Assignment Task:
You should respond to both discussions separately--with constructive literature material- extending, refuting/correcting, or adding additional nuance to their posts. Need Assignment Help?
Minimum 150 words.
Incorporate a minimum of 2 current (published within the last five years) scholarly journal articles or primary legal sources (statutes, court opinions) within your work. Journal articles should be referenced according to the current APA style (the online library has an abbreviated version of the APA Manual).
Reply to discussion1:
One of the most fulfilling realities of nursing is the opportunity that it creates for life-long long learning. This endeavor to be competent extends beyond understanding advances in medicine and clinical skills, it involves a commitment to understanding our patients, specifically their culture. The concept of transcultural nursing includes a framework that describes six cultural phenomena that are present in all cultures. These phenomena include: communication, space, social organization, time, environmental control and biological variations.
Communication focuses on both verbal and non-verbal cues. This would include selecting the appropriate language in which the patient feels most comfortable communicating in, even if that means using a translator. Special attention should be given to body language, and speaking clearly, as well as allowing for silence to give patients time to respond. Studies have shown that ineffective communication, specifically task-based care ,creates a barrier to patient centered care and communication. (Kwame & Petrucka, 2021)
Space requires an understanding of how to appropriately use physical proximity. This includes awareness of preferences around comfort zones and personal space.
Understanding the influence of social organization is important because degrees of involvement from the support system will vary greatly between cultures. Additionally, an understanding of the stake each member of the support systems has in the patient's care can impact health outcomes. It's been shown that increased social support yields favorable results such as increased self-management and increased medication adherence. (Shahin, Kennedy, & Stupans, 2021)
A patient's relationship with time can have significant implications in their care. An example of this would be their relationship with punctuality or time spent on activities related to their care.
Environmental control is an important consideration as values and beliefs regarding the physical environment and its impact on health and recovery can vary greatly between groups. Respecting cultural practices and finding ways to honor or incorporate traditions in the treatment can be useful Biological variations impact susceptibility to disease and illness, genetic predisposition to disease, and response to certain treatment
A nursing practice that is rooted in intention and desire to deliver culturally competent care implies a desire to improve health care quality, deliver individual care, and enhance equity in healthcare delivery & Stubbe, 2020). It is estimated that by 2050, 50% of the population in the United States will be comprised of minorities, further highlighting the critical importance of this concept. (Nair & Adetayo, 2020). Having an awareness of these six cultural phenomena and understanding how to incorporate them in nursing practice is the responsibility of all nurses.
References
Kwame, A., Petrucka, P.M. (2021). A literature-based study of patient-centered care and communication in nurse-patient interactions: barriers, facilitators, and the way forward. BMC Nurs 20, 158.
Nair, L., & Adetayo, O. A. (2020). Cultural Competence and Ethnic Diversity in Healthcare. Plastic and reconstructive surgery. Global open, 7(5), e2219.
Shahin, W., Kennedy, G. A., & Stupans, I. (2021). The association between social support and medication adherence in patients with hypertension: A systematic review. Pharmacy practice, 19(2), 2300.
Stubbe D. E. (2020). Practicing Cultural Competence and Cultural Humility in the Care of Diverse Patients. Focus (American Psychiatric Publishing), 18(1), 49-51.
Reply to discussion2:
o Provide culturally diverse nursing care, describe the six cultural phenomena that are evident in all cultural groups.
There are six different cultural phenomena that are evident in all cultural groups. Those six cultural phenomena are space, communication, time, social organization, environment control and biological variations. These phenomena are there to understand how culture can impact the patient care and how they can clear any miscommunication and can improve patient care.
Communication is a very important factor in nursing for many different reasons. Communication is going to enhance quality of care to patients and it is going to effectively improve teamwork among other healthcare professionals that are involved in providing care for the patients. The patients are also to care for their own health and participate more if there is clear communication between the patient and the healthcare providers. There is a current problem in clear communication due to a difference in culture and language as a barrier to health. There are many different cultures and many different religions and some of these patients are very unique and may come from many different cultures and religions. If there is a language or a culture barrier between the nurse and the patients, this can lead to an impaired healing process (Giger, 2021, pg. 20). It is very important for nurses to have effective communication not just with the patients but also with their family members and with other healthcare members that are involved in the patient's care. This factor is very important because it help to educate the patient on their condition and their medication regimen. Clear and effective communication is going to enable nurses to care for their patients. Patients will be aware of their conditi0on and what interventions must be conducted to improve their health. The patients will also have a better understanding on how to administer their own medication at home (Wieke, 2021).
The second phenomena is space and this related to personal space and different levels of comfort with others. Personal space can also have a cultural variation. In many different cultures, personal space is very important and could mean different things for different cultures. Nurses have to be mindful and respectful in regards to personal space because it can be offensive in some cultures and it can be considered therapeutic in others (Roxberg, 2020). Biological variances is another factor that nurses should be aware of in order to understand the patient's and their health. Understanding genetics and their ethnic background can also help to understand the patient's condition and can aid in assessment. Environmental control is very important for the patient's perception of their health and engagement in their health in terms of self-efficacy. Time is also very important when it comes to a patient's health because they have to be mindful of their medication regimen and to take medication when it's the appropriate time. The patients also have to be aware of their appointment times and to relay their availability to the healthcare providers for their check-ins. Social organization is also very important to understand for nurses because that can influence the patient's behaviors and their belief. Because of certain conditions in patient's they may need some social support and they may also have some spiritual needs as well.
Reference:
Giger, J. N., & Haddad, L. (2021). Transcultural Nursing: Assessment and Intervention (8th ed.).
Roxberg, Å., Tryselius, K., Gren, M., Lindahl, B., Werkander Harstäde, C., Silverglow, A., Nolbeck, K., James, F., Carlsson, I. M., Olausson, S., Nordin, S., & Wijk, H. (2020). Space and place for health and care. International journal of qualitative studies on health and well-being, 15(sup1), 1750263.
Wieke Noviyanti, L., Ahsan, A., & Sudartya, T. S. (2021). Exploring the relationship between nurses' communication satisfaction and patient safety culture. Journal of public health research, 10(2), 2225.