Multicultural Competency in Nursing: Alan’s Case Study Case Study

Introduction

Multicultural competency in nursing is a core idea when offering healthcare to sufferers with various cultures and ethnicity. It aids within the improvement and enlargement of nurses’ roles by incorporating related social norms and values, significantly for a consumer. Because the nursing career is flexible, caring for the sick entails not solely the supply of therapy plans and care but additionally guaranteeing the flexibility to provide the most effective medical competencies.

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This could be facilitated by demonstrating the cultural consciousness of a affected person utilizing numerous scientific observations. In essence, it encompasses the data of a consumer’s cultural range whereas providing remedies. Having somebody within the care staff who can intently relate to Alan is crucial in underpinning the language and ethnic limitations, thus resulting in the supply of applicable methods that handle his wants.

Role of Multicultural Competencies in Assessing and Treating Allan

Multicultural competencies are crucial for a caring nurse to ship the most effective well being providers to sufferers, leading to excessive gratification for Alan. Notably, with out cultural competencies, most healthcare programs run into losses and subsequently restrict the providers that they will provide to the sufferers. Therefore, multicultural competencies play such key roles as offering a robust background and data of the tradition to which a affected person belongs. Without the nursing cultural competencies, there’s the likelihood of nurses creating stereotypes towards sufferers who usually are not of their race. According to Farber et al. (2017), cultural stereotypes scale back the supply of patient-centered care. Therefore, by way of such competencies, the nurse can emphasize, affiliate extra with Alan, and attend to his wants.

Allan’s Needs as Related to Diversity

Inpatient Rehabilitation

One of the wants associated to Alan when it comes to range is offering inpatient rehabilitation with a culturally delicate background. For occasion, Alan’s substance abuse, the ache of the household monetary points, unemployment standing, and delayed veteran advantages have an effect on his well being scenario. The inpatient rehabilitation needs to be one which basically belongs to the identical tradition as Alan, thus permitting him to really feel a way of belonging. Since Alan is hesitant to point out his feeling to others, placing him in the identical facility with different cultural teams could improve the probabilities of therapy relapse. Because African-Americans face the best burden of social injustices and prejudice, staying in the identical rehabilitation would possibly trigger falls in therapy plans.

Family Counseling

Alan requires household counseling particularly after indicating that his spouse doesn’t perceive the ache he’s present process. According to analysis, ethnic minority households face lots of domestic-related conflicts and home-based violence due to household construction (Assari et al., 2018). Counseling Alan collectively by way of the assistance of a nurse from the identical ethnicity is a crucial facet of guaranteeing holistic nursing intervention, which is culturally delicate. Counseling Allan and his companion are important in ensuring that each perceive the significance of upkeep of sobriety.

Strategies to Support Allan’s Advocacy Related to his Needs

One of the methods wanted for Alan’s advocacy is to attach him to the required sources. The nurse ought to assist Alan to entry the recourse each inside and outdoors the hospital which is able to additional assist his therapy and well-being. The nurse ought to be capable to establish the sources in the neighborhood that may be shared with the affected person comparable to monetary help, transportation, affected person or caregiver assist networks, and different wants.

The nurse can even assist Alan in advocating for the claims primarily based on his particular circumstances with the related authorities. For occasion, veterans are sometimes eligible for different forms of incapacity compensation upon dedication of if the incapacity was service-related. Therefore the nurse ought to present the affected person with the appropriate data on the subject of such compensation claims as particular person unemployability, car allowance, destabilization, and hospitalization. Upon satisfying such claims, the affected person’s advantages could also be hastened and delivered to Alan on time.

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How the Identified Needs Influence Strategies and Processes

Alan has a strained household relationship that may trigger the therapy and prevention of future relapse to happen. Therefore, as a result of one of many aims is to cut back the chance of falls, a scarcity of higher household relations influences the methods crucial for the therapy of post-traumatic stress dysfunction (PTSD) and substance abuse (Wakhid & Hamid, 2020). Instead of delegating sure duties to the spouse, the nurse should change the modalities of the therapy choices which restrict the spouse from providing extra to the consumer than the healthcare suppliers. The intervention includes assembly with Mr. Allan twice per week or as usually as attainable and supporting him with what elicits his alcohol abuse by way of one-on-one conferences, journaling, the transmission of emotions, and a free relationship.

