The Multicultural Simulation comprises one of the virtue simulations that significantly influenced my nursing practice. The simulated scenario involved a middle-aged African American male patient, Mr. Ackan, who had been admitted and awaiting TURP surgery. The simulation demonstrated the significance of adhering to established nursing practice protocols, including interdisciplinary collaboration, cultural sensitivity, and family-centered care. It underscored the importance of effective communication, involving patients’ families, and multidisciplinary collaboration to provide patient-centered care.
Elaboration
The nurse began the interaction by reviewing Mr. Ackan’s medical information and updating him about the surgical process, including the requirement for a pre-operative checklist and a consent document. He had been brought to the hospital the night before because of urine retention. The purpose of his admission was to undergo Transurethral Resection of the Prostate (TURP) surgery, intended to treat his condition. It was essential to consider his medical history, which revealed a history of hypertension and penicillin sensitivity.
Mr. Khan subjective data indicated a blood pressure of 142/86 mmHg, demonstrating a relatively normal reading within the recommended range. A Foley catheter had been inserted in him, implying that his urine flow was being monitored continually. Mr. Ackan was also on NPO status, which meant he could not eat or drink anything. Despite these limitations, he seemed at ease during the interaction, showing no discomfort or worry. This observation revealed that his present situation was stable and well-managed, which added to his overall comfort throughout the evaluation.
Everything changed when the patient’s family members, including his brother and daughter, came. His family expressed worries about the intended surgery and insisted on getting a second opinion before signing the consent form. They disputed the procedure’s necessity, expressed concern about the possible risks and repercussions, and emphasized the significance of considering alternatives before continuing with the surgery. As a result, the nurse’s position clashed with the family’s cultural values and beliefs.
Analysis
Several factors influenced how the event unfolded. One significant factor comprised the nurse’s neglect to include the surgeon in getting Mr. Ackan’s informed consent. Physicians should be included in this process since they have the expertise and authority to obtain surgical procedure approval (Bazzano et al., 2021). The failure to involve the surgeon was against the nursing standards of informed consent; thus, it compromised the completeness and legitimacy of the consent process.
Secondly, the caregiver’s first approach lacked cultural sensitivity because she concentrated solely on communicating medical information to the patient without involving his family. Cultural sensitivity is essential in nursing practice because it recognizes and respects the beliefs and values of patients and their families, fostering successful communication and patient-centered care (Moran et al.,2023). The provider also missed an opportunity to establish a collaborative and culturally inclusive care atmosphere by failing to include the patient’s family in the discussion. Recognizing and adopting cultural considerations improves the therapeutic relationship and improves patient outcomes.
Additionally, the nurse failed to involve a social worker and a case manager in addressing the family’s concerns. It resulted in a lack of understanding and effective communication. Involving a case manager and social worker is beneficial in treating psychosocial and emotional aspects that contribute to family conflicts (Moran et al.,2023). Their knowledge of family dynamics and conflict resolution can help facilitate open communication and emotional support and ensure that patients and their families comprehensively understand the treatment intervention. By failing to consult these professionals, the nurse missed a chance to improve dispute resolution and promote a more holistic approach to patient care.
Revision
One element that should remain the same involves the dedication to open communication and active listening. Successful communication is essential for bridging cultural gaps and understanding patients’ diverse viewpoints (Schouten et al., 2020). Clinicians can understand patients’ beliefs, values, and concerns by listening to them keenly and their families, supporting the formulation of individualized care plans. Healthcare providers can develop trustworthy connections and provide culturally sensitive treatment that addresses the specific requirements of each patient by committing to open communication and active listening (Sharifi et al., 2019). This strategy guarantees patients feel listened to, empowered, and respected in their medical treatment journey.
Nevertheless, adjustments in cultural competency and interdisciplinary collaboration are required. The situation emphasized the significance of cultural disparities in healthcare decision-making processes (Sharifi et al., 2019). To overcome this, nurses should consider continuous cultural competency training and education and engage in self-reflection to identify personal biases and improve cultural knowledge (Schouten et al., 2020). It can be accomplished by attending workshops, engaging in multicultural activities, and regularly reviewing literature emphasizing cultural competency in health care. Interdisciplinary collaboration can be enhanced by embracing a team-based approach by acknowledging that patients require expertise from multiple disciplines (Bazzano et al., 2021). Clinicians should consult and involve other professionals when developing care plans, making decisions, and implementing interventions.
New Perspective
In the future, when confronted with a similar issue, I shall approach it with greater cultural sensitivity and understanding. I will prioritize involving the patients and their families in collaborative decision-making, seeking feedback, and resolving complaints. I will actively seek continued training and education opportunities in cultural competency and Multidisciplinary collabollation aspects, including attending conferences and workshops, to expand my knowledge and understanding. By implementing these perspectives, I aim to deliver the best care possible to patients from diverse cultural backgrounds.
References
Bazzano, L. A., Durant, J., & Brantley, P. R. (2021). A modern history of informed consent and the role of key information. Ochsner Journal, 21(1), 81-85 https://doi.org/10.31486/toj.19.0105
Moran, K. J., Burson, R., & Conrad, D. (2023). The Doctor of nursing practice project: A Framework for Success. Jones & Bartlett Learning. Retrieved from https://books.google.co.ke/books?hl=en&lr=&id=0f-pEAAAQBAJ&oi=fnd&pg=PP1&dq=Nursing+practice&ots=beKGvrSgvL&sig=Zu2AAVSrbrQi-_-kEShDWFliB2I&redir_esc=y#v=onepage&q=Nursing%20practice&f=false
Schouten, B. C., Cox, A., Duran, G., Kerremans, K., Banning, L. K., Lahdidioui, A., & Krystallidou, D. (2020). Mitigating language and cultural barriers in healthcare communication: Toward a holistic approach. Patient Education and Counseling, 103(12), 2604–2608. https://doi.org/10.1016/j.pec.2020.05.001
Sharifi, N., Adib-Hajbaghery, M., & Najafi, M. (2019). Cultural competence in nursing: A concept analysis. International journal of nursing studies, 99, 103386. https://doi.org/10.1016/j.ijnurstu.2019.103386
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