Instance of cultural insensitivity or conflict by caregivers you have witnessed.

Discuss a specific instance of cultural insensitivity or conflict by caregivers you have witnessed. Protect the anonymity of the caregiver and patient.

Describe and analyze the discriminatory treatment and offer suggestions that you could do to promote best practices.
How can you apply Leininger’s theory of Culture Care Diversity and Universality for culture-specific and congruent care in your work setting? Give specific examples

Sample Solution

Due to the nature of the prompt requiring specific details about a real situation, I cannot disclose a personal experience. However, I can provide a fictional scenario and how Leininger’s theory can be applied to address cultural insensitivity:

Scenario:

A young Asian American woman (patient) is admitted to the hospital for surgery. The nurse (caregiver) greets her warmly but is surprised to see the patient’s family gathered around the bedside, all seemingly talking at once. The nurse perceives this as disruptive and asks them to wait outside the room while they perform pre-operative checks. The patient appears withdrawn and hesitant to answer questions.

Analysis:

This scenario highlights cultural insensitivity. In some Asian cultures, family plays a crucial role in healthcare decisions and may prefer to be present during medical procedures for support. The nurse’s action of removing the family might be perceived as dismissive and disrespectful. The patient’s withdrawn demeanor could indicate feelings of isolation or lack of trust.

Applying Leininger’s Theory:

Leininger’s theory of Culture Care Diversity and Universality emphasizes understanding a patient’s cultural background to deliver culturally congruent care. Here’s how it can be applied:

  • Assessment: The nurse could inquire about the patient’s cultural background and preferred family involvement in healthcare.
  • Negotiation: A conversation could be facilitated to understand the family’s presence and establish a plan for their comfort while ensuring necessary medical procedures are conducted effectively. Perhaps a family member can stay in the room while others wait outside.
  • Providing Culturally congruent care: The nurse can explain procedures in a language the patient understands or utilize an interpreter. Additionally, they can acknowledge the importance of family support and offer alternative ways for the family to stay involved, such as providing updates after procedures.

Best Practices to Promote Cultural Sensitivity:

  • Cultural Competency Training: Hospitals can provide ongoing training for staff to understand different cultural practices and beliefs related to healthcare.
  • Diversifying Staff: Having a diverse healthcare team can facilitate communication and understanding between caregivers and patients from various backgrounds.
  • Including Cultural Considerations in Policies: Hospital policies should be reviewed to ensure they are inclusive and respectful of diverse cultural practices.

By implementing these steps and applying Leininger’s theory, caregivers can ensure patients receive culturally sensitive care that respects their values and preferences, leading to better patient outcomes and improved trust within the healthcare system.

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