Cultural Sensitivity in Nursing Practice

This assignment delves into the crucial role of cultural sensitivity within nursing practice. It examines how diverse cultural backgrounds influence patient needs and expectations, requiring nurses to adapt their approach to care and communication. The assignment encourages the analysis of effective strategies for delivering culturally competent nursing care, promoting understanding, and ensuring positive patient outcomes.

NURSING

TABLE OF CONTENTS
1. Charts and documents which are included in the client's medical record..........................1
2. Note to supervisor...............................................................................................................1
3. Importance of Early identification of problem and ethical behaviour in health care industry
................................................................................................................................................2
4. Seeking feedback for developing skills and knowledge and work.....................................3
5. Improving work practices by participating in team work..................................................3
6. Existing options for skill development in care services.....................................................4
7. Social and cultural perspectives which plays an important role in care services...............5
8. The migration of Italians to Australia after legacy.............................................................5
9. Developing positive workplace relationship by appreciating inclusiveness and diversity6
10. Diverse cultures and cultural norms in health care practices...........................................6
11. Way to develop positive workplace and professional relationship at health care centre in
Australia.................................................................................................................................7
12 Use of verbal and non verbal communication to establish positive relationship with client. 8
13 Three barriers of communication......................................................................................8
14 List of the interpretation and translation services that can be used in local area..............9
15 Three conflicts and their resolution...................................................................................9
16 Explain the time when you required the better guidance at the work place and required the
assistance..............................................................................................................................10
17 What personal and professional gaps does Alice have?..................................................10
18 Action for the managing the patient with mental disability............................................10
19 Exercise program with someone over the age of 65........................................................10
REFERENCES..............................................................................................................................12

1. Charts and documents which are included in the client's medical record
Maintaining medical records and documents of patient’s medical diagnosis and history
play an important role as it helps in determining the accurate and timely clinical requirement of
patient to doctor and family or immediate guardians. As per the medical record standards, charts
and documents of medical documentation enable accessibility and confidentiality over patient's
information which require the following details which are described as:
 Individual record of patient
 Record of every visit and prescription
 Enabling security to electronic medical records
Further, documentation and charts of medical record involves every bit detail about
service users which is a list of health issue, current illness and medication conditions. Apart from
this health practitioners are focused on documenting about prescribed medications, allergies,
smoking habits, impact of drugs, past history of alcohol intake, history of pertinent, reports of
diagnosis, plans for further treatment, record of immunization and screening of risk (Medical
Records and Documentation Standards, 2018).
However, the charts comprise updated list of health problems and documentation of
allergies and immunization. Thus, emphasis of documentation and charting is done to maintain
accuracy, completeness, timeliness, confidentiality and relevancy. Consideration over these all
factors plays a critical documentation for maintenance of medical records because it helps in
reducing the risks which can arise due to improper medical advice to any patient as it can be life
threatening.
2. Note to supervisor
Note supervisor for the patient medical condition is very sensitive process as in this the
individual need to comprise all the detailed information for the signs and symptoms and present
medical conditions of patients.
Note supervisor for the patient medical condition
(ABC)
The person has signs of stress and agitation which are related to anxiety and depressions.
Therefore, to write on this the note will comprise detail of individual name and age with their
current symptoms. Further, the note will include necessary detail about patients past medical
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history and something and alcohol habits. Apart from this, it is important for the health
practitioner to write about all the diagnosis and need of emergency. The practitioner will also
comprise all the details about current medication patient is taking.
Sincerely
XYZ
Thus, to make process more appropriate the practitioner will implement the use of isobar
which is clinical handover (Clinical handover, 2018). It provides safe, evidence based and
appropriate way of transferring notes to supervisor about medical conditions of service users.
The health professional will implement the use of isobar technique as it comprise rule of safe
handover like, transfer should be conducted in proper environment, documents needs to be pre
prepared, documentation are required to be concern of patient health and medical conditions and
it need to prepared and supported by qualified heath practitioner. Hence, it is the most
appropriate way which is used by nurse to transfer note to supervisor about patient’s signs and
sense of emergency in medical condition.
3. Importance of Early identification of problem and ethical behaviour in health care industry
Importance of Early identification of problem
Early identification of problem in health care industry plays the most prominent role as it
helps in determining patient’s conditions to resist medication. Detecting early medical needs help
in preventing the problem before it occurs. It is the best strategy of reducing risk of infection and
seriousness in medical conditions. Like, diagnosis of Dementia is a complex process and for
these, health care provider have to analyse the psychological disorder and cognitive functioning
of service users. Early identification of medical issue assists in developing the knowledge about
risk factors which can arise. However, it is important because it helps in pre-determining
measures to manage the risk to health of patient.
