Week 2 Discussion: Reflection on Cultural Awareness/NR 394

Week 2: Discussion: Reflection on Cultural Awareness

Cultural awareness is important in nursing practice as it allows nurses to understand values, beliefs, and attitudes among patients based on their diverse backgrounds. Knowledge of cultural differences is essential to determine the communication styles, expectations, and preferences among patients to ensure effective communication and avoid misunderstandings and miscommunication that may result in adverse outcomes (Chae et al., 2020). Nurses and other providers can enhance their interactions with patients when they have a better understanding of communication components.

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An effective way to use cultural awareness to communicate in nursing practice is having patient-centered care and understanding their language. Nurses should enhance their cultural competency so that they understand the patient’s cultural background, proficiency in certain languages, and possible communication needs and requirements (Kersey-Matusiak, 2024). For instance, an increased understanding of a patient’s language, especially for nurses using English as a second language is important. Nurses require techniques like active listening, open-ended questions, and non-verbal aspects to encourage patients to express their preferences and even concerns.

Miscommunication happens when nurses do not appreciate the cultural differences and language barriers that may affect patient’s interactions and understanding (Lin et al., 2020). For instance, having a patient from a different cultural background can cause miscommunication when a nurse fails to appreciate values and traditional practices as part of healthcare provision. A situation happened in the clinical practice during my shift when a nurse misinterpreted my handling over notes as having administered medications to a patient. My colleague did not give the patient medicines as prescribed leading to exacerbation of the condition and admission to the high dependence unit. Fortunately, the patient recovered without any severe complications. However, it demonstrated that nurses should have effective communication, especially during handover to reduce miscommunication that can affect medical administration

Preventing miscommunication as demonstrated in the incident above is essential to reduce or stop the occurrence of such events. In this case, the facility would have prevented this miscommunication by ensuring nurses and patients understand the importance of cultural awareness and competency (Young et al., 2020). For instance, the facility should train culturally diverse nurses to deal with patients from different backgrounds. The facility should ask patients about their communication preferences and offer educational materials to nurses to enhance their understanding of the English language, especially those who require increased competency and proficiency as a second language.

References

Chae, D., Kim, J., Kim, S., Lee, J., & Park, S. (2020). Effectiveness of cultural competence

Educational interventions on health professionals and patient outcomes: A systematic review. Japan Journal of Nursing Science, 17(3), e12326. DOI: 10.1111/jjns.

Kersey-Matusiak, G. (2024). Delivering culturally competent nursing care: Working with

diverse and vulnerable populations. Springer Publishing Company.

Lin, M. H., & Hsu, H. C. (2020). Effects of a cultural competence education programme on

clinical nurses: A randomized controlled trial. Nurse education today, 88, 104385.

DOI: 10.1016/j.nedt.2020.104385.

Young, S., & Guo, K. L. (2020). Cultural diversity training: the necessity of cultural competence

for health care providers and in nursing practice. The health care manager, 39(2), 100-108. DOI: 10.1097/HCM.0000000000000294.

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Reflection on Cultural Awareness (Graded)

Discussion

Purpose

The purpose of this reflection is to apply cultural awareness to communication in practice.

Course Outcomes

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This assignment enables the student to meet the following course outcomes:

CO 2: Communicate effectively with culturally diverse individuals, families, and organizations. (PO 3)

Due Date

During the assigned week (Sunday the start of the assigned week through Sunday the end of the assigned week):

Posts in the discussion at least two times, and

Posts in the discussion on two different days

Total Points Possible: 50 points

Preparing the Discussion

Reflection is an activity that involves your deep thought into your own experiences related to the concepts of the week. Answers should be detailed. In reflections students:

Demonstrate understanding of concepts for the week

Engage in meaningful dialogue with classmates and/or instructor

Express opinions clearly and logically, in a professional manner

Use the rubric on this page as you compose your answers.

Scholarly sources are NOT required for this reflection

Best Practices include:

Participation early in the week is encouraged to stimulate meaningful discussion among classmates and instructor.

Enter the reflection often during the week to read and learn from posts.

Select different classmates for your reply each week.

Reflection Question

As nurses, we work with patients, providers and healthcare team members whose native language is not English. This diversity may lead to challenges with communication. Consider how to apply cultural awareness to nursing practice.

Reflect on how to apply cultural awareness to communication in your current nursing practice.

Share an example of miscommunication that occurred as a result of this diversity and whether an adverse outcome resulted.

Describe how the miscommunication could have been and will be prevented in the future.

Grading

To view the grading criteria/rubric, please click on the 3 dots in the box at the end of the solid gray bar above the discussion board title and then Show Rubric. See Syllabus for Grading Rubric Definitions.

Hello Class,

Happy Week 2!

This week we will be reflecting on diversity, communication, and cultural awareness in nursing practice. I look forward to our discussion on this process.

This week’s graded topics relate to the following Course Outcome (CO):

CO 2: Communicate effectively with culturally diverse individuals, families, and communities. (PO 3)

Communication is key in my area of practice, as I work with patients who are anxious, depressed, using substances or with a multitude of psychiatric problems/conditions. As you can imagine, any type of bias expressed can lead to negative consequences such as distrust which means the patient will not openly talk about their issues or needs. Poor communication can also cause patients to not feel respected, so they may elect not to return for follow-up.

