You are working with a nursing student who is introducing herself to a Native American patient. The nurse student is trying to make eye contact and puts her hand on the shoulder of the patient to get his attention. How would you handle this situation? Defend your rationale with  at least 2 references in 300

In this situation, it is important to consider cultural differences and individual preferences when engaging with patients of diverse backgrounds. The approach taken by the nursing student may not be appropriate in the Native American culture, as personal space and physical contact may hold a different meaning. It is crucial to be aware of cultural sensitivity and understanding in order to build trust and establish a therapeutic relationship with patients.

One reference that addresses the importance of cultural sensitivity is the article by Spector and Davison (2016), which highlights the significance of cultural competence in healthcare. The authors emphasize the need to respect cultural diversity and tailor care accordingly to meet the individual needs of patients.

Another relevant reference is the book “Transcultural Nursing: Assessment and Intervention” by Giger, Davidhizar, et al. (2017). The authors provide a comprehensive framework for understanding cultural differences in healthcare and discuss specific issues related to Native American culture. They stress the importance of acknowledging traditional beliefs, values, and practices when interacting with Native American patients.

Based on these references and my own knowledge, I would address the situation by explaining to the nursing student the potential cultural differences and the importance of respecting personal space and boundaries. I would highlight the significance of non-verbal communication in different cultures, such as the Native American culture, and suggest alternative ways to establish rapport with the patient.

Firstly, I would advise the nursing student to make eye contact with the patient, as this is generally seen as a sign of respect and attentiveness in Western cultures. However, I would caution against assuming that all cultures interpret eye contact in the same way. Some cultures may view direct eye contact as disrespectful or intrusive. In the case of Native American culture, it is important to be mindful of the patient’s comfort level and adjust accordingly.

Secondly, I would suggest that the nursing student refrain from physical contact unless the patient initiates or welcomes it. In Native American culture, personal space is highly valued, and touching someone without their permission may be considered inappropriate or invasive. Respect for personal boundaries is essential in establishing trust and maintaining a positive therapeutic relationship. Instead of using physical touch, the nursing student could consider alternative ways to get the patient’s attention, such as gently calling their name or making a soft verbal introduction.

By approaching the situation with cultural sensitivity and adapting communication techniques based on the patient’s background, the nursing student can establish a more effective and respectful connection. This would contribute to a therapeutic environment that fosters trust and promotes patient satisfaction. Cultural competency in healthcare is not only important for improving patient outcomes, but also for reducing health disparities and ensuring equitable care for all individuals.

In conclusion, I would counsel the nursing student to be mindful of the cultural differences and individual preferences when engaging with Native American patients. By respecting personal boundaries and adjusting communication techniques accordingly, the nursing student can establish a strong therapeutic relationship and provide culturally sensitive care. Cultural competence is crucial in the healthcare field, and healthcare professionals should continuously strive to enhance their knowledge and skills in this area.