Importance of ethical behaviour
Ethical considerations are the basic values of nurses which play an important role in
medical and care practices. It is important for the health professional to be loving and generous
with patient because these are the only individuals who can relax patient and understand their
difficulty. Like in case of patient suffering from dementia, the individual has become vulnerable
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and avoid taking medication. Therefore, in such cases, it is important for the practitioners to be
caring and understanding instead of being loud and rude with patient. Ethical behaviour helps
health care provider in treating service users with dignity and respect which is the best approach
of developing sense of living in patient. Thus, it is an approach which assists in maintaining the
competence in care practices. Implementing code of ethics in working practices while delivering
care services to service users is an approach which helps in managing success over clinical
services.
4. Seeking feedback for developing skills and knowledge and work
Seeking feedback about clinical practices play a vital role in boosting the morale and
developing spirit of learning. The best person who can assist in feedback is the supervisor
because he or she is a person who is aware about the old skills and developing while practising.
Manager and peer colleagues are the individual who can give feedback on developing skills and
knowledge of health care practitioner. Feedback can be taken in one to one conversation which
can be face or personal it helps in determining current and need of further improvements (The
Art of Feedback: Giving, Seeking and Receiving Feedback, 2017). At the time of feedback
discussion, it is important for the person to ensure that time and place are suitable.
Further, it is important to specify about own self very clearly. Moreover, making record
of discussion is the best way to seek feedback because it is the detailed analysis over overall
improvement. Thus, it is important for the individual to attain feedback about own skills and
development in care practices because it is the only way which derives ways and areas of further
improvement. In this case, the individual will seek feedback from supervisor on knowledge and
developing skills of clinical practices. It is the practice of health care which helps health care
provider and practitioners in determining need of improvement in order to be successful and
effective as a clinical leader.
5. Improving work practices by participating in team work
Participating in team work is the best plan which helps in improving care practices. It
helps the person in analysing own strength and weakness in comparison to other co-workers. It is
the most effective way of involving and learning from various people about different clinical
practices. Team work in health care practices helps in analysing specific goals according to the
working capability. Moreover, it helps in learning the importance of communication and
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developing understanding about clinical terms like, it is important for the practitioners to use
clinical terms when taking in front of patients (Brock and et.al., 2013).
Apart from this, participation in team work is the best strategy for improving work
because it helps in defining various new things and knowledge which can individual lacks like,
importance of sharing of information, clinical terms, code of ethics, maintaining record of charts
of service user's medication, etc. It is the best approach which helps in analysing further areas of
improvement and developing a sense of responsibility towards own work.
On the other hand, it is a technique which helps in improving cooperation and
coordination in clinical and care practices which is the most important part of learning when
working in team. Thus, it is effective because it assists in reducing the medical errors and helps
in developing patient’s safety. Like team work, in health care, services revolve around effective
communication, patient’s safety, right to inform, managing medication and enabling satisfactory
health care services.
6. Existing options for skill development in care services
Skill development in care services plays a critical role as it helps the person in developing
sense of health care practices which aims at reducing medical errors and patient safety. Skill
development in clinical and care practices is related to enhancement of quality in patient care
services. Staff training is the best way which lies in health care organisation for skills
development. Participating in group work practices is another way which helps in developing the
skills of care workers. Apart from this, support from participant and supervisors is the motivating
way by which practitioner gains knowledge about various new things which can arise in health
care organisation. Participating in development programs with peer colleague is the activity
which helps workers in analysing need of improvement.
Participating in training programmes organised by health care organisation is the strategy
which helps care service providers in communicating with supervisors about the need of
development and current development practices (Phillips and Lowenstein, 2011). In addition,
interacting directly with service users is the best way which exists in health care for improving
care practices because in this, the person is able to determine need of development according to
patients’ needs and wants. This way of development helps in implementing patient’s safety and
making proper use of code of ethics which is the base of developing skills in health care firms.
Thus, in accordance with this, it can be stated that there are numerous options available for skill
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development in care services and it is only about analysing the best way according to own
capability of learning.
