Best Practice
Universal principles of culturally sensitive care
In the most recent issue of the monthly magazine , Anthony Hoffman BSN, RN, describes his experiences as a diabetes educator in Nouakchott, Mauritania (situated on the west coast of Africa). In his article, he reminds us how essential cultural awareness is. While most of us may not travel abroad for work, we have now and can proceed to look after patients from other countries or with different faiths and traditions that impact how they deal with their illness. Mr. Hoffman shares the next “universal principles” that really can apply to any patient in any setting:
The patient must be allowed and encouraged to explain his or her culture. I discovered travel guides and documentaries useful as a start line for understanding the culture, but I quickly learned the danger of stereotypes. An inquisitive attitude helps us learn in regards to the culture of our patients and avoid stereotypes.
In every culture, patients have the precise to make decisions about their care. Sometimes cultural customs and values make it difficult to follow a care plan, but the final word plan of action rests with the patient. We must proceed to respect our patients and offer them one of the best, no matter their health care decisions.
We must help patients develop their very own care plans. Have them suggest ideas for find out how to follow the advisable care plan. Set small and gradual lifestyle modification goals along with your patient and have fun once you achieve your goals. In this fashion, the nurse and the patient develop into collaborative team members.
Teach patients the hows and whys of managing diabetes, not only the “shoulds” and “shoulds.” A patient who understands the essential physiology of diabetes has the precise to make informed decisions about and follow his care plan.
Sometimes we’re tempted to say lower than “the whole truth” within the name of cultural sensitivity. For example, I didn’t like telling patients that dates had a high glycemic index or that fasting and overeating during Ramadan could wreak havoc on blood glucose levels. Withholding unpleasant information doesn’t honor our patients or empower them to make clever decisions about their health.”
You can read Mr. Hoffman’s entire article here. Let us know what you’re thinking that!
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