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NUR 513 Topic 3 DQ 2 How will your worldview and cultural and spiritual competence affect your future practice and role?

NUR 513 Topic 3 DQ 2 How will your worldview and cultural and spiritual competence affect your future practice and role?

NUR 513 Topic 3 DQ 2 

What is your personal worldview? Connect your worldview to cultural and spiritual competence. How will your worldview and cultural and spiritual competence affect your future practice and role? Consider both the provision of safe, quality care to diverse populations and interprofessional relationships.

Re: Topic 3 DQ 2

My worldviews have become a melting pot of how I was raised and my own life experiences. I was raised Roman Catholic as a child. I attended both public and Lutheran universities. The state school I attended was extremely diverse, with the vast majority of the student body identifying as non-white. I was surrounded by people different from myself, and I gained many friends that were able to teach me about their lifestyles, believes and values.

It was a very diverse, liberal, and inclusive environment, which shaped my values and beliefs as an adult. During this time, I also became very involved in politics. I don’t enjoy the concept of anyone trying to push religious beliefs onto others, and I’m not too fond of the idea of religion dictating politics. I am married into a family that is very free-spirited in beliefs and actively practices Nichiren Buddhism. My life is very much an assortment of views that have blended into something beautiful.

Having an understanding of your worldview is essential in nursing. I’m very aware that how I see the world and my personal beliefs can ultimately impact the care I give my patients if I lack mindfulness. As a nurse it is our job to provide care, not pass judgment; but as humans, we all have implicit biases (DeNisco & Barker, 2016). Inherent biases exist because as humans, we all strive to understand the world through the scope of our lens, views, culture, values, or set of beliefs.

DeNisco and Barker state, “Unaddressed cultural difference between the nurse and the patient a result in difficulties with diagnosis, nonadherence, and mutual frustration when the patient or the nurse does not meet the implicit, culturally determined expectations of the other.” (2016, p.581). DeNisco and Barker talk about how being aware of your own inherent bias and having cultural humility can make nurses more reflective and proactive in their interactions with patients.

My future role in nursing informatics is considered a nonclinical role, but I will continue to strive to be open-minded, respectful, and communicative regardless of my role. Language barriers have had the most significant effect on safe quality care and patient satisfaction from my own experience. Our patients and patient’s families are sometimes our greatest resource, and being able to communicate effectively is critical in having understanding for all parties involved. I hope to continue to be able to use appropriate translator services and would love to play a role in the improvement of these technologies for bedside nursing.

References

DeNisco, S. M., & Barker, A. M. (2016). Advanced practice nursing: Essential knowledge for the profession (3rd ed.). Jones & Bartlett Learning.NUR 513 Topic 3 DQ 2 How will your worldview and cultural and spiritual competence affect your future practice and role?

RESPOND  HERE

Hello ,

It is imperative for the nurse to understand that cultural and spiritual competence have a significant impact on the quality-of-care services offered and the ultimate patient satisfaction, and I totally agree with this concept. I do agree that with a highly diverse population in terms of religious and cultural underpinnings in the US, the healthcare providers are faced with great challenges when it comes to delivering quality healthcare services (Kaihlanen et al., 2019).

There are a number of measures that if well incorporated into nurse practice will help in ensuring cultural competence in healthcare systems. I agree with you that the inclusion of the family members of the patients to participate in healthcare decision making will help the nurse have a greater understanding of the family’s cultural and religious beliefs and be able to offer quality care services that are still in agreement with the patient’s beliefs.

Additionally, I agree with you on the idea that there is need to provide interpreter services to health care facilities to bridge the communication breakdown due to language barrier. Furthermore, the healthcare facilities can strengthen their cultural and religious competencies by employing some staffs from the minority groups to help build awareness among other staff members about the cultural and spiritual beliefs of the groups (Swihart & Martin, 2019).

References

Swihart, D. L., & Martin, R. L. (2019, May 29). Cultural Religious Competence In Clinical Practice. Nih.gov; StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK493216/

Kaihlanen, A.-M., Hietapakka, L., & Heponiemi, T. (2019). Increasing cultural awareness: qualitative study of nurses’ perceptions about cultural competence training. BMC Nursing, 18(1). https://doi.org/10.1186/s12912-019-0363-x

DeNisco & Barker (2016) described cultural frame as the filter through which perceptions of, encounters with, and understandings of the outside world are ordered and made meaningful. It determines how individuals see the world, so it is safe to say my world view is tied to my cultural inclinations. According to US census Bureau (2008), Nigeria, although a developing country is the one of the most populous country in the world. I am a Nigerian and prior to relocating to the US, I witnessed the poor health care system in the country, and it shaped my desire for a better healthcare accessibility for everybody.

