NA Final Notes (Mod 7 & 8) PDF

Module 7: Diversity and Person centered care Person-Centered Care planning, delivery and evaluation of healthcare that is tailored towards the needs of an individual person-centric care empowers an individual to actively participate develop an understanding between his/her/the...

Module 7: Diversity and Person centered care Person-Centered Care planning, delivery and evaluation of healthcare that is tailored towards the needs of an individual person-centric care empowers an individual to actively participate develop an understanding between his/her/their environment and self nurse provides information or the tools to achieve individual’s goals act as a resource, respect and honor their choices and decisions open ended questions, listen with openness, be non-judgmental, empathize recognize that individuals in your care are diverse. They are unique in their age, gender, socioeconomic status, race, ethnicity, cultural and spiritual beliefs and they may have medical diagnosis that is different or present differently. Bow Valley College Conceptual Framework: Spheres of Caring. (refer to slide 4 to study illustration) It focuses on three main concepts: 1. Individual is the person who is receiving care 2. The Medicine wheel - Illustrates an individual's internal environment - Intellectual (mental) self, a spiritual self, and an emotional self, and physical self. Strength and balance in all four quadrants of the medicine wheel produces a strong positive sense of wellbeing and an imbalance in one of the quadrants will cause symptoms of illness 3. The internal and external factors can create an imbalance or risk factors for illness, injury, inadequate treatment/ healing in an individual. These internal and external factors are known as determinants of health often relating to inequalities in society Cultural safety in nursing practice. 1. Cultural awareness – beginning step to understand diversity in a deliberate manner. Becoming more self-aware of your biases and attitudes about human behavior is the first step in providing person-centered care. 2. Cultural sensitivity – When you understand that diversity exists, and it is legit. You understand that your values, believes and attitude can have an impact on others 3. Cultural safety – is the result of the nursing education that enables you to practice safely in a culturally competent manner. Why is cultural competence important? → As self regulated healthcare professionals, the public expects LPNs to be professionally responsible and accountable to deliver safe, competent and ethical nursing care. Cultural competence responds to action 24 in the truth and reconciliation commission of Canada’s calls to action. The truth and reconciliation commission of Canada called for skills-based training in intercultural competency, conflict resolution, human rights and anti-racism for the healthcare profession. Cultural competence is important in nursing because: → Improves the quality of healthcare. → It adds to our understanding of healthcare solutions among cultural groups. → It encourages a more holistic approach to healthcare with individual, family and community-based systems. → Providing culturally competent care is an example of person -centered care. → Cultural competence: “Cultural competence may be referred to as cultural awareness, cultural sensitivity, or cultural humility. By engaging in culturally competent practice LPNs can foster inclusiveness of all people and emphasize respect for diversity” (CLPNA, 2019, p. 3) Example: → Why might Indigenous people need culturally appropriate care? Answer: reluctance to engage with institutionalized care setting, trust, complex medical problems related to intergenerational trauma → Why might LGBT people need culturally appropriate care? Answer: fear of discrimination, homophobia. Define diversity and how it relates to the Canadian population. Pg 143 → Obj. 6: Define diversity and how it relates to the Canadian population (pp.120 – 121). Answer: Canada is a multicultural nation. // Your classroom is a multicultural community. There are people of different races and ethnic backgrounds, socioeconomic status, sex, gender and gender preferences, age, mental or cognitive abilities, sensory or physical ability. Spirituality and the relationship between religion, spirituality, and health → Spirituality is defined as “a way of being in the world in which a person feels a sense of connectedness to self, others, and/or a higher power or nature, a sense of meaning in life and transcendence beyond self, everyday living and suffering” (Weathers, 2019, p.493). How does spirituality influence health? How can you support your client's spirituality? Religion is an organized system of beliefs concerning the cause, nature, and purpose of the universe, especially belief in or the worship of a God or gods, Typically practiced in faith communities A client may be spiritual but not identify with a particular religion. Faith can mean different things to different people. Examples include: Faith in the context of cultural or institutional religion Faith as a relationship with a divinity, higher power, authority, or spirit Faith may involve a sense of transcendence: An awareness of something beyond oneself that gives a wider perspective and meaning in life’s experience. Spirituality and Health and Illness Spirituality is a dimension of overall health. Religious/spiritual beliefs affect how individuals view health and the meaning they make of illness and suffering. Religion and spirituality are largely associated with positive health outcomes Spirituality can provide psychological support, an improved sense of well-being, and can support a healthy lifestyle. Nursing and Spiritual Care The nursing commitment to holism and holistic care recognizes the unity and balance of the mind, body, and spirit, and the social dimensions and interrelatedness of these dimensions Spiritual care competencies provide guidance regarding the knowledge, skills, and attitudes that nurses require. Profile of Spiritual Care Competencies DOMAIN COMPETENCE Awareness and use of 1. Attitude toward the patient’s spirituality: The nurse’s self handling of their own values, convictions, and feelings in their professional relationships with patients of different beliefs and religions 2. Communication: Addressing the subject of spirituality with patients from a range of backgrounds, in a caring manner Spiritual dimensions of 3. Assessment and implementation of spiritual care: The nurse the nursing process collects information about the patient’s spirituality and identifies the patient’s need 4. Personal support and patient counselling: Discussing with the patient and team members Assurance of quality 5. Referral to professionals and expertise 6. Contributing to quality assurance and improving expertise in spiritual care in the organization Spiritual Dimensions of theNursing Process—Understanding Patients' Spirituality Nurses should think about understanding rather than assessing patients' spirituality: Does the patient have beliefs that will influence important health care decisions? Are there religious rituals or restrictions that should inform care? The nurse is not the expert but rather a co-learner in the mysteries of life. → Understanding a Patient's Spirituality: Applying the FICA Spiritual History Tool F—Faith and Belief I—Importance C—Community A—Address in Care Side note: Page 499 in your textbook Organizational Resources to Support Spiritual Care and Staff Well-Being → Barriers to nurses offering spiritual care: Time constraints Lack of privacy Inadequate training Role confusion Spiritual health providers are increasingly involved in supporting the spiritual well-being of staff. Reflecting on Nurses’ Spiritual Care → Facilitating spiritual practices Holism Rituals Food and nutrition Personal care Recorded meditations, spiritual music, spiritual services Respect for patients’ spiritual belongings → Ensuring respect for each person’s beliefs Critical thinking and spiritual care: Helps nurse gain an understanding of the patient Helps ensure spiritual care is ethical and based on best available evidence It is very important to seek guidance and make referrals to hospital chaplains and leaders of the patient’s faith community as nurses do not have the training to provide intensive spiritual support that the patient may require. Module 8: Indigenous Health in Canada