Moreover, the involvement of the local people within the planning of care is an important care choice. Andersen et al. (2020) describe the significance of the Community Reinforcement Approach (CRA), a technique that validates the implication of path of a affected person’s issues to its group members. The use of an area enterprise group to make use of Mr. Alan could be advocated by the nurse. In addition, the native college needs to be used to supply free training to Mr. Alan’s son till he secures employment.

Description of Possible Legal and Ethical Issues whereas Counseling Allan

Treating Alan with out involving the household proxy would possibly represent authorized implications. For occasion, because the affected person is present process antidepressant medicine as a consequence of his PTSD and ache medicine for substance abuse dysfunction, he won’t be in the appropriate psychological capability to provide consent to his therapy choices. According to Evans et al. (2020), household proxy consent is important for a scenario the place a affected person can’t give consent to therapy due to the psychological incapacity to supply such consensus. Therefore, the participation of his spouse will assist them develop methods to deal with conditions that will come up as a consequence of potential relapses for Allan.

Involving Alan and the spouse throughout counseling can also represent sure moral issues. The spouse would possibly wish to comprehend the data given to the nurse to adjust to the previous remedies. Deciding share this data, particularly if it goes towards the household’s beliefs, generally is a advanced scenario. However, disclosing such data as Alan quotes, “my wife doesn’t understand the pain I am in physically or psychologically”, could end in household conflicts.

In this regard, the nurse will probably be within the dilemma between being sincere versus withholding the data. According to nursing codes of ethics, nurses ought to advocates for truth-telling and honesty (Devine & Chin, 2018). Therefore, as a nurse, identification of the most effective technique to convey the data is crucial in guaranteeing that the best profit is achieved and Alan’s security is accorded.

Conclusion

In conclusion, because of the cultural range of Alan, nursing care ought to guarantee the supply of a multicultural framework and competencies for high quality nursing care. As illustrated above, multicultural competencies be certain that all points of affected person care are addressed, thus offering patient-centered care. Moreover, the addition of a multidisciplinary staff ascertains that such challenges as authorized and moral implications, social injustices advocacy, and household points are addressed. Therefore, the nurse’s function is to supply applicable training to Alan to establish that his substance abuse and PTSD are handled with out probabilities of relapse.

References

Andersen, Okay., Behrendt, S., Bilberg, R., Bogenschutz, M. P., Braun, B., Buehringer, G., Ekstrøm, C. T., Mejldal, A., Petersen, A. H., & Nielsen, A. S. (2020). Evaluation of including the group reinforcement method to motivational enhancement remedy for adults aged 60 years and older with DSM‐5 alcohol use dysfunction: A randomized managed trial. Addiction, 115(1), 69−81. Web.

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Assari, S., Caldwell, C. H., & Zimmerman, M. A. (2018). Family construction and subsequent anxiousness signs; minorities’ diminished return. Brain Sciences, 8(6), 1-11. Web.

Devine, C. A., & Chin, E. D. (2018). Integrity in nursing college students: An idea evaluation. Nurse Education Today, 60, 133-138. Web.

Evans, C. J., Yorganci, E., Lewis, P., Koffman, J., Stone, Okay., Tunnard, I., Wee, B., Bernal, W., Hotopf, M., & Higginson, I. J. (2020). Processes of consent in analysis for adults with impaired psychological capability nearing the top of life: Systematic assessment and clear skilled session (MORECare_Capacity assertion). BMC Medicine, 18, 1−55. Web.

Farber, E. W., Ali, M. Okay., Van Sickle, Okay. S., & Kaslow, N. J. (2017). Psychology in patient-centered medical properties: Reducing well being disparities and selling well being fairness. American Psychologist, 72(1), 28-41. Web.

Wakhid, A., & Hamid, A. Y. S. (2020). Family resilience minimizes post-traumatic stress dysfunction: A scientific assessment. Enfermeria Clinica, 30 (1), 1-5. Web.

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