Growing up in a multi-cultural and multi-religious country such as Nigeria also shaped my views in a liberal manner. I am a Christian and the sum of Christianity is loving everybody and treating people as well as you treat yourself. The bible encourages us not to think our opinions more important than that of others. The impact this has on me is respect and consideration of other people’s views and culture. A nurse who has cultural humility is less likely to be authoritative to a patient which gives the patient the opportunity to experience better health care.

The progression toward cultural understanding, and ultimately to competency, is vital to be an effective nurse in the multicultural twenty-first century (DeNisco & Barker, 2016). It is essential for a nurse to be able to operate in a cross-cultural patient encounter. The National League for Nursing (NLN, 2011) has identified the role of nursing in global diversity as a critical priority. The NLN is calling for nursing educational institutions to prepare an ethnically and racially diverse workforce, including faculty to mentor future nurses, and researchers to help to find solutions to the issues posed by our global diversity.

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Personal worldview forms an important part of a person’s life at it represents the beliefs and assumptions that they have relative to the world around them. These notions are mostly influenced by the religious, spiritual and cultural environments that one interacts with throughout their lives.

As an individual therefore, I believe that there is as Supreme Being called God who created me to fulfill a specific purpose on earth. This belief is accentuated by the fact that I participate in prayers on a daily basis before and after each shift as well as validated by the miracles that I have seen happen in my life and those of my patients. Indeed, I believe that God is the standard bearer of doing good deeds in this world and this should be reflected in one’s life as regards caring for others since we are all created in His image.

Moreover, the spirituality of a person also plays a significant role in formulating their worldview. Given that my worldview is powered by the belief that God had a purpose of caring for the sick for me, I know that the Spirit that stays inside of man is greater than the one on the outside. As such, this allows me to love the Lord with all my strength and my heart so as to gain his favor in achieving my purpose. As mentioned in theological teachings, spirituality forms an important cog in the worldview that a Christian will hold in their lives. Lastly, a worldview will not be complete without the presence of a cultural element.

My Christian community and friends that I was raised with have had a profound impact on my personal worldview. Since childhood, I have known nothing but the need to aid the sickly and the less deserving in the community irrespective of their age, race, or gender.  That such a mixed society stayed together in harmony also influenced my belief that we should love one another since each one of us is created in the image of God, something that is important when one pursues a career in the profession of nursing.

References

DeNisco, S. M., & Barker, A. M. (2016). Advanced practice nursing: Essential knowledge for the profession (3rd ed.). Burlington, MA: Jones & Bartlett Learning. ISBN-13: 9781284072570

National League for Nursing. (2011). Global/diversity initiatives. Retrieved from http://www.nln.org /aboutnln/globaldiversity/index.htmNUR 513 Topic 3 DQ 2 How will your worldview and cultural and spiritual competence affect your future practice and role?

U.S. Census Bureau. (2008). International data base. Retrieved from http://www.census.gov/population /international/data/idb/sysmessage.php

RESPOND HERE

Hello

I do agree with you that an individual’s cultural background has a significant effect on the individual’s worldview. Our understanding of the world and the people is shaped by how one has been raised up, the religious and cultural practices and beliefs that were instilled in us at an early stage of our life. However, in the Christian perspective or any other religious perspective, there is a common understanding that the human life is sacred and there is need to handle it with utmost care, showing love, compassion, patience and respect to one another (Isaac et al., 2016).

I do agree with you on the fact that in order to develop culturally competent healthcare workers, there is need to incorporate cultural awareness and competence training in the nurse training curriculum (Swihart & Martin, 2019). The nurse training institutions and schools have the responsibility of preparing the nurse for the future practice by equipping them with relevant soft skills and knowledge to help them navigate through the murky waters of delivering quality healthcare to a highly diverse US population.

The US is the melting pot of diversity and therefore, the health workers need to be alive to this fact and be able to deliver equality, and competent care to all the groups regardless of their religion, race, culture or social status.

