Comment 1 

As a passionate psychiatry nurse, I picked my executive summary to be a suicide prevention program. Deaths by suicide have risen across the United States as reported by the Center for Disease Control in 2017. Suicide deaths are considered a crisis in the Mental Health profession. Suicide is not biased. It affects Caucasians, Africa-Americans, Indian, etc. It also affects the young, middle age, and elderly.  According to the CDC, over 45,000 reported suicides occurred in 2016 in the United States. Suicide was ranked the tenth
leading cause of death. 

There needs to be more programs for suicide prevention that is readily available and ready to help. The State of Alabama has a suicide hotline and several programs but they are in the big cities and that is not feasible for people who live an hour or two away. There needs to be more help all people who suffer mental illnesses.

Comment 2

I would like to describe differing approaches of nursing leaders and managers to issues in practice when discussing nurse-staffing ratios. This is a big issue in the country because aside from California, legally mandated nurse-staffing ratios do not exist. When it is discussed in the hospital now, nursing supervisors discourage it by telling nurses that it is not all it’s cracked up to be. Some hospitals can go under due to the need to staff appropriately. When talking to a nurse who has worked under both situations, she has said that the cost of healthcare ends up declining in a good way because nurses are making less overworked mistakes and patient-satisfaction is up. This can be the big difference between managers and leaders in the big picture of things. Managers will listen to nursing complaints of being overworked beyond safe circumstances and the manager will simply say, “this is what you signed up for when you became a nurse,” like we’re soldiers complaining about being shot at when we chose to be a soldier. We signed up for nursing to care for patients and participate in the optimization of their help. Leaders will listen to nursing complaints and ask themselves what can they do to help. At the end of the day, if more people were leaders, nursing shortages may not exist. Nurses would be happier and stay in their positions longer.  

 

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Purpose

The Course Outcome covered this week is CO1.

CO1: Identify theories, concepts, and beliefs related to transcultural nursing. (PO1)

Discussion

We encounter patients after they have explored various avenues of self-help. At times, these avenues involve the use of complementary and alternative medicine (CAM). Our readings this week are very helpful.

1. Select a common (or not so common) illness or condition that affects a specific ethnic group.
2. Identify two (2) CAM therapies that patients are likely to try before seeking (or in addition to) allopathic, osteopathic, or ayurvedic medical intervention for the illness or condition.
3. Discuss the effectiveness of each therapy you identified.

Note: Do not discuss an illness or condition about which a classmate has already posted. The diversity will lead to a more robust discussion. There are many examples you may discuss, including sickle-cell disease in African Americans, constipation in the elderly people, or the use of Reiki for mental and emotional healing by Japanese people. Think of others from your practice settings or prelicensure experiences.

professor’s comment:

Hello All,

This is one week I am really looking forward to because you are all experts in this area from all of your work with the patients and families you care for.  We all encounter patients after they have explored various avenues of self-help. At times, these avenues involve the use of complementary and alternative medicine (CAM). I look forward to your choice for an illness that affects an ethnic group that you have worked with and the CAM therapies you identify.

Example: Class and Professor,

One not so common illness discussed is depression amongst Chinese population. There are cultural differences that must not be overlooked within this population when dealing with depression. While sadness may be reported, it also may not and it was repeated in multiple studies that often other symptoms are more prominent. “In a study to differentiate somatic versus psychological symptoms as a cultural expression of depression, Chinese outpatients reported more somatic symptoms compared to Euro-Canadians, who reported more psychological symptoms” (Andrews & Boyle, 2016).  As a health care provider it is important to recognize the differences.

Unlike persons living in the general U.S. population, Chinese and Chinese Americans often do not report feeling sad when they are depressed. Depression-related signs and symptoms that are commonly reported by Chinese patients include the following: Boredom, discomfort, pain fatigue, unexplained physical abnormalities” (Smith, 2018). Frequently, signs will be down-played or ignored by the patient for fear of embarrassment of diagnosis of a mental health condition. “There is a strong social stigma and sense of shame in Chinese culture regarding depression” (Smith, 2018). Because of this seeking care may not be an option and care may be delayed.

Other than being prescribed medications as what seems last resort for depression, complementary and alternative medicine (CAM )therapies may be used. CAM therapies that are explored are Chinese herbal therapy, acupuncture, and movement therapy known as t’ai chi. As noted by Smith (2018), they are the most commonly used interventions for treatment of depression that is also known as “shenjing” in Chinese culture. There was such noted success with movement therapy, a study was formally recognized showing huge improvement of signs and symptoms among participants over a 12 week course (Smith, 2018). Movement therapy, specifically T’ai Chi should be explored as a recommendation for individuals who are capable and willing to try it before prescribing medications that often come with side effects.

-Allyson

• Reference
• Andrews, M. M., & Boyle, J. S. (2016). Transcultural concepts in nursing care (7th ed.). Philadelphia: PA. Wolters Kluwer.
• Smith, N. (2018) Chinese Patients: Providing Culturally Competent Care to Patients with Depression. Ipswich, Massachusetts. https://chamberlainuniversity.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=nup&AN=T903134&site=eds-live&scope=site

Reference: American Psychological Association. (2010). Publication manual of the American Psychological Association (6th ed.). Washington, DC: Author.

Andrews, M. M., & Boyle, J. S. (2016). Transcultural concepts in nursing care (7th ed.). Philadelphia: PA: Wolters Kluwer.

 

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Select either Option A or Option B to respond to and indicate within your post which option you chose.
 

Option A: Identify what you believe are the top three challenges in setting up a hospital-based committee from a managerial perspective.  In a 250- to 300-word post, discuss your rationale and address the following questions:
 

1. Why are committees advantageous for health care organizations?
    
2. What are some of the steps that you as a manager, could take to overcome these challenges?
    
3. How would you address conflict and/or divisiveness within the committee or team? 

Option B : Committees have been determined as a necessary component to health care organizations.  As a manager, you have been tasked to set up a committee with one of the hospital departments.  In doing so, consider the following questions:  
 

1. How much influence should the committee have in the overall management structure?
    
2. How would you maintain authority without adopting an autocratic leadership style?
    
3. How would you set up an employee team without violating union and labors laws? 

 

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