NSG 451 Care of Diverse Populations Assignment

NSG 451 Care of Diverse Populations Assignment

NSG 451 Care of Diverse Populations Assignment

Care of Diverse
Populations

One way of ensuring respect for all patients and staff is to
consider how an individual’s point of view, past experiences, and background
affect their decisions or how they approach situations. This activity is
designed to demonstrate how different organizations operationalize culturally
competent care.

Think about the organization where you currently practice or
one where you practiced in the past.

Does the organization have programs related to
cultural/social diversity, either with relation to patient care or in
understanding team dynamics?

What do the programs entail? When were you exposed to them?

If programs do not currently exist, explain why you think
that is and suggest ways for your organization to integrate awareness of social
and cultural diversity into the culture.

Write a 175-word summary.

Local campus students: Prepare to present and discuss your
summary in the next class meeting.

Online students: Post your summary and respond to at least
one classmate’s post.

Assignment adapted from Leading and Managing in Nursing (Ch.
21), by Patricia S. Yoder-Wise, 2015, St Louis, MI: Elsevier. Copyright 2015 by
Elsevier. Adapted with permission

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Data source: English-language literature, both primary and reports from various agencies, and the author’s personal experiences in clinical practice.

Study selection and data extraction: Relevant literature on patient-centered care and cultural competence.

Data synthesis: There is a growing literature that delineates the impact of sociocultural factors, race, ethnicity, and limited-English proficiency on health and clinical care. The field of cultural competence focuses on addressing these issues. Health care providers need a practical set of tools and skills that will enable them to provide quality care to patients during a brief encounter, whatever differences in background that may exist. Cultural competence has evolved from the gathering of information and making of assumptions about patients on the basis of their sociocultural background to the development of skills to implement the principles of patient-centered care.

Conclusion: This patient-based approach to cross-cultural care consists of first, assessing core cross-cultural issues; second, exploring the meaning of the illness to the patient; third, determining the social context in which the patient lives; and fourth, engaging in negotiation with the patient to encourage adherence. Addressing adherence is a particularly challenging issue, the determinants of which are multifactorial, and the ESFT (explanatory/social/fears/treatment) model–derived from the patient-based approach–is a tool that identifies barriers to adherence and provides strategies to address them. It obviously is impossible to learn everything about every culture and that should not be expected. Instead, we should learn about the communities we care for. More important, we should have a framework that allows us to provide appropriate care for any patient–one that deals with issues of adherence–regardless of the patient’s race, ethnicity, or cultural background.