues, confirmations and proceeding with training, thus a lot increasingly significant nursing subjects. I turned into a part as an understudy, yet I didn’t comprehend the significance of being associated with these associations. In the present changing social insurance framework, it is so imperative to be taught and included on the present issues. The ANA has been a promoter for profession improvement and improving the wellbeing for all Americans for more than 100 years. I need to turn into an individual from this long-standing association to keep awake to-date on issues, proceed with my training, and have any kind of effect in the nursing field.
Comment
Being an advocate means a lot, at many different levels. For instance, as LVN being an advocate is hands on, RN would be collaborating with many different discipling, BSN would be all the combination and take it to a management level. As working for hospice being a patient advocate is so important at the end of life. Working with dying patients and educating families about the medications needed for end of life comfort. For instance, Morphine 20mg/ml give 1 ml Po/SL q 2 hours PRN pain. (severe pain 7-10). With out this education on medication regimen patient would suffer in pain.
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W5h2
/in Uncategorized /by developerDiscuss the importance of advocacy as it pertains to patient care. What is the nurse’s role in patient advocacy? Describe a situation in which you were involved with patient advocacy. Explain what the advocacy accomplished for the patient, and what the repercussions would have been if the patient would not have had an advocate.
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W5h2a
/in Uncategorized /by developerI need a 2 or 3 sentence comment for each paragraph…Thank you
Comment
In the nursing profession, we wear many hats when caring for our patients. Advocacy is a big thing that nurses do for their patients on a regular basis. We as nurses are the primary advocate for the patient, we are the ones at the bedside for long periods of time. Many of the medical doctors do depend on our assessments of the patient to be able to tell them what is going on with the patient. Many times, I have found in my short career the doctors are very open to suggestion when planning care for the patient. However, I have also found the opposite where you keep telling them and paging them to give some sort of orders because the patient condition is worsening and sometimes they do not listen until something bad happens with the patient condition. For example, I had a patient who was in the hospital for shortness of breath, patient was intubated in the field for hypoxia which was not resolved with other measures. I received the patient on the second day of admission and the patient was sedated on diprivan and on two vasopressors to keep the blood pressure up. At the start of the shift, the patient assessment was what was endorsed to me and maybe varied by one or two slight changes. However, because of the slight changes I still considered the patient to be critical but somewhat stable. At about two pm, however, I noticed that the heart rate was climbing from 80s, where the patient had been hovering most of the day, to 130s. The doctor was notified, he first said it is fine it is probably because we gave him lasix. However, I still was not happy with this answer, because to me that was a significant jump. So then I went into the room and did a third complete head to toe assessment; I then went back to the doctor and asked him to assess the patient as well because I found that the patient’s breathing pattern on the vent had changed from this afternoon and his lung sounds are more diminished on the left side. So the doctor grudgingly came to the room to assess the patient with me and agreed that something was off with the patient. After a chest xray and a chest cat scan, it was found that the patient had a community acquired pneumonia which had not presented on the original x ray and the patient had a pulmonary embolism; which caused the change in his breathing and heart rate.
Comment
Giving promotion assumes a significant job and is characterized by Jackson University as, a prepared social insurance proficient who acts or mediates for the benefit of a patient or in light of a legitimate concern for improving the nursing calling. Tricia Hussung states that the ANA (2018) nursing practice, “the assurance, advancement, and improvement of wellbeing and capacities, counteractive action of disease and damage, lighten of enduring the determination and treatment of human reaction, and backing being taken care of by people, families, networks, and populaces. Quite a long while back, I had a patient that had stage 4 liver disease and had set last demands to settle his consideration and treatment. Persistent was a parent that had left his family years back however when passing was soon his family went along and were mentioning to delay his amount of life. The patient realized that he just had a couple of days to live however he additionally realized that his family would need to shield him from biting the dust. I took this issue to our ethic board of trustees which they helped with giving data to the family and the patient to attempt to more readily comprehend the last wishes from the perishing tolerant. In the wake of going over with the family and demonstrating them with material to advocate the desires for quiet they were satisfied to have been a piece of the comprehension and wishes that the patient had just saved. However, in the event that I wasn’t a promoter to the desires that had been set by present patient, the family would have taken the done treatment or care that weren’t the desires that had been composed by the patient. Once in a while it’s difficult to aside from that somebody near us is kicking the bucket and we (family) imagine that they can all the more likely accommodate the patient result. I have faith in Quality versus Amount. Why? I have seen numerous issues or family contentions that have made family have differences and further hurt the patient or their desires. At the point when a patient gives their last wishes, they might want to be regarded to what they feel will be the better result to their last days with their friends and family. What does the discussion put stock in giving support to the quality versus amount of life for the withering patient?
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