Reference no: EM133444842
Zerwekh: Nursing Today, 10th Edition
Chapter 21: Cultural and Spiritual Awareness
Cultural and Spiritual Awareness will be greatly changed/expanded to include increasing diversity in the workplace. New ANA position statement.
Case Study 1
Sarami was a nurse in Saudi Arabia for 12 years and has been in the United States for 7 years. She obtained her citizenship in the United States 2 years ago. After taking the necessary baccalaureate nursing classes, she passed her Mississippi state nursing boards 6 months ago. Sarami is employed as a home health care nurse and has been given three new patients. Her first patient is Patrick, a 76-year-old male with a history of a stroke. Sarami called the patient's home to set up an appointment time that would work best for Patrick for his intake. Patrick's daughter answered the phone and noticed Sarami's accent. The daughter informed Sarami that her Dad was "old school" and did not know if he would be accepting of a foreigner in his home. The daughter also asks if Sarami will be wearing all the head garb when she comes to the home because if she does, then the family would like to request a different provider that is more American.
Explain cultural competence with reference.
Have you ever experienced or witnessed a difficult situation that was premised on cultural ignorance based on personal beliefs, stereotypes, or assumptions? Explain what happened. How could have the situation been handled better?
What if the cultures were reversed and the patient was from Saudi Arabia and the nurse felt uncomfortable caring for a patient within this culture?
Sarami's second patient, Chen Lin, is a first-generation Chinese immigrant that speaks minimal English. He has a son who lives with him and will serve as the interpreter. Chen Lin needs home health care after having an extended hospital stay due to complications post open-heart surgery. When Sarami visits the patient's home to perform her intake assessment, she notices that the patient does not look at her and keeps his head looking downward. The patient's son reports that his dad practices Eastern medicine and has been taking his own supplements since he has been home from the hospital. Sarami is concerned that there could be interactions to the medications prescribed by the cardiologist.
Look up the Chinese culture and name three things that would be beneficial for Sarami to know about this patient's culture related to family, medications, health care, and norms of eye contact and touch.
What questions could the nurse ask the patient about his culture to get a better understanding of how he perceives his illness?
Sarami's third patient is a transgender female patient who is 33 years old and has been referred for home health care due to her recent diagnosis of a brain tumor that is causing her difficulties performing her activities of daily living.
When Sarami performs the patient's history, how does she address the patient's gender identity and sexual history?
The Institute for Healthcare Improvement recommends assessing and evaluating your own biases in order to understand their impact on the care you provide.
Do you have any biases? Were the results surprising to you? How can you start to overcome these biases so they do not interfere with your work as a nurse?