Also Check Out: NUR 513 Topic 3 DQ 1 Identify a population that you will likely serve as an advanced registered nurse that you think is particularly vulnerable to issues of health disparities/inequity

References

Isaac, K. S., Hay, J. L., & Lubetkin, E. I. (2016). Incorporating Spirituality in Primary Care. Journal of Religion and Health, 55(3), 1065–1077. NUR 513 Topic 3 DQ 2 How will your worldview and cultural and spiritual competence affect your future practice and role?https://doi.org/10.1007/s10943-016-0190-2

Swihart, D. L., & Martin, R. L. (2019, May 29). Cultural Religious Competence In Clinical Practice. Nih.gov; StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK493216/

Re: Topic 3 DQ 2

In an increasingly diverse, multicultural society, nurses are challenged to provide effective care to patients of all religions, races, and cultures. My personal worldviews are multidimensional, I have a strong faith in God I believe that is what guides me to be the best human first than nurse. Culture is a great influence of our behavior, believes and values and to teach how to treat people related to their ethical backgrounds. The religion in my family is predominantly Jehovah witness and their beliefs and values are so different in many facets.

I am Catholic and I am raising my children as Catholics as well. Having been around the Jehovah witness religion I knew about certain things that can or cannot occur. One of the biggest factors is receiving blood. That can be huge ethical dilemma as a nurse because you want to provide the best care possible, but your personal beliefs can interfere with how your own perception can interpret how you care for the patient. “Jehovah’s Witnesses refuses all blood transfusions. Jehovah’s Witnesses and their relatives are taught by their faith that it is important for them to ‘keep Jehovah’s organization clean’.

One of the ways in which they are encouraged to do so is to inform those in positions of authority about the indiscretions of others. Because family members may also speak to those in authority in the organization, it is important that each patient is asked in private what information may be passed on to relatives. If a patient elects to receive a ‘forbidden’ blood product there could be grave social implications if that decision becomes known.

In such circumstances it may be necessary to make special provisions to ensure that unexpected visitors do not become aware of any treatment. Indiscreet talk between all members of hospital staff should be avoided to guarantee patient confidentiality” (EMAP 2021). Nurses have an obligation to do whatever their patient ask of them including their choices they make about their health decisions.NUR 513 Topic 3 DQ 2 How will your worldview and cultural and spiritual competence affect your future practice and role?

The worldview in nursing is essential component in healthcare. “Nursing in my worldview is a calling from God to ensure wholeness and healing of those who are sick or in pain. It is involving the responsibility of applying acquired knowledge and skills in care to relief others from pain and distress. Nursing entails taking responsibility for continuing growth in human connection, character development, and compassion. To grow in nursing art, a nurse needs to be willing to handle the broken parts of their lives by addressing personal weaknesses and working toward personal changes and growth to be able to address the problems of other people” (UWB, 2019).

References

EMAP, (2021) Nursing with dignity. Part 9: Jehovah’s Witnesses. NUR 513 Topic 3 DQ 2 How will your worldview and cultural and spiritual competence affect your future practice and role?https://www.nursingtimes.net/clinical-archive/haematology/nursing-with-dignity-part-9-jehovahs-witnesses-23-04-2002/ 

UWB, (2019). Worldview and Nursing Process Personal Statement. https://uniquewritersbay.com/blog/worldview-and-nursing-process-personal-statement/

RESPOND  HERE

Hello,

I do agree with your statement that in an increasingly diverse and multicultural world, nurses are challenged to ensure that they deliver quality healthcare services that upholds all the ethical standards that are sensitive to the cultural and religious differences among the patients. In order to deliver culturally competent healthcare services, it is imperative first for the nurse to put into consideration the ethical issues in nursing. The confidentiality of the patient health information is paramount to quality and competent care (Milliken, 2018).

The patient medical information should not be shared without the consent of the patient. Therefore, the nurse practice should uphold these standards and ensure that the medical procedures the patient undergoes have been agreed upon based on the patient’s religious and cultural beliefs. This calls for effective communication between the patient and the healthcare providers. The impact of poor communication between the nurses and patients can be detrimental to the quality-of-care services and nurse practice offered (Kwame & Petrucka, 2020).

However, there are general standards of nurse practice that include compassion, patience, love and empathy for the patient. Incorporation of both ethical standards and the cultural and religious competencies in nursing is the ultimate precursor to quality care and improved patient satisfaction.NUR 513 Topic 3 DQ 2 How will your worldview and cultural and spiritual competence affect your future practice and role?

