Sunday, May 3, 2020

Reflective Nursing Attitudes And Judgement †MyAssignmenthelp.com

Question: Discuss about the Reflective Nursing Attitudes And Judgement. Answer: Objective: A patient should never become victim of biasnursing care during to his or her age, ethnicity, race or any other irrelevant characteristic. However, implicit associations guide thenursing judgment resulting in bias judgment or attitude towards the patients. Such bias judgments can be characterized under uncontrollable, unconscious or irrational processes. Such implicit biasness also affects the non-verbal behaviour judgments like the physical proximity or frequency of eye contact. Thus bias arising out of racial discrimination changes the overall perspective of judgement, care, attitude and assumption of a nurse towards the patients. It leads to potential dissociation between what the nurses explicitly believes and what she wants to perform (like treat every patient equally) and other hidden influence of negative implicit associations on her actions and thoughts. An example for this is a black patient can be considered to be less competent and thus coming to a conclusion that prescrib ing medication is not a solution (FitzGerald Hurst, 2017). Not only the patients in Canada, but the aboriginal healthcare professionals are also significantly under-represented in Canada (Vukic et al., 2012). Reflective: This bias attitude of the nurses towards their patients or the biasness affecting their judgement towards a particular patient affects the ethos and ethics ofnursing a lot. Because, my institution of thought asks me to abide by a simple rule of quality care that must be equally directed towards all the patients. I believe, in order to give quality care to the patients; nurses must value the diversity of their patient. They must be equally aware of how diverse cultural backgrounds and languages influence the provision ofnursing care and thus must function accordingly. I try to shape my thought process based on the background, gender, ethnicity and education of the people. I never take ethnicity of the educational background as framing up a negative perception about the patient. Like since he is an aboriginal, he or she has not right to get quality care. On contrary, I utilised their gender, ethnicity, cultural and education background as a source to frame my nursing intervention. I ne ver allow race, bias, attitude, judgment, care and assumption to intersect my thoughts when I am delivering care to a patient. For example, a people coming from a poor educational background is not aware of the basic hygiene regime, which are required to be followed in daily life. This lack of hygiene makes them more susceptible to microbial infection. So mere treating them with antibiotic is not enough because they will again become victims of recurrent infection. So giving them proper education about the importance of hygiene regime will be an ideal care plan for maintenance of health lifestyle. For me, the term difference in nursing care means the cultural difference. Under the light of cultural difference, I want to state that the transcultural nursing is an important aspect in health care. The ever-increasing multi-cultural population in Canada cast a major challenge towards the nurses in providing holistic care to individual patients. Nurses are required to understand and then simultaneously appreciate the cultural differences in the grounds of the healthcare values, customs and beliefs. I believe, this can only be achieved via acquiring the skills in the domain of cultural competency. Tolerance must also be there in the domain of nursing and this can be justified under the banner of zero tolerance. Deliberate discourtesy can be detrimental for nursing and it threatens patient safety and the organizational climate. So, there must remain zero tolerance in the grounds of incivility in nursing care (Hoffman Chunta 2015). Interpretive: According to Florence Nightingale, Let whoever is in charge keep this simple question in her head (not, how can I always do this right thing myself, but)how can I provide for this right thing to be always done? (Gorrell, 2013). This statement of Florence is extremely significant in nursing profession. It instructs the nurses to deliver quality care and that too via following traditional nursing ethics and not hampering the interest of any nursing professional. According to Clara Barton, You must never so much think as whether you like it or not, whether it is bearable or not; you must never think of anything except the need, and how to meet it (Forrester, 2016). This statement of Clara Barton signifies that the nursing profession is not designed to go along the wish of the nurses, her likes or dislikes or preference over the race, cast and gender. Nursing profession is solely inclined towards the sole interest of the patients and his or her well-being, irrespective of the cast, creed and gender. Beliefs, assumptions, and perceptions may affect nursing practice. A nurse may frame a definite idea about a particular patient and may design the nursing care plan accordingly. For example, a woman from a backward class is facing problem because of her early age delivery and I as a nurse is thinking that women from such a backward class is common to suffer from the delivery related complications. I am here framing an assumption that the women from such cultural background are themselves responsible for their current physical state and deserves no quality care. However, a thinking perspective of a nurse must never be directed in such a way. After watching the state of a patient, the first thing, which must come to the mind of a nurse, is how I can recover the patient from her current deteriorating physical condition. Culture reference or her educational background should never be used to judge that patients under any condition. So, the main actions that must be on prior ity is quality care to the patients irrespective of the cultural diversity. Decisional: I believe that the nurses must practice in a culturally competent manner. They must accept the diversity of the people. This will help in the removal of the discrepancies in the healthcare profession. On the other hand, nurse must work hard to induce that the more detailed care to the patients who are belonging from the different race. This will help to get rid of their mental instability and in turn will help them to attain the state of well-being faster. Moreover, initiatives must also be undertaken in order to increase the number of participation of the aboriginal people in Canada in nursing care profession. The Government of Canada is also working towards the encouragement of the active nursing participation among the aboriginal people in Canada via creating Aboriginal Nurses Association of Canada (ANAC) (Vukic et al., 2012). This equilibrium or the diversity among the nursing care profession will bring in a harmony of quality care in the nursing profession. Moreover, the aborigi nal people who are mostly endangered from the threats of racial discrimination in nursing care will feel relaxed and comfortable under the nursing care regime of the aboriginal nurses. They will be able to freely discuss and share their thoughts and feelings to them and this is extremely crucial for the people have different mother tongue. I will recommend the future health care to follow the Practical Nursing Program. In my relation to values, I will suggest that a nursing professional must consider a patient as their main person of interest and must bestow their heart and soul for the betterment of their physical and mental health. They must never have a judgmental attitude towards them, being driven by the ethnicity, gender, race, educational and financial background. I as a future health care professional will always try to practice in a culturally competent manner, providing quality care to all my patients. References FitzGerald, C., Hurst, S. (2017). Implicit bias in healthcare professionals: a systematic review.BMC medical ethics,18(1), 19. Forrester, D. A. (2016). Exemplary Nursing Leadership.Nursing's Greatest Leaders: A History of Activism, 3. Gorrell, G. K. (2013).Heart and soul: The story of Florence Nightingale. Tundra Books. Hoffman, R. L., Chunta, K. (2015). Workplace Incivility: Promoting Zero Tolerance in Nursing.Journal of Radiology Nursing,34(4), 222-227. Vukic, A., Jesty, C., Mathews, S. V., Etowa, J. (2012). Understanding race and racism in nursing: Insights from Aboriginal nurses.ISRN nursing,2012.

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