7. Social and cultural perspectives which plays an important role in care services.
Social and cultural perspectives of individual plays a vital role in defining appropriate
way of practicising care work like, health coverage, social integration, community engagement,
quality care, cultural competency, serve availability etc. It is important for the care providers to
implement use of his or her perspective when delivering services because it helps in delivering
appropriate health care by understanding the need of patient personally. Like involving with
patient care without discriminating among them which can be based on colour or disability
reflects ethics and individual perspective.
In accordance with this, there are care providers which behaves rude and aggressive with
patient due to cultural and social difference but the people are not aware about the consequences,
like not treating service users properly is breaching of code of ethics which is punishable offense
(Castles, 2010). Further, it can be dangerous in few circumstances like patients can become
aggressive at time and can be violent with care providers. Therefore, it is important for the care
providers in health care organisation to treat the patient carefully with care regardless of any
differences which can be due to changes in cultural and social factors. Valuing differences in
care services leads to biases with clinical practices which is not effective for the development of
care providers and health care practitioner.
8. The migration of Italians to Australia after legacy
It has focused on concept of multiculturalism where it contributed to Australian food and
fashion, construction, etc. It was the common business of Italian people which Australian citizen
and business enterprise. Approximately, 1 million Australians of Italian descent, focused on
representing its largest ancestry group in Australia except for United Kingdom.The large group
of Italian-born Australians live in between of New South Wales and Victoria (68.8%) are other
important individuals found in South Australia, Western Australia and Queensland (Pioneers of
Multiculturalism - The Italian journey in Australia, 2012).
Further, European economic crisis has led to decline in the Italian economy which has
inspired new influx of Italians to Australia Moreover, from 2012-2013, more than 20,000 Italians
came to Australia. Hence, it accordance with this, it can be concluded that Australian citizens
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were majorly influenced by legacy of Italian food, constriction business and fashion and that is
why it has become common occupation of Australian people. Australians were greatly
influenced by culture and values of Italian and the evidence of which is that third spoken
language of Australia is Italy and it majorly impacts fashion and food trends of Australian
(Ashutosh and Mountz, 2011). At various places in Australia, legacy of Italians is still reflection
which demonstrates their migration.
9. Developing positive workplace relationship by appreciating inclusiveness and diversity
Positive workplace environment is focused on developing formal and informal
communication in between people. It is important for the professionals to understand the
importance of diversity which is interaction and acceptance of people with different
backgrounds. The basic of enhancing professional relationship is promoting equality and
diversity at workplace because it focuses on interaction of people without any discrimination.
Involvement of staff with every co-worker is demonstration development of work relationship.
Especially in health care organisation, it is important for the care providers to promote diversity
when working together because it is the only concept which enhances professional relationship
and establishing equality. Inclusiveness in work practices helps in learning and development as it
promotes and cooperate individual efforts.
It is an effective process because diversity comprises various factors which can be
thinking, learning, communication, language, introvert beliefs, practices, personality, religion
etc. Combination of all these traits at workplace is the best strategy which assists in improvising
level of working and improving professional relationships (Patrick and Kumar, 2012). However,
inclusiveness at workplace is based on recognising individual efforts and values which focuses
on establishing a positive work environment and promoting equality at workplace which is the
best practice of enhancing professional relationships. Diversity and equality at workplace is the
best practice which helps in stabilising positive and stable work environment which helps in
developing spirit of working together among all employees. Thus, it is the best way which aids in
promoting ethical values and positive work environment.
10. Diverse cultures and cultural norms in health care practices
Health care sector is the part of industry where there are various people with different
beliefs and values. In addition, communication among workers plays a vital role asmedications
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and clinical practices are based on interaction of practitioners and care providers. At the time of
treating patient, cultural beliefs and values play an important role in analysing patient’s
behaviour. Understanding behaviour of patients without any discrimination is the most important
criteria of heath practices, which helps in delivering appropriate care services. Moreover, every
culture has different health beliefs and causes of sickness and that is why it is important or the
health care providers to believe and respect in individual cultural norms.Apart from patients,
there are numerous professionals who are from different cultural backgrounds like supervisor,
co-workers, manager and many more. Every individual has different thinking and managing care
practice.
Therefore, instead of criticising different way of managing work the care practices,
individuals needs to focus on coordinating and learning from each other which is the best way to
promote positive work environment and enhancing professional relationship (Ray, 2012). The
major difference lies in way of delivering care services because every individual has different
perception of treating patients which reflect in diverse cultures. Cultural norms in health care is
the ability to enable care to service users with diverse beliefs, values and behaviours which all
focus on meeting care needs of patients at health care centre.
