Describe the impact of spirituality on health
Spiritual beliefs can help determine how an individual will respond to an illness or injury depending on personality factors like problem solving or religious influences. It will overall influence one’s well being emotionally, socially, physically and spiritually.
Describe how culture impacts health.
Culture shapes the way an individual perceives health, death, healing, causes of diseases
culture encourages nurses to explore the contextually mediated influences shaping one’s life and health rather than basing their care on ethnicity, race, or nationality.
Describe the components of a cultural assessment using the Cultural Assessment: (Cultural identity/ancestry/heritage)
Cultural identity/ancestry/heritage: where were you born? Where were your parents born?
Describe the components of a cultural assessment using the Cultural Assessment: (ethnohistory)
knowledge of a patient’s country of origin and its history and ecological contexts is significant to the provision of health care.
Describe the components of a cultural assessment using the Cultural Assessment: (social organization)
cultural groups consist of units of organization delineated by kinship, status hierarchy, and roles for their members.
Describe the components of a cultural assessment using the Cultural Assessment: (socioeconomic status, biocultural ecology and health risks)
the identification of health risks related to the environment should be assessed on admission of patients. Distinct health risks can be attributed to the ecological context of the environment.
Describe the components of a cultural assessment using the Cultural Assessment: (language and communication)
linguistic and communication patterns are associated with different cultural groups. These patterns reflect the core cultural values of a society.
Describe the components of a cultural assessment using the Cultural Assessment: (religion/spirituality)
religious and spiritual beliefs may have a major influence on a person’s attitude toward health and illness, pain and suffering, life and death
Describe the components of a cultural assessment using the Cultural Assessment: (caring beliefs and practices)
incorporate a patient’s perception of his or her ability to control circumstances or factors in the environment.
Describe the components of a cultural assessment using the Cultural Assessment: (experience with profession health care)
how was their previous experience in healthcare?
Describe how the nurse might assess a patient’s spirituality.
- FICA Spiritual History Tool (Faith and belief, Importance, Community, Address in Care)
- quiet conversations, effective listening, and communication by presence and touch. Nurses are understanding and listening, being a co-learner in the mysteries of life.
- Empower patients to draw on their resources for healing and acceptance
- identify practices and beliefs that are important for care plan
Describe how the nurse would provide ethical spiritual care.
-Do not discriminate on the basis of spiritual beliefs, age, ethnicity, marital status, gender, race, sexual orientation, health status, or disability.
- Understanding and respecting nurse-patient boundaries
- Ensuring you are competent to engage in spiritual care and know when you are beyond your competency. (refer to another health care provider)
-provide care directed first toward the health and well-being of person receiving care by recognizing and using values and principles of primary health care
- Do no misuse power to influence decision-making
- Provide education to support person making decisions and then respect it
-provides safe, compassionate, competent, and ethical care until alternative care arrangements are in place to meet persons needs or desires.
Describe how the nurse would facilitate spiritual practices.
- consult with dietitian to integrate patients dietary preferences into daily care, if agency cannot prepare food in preferred way, family can bring food to accommodate to dietary restrictions
- Personal care of patient should be planned to allow time for spiritual readings, visits by spiritual visitors, or attendance at religious services
- Nurses should be respectful of icons, medals, prayer rugs, or crosses that patient has and ensure that it is not accidentally lost, damaged or misplaced
What are the 5 Cs of Relational Practice in Spiritual Care?
- Compassion: “am I willing to share in the suffering of others and to work to relieve that suffering? Do I have compassion for myself as I do that work?”
- Curiosity: “Am I curious about the spirituality and religiousness of others? Do I take the time to ask and explore what is meaningful to them?”
- Commitment: “Have I thought about what my most cherished values are? Do I make choices that align with my values? Are my values open to new interpretations as I gain more wisdom in life?”
- Competence: “Am I competent to provide spiritual and religious care? Do I invest time and energy to develop that competence? Do I know when I need to refer another member of a interdisciplinary team?”
- Corresponding: “Do I provide patient-centered spiritual care? Do I work to understand and base my practice on what is meaningful to them?”
Describe the health assessment guidelines for cultural competence and cultural safety, and how does it signify cultural competency in nursing practice?
Culturally competent care: requires knowledge, attitudes, and skills supportive of implementation to culturally congruent care.
Cultural safety: involves challenging stereotypes and assumptions to inquire into providing care to patients as defined by them.
Having cultural competence enables for nurses to provide the highest care for their patients. It emphasizes patient’s uniqueness and it enables them to feel safe and understood under the nurse’s care.
Describe the actions required for the nurse to practice ‘cultural safety’
honour diversity
genuinely care
build trust through understanding
self-reflection and learning
Describe clinical practice that promote culturally safe care
Critical reflective practice: self evaluate and reflect, and shared knowledge and experience learning together
Building trust: fostering trust through respect and understanding
Authentic inquiry: actively asking meaningful questions to better understand how you can help your patient.
Active listening: understanding
Respectful engagement: being present to others, affirming them, communicating and listening in a way that manifests regard and appreciation of the other’s worth.
Relational practice: exploring the contextually mediated influences shaping one’s life and health, rather than basing care on ethnicity, race or nationality
What data needs to be collected for Health Services?
subjective: availability and accessibility to needed: health care services, healthcare professionals, health care insurance.
objective: availability and accessibility of needed: health care services, healthcare professionals, health care insurance.
What data needs to be collected for Personal Health Practices and Coping Skills?
assessment objective:
- environmental evidence.
- developmental milestones; language development; fine motor; gross motor.
assessment subjective:
- activity, nutrition, sleep, tobacco, alcohol, drugs.
- dental and eye care; medical visits; OTC meds; alternative therapies; stress management etc.
- developmental milestones; immunizations; childhood environment; nutrition/activity; school environment.
What are the five levels of healthcare?
1) Health Promotion (increase peoples control of improving their health).
2) Disease & injury prevention (clinical actions - immunizing; behavioural aspects - support groups; environmental actions - climate control activism).
3) Diagnosis & Treatment (recognizing and managing existing health problems).
3. a) primary
3. b) secondary
3. c) tertiary
4) Rehabilitation (rehabilitates through education, advocacy, collaboration, and research).
5) Supportive care (consists of health, personal, and social services over a long period of time).
