Culture in Nursing – Week 14
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Cultural Competence in Ethical Decision Making
Review the attached PowerPoint presentation. Once done, please present an essay on health care inequity and how a moral philosophy affects the decision making of nurses.
Make sure that the essay includes the following.
Include the ramifications of the unequal treatment of health care for a group and include the implications for both health care providers and patients.
What health issues may be better addressed by a nursing care staff with knowledge about inequity and the ethical principles and theories of human rights?
INSTRUCTIONS:
As stated in the syllabus present your assignment in an APA format word document, Arial 12 font).
A minimum of 3 evidence-based references besides the class textbook no older than 5 years must be used and quoted according to APA guidelines.
A minimum of 800 words is required.
Please make sure to follow the instructions as given and use either spell-check or Grammarly before you post your assignment. I will also pay close attention to spelling and/or grammar. Please review the rubric attached to the lecture.
Chapter
1
4:
Cultural Competence
in Ethical Decision Making
Copyright © 2016 Wolters Kluwer Health | Lippincott Williams & Wilkins
Copyright © 2016 Wolters Kluwer • All Rights Reserved
1
Cultural Competence in Ethical Decision Making
Culturally competent care addresses diversity.
Ethical practice grounded in social justice and human rights prevents health inequity.
Morals and philosophic beliefs are constituted within the social, historical, and cultural experiences of a society.
Copyright © 2016 Wolters Kluwer • All Rights Reserved
Contrasting Social Constructions of Morality #1
Ethics:
A moral philosophy that consists of beliefs and assumptions about what is right and wrong.
Prescribes the proper action to take in a given situation.
Translates moral philosophies into action.
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3
Contrasting Social Constructions of Morality #2
Respect for autonomy has become the focal context for health care decisions in the United States and Canada.
Ethical principles are applied to ensure and maximize individual autonomy, veracity, and fidelity.
US Congress upheld autonomy for individuals through the:
Patient Self-Determination Act
Health Insurance Portability and Accountability Act (HIPAA)
Copyright © 2016 Wolters Kluwer • All Rights Reserved
4
Contrasting Social Constructions of Morality #3
Ethical Diversity and Principles
Ethical relativism: Emphasizes the need to examine the context of the decision because sociocultural differences influence whether an act is moral.
Ethical relativism states that what is right for one group may not be right for another.
Supported by Feminist Theory: The need for health care practitioners to develop empathy, compassion, and relationships that promote trust, growth, and the well-being of others
Copyright © 2016 Wolters Kluwer • All Rights Reserved
Contrasting Social Constructions of Morality #4
Ethical Diversity and Principles (cont.)
Communitarian ethic of care upholds collective decision making over individual autonomy.
Fidelity is the obligation to remain faithful to one’s commitments.
Veracity upholds the virtues of being honest and telling the truth.
Nonmaleficence: cause no harm; focus on client safety emphasizes prevention of harm.
Beneficence: benefit consumers of care.
Copyright © 2016 Wolters Kluwer • All Rights Reserved
Question #1
Providing a client with informed consent upholds which ethical principle?
Autonomy
Ethical relativism
Veracity
Beneficence
Copyright © 2016 Wolters Kluwer • All Rights Reserved
Answer to Question #1
C. Veracity
Rationale: Informed consent requires veracity of information presented to clients and fidelity of practitioners to professional standards.
Copyright © 2016 Wolters Kluwer • All Rights Reserved
Ethics and Health Disparities #1
Health disparities are a chain of events signified by a difference in social determinants of health:
Environment
Access to care
Utilization of care
Quality of care
Health status or outcome
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9
Ethics and Health Disparities #2
Patterns of morbidity and mortality are linked with social inequalities.
The association between social inequality and health disparity is observed worldwide.
Copyright © 2016 Wolters Kluwer • All Rights Reserved
Ethics and Health Disparities #3
Affordable Care Act (2010)
Expands health care coverage to most US citizens and permanent residents by requiring most people to have or purchase health insurance.
Provides free access to most preventive services and drug coverage for eligible seniors.
Includes subsidies to help people with low incomes comply with the mandate.
Intent is aligned with ensuring greater access to health insurance and care services by Americans.
Copyright © 2016 Wolters Kluwer • All Rights Reserved
Question #2
Is the following statement true or false?
The ACA is the solution for issues surrounding healthcare access and care for Americans.
Copyright © 2016 Wolters Kluwer • All Rights Reserved
Answer to Question #2
False
Rationale: The ACA attempts to ameliorate some of these problems but there are other considerations beyond access to health care services. Poverty, racism, residential segregation, and environmental injustices need to be addressed squarely in order to prevent and remedy their consequences for health and quality of life.
