Definitions
The feeling of connectedness with or involvement in a social system or environment of which a person feels an integral part.
Sense of belonging
An emotion based strategy which uses spirituality to develop positivity and optimism
Spiritual coping
Support the patient in engaging in meaningful practices such as prayer, meditation, or reading sacred texts, and offer referrals to chaplains or spiritual leaders if desired
Facilitation
Ask open-ended questions about beliefs, values, and meaning of illness
Identify spiritual practices, cultural traditions, and support systems
Determine how these factors influence coping and mental health
Assessment
A surgeon will not attempt a life-saving repair of a ruptured aneurysm unless the patient agrees to receive blood transfusions. Although receiving blood products is against the patient’s religious beliefs, the surgeon ordered four units of packed red blood cells. What action will the nurse take first?
A. Administer the blood transfusion
B. Call the patient’s family and ask them to reason with the patient
C. Discuss obtaining a court order to save the patient’s life
D. Maintain the patient’s comfort and support their decision
D. Maintain the patient’s comfort and support their decision
Being sensitive to issues related to culture, race, gender, sexual orientation, social class, economic situation, and other factors
Culturally competent care
An attitude of accepting and interpreting the abilities of an individual, leading to patience and gratitude as an expression of their spirituality
Meaning of life
Explanatory Model of Health and Illness
Social and Environmental Factors
Fears and Concerns
Therapeutic Contracting
ESFT assessment
Facilitate spiritual practices (prayer, meditation, chaplain referral)
Incorporate cultural preferences into care (family involvement, rituals)
Encourage coping strategies that align with patient’s beliefs and values
Individualized care
A nurse is interviewing a newly admitted patient from another culture. What question best displays cultural sensitivity?
A. “Do you think you’ll be able to eat the food we have here?”
B. “You do understand that we can’t prepare special meals?”
C. “What types of food do you typically prepare for meals?”
D.“Could you make an exception on what food you eat while you are here?”
C. “What types of food do you typically prepare for meals?”
A client’s beliefs about life, health, illness, death, and one’s relationship to the universe; involves the essence of a person’s being and their beliefs about the meaning of life and the purpose for living
Spirituality
Development of a sense of self-confidence and hope by realizing that they may recover from their illness.
Awakening identity, strength, and hope
Collaborate with family members or community supports when appropriate, as many cultures value collective decision-making and connection, which can enhance the patient’s sense of belonging and emotional well-being.
Support system
Active listening
Non judgemental questions
Trust and rapport
Self reflection
Therapeutic communication
A Hispanic mother comes to the local clinic because her baby is sick. She speaks only Spanish, and the nurse speaks only English. Which action should the nurse take next?
A. Use short words and speak loudly
B. Obtain a medical interpreter
C. Explain why care cannot be provided
D. Provide instructions in writing
B. Obtain a medical interpreter
All the socially learned behaviors, values, beliefs, and customs, transmitted down to each generation, as well as a population’s ways of thinking that guide its members’ views of themselves and the world
Culture
Establishing a nurse-patient relationship is crucial to recovery. This relationship is spiritual because of the external support and strength it takes from both parties to promote recovery.
Partnership relation
Degree of comfort observed
Proximity to others
Body movement
Space
Patient’s response ( self confidence, resilience)
Collaboration
Adjust plan if necessary for the individual
Evaluation
A nurse is using the Explanatory Model of Health and Illness (ESFT) model to assess how a patient from another culture views their diagnosis of chronic obstructive pulmonary disease (COPD). What interview question is most appropriate to assess the E aspect of this model?
A. How do you get your medications?
B. How does having COPD affect your lifestyle?
C. Are you concerned about the side effects of your medications?
D. Can you describe how you will take your medications?
B. How does having COPD affect your lifestyle?