As Ohio’s population of immigrants grows, nurses must be prepared to care for patients from a diverse array of cultures by understanding the cultures of the common ethnic minorities living in the community. Using the skills learned in transcultural nursing such as performing a comprehensive assessment, showing respect, using active listening, communicating clearly and considering cultural values will help build trust and show the patient and family that their needs are important to the healthcare team. Even when obtaining culturally essential knowledge and trainging, nurses will face ethical dilemmas when personal or organizational values clash with the patient’s values. In this paper I will describe …show more content…
In collectivist cultures, the reputation of the family is highly valued, and any dishonor from an individual’s action reflects on the family. The modesty concern for the patient is that a male health care provider would see her hair, arms, legs or body. For this reason it is common for Arab women to request female health care providers and Arab men to request male providers (Walton, Akram, & Hossain, 2014). From the nursing perspective the ethical dilemma includes the upholding the principle of nonmaleficence which is the obligation to not inflict intentional harm. This duty extends to the patient’s family as well as the patient, so in this case we would not want to expose the patient’s husband to radiation during his wife’s …show more content…
This type of care considers cultural values, behaviors, desires, and beliefs and begins with a comprehensive cultural assessment. The nurse involves the patient and/or family when developing the care plan, including setting mutual goals, planning details of care, choosing which actions to implement and evaluating the results of the interventions. To do this, the health care team must work with the patient and family in every step of the care plan to determine how to meet the patient’s needs and help the patient achieve an optimal state of well-being. For my example, an assessment would have identified the patient’s concerns and desires. With a little planning, we could accommodate almost all of their wishes by scheduling her with a female proceduralist, providing an all-female health care team, and allowing the husband to sit in an adjacent leaded-glass office. From there he could watch the procedure without exposure to radiation. Some of these actions we would not normally consider, and planning this care would take more time and effort. However the patient would receive care in a way that is comfortable for her, respects her beliefs and values, and confirms that the health care team cares about the details of her