Chapter 6: Transcultural Perspectives In Nursing Care 169583

Chapter 6 Transcultural Perspectives In The Nursing Care Of Childre

Chapter 6: Transcultural Perspectives in the Nursing Care of Children 1 Children in a Culturally Diverse Society #1 Cultural survival depends on the transmission of values and customs from one generation to the next. Culture influences child growth, development, health, and illness. Children in a Culturally Diverse Society #2 Children as a Population Elements to consider: Racial and ethnic composition Poverty Children’s health status Growth and development Infant attachment Crying 4 In all cultures, infants and children are valued and nurtured because they represent the promise of future generations. Parental cultural beliefs and practices influence behaviors and interventions. Culture-Universal and Culture-Specific Child Rearing #1 5 Culture-Universal and Culture-Specific Child Rearing #2 Culture influences child rearing: Nutrition: feeding and eating behaviors Sleep Elimination Menstruation Parent–child relationships and discipline Child abuse Gender differences 6 Culture-Universal and Culture-Specific Child Rearing #3 7 Question #1 Is the following statement true or false? Differences between boys and girls are generally subtle, first appear at puberty, and exert minimal influence on adult roles within a culture. 8 Answer to Question #1 False Rationale: Differences between boys and girls appear early in life and form the basis for adult roles within a culture. 9 Health and Health Promotion #1 Parents might persist with culturally based beliefs and practices even when scientific evidence refutes them. The family is the primary health care provider for infants, children, and adolescents. 10 Health and Health Promotion #2 Influencing factors: Illness Health belief systems Biocultural influences on childhood disorders Immunity, intermarriage, ethnicity, race Beliefs regarding causes of chronic illness/disability Special health care needs of adolescents 11 Question #2 Is the following statement true or false? Illness is viewed by many cultures as a form of punishment. 12 Answer to Question #2 True Rationale: A family and/or child with a chronic illness or disability may believe that they have been cursed by a supreme being, have sinned, or violated a taboo. 13 Culturally Competent Nursing Care for Children and Adolescents #1 Nursing Assessment of the Family Cultural background Family belief systems Mother may be most influential Family structures Nuclear, single-parent, blended, extended 14 Culturally Competent Nursing Care for Children and Adolescents #2 Nursing Interventions Physical care/hygiene Communication With child and family Evaluation of the nursing care plan Ask questions to determine if mutual goals were established Question #3 Is the following statement true or false? All family members of a cultural group follow the culture of the larger group. Example: All Chinese North American children show respect for authority, have polite social behavior, and a moderate-to-soft voice. 16 Answer to Question #3 False Rationale: Each family modifies the culture of the larger group in ways that are uniquely its own. Individual differences, changing norms over time, the degree of acculturation, the length of time the family has lived in a country, and other factors account for variations from the stereotype. 17 RUBRIC TO FOLLOW FOR THE ASGNT Excellent 90-100% Good 80-89% Fair 70-79% In 2–3 pages, address the following: • Explain the controversy that surrounds your selected personality or paraphilic disorder. 14 (14%) - 15 (15%) The response includes an accurate and concise explanation of the controversy within the field related to the disorder. 12 (12%) - 13 (13%) The response includes an accurate explanation of the controversy within the field related to the disorder. 11 (11%) - 11 (11%) The response includes a somewhat vague or inaccurate explanation of the controversy within the field related to the disorder. 0 (0%) - 10 (10%) The response includes a vague or inaccurate explanation of the controversy within the field related to the disorder. Or the response is missing. • Explain your professional beliefs about your selected disorder, supporting your rationale with at least three scholarly references from the literature. 23 (23%) - 25 (25%) The response includes a thorough and well-organized explanation of the student's professional beliefs about the disorder. Rationale demonstrates critical thinking and is strongly supported with three scholarly references. 20 (20%) - 22 (22%) The response includes a well-organized explanation of the student's professional beliefs about the disorder. Rationale is clear and appropriately supported with three scholarly references. 18 (18%) - 19 (19%) The response includes a somewhat vague explanation of the student's professional beliefs about the disorder. Rationale is somewhat unclear and references either provide weak support for the rationale or are not scholarly/current. 0 (0%) - 17 (17%) The response includes a vague explanation of the student's professional beliefs about the disorder. Rationale is unclear and references are inappropriate. Or the response is missing. • Explain strategies for maintaining the therapeutic relationship with a client that may present with the disorder. 27 (27%) - 30 (30%) The response includes an accurate and concise explanation of strategies for maintaining the therapeutic relationship with a client that may present with the disorder. 24 (24%) - 26 (26%) The response includes an accurate explanation of strategies for maintaining the therapeutic relationship with a client that may present with the disorder. 21 (21%) - 23 (23%) The response includes a somewhat vague or incomplete explanation of strategies for maintaining the therapeutic relationship with a client that may present with the disorder. 0 (0%) - 20 (20%) The response includes a vague or inaccurate explanation of strategies for maintaining the therapeutic relationship with a client that may present with the disorder. Or the response is missing. • Finally, explain ethical and legal considerations related to the disorder that you need to bring to your practice and why they are important. 14 (14%) - 15 (15%) The response includes an accurate and concise explanation of ethical and legal considerations related to the disorder that are important to clinical practice and why they are important. 12 (12%) - 13 (13%) The response includes an accurate explanation of ethical and legal considerations related to the disorder that are important to clinical practice and why they are important. 11 (11%) - 11 (11%) The response includes a somewhat vague or incomplete explanation of ethical and legal considerations related to the disorder that are important to clinical practice and why they are important. 0 (0%) - 10 (10%) The response includes a vague and inaccurate explanation of ethical and legal considerations related to the disorder that are important to clinical practice and why they are important. Or, response is missing. Written Expression and Formatting - Paragraph Development and Organization: Paragraphs make clear points that support well-developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are carefully focused—neither long and rambling nor short and lacking substance. A clear and comprehensive purpose statement and introduction are provided that delineate all required criteria. 5 (5%) - 5 (5%) Paragraphs and sentences follow writing standards for flow, continuity, and clarity. A clear and comprehensive purpose statement, introduction, and conclusion are provided that delineate all required criteria. 4 (4%) - 4 (4%) Paragraphs and sentences follow writing standards for flow, continuity, and clarity 80% of the time. Purpose, introduction, and conclusion of the assignment are stated, yet they are brief and not descriptive. 3.5 (3.5%) - 3.5 (3.5%) Paragraphs and sentences follow writing standards for flow, continuity, and clarity 60%–79% of the time. Purpose, introduction, and conclusion of the assignment are vague or off topic. 0 (0%) - 3 (3%) Paragraphs and sentences follow writing standards for flow, continuity, and clarity

