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  • Subject Name : Nursing

Developing Effective and Caring Nurse-Patient Relationships

Q2 Compared with patients, the differences in my culture and values make it difficult to provide healthcare in some clinical situations. Faith and religious values are among the most important cultural concerns that emerge during my work. I have noted that some religious groups can, because of their religious beliefs, reject prescription drugs, blood transfusions, surgeries, or other life-saving treatments. I still fail to accept these values and disagree with the decision of the patient to discontinue care. I feel that a person should first maintain his health, and then consider religious faith. I often fail to recognize that people often take a particular approach to healthcare and treatment within other economic and social classes (Taylor & Guerin, 2019). In these situations, I still strive to address personal objections, but often I find it difficult to make myself aware of the stubbornness people are exhibiting against their society when they receive treatment. I am trying to develop cultural understanding and knowledge so I do not make presumptions about the culture of patients. Individuals in similar communities or from similar upbringings that look differently at healthcare so I keep concentrating on asking questions to get a better understanding. Each patient has a specific perspective on his/her situation and health, so informing and treating is crucial, rather than making assumptions instantly (Feo et al., 2017).

Q3 There is no reason to assume nurses to always be aware and practice cultural awareness as most cultures and religions have developed over the centuries and are full of rituals which carry symbolic significance (Giger & Haddad, 2020). If I have any doubt about the patient’s cultural values, the best way I find is to inquire about the cultures before providing the appropriate treatment. Once I begin treatment during the initial evaluation, I inquire whether there are any cultural or religious traditions or values I need to learn about to understand and satisfy their requirements. If the patients are uncertain or unaware of their particular health-care needs, I reassure them that if they become aware of any problems, I can change the care based on their beliefs. I always encourage them to connect when they feel certain needs.

When seeking professional cultural care, one of the most important aspects underlined is to consider our own beliefs and culture before looking after others. To manage the personal biases that interfere with the therapeutic relationship, carers need to be sensitive to cultural identifications (Nightingale et al., 2018). I also try to get self-awareness which includes not just observing my cultural values and also assessing conceptions and presumptions about the cultural context of the patient. The implementation of this self-awareness could sometimes even introduce biases or ethnically enforced ideologies to the carers (Samovar et al., 2017). But I keep on educating myself that my primary job is to provide satisfaction through my nursing practice. So I believe that taking care of the health along with the cultural beliefs become important in such cases.

Q4 The health care provider will take other steps to campaign for the patient not to embrace the unfair treatment and lead to improved patient outcomes. First, I can ask the nurses for patient advocacy by communicate with the other healthcare professionals, identifying the best options for treatment, and making sure that the liberties of a patient are not neglected. The intervention of nurses in the face of implicit prejudice will assist patients in accessing the individualized treatment they require. I will ask the nurses to advocate for patients with patience, compassion, and empathy, and connect and cooperate with other members of the healthcare team to meet the needs of the patients. Patients will know their nurses plan to do what's best for them and achieve healthy outcomes. Another solution is to provide sensitivity-focused education and the presence of implicit prejudice in health care facilities (Schultz & Baker, 2017). Nurses can train others to raise awareness about the consequences of unconscious bias during their daily interactions. The healthcare settings can also provide opportunities to explore the relationships between patient characteristics, and the characteristics of healthcare practitioners and patients, as well as potential ways to resolve the existence of implicit biases in healthcare. The management should coordinate programs against prejudice at the corporate level where the employees can be informed about the bias (Burgess et al., 2017). The patient can be made conscious by the health care staff of knowing the stigma towards them. Community members should be active in the effort to achieve successful health outcomes at all rates, eliminating the unconscious prejudices towards the patients.

References for Biased Treatment in Health Care

Burgess, D. J., Beach, M. C., &Saha, S. (2017). Mindfulness practice: A promising approach to reducing the effects of clinician implicit bias on patients. Patient Education and Counseling100(2), 372-376.

Feo, R., Rasmussen, P., Wiechula, R., Conroy, T., &Kitson, A. (2017). Developing effective and caring nurse-patient relationships. Nursing Standard (2014+)31(28), 54.

Giger, J. N., & Haddad, L. (2020). Transcultural Nursing-E-Book: Assessment and Intervention. Elsevier Health Sciences.

Nightingale, S., Spiby, H., Sheen, K., & Slade, P. (2018). The impact of emotional intelligence in health care professionals on caring behaviour towards patients in clinical and long-term care settings: Findings from an integrative review. International Journal of Nursing Studies80, 106-117.

Samovar, L. A., Porter, R. E., McDaniel, E. R., & Roy, C. S. (2017). Communication between cultures. Nelson Education.

Schultz, P. L., & Baker, J. (2017). Teaching strategies to increase nursing student acceptance and management of unconscious bias. Journal of Nursing Education56(11), 692-696.

Taylor, K., & Guerin, P. (2019). Health care and Indigenous Australians: Cultural safety in practice. Macmillan International Higher Education.

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