11. Way to develop positive workplace and professional relationship at health care centre in
Australia
The development of positive workplace and professional relationship at health care centre
will help in better handling of medical functions that will include people or workforce from
various diverse background. This will not only help in increasing operational capability of
company but also lead to significant increase in rise and growth of functionality of a medical or
nursing centre (McEwen and Wills, 2017). Some major measures that will help in better growth
and development of positive workplace and professional relationship at workplace:
 Developing better interaction with people of various cultural background and nationality.
This will help in gaining better knowledge about their beliefs and practices and have a
better interaction with patients as well as or medical staff of health care home.
 The staff or employees must be adorned with willingness and desire to work with each
other. This can be done by developing a better mutual understanding and reducing
conflicts that can affect bonding between employees and performance of medical
organisation.
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 Apart from this, resolving of a problem or issue that can affect overall performance of
company by implementing team work and collective efforts will help in gaining a better
productivity and profitability (LoBiondo-Wood and Haber, 2017).
 Motivation also plays a crucial role in developing of positive workplace and professional
relationship. It can be done by adopting various operations like giving proper appraisal or
recognition and validation of various operations or actions performed by employees at
medical centre.
12 Use of verbal and non verbal communication to establish positive relationship with client.
The verbal communication will help in better interaction with the work force at the health
and social care home. This will help in getting the better insight about the needs and demands of
the user. This will help in meeting the needs and demands of the organisation in a better way. On
the other hand, the non verbal communication such as written communication will help in better
handling of the various operations and gain ideas about the rules and regulations that are been
developed (Alligood, 2017.).
But it may lead to the rise in many issues such as the tone in verbal communication may
lead to the rise in conflicts and issues. Similarly, in non verbal communication, the inability to
understand the written instruction may lead to the mismanagement of the different functions.
13 Three barriers of communication
The three main barriers of communication are:
 Lack of training and experience: This is the major barrier in communication as it leads to
the inconvenience in interacting and mishandling of the different communication process.
In order to facilitate the proper communication process, proper training and experience is
needed to be provided to the user (Ashutosh and Mountz, 2011).
 Negative attitude: The misbehaviour and negative attitude of the company will lead to the
rise in communication barrier. The negative attitude of the health and social care
employee will lead to the rise in conflict and differences at the work place. Also, it will
reduce the productivity of health and social care centre.
 Work overload: the overloading of the work will lay a significant increase in the
communication barriers and reduce the time of interaction between the employee's at the
work place. This will cause the rise in several misconceptions and conflicts. Besides this,
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the work overload will make the employee stressed and increase his/ her job satisfaction
level.
14 List of the interpretation and translation services that can be used in local area.
Various interpretation measures are been taken in consideration to meet the needs and
demands of the patients at the local area. Some translation or interpretational measures are:
 Consecutive Interpreting: It is the most common form of interpreting, and is used in
formal and informal meetings. The interpreter waits for a suitable break before
interpreting the message to the audience.
 Simultaneous Interpreting: The interpreter speaks simultaneously listening to and
analysing the next sentence. This interpretation is usually done using headphones at large
conferences, media launches and TV broadcasts and in smaller surroundings such as
courtrooms (Billings and Halstead, 2015).
 Telephone Interpreting : When getting an interpreter to a location is not feasible,
telephonic conversation is used for the translation purposes.
 Face-to-Face Interpreting: It involves all forms of interpretation where interpreters and
speakers interact face-to-face.
 Conference Interpreting: A conference interpreter will often interpret simultaneously to
the audience using special tools and software's, so that the speaker does not need to stop
the interaction.
15 Three conflicts and their resolution.
Various coinflicts will be used to avoid the decrease in operational ability of organisation.
Some major system are:
 Closed and unreceptive attitude: this is needed to be handled in a better way to meet the
needs and demands of the user in a better way. It will help in better rise in the trust level
of the employee's and reduce the interpersonal conflict
 Interpersonal conflict: the decrease in the interpersonal conflict will help in better
handling of the different operations which can lay an impact on the various operations.
This will help in handling of the various operations which will help in rising the
operational efficiency of the company (Bradshaw and Hultquist, 2016.).
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 Intra group conflict: the organisation will also look after the better handling of the
different operations which will help in meeting the needs and demands of the
organisation. The conflict between the various groups in the organisation is required to be
handled to meet the operational capacity of the organisation.
16 Explain the time when you required the better guidance at the work place and required the
assistance.
