Nursing Case Study on Social Determinants of Health and Cultural Competence

Running head: NURSING CASE STUDY 1
Nursing Case Study
Name
Institution

NURSING CASE STUDY 2
Nursing Case Study
Case Study #1
Question #1
Ideally, social determinant in health is often related to the economic aspect, social
conditions as well as their distribution among a particular population that tend to influence an
individual’s health care status in the society (Fleming, Creedy, & West, 2017). Notably, they are
the basic health promoting factor in either one’s living or rather working conditions. The social
determinants that are relevant in this scenario are residential segregation, social attitude, and
norms including segregation. Access to medical services is clear in this instance where Joanna
got access to medical services due to her pregnancy. The aspect of segregation has become
rampant in the contemporary health care system despite various interventions to reduce it. People
are segregated based on their races.
Question #2
In essence, there are various historical and current policies that have had a huge impact
on the overall health status of the aboriginal as well as the Torres Strait Islanders in the
Australian society. One clear policy that was set by the government is the engagement policy
where all the cultures could be integrated. For instance, through this policy the aboriginal could
be engaged in equal rights of receiving health care.
Question #3
Institutional racism is considered as a form of racism that is often expressed in the social
as well as a political institution in the societal settings. The aspect of institutional racism has no
doubt affected the overall well-being of a person as well as the delivery of health care services
(Usher, Mills, West, & Power, 2017). For instance, many people are discriminated based on their

NURSING CASE STUDY 3
cultural alignment and sometimes they face isolation in the premise of health care facilities. In
the case study 1, Joanna feels comfortable attending a local health care center that is controlled
by the Aboriginal. In the hospital, she receives quality health care on the basis that she shares
cultural heritages with one of the nurses. Notably, this shows how some health facility offers
their services based on race and therefore putting an individual’s health at a risk.
Question #4
It is no doubt that the ever-increasing diversity in the health care system has brought
together opportunities as well as challenges to the entire healthcare providers, policymakers, and
the entire health care system in the society. Creating a cultural competence team of medical
practitioners is important especially the diversity that global community holds (Greenwood,
Lindsay, King, & Loewen, 2017).
Question #5
While medical practitioners are expected to relay information to patients, parents, and
caregivers, they are supposed to keep some level of secrecy in their work ethics (Richardson,
Yarwood, & Richardson, 2017). In the case study one, the midwife answers every question that
Joanna asks without keeping some level of secrecy. Although the midwife was to answer
questions as asked by the patient, it is imperative to understand what needs to be answered and
what has to remain a secret especially patient’s details.
Question #6
In Australia, cultural safety is no doubt an effective nursing attribute of any person or
rather family from another culture that is often determined by that person or even family.
Consequently, there are various cultural principles that are set to guide a cultural safe practice for
various individuals (Bryce, Foley, & Reeves, 2017). One cultural safety principle that is in