Sample Paper For Above instruction

Personality and paraphilic disorders are complex mental health conditions that often generate significant controversy within the psychiatric and psychological communities. These controversies arise from debates over diagnosis criteria, ethical considerations in treatment, societal implications, and potential stigmatization of individuals affected by such disorders. One such disorder that exemplifies these debates is pedophilic disorder, classified under paraphilic disorders in the DSM-5. This paper explores the controversy surrounding pedophilic disorder, discusses the author’s professional beliefs informed by current literature, strategies for therapeutic engagement, and critical ethical and legal considerations.

The controversy surrounding pedophilic disorder predominantly relates to the ethical dilemmas faced by clinicians when diagnosing and treating individuals with such tendencies. Critics argue that labeling individuals with pedophilic tendencies as having a mental disorder can lead to stigmatization and discrimination, hindering their access to treatment and increasing the risk of harmful behaviors (Seto, 2017). Conversely, proponents maintain that recognizing the disorder is vital for early intervention which can prevent harm to potential victims while providing affected individuals with necessary psychological support (Blanchard et al., 2014). The moral implications of involuntary treatment, the potential infringement on personal rights, and the societal risk management remain central to the ongoing debate.

From a professional standpoint, I believe that the diagnosis of pedophilic disorder should be approached with a nuanced understanding that balances ethical considerations with the need for public safety. Evidence from literature suggests that early identification and treatment can reduce the risk of offending behaviors and improve the quality of life for individuals with such tendencies (Harkins, 2018). Moreover, therapy should be trauma-informed, focus on harm reduction, and incorporate cognitive-behavioral strategies that help manage urges without violating ethical standards or individual rights (Seto, 2017). Ensuring confidentiality, fostering a non-judgmental therapeutic environment, and emphasizing client autonomy are essential principles guiding my practice.

Maintaining a therapeutic relationship with clients exhibiting paraphilic tendencies requires specialized strategies. Establishing trust and demonstrating unconditional positive regard facilitates open communication. It is crucial to prioritize safety planning and risk assessment early in treatment, continuously monitoring for any signs of potential harm (Blanchard et al., 2014). Engaging clients in goal-setting and providing education about their condition can foster cooperation and empower clients to manage their tendencies responsibly. Using motivational interviewing techniques helps enhance engagement and sustain motivation for change. Collaboration with multidisciplinary teams ensures comprehensive care addressing the psychological, social, and legal aspects of treatment (Harkins, 2018).

Legal and ethical considerations are paramount when working with individuals with pedophilic tendencies. The clinician must adhere to laws related to mandatory reporting, especially if there is a risk of harm to minors. Ethical principles, including beneficence, non-maleficence, respect for autonomy, and justice, must guide decision-making processes. The stigma surrounding these disorders underscores the importance of confidentiality and respectful communication to prevent further marginalization (Seto, 2017). Additionally, clinicians have a legal obligation to assess and document risk, collaborate with legal authorities as appropriate, and ensure that treatment plans are person-centered and ethically sound.

In conclusion, while the controversy surrounding pedophilic disorder reflects broader societal and moral debates, clinical practice must prioritize ethical integrity, human rights, and public safety. Interdisciplinary approaches, evidence-based interventions, and vigilant legal adherence are essential for effective management. As mental health professionals, it is our responsibility to provide compassionate, ethical care that respects the dignity of individuals while safeguarding societal wellbeing.

References

  • Blanchard, R. et al. (2014). A review of research on the classification and diagnosis of pedophilia. International Journal of Law and Psychiatry, 37, 123-132.
  • Harkins, L. (2018). Cognitive-behavioral therapy for individuals with paraphilic disorders. Journal of Mental Health Counseling, 40(4), 280-294.
  • Seto, M. C. (2017). Pedophilia and individuals who have acted on these urges. Annual Review of Clinical Psychology, 13, 311-331.
  • American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.).
  • Hanson, R. K., & Bussière, M. T. (2009). Risk management with sex offenders: Theory, practice, and future directions. Journal of Forensic Psychology, 4(2), 147-162.
  • Levenson, J. S. et al. (2018). Evidence-based practices in treating sexual offenders: A review. Journal of Offender Rehabilitation, 57(2), 94-118.
  • Harkins, L. (2018). Cognitive-behavioral therapy for individuals with paraphilic disorders. Journal of Mental Health Counseling, 40(4), 280-294.
  • Seto, M. C., & Cantor, D. (2014). The development of pedophilia. Canadian Journal of Psychiatry, 59(9), 482-491.
  • Harkins, L. (2018). Cognitive-behavioral therapy for individuals with paraphilic disorders. Journal of Mental Health Counseling, 40(4), 280-294.
  • Australian Government Department of Health. (2016). Ethical considerations in mental health care. Canberra: Australian Government Publishing Service.

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