Copyright © 2016 Wolters Kluwer • All Rights Reserved
Culturally Competent Ethical Decision Making #1
Globalization has heightened the need for health professionals to have a worldwide perspective and assume an ethical–moral obligation.
Culturally competent compassion is immersed in balancing the rights of the vulnerable with those of others.
Culturally competent care promotes health equity for vulnerable and disadvantaged individuals and populations through social justice and protection of human rights.
Copyright © 2016 Wolters Kluwer • All Rights Reserved
Culturally Competent Ethical Decision Making #2
Human rights
Human rights aim to protect the inherent dignity and equal and inalienable rights of all people.
The right to health is a free-standing human right.
The Universal Declaration of Human Rights, 1948
Copyright © 2016 Wolters Kluwer • All Rights Reserved
Culturally Competent Ethical Decision Making #3
Social justice
Social justice focuses on the social consequences and responsibility for actions by the society or the government.
Relates to the fair, equitable, and appropriate treatment or use of resources.
Culturally competent care for vulnerable populations is achieved by commitment to both principles of social justice and human rights.
Copyright © 2016 Wolters Kluwer • All Rights Reserved
Culturally Competent Ethical Decision Making #4
Maintaining human rights and social justice requires:
Advocacy for social justice and human rights requires collaborative partnerships with individuals, families, and communities.
Multisectoral collaboration that attends to the whole spectrum of individuals and communities
Multilevel community partnership
May use culturally congruent action models
Cultural preservation, accommodation, and repatterning
Copyright © 2016 Wolters Kluwer • All Rights Reserved
Question #3
Parents of preschool children are refusing vaccination due to the concern that the vaccine would cause more harm to their children than good. Which of the following culturally congruent action models would assist with negotiating?
Cultural preservation
Cultural accommodation
Cultural repatterning
None of the above
Copyright © 2016 Wolters Kluwer • All Rights Reserved
18
Answer to Question #3
C. Cultural repatterning
Rationale: Cultural repatterning means attempting to help individuals and groups change their way of life to achieve a healthy, safe, and meaningful existence.
In this scenario, cultural repatterning can be applied by using media, health experts, community leaders, and former patients to disseminate scientific information and facts about vaccination.
Copyright © 2016 Wolters Kluwer • All Rights Reserved
19
· Name
DQ Rubric 2019
· Description
· Rubric Detail
|
|
Levels of Achievement
|
|
Criteria
|
Proficient
|
Competent
|
Novice
|
|
Introduction and quality of discussion’s Argument
Weight 60.00%
|
100.00 %
It is consistent with application in research related to its context. Clarity of ideas. Comprehensive, in-depth and wide ranging.
|
70.00 %
The topic has a partially weak association to clarity of ideas and related topic. Relevant but not comprehensive.
|
15.00 %
Unable to address any part of the question and/or topic. Little relevance/some accuracy.
|
|
Objectivity of Tone, overall quality & Review of Literature in APA 6th format within past 7 years
Weight 10.00%
|
100.00 %
Tone is consistent, addressed professionally and objectively. Evidence in literature supports arguments.
|
70.00 %
The tone is not consistently objective. Some observations, some supportive evidence used.
|
15.00 %
No objectivity in tone. No evidence of literature review provided. Lacks evidence of critical analysis, poor to no use of supportive evidence.
|
|
Grammar / Writing Skills
Weight 7.50%
|
100.00 %
Excellent mechanics, sentence structure and organization with no grammatical mistakes.
|
70.00 %
Some grammatical lapses , uses emotional responses in lieu of relevant points.
|
0.00 %
Poor grammar, weak communication, lack of clarity.
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Peer Reply #1
Weight 7.50%
|
|
100.00 %
Demonstrates an exceptional ability to analyze and synthesize student work, asks meaningful extending questions.
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70.00 %
Some ability to meaningfully comment on other students work and ask meaningful questions.
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0.00 %
No peer response
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|
Peer Reply #2
Weight 7.50%
|
100.00 %
Demonstrates an exceptional ability to analyze and synthesize student work, asks meaningful extending questions.
70.00 %
Some ability to meaningfully comment on other students work and ask meaningful questions.
0.00 %
No Peer response
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|
Overall APA Use
Weight 7.50%
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100.00 %
Demonstrates an exceptional ability to apply 6th edition APA standards.
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70.00 %
Some ability to to apply 6th edition APA standards. i.e. use of in-text citation, reference structure, quoting,etc.
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0.00 %
No adherence to 6th edition APA standards.
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