Culturally sensitive nursing--questions - page 2

I am doing a research paper on Madeleine Leininger, the founder of transcultural nursing, so I've been reading a lot of articles on the subject. We've also spent some class time discussing the... Read More

  1. by   Q.
    I think, as OB/GYN NP stated, that having a general knowledge about a culture's behaviors are good to know while providing care - as with the women in labor. At my hospital, we have a large population of Hispanics who have tons of family. It is important to them to have these family members present. I try to accomodate this as much as possible.

    I also believe that there are entirely too many sub-cultures of cultures to put any one in a box. You start to do that and you inadvertently "offend" someone. It's best to ask, and we do upon admission. I try to reasonably accomodate things as best as I can without jeapardizing patient care.

    I once had a patient of Asian or West Indian descent, who, after delivery, would not allow me to escort her to the bathroom to teach peri-care and assess her bleeding. In their culture, that was the mother-in-law's job. They actually tried to shove me out the room as the patient got up for the first time after a blood loss of 700cc. It was at that time that I drew the line. If that patient collapses or is not adequately cleaned up, and gets an infection, whose fault is that? MINE. I stood my ground, would NOT leave the room and inspected her peri-area myself after the MIL did her "thing." If it wasn't cleaned appropriately, I did it again myself. They seemed irritated with this, but they have to work with me here.

    I think it's all about meeting each other halfway. I can integrate your beliefs into my care, but you also need to integrate my care into your beliefs. While you may have your own culture, you ARE in a Western medical facility and should expect a reasonable amount of Western beliefs to play a part.
  2. by   dianacs
    I think it's all about meeting each other halfway. I can integrate your beliefs into my care, but you also need to integrate my care into your beliefs. While you may have your own culture, you ARE in a Western medical facility and should expect a reasonable amount of Western beliefs to play a part.
    This makes sense to me.

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