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  1. Professional Communication: Cultural Sensitivity In Nursing    

     

    QUESTION

    Select one article from a nursing journal focused on a specific cultural group. Write a paper of 1,000-1,250 words that addresses the following guidelines:
    1. Explain the rationale for selecting the chosen cultural group.
    2. Summarize the key points of the article and discuss key cultural differences to be taken into consideration when providing care.
    3. Apply the new information to a practice situation that demonstrates cultural sensitivity in communication with that cultural group.
    4. Address the importance of cultural sensitivity in communication, both generally and with this population, and present any conclusions drawn from the article.

    https://www.researchgate.net/publication/11547183_Cultural_and_clinical_issues_in_the_care_of_Asian_patients

 

Subject Nursing Pages 5 Style APA

Answer

Cultural and Clinical Concerns in the Care of Asians Patients

 

Rationale

Significant issues of Asian patients have considerable impacts on diagnosis and treatment. The number of people from Asian ancestry in primary care in the United States is increasing (Jin et al 2002). Moreover, knowledge of how to provide optimal care despite language barriers, low socio-economic status, different health beliefs and practices, and medical concerns to this diverse group is significant to competent healthcare. This paper centers on article discussing the cultural and clinical issues in the care of Asian patients. It focuses on the Asian cultural group due to various issues encountered by Asian patients in the United States. According to Yilmaz et al. (2017), Asians and Pacific Islanders are the fastest growing ethnic minorities in the U.S. This paper centers on the Asian cultural group given that different illnesses, traditional beliefs and practices, languages barrier issues are more common in this group than in other group in the United States.

Yilmaz et al. (2017) indicates that Asian patients in the U.S.  often encounter different challenges related to healthcare. These challenges include language barrier, low socioeconomic status, traditional health practices and beliefs, and epidemiologic concerns. It is essential to assess the cultural and medical care concerns of Asian patients given that this group is rapidly increasing in the United States. Healthcare organizations and care providers need to consider implementing approaches that ensure quality and equal healthcare provided to Asian patients (Lorié et al., 2017). This paper focuses on the Asian cultural group since most of the U.S. Asian families report more cultural and clinical issues compared to other cultural groups dwelling in the United States. 

 

Summery and Key Cultural Differences

                According to the article, Asian patient are often diagnosed with different diseases which are often uncommon in other cultural groups in the United States. For instance, Asians often suffer from diseases such as tuberculosis, lactose intolerance, hepatitis B, and nasopharyngeal carnicoma (Jin et al 2002). The article indicates that Asian cultural groups have different beliefs and practices related to healthcare. For instance, in traditional Chinese culture, if an individual feels well, they see no need to visit a physician or any healthcare provider. Moreover, according to the Asian culture, blood is a non-renewable essential energy thus, Asian patient may resist having blood tests to identify things such the level of glucose and cholesterol. According to the article, extreme cultural beliefs and practices as well common illness among Asian significantly contribute to the increase of cultural and clinical issues experienced by Asian patients living in the United States.

Yilmaz et al. (2017) indicates that other factors that contribute to the increase of clinical and cultural issues related to healthcare among Asian patients include language barrier and low economic status. According to the article, language barrier results in an inaccurate initial diagnosis and suboptimal treatment. Many Asian-born patients have some complexities with English. As a result, making appointments, registering, nurse triage, and following instructions often present significant challenges. Moreover, the article indicates that Asian patients in the United States encounter cultural and clinical challenges due to low socioeconomic status (Lorié et al., 2017). The article indicates that the Asian population demonstrates similar cultural, social, and economic vulnerability as other minority groups in the United States. Socioeconomic status has a significant impact on the healthcare of patients in general, and Asian patients are no exception. The article indicates that impoverished Asian immigrants often have low-wage occupations with extended hours and no health benefits. As a result, they often do not seek medical care particularly for illness prevention unless they develop symptoms. The key cultural difference that should be taken into consideration include language, treatment approaches and socioeconomic status.

Application to Practice

Jin et al (2002) indicates that language barrier significantly contributes to reducing both medical provider and patient satisfaction as well hinder communication between the two parties. According to Lorié et al. (2017), healthcare providers can utilize cultural sensitivity to manage patients language barriers through using translators. Moreover, healthcare providers and patients can use cultural sensitivity to interpret symptoms within a framework that corresponds with the healthcare provider’s meaning. For instance, a Chinese patient may attribute symptoms of hyperthyroidism to “yin-yang” imbalance. Such misunderstandings can lead a healthcare provider along a circuit and sometimes inaccurate diagnostic path.  However, this can be avoided through enhancing cultural sensitivity.

On the other hand, socioeconomic barriers as well as health beliefs and practices can be interpreted through cultural sensitivity in communication. According to the article socioeconomic barriers are more complex than language barriers. Asian patients with deprived economic status may have a cultural belief that seeking public assistance is shameful. Nevertheless, healthcare providers can use cultural sensitivity to change this belief (Lorié et al., 2017). The article indicates that Asian patient who holds cultural based beliefs and practices may not seek out preventive screening, diagnostic testing, and treatment. Moreover, physicians and nurses can use cultural sensitivity to understand traditional treatment practices and herbal medicines used in Asian cultures. 

Importance of Cultural Sensitivity in Communication

Cultural sensitivity is essential since it helps individuals understand the nuances of cross-culture communication, the significance of words, gestures, and actions in cultivating interactions with different people from various cultural groups. According to Yilmaz et al. (2017) cultural sensitivity provides a significant amount of efficiency in regards to reaching different diverse groups of individuals and providing a non-bias approach to care, which often enhance beneficial services and offers an extended outreach. In the healthcare field, cultural sensitivity communication is essential for collaborating with patients and family in decision-making concerning care. Yilmaz et al. (2017) indicates that cultural sensitivity is essential since it allows individual to effectively function in other cultures.

Cultural sensitivity allows people to respect and value other cultures, and can reduce cultural barriers between patients and healthcare providers. Cultural sensitivity is essential since it will present an opportunity for healthcare providers to understand Asian’s culture and beliefs regarding the type of treatment to be provided. According to Jin et al. (2002), healthcare providers should enhance cultural sensitivity by acknowledging patient’s diversity in culture, assessing a patient history and social circumstances, using translators, and learning about a patient’s culture. Caring for the Asian patients is no different from caring for other patient in terms of diagnosing the illness, eliciting the patient’s thoughts about their diseases, and negotiating a treatment approach.

 

References

Jin, X. W., Slomka, J., & Blixen, C. E. (2002). Cultural and clinical issues in the care of Asian patients. Cleveland Clinic journal of medicine69(1), 50-61.

Lorié, Á., Reinero, D. A., Phillips, M., Zhang, L., & Riess, H. (2017). Culture and nonverbal expressions of empathy in clinical settings: A systematic review. Patient education and counseling100(3), 411-424. https://www.sciencedirect.com/science/article/abs/pii/S0738399116304463

Yilmaz, M., Toksoy, S., Direk, Z. D., Bezirgan, S., & Boylu, M. (2017). Cultural sensitivity among clinical nurses: A descriptive study. Journal of Nursing Scholarship49(2), 153-161. https://sigmapubs.onlinelibrary.wiley.com/doi/abs/10.1111/jnu.12276

 

 

 

 

 

 

 

 

 

 

 

Appendix

Appendix A:

Communication Plan for an Inpatient Unit to Evaluate the Impact of Transformational Leadership Style Compared to Other Leader Styles such as Bureaucratic and Laissez-Faire Leadership in Nurse Engagement, Retention, and Team Member Satisfaction Over the Course of One Year

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