DQ Propose strategies that you can employ to reduce cultural dissonance and bias to deliver culturally competent care
How does the community health nurse recognize bias, stereotypes, and implicit bias within the community? How should the nurse address these concepts to ensure health promotion activities are culturally competent? Propose strategies that you can employ to reduce cultural dissonance and bias to deliver culturally competent care. Include an evidence-based article that address the cultural issue. Cite and reference the article in APA format.
Rhoda Fadri
Posted Date
Jan 15, 2022, 2:54 PM
Replies to Rhoda Fadri
A community health nurse can recognize bias, stereotypes, and implicit bias within the community simply by being culturally competent. Understanding the people in your community can help you prepare for what to expect in the community health setting. According to our book, “the nurse should be well informed regarding stereotypes and biases in order to be sensitive to these issues and provide the most unbiased care possible.” (Falkner, 2018). The nurse can address these concepts to ensure health promotion activities are culturally competent by being aware of how people are judged by others. Also, understanding what issues the patient is facing and what the patient may face in their culture with any treatment plans that are made. Helping the patient to recover and providing resources that they may not have access to can help tremendously. Strategies that can be employed to reduce cultural dissonance and bias to deliver culturally competent care would be to simply treat the patient as if they were a member of your family. You do not change the way you would do a normal assessment and cover all areas and resources with everyone the same. This allows you to provide the same care to every patient, every time allowing no one to feel individualized or left out. In a recent study they found that “moral emotions are frequently elicited by communication and care practices considered ‘foreign’. The main implication is that although safe practice in healthcare organizations is reliant on highly functioning teams, collaboration is challenged by interprofessional power relations of contested culturally shaped values. We address practice‐based strategies that enable engagement with moral emotions to enhance effective teamwork.” (Cook, Brunton, 2018). We as healthcare workers need to be able to understand the patient’s needs as well as communicate with other healthcare team members no matter what race or ethnicity they are. The goal between the patient, you as the nurse, and the rest of the healthcare team should be the same in the end.
Reference:
Cook, C., & Brunton, M. (2018). The importance of moral emotions for effective collaboration in culturally diverse healthcare teams. Nursing inquiry, 25(2), e12214.
Falkner, A. (2018). Community & Public Health: The Future of Health Care. https://lc.gcumedia.com/nrs427vn/community-and-public-health-the-future-of-healthcare/v1.1/#/chapter/3.
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Sharon Dube
replied toRhoda Fadri
Jan 16, 2022, 1:01 PM
• Replies to Rhoda Fadri
Great post. It has been noted that a number of healthcare personnel have an implicit bias against gay and lesbian people. This bias has led to a number of LGBT people avoiding healthcare facilities and not seeking treatment for ailments early. Ableism is also a common bias where people believe that people with disabilities are not as capable or as valuable as those without disabilities, and a study carried out showed that professionals preferred people without disabilities. It is important that healthcare professionals act in a manner that does not display preferences.
References
Smith.A. 2021. Medical news today. Bias in healthcare.
www.medicalnewstoday.com/articles/biases-in-healthcare
• Shana Fogelman
replied toRhoda Fadri
Jan 16, 2022, 10:05 PM
• Replies to Rhoda Fadri
Hi Rhoda!
Your post was very informative, and I LOVE the point you made that we should treat our patient’s how we would want our family
members to be treated if it were them to help reduce cultural dissonance and bias. Having this mindset of treating our patients like family has been proven to help healthcare workers to be more attentive, listen closely, keep an open mind, and to be non-judgmental (Yun, 2017). I also personally feel that doing that can help the patient feel more supported in their care, and helps them really be able to trust us as nurses and that as a healthcare system we are providing the best care possible for them. As for working together and being able to collaborate with our interprofessional team, I feel that struggle of often times not feeling heard or that the doctor feels that I do not know what I am talking about and they are smarter than I. However, keeping in mind this concept of treating my patient like a family member I do not allow that to stop me from speaking up and pushing for things that my patient needs.
