NURS FPX 6025 Assessment 5 Practicum and Social Justice

Practicum and Social Justice

Social justice in medical care entails offering equitable health care to all patients, despite their socioeconomic situation, ethnicity, citizenship, and gender identity (Habibzadeh et al., 2021). In the assessment, I will explain my practicum experience using the PICOT (Patient, Intervention, Comparison, Outcome, and Time) questions to minimize Pressure Injury (PI) incidences in elderly patients. I will also discuss the challenges and strategies in providing culturally appropriate treatment.

Significance of Learning about Multicultural Care

Understanding multicultural healthcare is critical in enhancing patient satisfaction, experience, and health outcomes in medical care. A deficiency of cultural awareness fosters adverse events toward multicultural care and influences medical professionals’ attitudes toward patients care for culturally varied patients (Kaihlanen et al., 2019). Intercultural care demands acknowledging and valuing patients’ beliefs, norms, and cultural backgrounds. The distinct characteristics of various cultures affect their interaction and coordination with medical professionals (Stubbe, 2020).

Patients from marginalized communities have diverse norms and socioeconomic backgrounds that significantly impact healthcare. By adopting a culturally competent approach, medical professionals can develop patients’ trust and interact efficiently with patients to satisfy their requirements and provide care through culturally appropriate individualized care regimens (Stubbe, 2020). In my project, I delivered patient awareness and education concerning each patient’s issues using evidence-based self-care methods, including the PI prevention bundle intervention. 

NURS FPX 6025 Assessment 5 Practicum and Social Justice

Understanding about multicultural healthcare reveals medical care inequities between various ethnic groups. Recognizing these discrepancies is critical because they can lead to delayed evaluation and ineffective PI care. Addressing particular barriers that marginalized populations face allows for developing customized treatments that mitigate PI occurrences and enhance health outcomes. Cultural variables also influence care and compliance with preventative guidelines (Wan et al., 2023).

Understanding Intercultural care acknowledges that patients’ cultural norms and opinions can impact their readiness to accept particular interventions and adopt proposed guidelines (Handtke et al., 2019). For example, patients’ self-care choices can conflict with standard care guidelines in PI control. Culturally appropriate approaches are critical for managing PI consequences and improving patient adherence to avoidance guidelines (Wan et al., 2023).

Ethical Obligation of Nurses

Nurses have an ethical commitment to promote culturally sensitive treatment in medical facilities. This obligation enables adherence to moral principles, which include acceptance of autonomy, beneficence, nonmaleficence, and equality, as defined in the nursing standard of ethics (Varkey, 2020). Culturally sensitive treatment concentrates on the patient’s cultural origins and the impact of opinions and beliefs on their medical choices (Stubbe, 2020). As Ocran et al. (2022), stated, a culturally competent environment improves the effectiveness of healthcare practices. As primary care providers, nurses must recognize and respect Patients’ cultural differences to enhance their ability to access medical care, improving their satisfaction and experience during care.

Cultural competency also adheres to the ethics of beneficence and non-maleficence to improve patients’ health by avoiding damage. Nurses can enhance patient satisfaction by including cultural aspects in care regimens. Culture-competent interventions also address the ethics of equality and fairness to provide efficient and equal healthcare to all patients, improving the standard of care. Cheraghi et al. (2023), suggest that culturally appropriate care can tackle social healthcare variables. Nurses are obligated to eradicate inequalities and stereotypes in the medical system. Adopting culturally sensitive care promises that all patients acquire equitable care irrespective of socioeconomic and cultural origins (Varkey, 2020).

Demonstration of Completion of Practicum Hours

I completed 20 hours of practicum with elderly PI patients. The practicum was an essential component of my capstone project, which intended to reduce PI incidence rates and improve patient outcomes in older patients by using PI care bundles. During the practicum, I applied the PICOT approach to manage PI-related problems. 

