Discussion Peer/Participation Prompt Due Sunday
Construct a response to at least 2 of your peers commenting on the best practice strategies for use in shared decision making with a patient of the ethnic background your course colleague has shared their thoughts and experiences about.
For each colleague that you respond recommend an additional best practice for competent cultural engagement with the patient.
Responses need to address all components of the question, demonstrate critical thinking and analysis, and include peer reviewed journal evidence to support the student’s position.
Please be sure to validate your opinions and ideas with in-text citations and corresponding references in APA format.
Please review the rubric to ensure that your response meets the criteria.
Estimated time to complete: 2 hours
PLEASE USE UPDATED REFERENCES I WILL PROVIDE BOTH PEERS POST
PEER#1
Unit 12 Discussion: Ethnicity and Culture
Video #2
I work at a cancer hospital in a small town in Zion, Illinois though very small our patients come from all over the United States and of all ethnicities and religious that I can think of. There have been many instances where our cultural competence knowledge and training has shown in our care and in the way patients are assigned to certain nurses. We pride ourselves in patient satisfaction and fully allow the patients to have a say in who takes care of them whether it be male or female or even if they didn’t get off on the right foot with a certain nurse/CNA.
An instance that has stayed with me happened a couple of years ago when a female Muslim patient was admitted to our unit post-surgery from an extensive tumor removal. When I was first introduced to her I remembered everything I had been taught and that I knew about a Muslim patients religious and cultural beliefs. She chose to have us place her hijab on immediately after surgery which we found important to do for her. In the room she had her husband and daughter with her. Though I knew a good amount about the Muslim religion I still asked her and her family if there was anything they’d like me to know about her practices. They seemed touched that I asked and told me about her Hijab, their daily praying, and a little more about their beliefs in healthcare. From an Islamic perspective, health is defined as a state of physical, psychological, social and spiritual wellbeing and is viewed as one of the greatest blessings God has bestowed on humankind. The world view of Muslim patients incorporates the notion of receiving illness and death with patience, meditation and prayers. Even non-practising Muslim patients generally call for spiritual or religious intervention when they are facing significant challenges (Contributor, 2019).
This was the first of many patients I encountered that practiced different religious beliefs than myself but I was raised to never judge and treat everyone with respect regardless of skin color, religion, or anything else. Being culturally competence should be expected of everyone but even more so for nurses. Cultural competence prepares nurses to empathize, relate more to patients, and attend more deeply to their needs. Hospital patients can often be agitated or stressed. Having someone on their care team who speaks their language or understands their unique background may help them to relax, leading to greater therapy and overall care (Attum, 2021). The information and statistics showing better patient outcomes for patients when their nurses are culturally competent is overwhelming and proven to be correct.
References
Attum B, Hafiz S, Malik A, et al. Cultural Competence in the Care of Muslim Patients and Their Families. [Updated 2021 Jul 7]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2021 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK499933
Contributor, N. T. (2019b, August 4). Cultural competence in nursing Muslim patients. Nursing Times. https://www.nursingtimes.net/roles/nurse-educators/cultural-competence-in-nursing-muslim-patients-30-03-2015/
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PEER#2
Fran Webb
WednesdayAug 4 at 10:35pm
I chose video #3 when I heard the young Black lady speak about the church group trying to convince her she was too young to be affected by high blood pressure. I wanted to speak about contraceptives too but will focus on blood pressure. I’ve heard similar comments regarding high blood pressure and age in low-income urban areas. High blood pressure within the Black population is rising. Genetic and environmental are contributing factors:
I was at a children’s event recently at an urban school, ratio was 98% Blacks, 2% Hispanic and non-healthy foods were offered such as assorted chips, Doritos, Hot Takis, and sodas. Parents reached for the same unhealthy products. Some children didn’t have the opportunity to play outside or exercise during COVID-19 crisis. Weight gain was noticeable at the event. Kids and teens are already struggling to learn outside the classroom during the pandemic, but lockdowns and quarantines are also making it hard for them to control their weight (Murez, 2019).
The younger a child is, the more likely it is that the high blood pressure is caused by a specific and identifiable medical condition and older children can develop high blood pressure for the same reasons adults do excess weight, poor nutrition, and lack of exercise (Mayo Clinic, 2021).
Genetic. Researchers have uncovered some facts that in the U.S, blacks respond differently to high blood pressure drugs than do other groups of people and are more sensitive to salt, which increases the risk of developing high blood pressure, environmental: Black people in the U.S are more likely to be overweight than blacks in other countries and some experts think that social and economic factors include discrimination and economic inequality are responsible for this difference however, discrimination and economic inequality is debatable (Beckerman, 2019).
As healthcare providers, we must be vigilant in educating our clients. It’s important is discuss healthy diet to parent and the young child. After determining SDH status, resources, take home materials are critical in defeating this chronic problem. Also, education, examples, and community support are positive avenues.
Beckerman, J. (September 6, 2019). High Blood Pressure in African Americans.
https://www.webmd.com/hypertension-high-blood-pressure/guide/hypertension-in-african-americans (Links to an external site.)
Mayo Clinic (2021). High blood pressure in children
https://www.mayoclinic.org/diseases-conditions/high-blood-pressure-in-children/symptoms-causes/syc-20373440
Murez, C. (March 22, 2019). Pandemic Has Many Kids Struggling with Weight Issues.
https://www.webmd.com/children/news/20210322/pandemic-has-many-kids-struggling-with-weight
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