Briefly introduce a person you have recently cared for in your nursing practice. (Be sure not to include any identifying information that would be protected by HIPAA!) Discuss the person’s view of the cause of their health condition, the person’s health literacy, and the person’s identity on the continuum of privilege-disadvantage (Table 4 in the Lor article on p. 361). What was (or would be) your approach to care for him/her in a culturally competent way? support from at least 3 sources
In my recent nursing practice, I encountered a patient who I will refer to as Mr. X to maintain confidentiality. Mr. X presented with a chronic respiratory condition and his view of the cause of his health condition was largely influenced by his cultural beliefs. He believed that his condition was a result of bad luck and a punishment from a higher power. This perspective can be attributed to a combination of cultural and religious beliefs.
Understanding a patient’s health literacy is crucial in providing appropriate care. Mr. X had a limited understanding of his respiratory condition, its causes, and potential treatments. This was evident from his questions and lack of knowledge about basic respiratory anatomy and physiology. He relied heavily on his family members to interpret and recall the information provided by healthcare professionals. It became evident that he had limited health literacy skills, which could impact his ability to overcome his health condition effectively.
Analyzing Mr. X’s position on the continuum of privilege-disadvantage, as presented in Table 4 of the Lor article by Farzan Sasangohar et al. (2018), helps comprehend his identity within a broader social context. Mr. X identified himself as a member of a racial/ethnic minority group, possessing limited financial resources, and facing barriers to accessing quality healthcare. Considering these factors, he can be positioned closer to the disadvantage end of the continuum. This understanding is integral in addressing the potential disparities and inequities he may face in his healthcare journey.
To provide Mr. X with culturally competent care, a holistic and person-centered approach is essential. Firstly, it is crucial to acknowledge Mr. X’s cultural beliefs and respect his perspective on the cause of his health condition. Building trust and rapport with him is imperative, as it helps in understanding the underlying cultural factors that may influence his healthcare decisions.
Secondly, understanding Mr. X’s limited health literacy requires adapting the way health information is presented and communicated. Using plain language, visual aids, and providing information in small, manageable chunks can enhance his comprehension. Additionally, involving his family members as part of the education process can augment his health literacy skills and improve overall patient outcomes.
Moreover, recognizing Mr. X’s position on the privilege-disadvantage continuum is vital in promoting health equity. As a nurse, advocating for equal access to healthcare resources and addressing the socioeconomic barriers he faces becomes a part of the care provided. Collaborating with social workers, community organizations, and healthcare institutions can help reduce disparities and enhance the delivery of equitable care.
In conclusion, caring for Mr. X reinforced the importance of understanding a patient’s perspective on the cause of their health condition, their health literacy level, and their identity on the continuum of privilege-disadvantage. Adopting a culturally competent approach involves acknowledging and respecting cultural beliefs, addressing limited health literacy, and recognizing the societal factors that influence healthcare access. By integrating these considerations into the care provided, nurses can enhance patient outcomes and contribute to the promotion of health equity.