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Q1 Select and identify a culture other than your own. In what ways will you have
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Q1 Select and identify a culture other than your own. In what ways will you have to modify your communication approach, your nursing tasks, and your patient education in formulating a culturally competent plan of care for this patient?
When caring for a person from an Asian culture, I need to be mindful of language barriers, health care illiteracy, and beliefs. (Juckett et al.,2014) I will use a translator for communication even if the family is present. I want to ensure the patient understands and all their questions and concerns are addressed. I will also have the patient and caregiver demonstrate aftercare. Having the patient and caregiver illustrate the care needed can help eliminate unnecessary errors with medications. I will also ask the patient about any beliefs or medical practices they may have used to treat illness. Sekeyia Juckett, G., Nguyen, C., & Shahbodaghi, S. D. (2014). Caring for Asian immigrants: Tips on culture that can enhance patient care. Journal of Family Practice, 63(1), E1–E9.
A culture that I am very familiar working with that is different than mine, would be Middle Eastern culture. With the Middle Eastern culture there are very diverse communication values and cultural values that are either overlooked or ignored in Western health care. Although there are different values and beliefs that fall under the Middle Eastern culture, for the most part there are many similarities in their values overall. For example, “problems in providing health care involve obtaining adequate information, “demanding behavior” by a patient’s family, conflicting beliefs about planning ahead and differing patterns of communicating grave diagnoses or ‘bad news’,” (Lipson, Meleis, 1983). I think in order to compensate for the differing patterns in communicating and planning a care plan, I would work to try and ensure the patient is comfortable and understanding every step of the process or care plan. I would advocate and push for them to vocalize anything that makes them feel uncomfortable and try and reason with them a care plant that is more fit to their comfort and values. I think being very communicative, compassionate and understanding would be the best approach with the Middle Eastern culture. I am always willing to learn about new cultures as well so I would be very open to allowing my patients truly voice their opinions and feelings.
Lipson, J. G., & Meleis, A. I. (1983). Issues in health care of Middle Eastern patients. The Western journal of medicine, 139(6), 854–861.
The Amish culture requires adaptation when delivering care in the Western world. According to Anderson & Potts (2020), there is a general distrust of American approaches to illness, particularly concerning medications, costs, and large profit organizations. Complementary and alternative medicine (CAM) is highly regarded in the Amish culture in addition to a deep value of faith and family as it pertains to the health-illness continuum. The teaching of the Amish patient would need to include sensitivity around the belief that God is ultimately in control. The Amish culture is modest, humble, and gender-oriented (Colin, 2021) so nursing tasks would require that modesty be maintained and staff is appropriately assigned with regard to the sex of the patient.
Anderson, C., & Potts, L. (2020). The Amish health culture and culturally sensitive health services: An exhaustive narrative review. Social science & medicine (1982), 265, 113466. https://doi.org/10.1016/j.socscimed.2020.113466
Conlin W. E. (2021). Ethical Considerations for Treating the Old Order Amish. Ethics & behavior, 31(6), 419–432. https://doi.org/10.1080/10508422.2020.1805614
MY RESPOND ON Q1
While formulating a culturally competent plan of care for a patient I can modify my communication approach by using a simple communication approach. I can maintain the explanations as short as possible and in situations where the patient cannot understand the language, I use a translator. Translators play an integral role in communication particularly when the speakers lack a common language (Adil, 2020). Also, I can modify my nursing task by being culturally sensitive. According to Yilmaz et al (2017), cultural sensitivity refers to knowing that cultural similarities and differences between individuals exist without giving them value. For instance, I can avoid making jokes that can be misinterpreted in my patient’s native language. I can modify the patient’s education by teaching them in full sentences. Stopping in the middle of a sentence can lead to inaccurate translation and confusion.
Adil, M. (2020). Exploring the role of translation in communicative language teaching or the
communicative approach. SAGE Open, 10(2), 2158244020924403.
Yilmaz, M., Toksoy, S., Direk, Z. D., Bezirgan, S., & Boylu, M. (2017). Cultural sensitivity among clinical nurses: A descriptive study. Journal of Nursing Scholarship, 49(2),
CLASSMATE RESPONDED ON MY POST
Replies to Diana Rose Gacrama
Hi Diana, I found the last part of your post interesting and had no idea that breaking up sentences could have negative effects on translation and patient understanding. I have spent some time living in other counties and found that people speaking slowly gave me to chance to digest the words and think about the context. This is a good example of how we can inadvertently project our own preferences or culture of language onto others (which I realize I have done). Going forward I will be more cognizant when working with patients who speak languages other than English.
What factors influencing nutritional practices in the United States could be changed to improve health?
Food choice in the United States could be improved through better access to nutritious food, particularly for populations living below the poverty line and in food deserts. According to the Institue of Medicine (IOM,2010), Americans consume diets which are high in trans and saturated fats in addition to excessive caloric intake such as fast foods like McDonalds. Smead (2018), states there are more then 37,000 McDonalds in the US and according to Mcdonalds.com, 1 quarter pound burger with cheese is 520 calories and has 26 grams of fat which is 33% of the daily limit (n.d.).
If healthy food was as readily available as McDonalds, both by location and price, I believe nutritional practices would likely improve, as would the culture of food in America.
Institute of Medicine (US) Committee on Examination of Front-of-Package Nutrition Rating Systems and Symbols; Wartella EA, Lichtenstein AH, Boon CS, editors. Front-of-Package Nutrition Rating Systems and Symbols: Phase I Report. Washington (DC): National Academies Press (US); 2010. 4, Overview of Health and Diet in America. Available from: https://www.ncbi.nlm.nih.gov/books/NBK209844/?report=classic
Quarter pounder® with cheese: Fresh beef | McDonald’s. (n.d.). McDonald’s: Burgers, Fries & More. Quality Ingredients. Retrieved May 10, 2022, from https://www.mcdonalds.com/us/en-us/product/quarter-pounder-with-cheese.html
What factors influencing nutritional practices in the United States could be changed to improve health? What about portion sizes?
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