Cultural safety in nursing Essay

The meaning of the circumstance culture in nursing has changed signifi dealtly in recent decades. Culture may be considern as the learned, sh ard value and beliefs of a particular group (Spence, 2001). pagan expression assumes many forms, including language, traditions, stress, pain, anger, sorrow, centeruality, decision qualification and even world philosophy (Catalano, 2006).Cultural refuge is a process that involves the individual perspicacious of their self and their own culture, becoming awake(predicate) of, respectful of, and painful to different cultures, request who is at risk, preventing unsafe situations, and creating a ethnicly safe environment (Wood and Schwass, 1993).During my first nighttime shift at clinical placement, I rund guard for Anna (pseudonym), an 85- year old Maori lady, who was admitted to the protect following suicide attempt, which was related to the insurgent anniversary of her husbands death. She had a 20 year history of depression. On admission Anna was agitated and fearful, stating that she could non do al just rough anything that was requested of her. She had some disorganise ideas. For example, she thought she would be scalded by meals, or accidentally fall out(p) of a window.We had just finished our handover when Anna rang the bell. I went to her means and engraft her sitting on the chair. practised evening Anna, I said. My name is Parisa. I am your oblige tonight. Anna looked conf use of goods and valuesd and replied I am not legitimate if I constitute enough apparel. From the handover briefing I had still that she was badgering nearly not having enough clothes. So I opened the door of the public press and reassured her that she had plenty of clothes. Then I told her she needed to come back to her level and have a rest. I helped her beat back into the bed.Twenty minutes later, art object I was doing the ward check, I perceive someone rank. The sound of bellyacheing came from Annas room. I went to her room. It was midnight. Anna was lying alone fearful, sad, and depressed. remaining isolated, she wanted to call a book for help but she didnt get by how to explain what she needed. Anna, what happened? I asked. Are you crying? She didnt reply. In this situation, it came into my mind that near remediation communication through the use of colligate was in truth appropriate to comfort her. I held her hand, looked into her eyes, and asked her if she wanted to tell me what she was sentiment at the time. She replied I feel I am a horrible soulfulness, shtupt you see that? I said, A horrible person, what I see is a frightened person. You are panic-struck, arent you?She replied, I am so s tutorshipd of losing everything and everyone I love. Nurse, I am not a good person, I tested to commit suicide. I took an overdose of my pills, and I made my family worry about me. She started to cry again. I listened to Anna and let her speak out all her feelings. I said, I take care you feel it was the wrong thing to do She replied Do you think God leave forgive me? I need to cry, I need to pray. With my eyes wide-eyed of tears I asked her, Would you like it if we prayed unitedly? She looked at me kindly and said Yes, I would like to pray. We held hands, and both of us started to pray in our own languages schooling and so not acting on what you learn is like ploughing and then never planting (Unknown). When I was in unit 4, we had a Maori wellness melodic theme where I gained lot of knowledge about the Maori view of health. This incident with Anna was an occasion in which I put the knowledge I had learned at university into figure.According to Durie (1998) the traditionalistic Maori attitude toward health is one of holism. Health from a Maori perspective has al sorts declare the unity of spiritual, excited, physical, and family aspects. The spiritual perspective is the most necessary perspective for Maori well cosmos. It is defined as attachment to phantasmal values, but does not have the same meaning as religious beliefs. When spiritual needs are met, an individual skunk function with a meaning(prenominal) identity and purpose and can relate to reality with hope (Durie, 1998). nursing is a discipline that professes to address the clement person in a holistic manner, focusing on all dimensions of the person body, mind and spirit (Lemmer, 2005). Care of the spirit is a professional nursing responsibleness and an intrinsic part of holistic nursing. The holistic nursing perspective gets nurses to view individually person as a biopsycho neighborly being with a spiritual core. Thus, nurses must be sure to address the spiritalong with the other dimensions to provide holistic care (Calatona, 2006, p.403).In my situation, I had to support Annas desire to pray and practise meaningful rituals. To confirm my assumptions about an underlying ethnic issue, I asked Anna in a very respectful way about her heathen beliefs. I realiz ed that Annas religious beliefs could be a vital way in which she expresses her spirituality. I asked her if she would like the service of a Maori Chaplain, and she accepted. Therefore, during the morning handover I sensible Annas primary nurse that Anna neediness to be referred to the Maori Chaplain Service. Fourie, Mcdonald, Connor and Bartlett (2005) clearly secernate that handover is a critical time where affable faculty share information from which to base key decisions about patient of care and management, curiously customers who appear unsettled and /or those who require extra intervention. Spiritual interventions have been demonstrate to be significant in the clients recovery from disorder. The dimensions of religious ceremony, supplicant and the client, kin with God have been shown to have positive associations with mental health (Catalano, 2006).Reflecting on this experience I found that my therapeutic communication techniques of presence, and active sense of hearing, were very useful. The affectional aspects of nursing are related to stirred interchange between nurse and patient which includes presentation, active listening, therapeutic communication and discussion of spiritual issues (Wichowski, Kubsch, Ladwig & Torres, 2003, p.1122). I used touch to help comfort her distress. Touch is a therapeutic tool which can provide sensory stimulation, induce relaxation, physical and emotional comfort, orient people to reality, improve level of awareness, convey warmth, respect, sensitivity and a goodly expression of a trusting relationship (Crisp & Taylor, 2003).I listened attentively to every angiotensin-converting enzyme word that Anna said to show that I have a genuine involution in knowing more about her beliefs. Listening attentively and reflectively can help the client feel valued, understood and supported (Mohr, 2003). I have found out that through my active listening to her story, I displayed a caring attitude, and she is al nomin ate participating in a culturally competent care. A nurse who is ready to listen to his/her patients, respects theircultural and social backgrounds and does not make any stereotyped assumptions delivers a culturally safe practice (Bunker, 2001).My experience of nursing Anna, and learning how her cultural beliefs affected her mood helped me achieve and flummox the skills to be culturally competent in my nursing practice. Culturally competent care involves the integration of knowledge, attitude and skills to provide culturally appropriate health care (Mohr, 2003). As I want to be a mental health nurse, my practice should be culturally appropriate through the sensitive and supportive identification of cultural issues (Australia & untried Zealand College of Mental health nursing, 1995). I excessively learned that one of the skills that a mental health nurse should possess is the index to integrate cultural perspectives within the sales pitch of appropriate interventions. This exper ience also gave me the luck to demonstrate my skill in communicating Annas problem to the primary nurse effectively. It also enhanced my critical mentation skills for I was able to find the consort between her beliefs and her illness, and that led to provision of a culturally competent care.