Discussion: Culture and Healthcare
Discussion: Culture and Healthcare
Question Description
Follow Discussion board attachment and paraphrase article and post replies to post 1 and 2.
POST 1
Cultural diversity has an impact on all of us. Differences between and within cultures can cause problems. This is not to say that there is a right or wrong culture; rather, we need to do a better job of understanding one another and being culturally aware and sensitive.
Theoretical frameworks can be applied to this situation to assist nurses in breaking down and clarifying the problem areas. Almutairi’s Critical Cultural Competence is one such framework. This aids in the categorization of data into critical awareness, critical knowledge, critical skills, and critical empowerment.
Nurses who care for patients born in the same geographic area had higher levels of cultural competence. The reasoning behind this appears to be self-evident. However, response rates and willingness to participate in the study severely limited the scope of this study.
POST 2
Cultural and religious beliefs and values, and their impact on preferences for end-of-life care among four ethnic groups of community-dwelling older people, is the article I chose to summarize. This study’s age range was 65-92 years old. This group included 17 different countries and four different ethnic groups: Anglo-Celtic, Mediterranean, Eastern European, and Asia/Pacific. The participants were asked about their beliefs about death and dying, telling the truth, advance care planning, and their preferences for end-of-life care in the article. The article breaks down the questions by ethnicity and also looks at how the participants responded as a whole (Ohr, Jeong, & Saul, 2017).
According to the study, 92 percent of participants believe that dying is a natural part of life, and 70 percent are comfortable discussing
death. Almost half of those polled believed that death should be avoided at all costs. In terms of “truth telling,” 74 percent of participants wanted doctors to tell them they were dying, and 80 percent said they would inform their family. Sixty percent said they have considered what kind of medical care they would like when they die. 60% said they do not want to live as long as possible if they are on life support, breathing machines, brain dead, have a feeding tube, or are in severe pain. Almost 80% of the group agreed that being comfortable and pain-free was more important than living longer if they couldn’t be cured. Furthermore, 60% said they would rather be at home than in the hospital if they had an incurable disease (Ohr, Jeong, & Saul, 2017).
Source:
S. Ohr, S. Jeong, and P. Saul (2017). Cultural and religious beliefs and values, as well as their impact on end-of-life care preferences among four ethnic groups of community-dwelling older people. 1681-1689 in Journal of Clinical Nursing, 26(11-12). doi:10.1111/jocn.13572
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