Challenges and Accomplishments

To overcome the elevated incidence of PI in older patients, I established a PIOCT intervention of PI care bundles to track PI incidences in elderly PI patients requiring assistance. The purpose is to offer medical professionals immediate insight using PICOT intervention, allowing them to implement rapid care modifications to improve PI patient care. The intervention’s goal was to ensure culturally appropriate patient care, which offered challenges during the adoption of the intervention. For instance, Language hurdles, cultural variations, and health inequities between varied patient groups impede the execution of intervention (Kaihlanen et al., 2019). To address these barriers, I developed standards for cultural sensitivity training using the multilingual approach in the intervention.

Educational materials like posters and brochures emphasizing the necessity of cultural competency were created and displayed within health facilities, and instructions were communicated with medical personnel to highlight the concern. During patient awareness sessions, I addressed the personal barriers patients experience when self-managing for PI prevention due to their social, family, and ethnic backgrounds. After acquiring opinions and concerns from the patients, I informed them about research-based self-care guidelines for overcoming their health issues. Educational sessions with patients proved crucial in addressing the problem (McGregor et al., 2019).

Conclusion

My practicum with elderly patients provided an excellent opportunity to execute the PICOT intervention and evaluate the influence of the PI prevention bundle on the PI rate. During this journey, I have learned the significance of culturally competent care in medical facilities. Understanding intercultural care highlights the importance of respecting diverse cultures to enhance patient satisfaction. Moreover, I am devoted to providing culturally appropriate care to improve the health of patients from different cultures.

References

Cheraghi, R., Valizadeh, L., Zamanzadeh, V., Hassankhani, H., & Jafarzadeh, A. (2023). Clarification of ethical principle of the beneficence in nursing care: An integrative review. BioMed Central Nursing, 22(1), 1-9. https://doi.org/10.1186/s12912-023-01246-4

Habibzadeh, H., Jasemi, M., & Hosseinzadegan, F. (2021). Social justice in health system; A neglected component of academic nursing education: A qualitative study. BioMed Central Nursing, 20, 1-9. https://doi.org/10.1186%2Fs12912-021-00534-1

Handtke, O., Schilgen, B., & Mösko, M. (2019). Culturally competent healthcare–A scoping review of strategies implemented in healthcare organizations and a model of culturally competent healthcare provision. PloS One, 14(7), e0219971. https://doi.org/10.1371%2Fjournal.pone.0219971

Kaihlanen, A. M., Hietapakka, L., & Heponiemi, T. (2019). Increasing cultural awareness: Qualitative study of nurses’ perceptions about cultural competence training. BioMed Central Nursing, 18(1), 1-9. https://doi.org/10.1186/s12912-019-0363-x

NURS FPX 6025 Assessment 5 Practicum and Social Justice

McGregor, B., Belton, A., Henry, T. L., Wrenn, G., & Holden, K. B. (2019). Improving behavioral health equity through cultural competence training of health care providers. Ethnicity & Disease, 29(Suppl 2), 359. https://doi.org/10.18865%2Fed.29.S2.359

Ocran, R. A. N., Nkimbeng, M., Erol, D., Hwang, D. A., Aryitey, A. A., & Hughes, V. (2022). Strategies for providing culturally sensitive: Care to diverse populations. Journal of Christian Nursing: A Quarterly Publication of Nurses Christian Fellowship, 39(1), 16. https://doi.org/10.1097%2FCNJ.0000000000000900

Stubbe, D. E. (2020). Practicing cultural competence and cultural humility in the care of diverse patients. Focus, 18(1), 49–51. https://doi.org/10.1176/appi.focus.20190041

Varkey, B. (2020). Principles of clinical ethics and their application to practice. Medical Principles and Practice, 30(1), 17–28. https://doi.org/10.1159/000509119

Wan, C. S., Cheng, H., Musgrave-Takeda, M., Liu, M. G., Tobiano, G., McMahon, J., & McInnes, E. (2023). Barriers and facilitators to implementing pressure injury prevention and management guidelines in acute care: A mixed-methods systematic review. International Journal of Nursing Studies, 104557. https://doi.org/10.1016/j.ijnurstu.2023.104557