Case Studies Chapter 5 Cultural Diversity: You Are A Nurse C

Case Studies Chapter 5 Cultural Diversityyou Are A Nurse Caring For

Case Studies, Chapter 5, Cultural Diversity You are a nurse caring for a 53-year-old married Muslim woman who is 2 days postoperative for extensive abdominal surgery. She has complicated dressing changes three times daily, which require at least two staff to complete. Her husband is by her bedside, when he is not at work, and is very caring and attentive. The work schedule for tomorrow indicates that the LPN and nursing assistant on your team will be male. What are your actions to ensure culturally competent care? What patient information is pertinent to foster culturally competent care? What questions should you ask yourself when caring for this patient? What steps would you take to provide culturally competent care? You are a nurse caring for a 79-year-old man, a retired railroad worker who was admitted with dizziness and a history of falling. During your shift, your nursing assistant reports (with frustration) that the patient refuses to use his urinal while in bed and insists on standing bedside or walking to the bathroom to eliminate. The assistant requests a physician’s order for urinal use in bed only. What are your appropriate actions in this scenario? What questions should you ask yourself in this situation? What teaching (and to whom) could be involved in resolving the situation? What factors could be inhibiting cultural sensitivity?

Paper For Above instruction

Providing culturally competent nursing care requires nurses to be aware of and sensitive to the diverse backgrounds, beliefs, and practices of their patients. In the scenario of caring for a 53-year-old Muslim woman postoperative after extensive abdominal surgery, it is essential to acknowledge and respect her cultural beliefs and practices. Muslims may have specific concerns regarding modesty, gender interactions, and religious rituals, especially during vulnerable health moments such as postoperative recovery. To ensure culturally competent care, the nurse should first gather relevant patient information, such as her religious beliefs, cultural practices related to modesty, and preferences regarding gender interactions. This information can be obtained through direct communication with the patient, family, or previous healthcare providers if available. Asking respectful questions like, "Are there any specific practices or beliefs I should be aware of to support your comfort and recovery?" ensures patient-centered care.

In addressing staffing challenges, the nurse should consider whether the presence of male staff colleagues during dressing changes might violate her cultural or religious preferences. If so, the nurse can advocate for solutions such as arranging for a female staff member to perform or assist with dressing changes, or adjusting scheduling if possible. Education of the staff about cultural sensitivity, female patient privacy, and modesty in Muslim patients is crucial. Additionally, involving the patient in decision-making and respecting her choices helps promote trust and cultural safety.

Similarly, caring for the 79-year-old retired railroad worker who refuses to use the urinal in bed highlights the importance of understanding cultural, personal, or psychological reasons behind patient's preferences. The nurse must avoid imposing orders without understanding the patient's perspective. Questions arising in this context include: "What are the patient's reasons for wanting to stand or walk to the bathroom?" and "Does the patient have specific cultural or personal beliefs influencing this preference?"

The nurse can facilitate communication by gently exploring the patient's preferences and providing education about the safety and health benefits of bedpan or urinal use, especially considering his fall history. Teaching may involve explaining the importance of prevention of falls and infection, involving the patient and family in care planning. Respecting the patient's autonomy and preferences while ensuring safety is paramount.

Factors inhibiting cultural sensitivity may include staff stereotypes, assumptions, language barriers, and lack of cultural awareness training. The nurse should advocate for cultural competence training, promote open dialogue, and listen actively to patient preferences. Incorporating cultural assessments into routine care and fostering an environment of respect can improve patient satisfaction and health outcomes.

References

• Campinha-Bacote, J. (2011). Delivering patient-centered care in the midst of a cultural conflict: The role of cultural competence. J Transcult Nurs., 22(2), 139-143.
• Leininger, M., & McFarland, M. R. (2006). Culture Care Diversity and Universality: A Theory of Nursing (2nd ed.). Jones & Bartlett Learning.
• Purnell, L. (2013). Transcultural health care: A culturally competent approach. F.A. Davis Company.
• Andrews, M. M., & Boyle, J. S. (2017). Transcultural Concepts in Nursing Care. Jones & Bartlett Learning.
• Spector, R. E. (2013). Cultural Diversity in Health and Illness. Pearson.
• Nelson, J. (2010). Cultural competence in nursing: Opportunities and challenges. Nursing Management, 41(2), 14-17.
• Kleinman, A., & Benson, P. (2006). Anthropology in the clinic: The problem of cultural competence and how to fix it. PLoS Med., 3(10), e294.
• Betancourt, J. R., Green, A. R., & Carrillo, J. E. (2002). Cultural competence in health care: Emerging frameworks and practical approaches. Field Report, The Commonwealth Fund.
• Gwyther, L. P., & Ivey, C. (2009). Cultural Competence in Nursing Practice. Springer Publishing Company.