References

Milliken, A. (2018, January 31). Ethical Awareness: What It Is and Why It Matters. Ojin.nursingworld.org. https://ojin.nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/TableofContents/Vol-23-2018/No1-Jan-2018/Ethical-Awareness.html

Kwame, A., & Petrucka, P. M. (2020). Communication in nurse-patient interaction in healthcare settings in sub-Saharan Africa: A scoping review. International Journal of Africa Nursing Sciences, 12, 100198. NUR 513 Topic 3 DQ 2 How will your worldview and cultural and spiritual competence affect your future practice and role?https://doi.org/10.1016/j.ijans.2020.100198 

CAT (150 WORDS, 2 REFERENCES)

Nursing students and nurse educators relates to three main ethical principles that should guide their work. The most important principles from a student’s perspective can be professionalism, justice, and equality.

Share your thoughts if you are a “Nurse educator” considering justice, equality, and honesty as your main ethical principles.NUR 513 Topic 3 DQ 2 How will your worldview and cultural and spiritual competence affect your future practice and role?

RESPOND TO THE CAT HERE

Nurse practice as a calling, is a career of dignity and calls for a high level of responsibility on the side of the nurse. In order to uphold these standards, it is imperative for nurse educators to ensure that the nurse training is built around the core ethical values of justice, equality and honesty (Khaghanizade et al., 2016). As a “nurse educator”, the nurse training program on justice calls upon the nurses to deliver quality care with fairness and impartiality. All the patients are offered fair treatment with the available resources regardless of their race, religion, culture or social status.

This concept has to be insisted to the nurse students, throughout their training and the use of case studies and simulations can help create emphasis on this issue. Justice and equality go hand in hand, they are all meant to ensure best possible care is administered to all the patients.NUR 513 Topic 3 DQ 2 How will your worldview and cultural and spiritual competence affect your future practice and role?

I will enhance the incorporation of these ideas through the didactic immersion to help the nurse students decipher and relate the issues to the real-life situations in their practice. Additionally, the nurse training also entails having the nurse students challenged to reflect on their own cultural and religious beliefs and how they are likely to affect their nurse practice (Ethics Education in Nursing: Instruction for Future Generations of Nurses, 2020).NUR 513 Topic 3 DQ 2 How will your worldview and cultural and spiritual competence affect your future practice and role?

NUR 513 Topic 3 DQ 2 How will your worldview and cultural and spiritual competence affect your future practice and role?

References

Ethics Education in Nursing: Instruction for Future Generations of Nurses. (2020). Nursingworld.org. NUR 513 Topic 3 DQ 2 How will your worldview and cultural and spiritual competence affect your future practice and role?https://ojin.nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/TableofContents/Vol-23-2018/No1-Jan-2018/Ethics-Education-in-Nursing.html

Khaghanizade, M., Parandeh, A., Mohammadi, E., & Mokhtari-Nouri, J. (2016). Nurses’ human dignity in education and practice: An integrated literature review. Iranian Journal of Nursing and Midwifery Research, 21(1), 1. https://doi.org/10.4103/1735-9066.174750

My personal worldview has been shaped by my upbringing as a child. I was raised to have respect for myself as well as for others. Growing up, my parents, as well as the elders in my family, taught me about having compassion, sharing with others and forgiveness. Nursing was a natural choice for me. My mother was a nurse as well as her both her sisters. I watched how they care for our neighbors and family members in addition to their patients at work. Growing up, I watched them care for neighbors who spoke different languages and communicated with them through physical gestures.NUR 513 Topic 3 DQ 2 How will your worldview and cultural and spiritual competence affect your future practice and role?

Although there was language barriers, they still managed to provide care and incorporate some of neighbors cultural healing practices and techniques with western medicine. It was through this experience I discovered the importance of understanding the different cultural practices of patients of different cultural and ethnic backgrounds in order to develop rapport and provide the most effective and appropriate care. As a future advanced registered living in one of the most diverse country in the world, it is essential to have cultural competency and a open mind and spirit when working with patients with different cultures and different lifestyles.

Lacking a sense of culture competencies can lead to poor health outcomes, possible stigmas against medical professionals as well as distrust against health care professionals which in turn leads patients to ignore health issues and skip out on health screenings and annual checkups. “If providers and health care systems are not working together to provide culturally competent care, patients may have untoward health consequences, receive poor quality care, and be dissatisfied with the care they receive” (Swihart, Yarrarapu & Martin, 2021, para. 3).

Connecting with patients allows healthcare professionals to identify other possible health concerns a patient may have and support patients with accessing additional health care resources.

Reference:

Swihart, D., Yarrarapu, S. & Martin, R. (2021).  Cultural Religious Competence In Clinical Practice. StatsPearls. Retrieved from https://www.ncbi.nlm.nih.gov/books/NBK493216/