Emerging Standards of Care Paper
The population of diversity continues to grow rapidly and the importance of cultural competence plays a major role in healthcare. According to the National Center for Cultural Competence (2014) “ Organizations must have the capacity to value diversity, conduct self assessment, manage the dynamics of difference, institutionalize cultural knowledge and adapt to the diversity and the cultural context of the communities they serve”. This paper will discuss and define the appropriateness of competent care in Hospice and palliative care and identify the populations served and issues of population vulnerability. In addition, exploration of standards of cultural competence; the delivery of nursing care and potential impact, and the resolutions of implementation of standards that did not met expectations. According to The office of Minority Health (2014) is defined as ,“Cultural competency helps organizations work effectively in cross-cultural situations and provide the best possible service to clients from various racial and ethnic backgrounds who speak different languages”. Cultural competence in hospice is essential to provide and serve a diverse population of patients and families facing terminal illness with cultural values, beliefs and customs. It is important for hospice nurses to expand their cultural awareness, sensitivity and competency to be able to deliver quality care. Cultural awareness demonstrates nurses and other health care provider’s knowledge about cultural difference in patients. For example, understanding one’s language, religion, food and family ritual. Nurses will be able to have understanding and respect the differences that they may encounter when assessing a dying patient’s needs and the dynamics of the family culture. According to Dooerenbos (2005), “Cultural sensitivity describes provider attitudes, values,beliefs, and personal insight”. Nurses need to acknowledge and understand the beliefs of other cultures of . Hospice is an very delicate issue for many patient and families , therefore, it is necessary to focus on perception and thoughts of patient and family. For example, a family refuses to discuss the plan of care in front of the end-of-life patient. As a result , the nurse will have to acknowledge and be opened minded that this is how the family wants to coordinate the plan of care. Therefore, the complexity of each unique situation demands on the need of cultural competence to be able to assess, plan , and evaluate the specific needs of each. ( Doorenbos & Schim , 2004). In the hospice setting assessing a patient’s needs plays a major role when developing the plan of care . As a hospice nurse , it is important to understand what is meaningful and essential for a patient and family to have a good experience. There are about 1.5 million people who had received hospice care with an average age of 65 years or older ( NHPC.org, 2013). According to the National Hospice and Palliative Care , about 93.1% of the population of hospice patient are white or non-hispanic . However, Hispanics and African American have the least population . There are about 6.9 % of Hispanics and 8.6% of African American patients and families that use hospice care. This population have barriers that lead to underuse of hospice services that can be offered to a dying patient.“ The challenge remains to make hospice and palliative care services fully available to diverse communities” ( Schim, Doorenbos & Borse, 2006). The identification of cultural and knowledge issues that affect the vulnerability of the population when hospice and palliative care is not utilized by patient and families can lead to ineffective patient care. Family dynamics can create a barrier that prevent patients for utilizing hospice care. For example, African American do not take advantage of advance directives because they place trust with their loved one to make the best decisions for the...
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