Sharon Dube
Posted Date
Jan 15, 2022, 12:16 AM
Replies to Rhoda Fadri
Bias is a tendency, inclination or prejudice toward or against an individual, group or belief. Implicit bias suggests that people can act on the basis of prejudice and stereotypes without intention. Stereotype is a generalized belief about a particular category of people. Early recognition of these disparities is important as they affect how healthcare providers interact with patients including diagnostic decision making, symptom management, treatment recommendations, referrals to specialty care and interpersonal behaviors such as empathy trust and communication, promote inconsistent decision making and systematic errors in judgement. Organizations and institutions have to work to eliminate systemic problems and incorporating a continuous process of improvement. It is important for the nurse as an individual, to discover their weakness then actively work to dismiss stereotypes and attitudes that affect patient care. Common bias or stereotypes are racially based, lesbians, gays and transgender, obese people also face discrimination. (HSS 2021)
Strategies to deliver culturally competent care for a nurse would “IMPLICIT” biases. Introspection involves initially exploring and identifying individual prejudices through self analysis. Mindfulness, suggests that we use cognitive shortcuts inappropriately when under pressure therefore it is important to practice ways to reduce stress and increase mindfulness such as meditation or focused breathing. Perspective taking, involves considering experiences from the point of view of the person being stereotyped and directly interacting with them. Individuation, involves gathering specific information about the person interacting with you to prevent group based stereotypes, and evaluation is based on personal characteristics rather than those affiliated with a group. Learn to slow down, before interacting with people stop and think to reduce reflective actions . Check your messaging, use statements that welcome and embrace multiculturalism or other differences. Institutionalize fairness, support a culture of diversity and inclusion, gather information about the person interacting with you to prevent group based stereotype, allow the patient to share their personal stories. Takes two, It is a team effort between the nurse and the organization to reduce bias and stereotype. (AAFP 2019).
References
American Association of Family Physicians. 2019. How to understand and unlearn implicit bias in patient care. www.aafp.org/fpm/2019/0700/p29.html
Hospital for Special Surgery. 2021. The role of implicit bias and culture in managing or navigating healthcare. www.hss.edu/implicit-bias
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Natacha Exantus
replied toSharon Dube
Jan 15, 2022, 6:44 AM
• Replies to Sharon Dube
As a nurse, you might find there are certain accents, items of clothing, or ways of speaking that cause you to tag someone with undeserved qualities. A patient’s race, accent, clothing style, or appearance can spark an instant judgment in you. A professional may take a step back, question yourself in how you would want to be treated, how you would want your loved one to be treated. Once you realize the care that you are providing to your patient is not something you would want for yourself. You should automatically change the way you treat people. A nurse should always go to their patient with an open-mindedness no matter what race, background, color, and or report getting from the previous nurse.
https://www.medpagetoday.com/nursing/nursing/70496
• Patience Nwando
replied toSharon Dube
Jan 16, 2022, 11:11 AM
Replies to Sharon Dube
I concur with you Sharon that social determinants of health are conditions within human environment that affects health functioning and the outcomes. The proximity to these social determinant of health mandates people to be keen to avoid exposure to different health complications (Alderwick & Gottlieb, 2019). Some factors within the environment include food security, social and income protection, discrimination, and access to desired healthcare services. Different social determinant results to unique health risks and outcomes (Burström & Tao, 2020). Supposedly, an individual is an unemployed paying for health insurance becomes a problem. Besides, unemployed people may not afford quality healthcare services. As a result, most may opt for sub-standard services. Similarly, unemployed individuals may not seek medical intervention until the complication escalates. Socioeconomic position may be a serious cause to either hesitance or the decision to go for an unsuitable alternative (Ataguba & Ataguba, 2020). The communicable disease chain model details information about communicable disease transmission. The information from the chain model enables healthcare providers to contain the outbreak.
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Important information on Writing a Discussion Question
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