urgent!! please help

Freedom42 · May 28, 2007

What do you mean by "critical incident?"

mimmy123 · May 28, 2007

thanx Freedom42 I'll try to explain this.

mimmy123 · May 28, 2007

an incident which has happened in clinical practice which needs further analysis in the judgements of the weakness and strengths of the different parts.

Freedom42 · May 28, 2007

You said you have to "write a critical incident," meaning... an essay? How long? What is the format?

anonymurse · May 28, 2007

What I did whenever a choice of topic was involved (in an APA formatted paper) was to simply search for articles. Sometimes only one topic had enough nursing research articles to meet the minimum requirement, or one would have an overwhelming amount of research. That's what I'd pick. Now you don't really have a list of topics here, but as you search on terms like "cultural nursing problems" (in "and" mode; of course you will tweak it as you go) you will probably see that some one area has more case studies, literature reviews, and original research than the others. Maybe you'll find a case study where a language barrier caused an adverse outcome, and at the same time find many articles about translator phones. Something like that is what you want. Whether you like the subject or not isn't as important as having enough research.

mimmy123 · May 28, 2007

You said you have to "write a critical incident," meaning... an essay? How long? What is the format?

the incident should be 4 0r 5 lines but the essay is 2000 words. the aim is to identify the reality of diversity in clinical practice and explores trategies for anti-discriminatory practice.

mimmy123 · May 28, 2007

Anonymurse

thanx i hope i'll make a start now.

VIXEN007 · May 28, 2007

I hope that I never have to write about that. I am sick of diversity. Why do we get beat over the head with diversity and political correctness? Just follow the Golden Rule. I have found that most people are genuinely nice and considerate. No matter what culture they are.

Freedom42 · May 28, 2007

I hope that I never have to write about that. I am sick of diversity. Why do we get beat over the head with diversity and political correctness? Just follow the Golden Rule. I have found that most people are genuinely nice and considerate. No matter what culture they are.

Diversity is not about treating people with respect regardless of their culture. It's about appreciating different points of view and recognizing that they exist. For example, what if you had to explain the timing of a careful drug regimen to a patient and didn't realize that the person comes from a cultural that doesn't observe clocks? Or if you presumed that a mother was ignoring her child because you didn't understand that in her culture, it is the grandmother who is in charge?

Diversity is about recognizing that there are worlds that are different than your own. It's not about political correctness.

anonymurse · May 28, 2007

I hope that I never have to write about that. I am sick of diversity. Why do we get beat over the head with diversity and political correctness?

1. Because you'll want to pass the NCLEX.

2. Because if you do pass, you'll want to keep your license.

Other answers will occur to you as you interact with patients.

edc1951 · May 28, 2007

I had a pediatric Hispanic (migrant worker) patient once who was diabetic. He kept coming in for admissions with his blood sugar out of whack (way high) and the powers that be kept doing nutrition referrals. This was in NC and some of the people were not as "accepting" (they were rampant racists) and began to start blaming the family, their "ignorance," etc. The fact that there was a Spanish interpreter with the nutirtionist was all they regarded as being needed. What was finally pointed out was that the foods the nutritionist was reviewing were traditional "white" foods. This family ate rice and beans as a staple of their diet and had never been given any guidelines to amounts. I have subsequently come to learn that Mexican/Central American natives tend to have far more efficient digestive sytems (centuries of having limited food supplies and having to subsist on less) What has happened as they move to this culture is that they are eating more and more often which is leading to higher obesity rates. I don't know how much info there is out there but this is a topic you could tackle.

Communication (both ways) about diet as related to complications, especially diabetes, I would guess has a trove of information. Another patient I had was out of control. I kept asking her what she had eaten between lunch and dinner because her BS was high and she was being given a hospital diet. Her family had visited and I was sure she had eaten something. She finally admitted to eating watermelon but felt she did not need to report it because it was "cold" Somehow she had determined that the only foods that counted were the hot foods/meals she ate. We went a long way that day figuring out why she had had so many problems!