PU Nursing Differences in Healthcare Access Discussion Response
reply to discussion:
To understand culturally competent care, the nurse practitioner must understand that access to healthcare differs by race, ethnicity, and socioeconomic status (Health Policy Institute, 2023). In the clinical setting, the first step to establishing a comfortable environment where patients can feel open to sharing their feelings and problems is to build rapport and establish trust. Regardless of age, ethnicity, gender, status, or beliefs, I always make the effort to get to know each one of my patients and their ideas on what health means to them.
Evidence-based practice is vital to incorporate into healthcare because it guarantees that the care we provide are based on reliable and the most up-to-date information. There are five steps in evidence-based care which is what I use in the clinical setting. The first step is to ask a clear question about the patient’s issue and determine and ultimate goal. The second step is to acquire the best evidence by searching relevant information from legitimate sources. The third step is to apply the evidence into practice. The fourth step is to apply the evidence to the clinical practice by making decisions based on nursing expertise. The last step is to assess the outcomes to determine if the treatment was effective and should be considered in the future (ANA, 2023).
The nurse practitioner must always create health related goals and plans based on a patient’s age. A major factor into age related care is immunizations and primary prevention. For example, patients are encouraged to take the flu vaccine annually. There are two types of vaccines. One is a live vaccine and the other is a killed vaccine. It is vital to emphasize that al patients with immune deficiencies and all members of their families or other household contacts should get the killed vaccine for influenza (AAAA, 2023).
As stated in the first clinical outcome, it is of utmost importance to establish rapport with the patient. After establishing trust, the provider must always respect the patient’s beliefs on healthcare. Culturally competent care does not mean that we must know everything about an individuals culture or belief; however, the provider can ask the patient what they believe is optimal healthcare to them and respect the patient’s values. In the clinical setting, I cared for a Chinese patient who suffered from streptococcus. The patient’s mother refused to put her daughter on an antibiotic because she believed in natural therapies for treatment. As a student and future provider, I will educate the patient on the risks and encourage them to seek treatment if her situation gets worse, and document what happened.
For the last module, the oral presentation was a call between the preceptor and the instructor. In the clinical setting, I always orally presented my patient to my preceptor and communicated findings to members of the healthcare team.
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