Reflecting on an experience you may have had with a patient/client of a different culture than your own, and using the critical thinking process, how did you, or how would you alter your plan of...

Reflecting on an experience you may have had with a patient/client of a different culture than your own, and using the critical thinking process, how did you, or how would you alter your plan of care considering the various health and conceptual models we have studied in Chapters 3&4?  

Kearney-Nunnery, R., Advancing Your Career:  Concepts to Professional Nursing. (5th ed.). Chapters 3 and 4

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Ashley Kannan | Middle School Teacher | (Level 3) Distinguished Educator

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Given the nature of the question, I think that answers will vary.  There will be different approaches that individuals can take in addressing how to work with clients/ patients of a different culture.  Naturally, within such a setting, the various health and conceptual models depicted in Kearney- Nunnery's work can assist in redefining and reconfiguring approaches in working with clients/ patients from different cultures.

The question presupposes that there were limitations or challenges in working with another patient or client from a different culture. Overcoming some of these challenges, or at the very least, being able to place them in a different context, is the intent of the conceptual models featured.  For example, the Transpersonal Caring Model within Watson's Theory of Human Caring is one such framework that can overcome some of the challenges in working with a client or patient that is from a different culture. This model stresses the idea that individuals can provide care from a humanist frame of reference:  "[The Transpersonal Caring Model affirms] Human-to-human connectedness, whereby each person is touched by the human center of the other. This is a special kind of relationship involving a high regard for the whole person and his or her being-in-the-world."  The driving force of this model lies in communicating the basic level of care and understanding that is universal across cultural divides.  Each culture affirms a tenet of caring, and the Transpersonal Caring Model strikes at this basic core and uses it in the delivery of quality health care.

Peplau's theory of interpersonal relations is another example of a conceptual model that can apply in working with patients/ clients of a different culture. This particular model affirms the partnership between those who are sick and those who give care.  It is a model that is rooted in the idea that an "ill person and a nurse [can] come together to resolve a health difficulty."  The element of a reciprocal partnership strikes at the very heart of this particular model:

The one concept of the Theory of Interpersonal Relations is the nurse- patient relationship, which is an interpersonal process made up of four components- two persons, the professional expertise of the nurse, and the client's problem or need for which expert nursing services are sought.

This particular model stresses cooperation and collaboration between nurse and client/ patient.  It can overcome cultural valences that might prove problematic to providing care because it affirms the premise that both parties are working together or find a solution to the health problem at hand, a reality that cuts across all cultural realities.  This model provides another approach one can take in working with a client/ patient from a different culture than that of the caregiver.

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