Once, a patient came in a severe condition and needing the urgent medical attention. As I
was new to the health care firm and had inadequate knowledge about handling the situations. In
this case, I referred to my supervisor who helped me to handle this case and provide the suitable
medical help to the patient (Brock and et.al., 2013).
17 What personal and professional gaps does Alice have?
From the case it is been found that Alice is reluctant to communicate profoundly and is
very work oriented. Besides this, she need to have the better interaction with the peoples that will
help in meeting the needs and demands of the people in a better way. As she is the representative
of her company, she is required to be handled in a better way to meet the needs and demands of
the people she is interacting with while working (Billings and Halstead, 2015).
18 Action for the managing the patient with mental disability
Various operational measures will be taken into effective consideration that will lay the
significant emphasis on the different operations that will help in meeting the needs and demands
of the users in a better way. As the patients with metal disability like down syndrome or Autism
needs special care and medication by the health and medical firm to ensure their well being and
good health.
19 Exercise program with someone over the age of 65
Proper health care measure are needed to be taken by the employee's at health and social
care to meet the physical, mental and psychological needs of a patients above the age of 65
years. As the age advances, their physical vitality reduces and various senses becomes weak. The
immunity reduces and they become vulnerable to various diseases and other social threats. Thus,
the health and social care employee will see through the better handling of the different
operations that will help in increasing the well being of elder citizens. Proper medications and
physical activities and exercises like brisk walking, yoga and laughter therapy will help in better
growth and development of their health condition (Bradshaw and Hultquist, 2016.).
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Problem with the person having family issue
The concerning person will have to spend the more time with the family as it will help in
developing the better understanding with his family members and will help him to handle the
various requirements of its family members. It will also help him find the suitable measures to
resolve the conflict and unite with his partner.
17. Personal learning and professional development needs and skill gaps does Bo appear to have
From the presented case, it can be said that Bo is suffering from high level of work stress
and anxiety along with improper time management and lack of suitable handling of a wide range
of software and other tool kits that are taken into effective consideration by him. He has to
improve his skill set and knowledge about the usage of various types of information and
formatting of the wide range of reports and other important documents. This is very crucial for
better meeting of goals and development of an organisation. Other than this, he should look after
the effective measures to increase its efficiency by taking proper training or gaining appropriate
knowledge of different tools and software which will help him better improvement of his skills
to gain a better efficiency to perform the work at the work place. Apart from this, he can opt for
self-motivating techniques to increase its confidence level to improve performance at Bo's work
place.
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REFERENCES
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Billings, D.M. and Halstead, J.A., 2015. Teaching in Nursing-E-Book: A Guide for Faculty.
Elsevier Health Sciences.
Bradshaw, M. and Hultquist, B.L., 2016. Innovative teaching strategies in nursing and related
health professions. Jones & Bartlett Publishers.
Brock, D. and et.al., 2013. Republished: interprofessional education in team communication:
working together to improve patient safety. Postgraduate medical journal. 89(1057).
pp.642-651.
Butcher, H.K. and et.al., 2018. Nursing Interventions classification (NIC)-E-Book. Elsevier
Health Sciences.
Castles, S., 2010. Understanding global migration: A social transformation perspective. Journal
of ethnic and migration studies. 36(10). pp.1565-1586.
Cherry, B. and Jacob, S.R., 2016. Contemporary nursing: Issues, trends, & management.
Elsevier Health Sciences.
Giger, J.N., 2016. Transcultural Nursing-E-Book: Assessment and Intervention. Elsevier Health
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Lewis, S., 2015. Qualitative inquiry and research design: Choosing among five
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LoBiondo-Wood, G. and Haber, J., 2017. Nursing Research-E-Book: Methods and Critical
Appraisal for Evidence-Based Practice. Elsevier Health Sciences.
McEwen, M. and Wills, E.M., 2017. Theoretical basis for nursing. Lippincott Williams &
Wilkins.
Moorhead, S. and et.al., 2014. Nursing Outcomes Classification (NOC)-E-Book: Measurement of
Health Outcomes. Elsevier Health Sciences.
Patrick, H.A. and Kumar, V.R., 2012. Managing workplace diversity: Issues and challenges.
Sage Open. 2(2). p.2158244012444615.
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Phillips, D.A. and Lowenstein, A.E., 2011. Early care, education, and child development. Annual
review of psychology. 62. pp.483-500.
Ray, M.A., 2012. The theory of bureaucratic caring for nursing practice in the organizational
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Online
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The Art of Feedback: Giving, Seeking and Receiving Feedback. 2017. [Online]. Available
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