I would like to relate a cultural miscommunication,

One day, I was in the nursing station, documenting a wound found of a patient and I heard a door slam shut. I looked up to see what had just occurred. Cena came out of my patient’s room and her face was red. I asked Cee what happened? Cena stated, “I was trying to help Ms. J. put on her TED hose and she called me a pig!” “A PIG!!!” Cena was clearly upset. I said to Cena, “I am not sure I understand, why would she call you a pig?” She said, “I don’t know, I was helping her, and she called me a pig!” Then she said, “I just need to go take a few minutes to calm down” and she walked off.

I walked into Ms. J’s room. I said to Ms. J, “What happened with your occupational therapist?” She looked confused and flustered. She said, “Honestly, I don’t know, she got angry at me because I couldn’t get my TED hose on.” I told Ms. J that didn’t sound like Cena, and then I asked her to tell me exactly what happened. Ms. J said, “I was pulling and pulling on the hose and she said to me, ‘here, do it this way’ and I said, ok, I’ll try, but as hard as I tried, I couldn’t get them pulled up” I said, “hmmm, that doesn’t sound like anything that would make someone mad. Did you say anything else?” She said, “Well, I told her, ‘you can’t make a silk purse out of a sow’s ear.’ I could not help but smile, I knew exactly what had happened. I told her I understand now. I explained to Ms. J that Cena was not from our country and that English was a second language for her, so she may not understand that saying. I further explained to Ms. J that Cena thought she was calling her a pig. Ms. J. looked embarrassed and turned red in the face sputtering, “Oh my, noooo, no (shaking her head vehemently) that isn’t what I meant at all!” I told her I understood, and I would go speak with Cena.

I found Cena in the nurse’s lounge. I told Cena I needed to explain what happened with the patient and I told her what the aphorism meant (for those of you who have never heard it before, it means that you can’t make something work, if you do not have what it takes to do it). Cena immediately calmed down and said to me, Ms. J must think I am a crazy person. We went back to the patient’s room and cleared things up.

This could have ended badly, with another occupational therapist being assigned to the patient and the patient left not understanding what had happened but instead it ended with each understanding a bit more about the other.

As for how this could be prevented in the future, as a present for a new diverse employee, I could give them information on the area, local aphorisms and other information that might be helpful in working with Appalachia patients.

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RNBSN_50_Point_Reflection_Discussion_Rubric_1_21

Criteria

Ratings

Pts

This criterion is linked to a Learning OutcomeAnswer Post•Answers the reflection question(s) in a detailed manner applying one or more weekly concept(s),
•Incorporates own experiences relating to weekly concept(s), and
•Reflects about specified time frame indicated in question

28 pts100% Excellent

Meets all criteria: •Answers the reflection question(s) in a detailed manner applying one or more weekly concept(s), •Incorporates own experiences relating to weekly concept(s), and •Reflects about specified time frame indicated

25 pts88% Good

Includes all three criteria but answer is not detailed.

22 pts80% Fair

Meets two of three criteria

11 pts38% Poor

Meets one of three criteria

0 pts0% Missing

Does not answer the discussion question(s).

28 pts

This criterion is linked to a Learning OutcomeReply Post•Replies to a classmate’s and/or instructor’s post,
•Reply post provides additional information or clarification, and
•Reply post adds excellent depth to the discussion.

14 pts100% Excellent

Replies to a classmate’s and/or instructor’s post by providing additional information or clarification. Reply post adds excellent depth to the discussion.

12 pts88% Good

Replies to a classmate’s and/or instructor’s post by providing additional information or clarification. Reply post adds good depth to the discussion.

11 pts80% Fair

Replies to a classmate’s and/or instructor’s post. Limited information or clarification provided. Brief reply post adds fair depth to the discussion.

5 pts38% Poor

Replies to a classmate’s and/or instructor’s post. Reply does not provide additional information or clarification. Brief reply post does not add depth to the discussion.

0 pts0% Missing

No reply post to classmates or instructor.

14 pts

This criterion is linked to a Learning OutcomeCommunicates ProfessionallyAll posts:
•are clear and concise,
•are respectful, civil, and caring, and
•contain excellent English grammar, spelling, and punctuation.

8 pts100% Excellent

All posts are clear, concise, respectful, civil, and caring. Posts contain excellent English grammar, spelling, and/or punctuation.

7 pts88% Good

All posts are clear, concise, respectful, civil, and caring. Posts contain good English grammar, spelling, and/or punctuation.

6 pts80% Fair

All posts are respectful, civil, and caring but are not clear or concise. Posts contain fair English grammar, spelling, and/or punctuation.

3 pts38% Poor

All posts are not clear and concise, AND contain poor English grammar, spelling, and/or punctuation.

0 pts0% Missing

All posts are not respectful, civil, and caring.

8 pts

This criterion is linked to a Learning OutcomeParticipationDuring the assigned week (Sunday the start of the assigned week through Sunday the end of the assigned week):
•Posts in the discussion at least two times, and
•Posts in the discussion on two different days

0 ptsNo Points Deducted

During the assigned week (Sunday the start of the assigned week through Sunday the end of the assigned week): •Posts in the discussion at least two times, and •Posts in the discussion on two different days

0 ptsPoints Deducted (-5 Points)

During the assigned week (Sunday the start of the assigned week through Sunday the end of the assigned week): •Does NOT post in the discussion at least two times AND/OR •Does NOT post in the discussion on two different days

0 pts

Total Points: 50

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Week 2 Discussion: Reflection on Cultural Awareness/NR 394