NRS4600 Ohio University Clinical Practice Project Discussion Response
Post a thoughtful response to at least two (2) other colleagues’ initial postings. Responses to colleagues should be supportive and helpful (examples of an acceptable comment are: “This is interesting – in my practice, we treated or resolved (diagnosis or issue) with (x, y, z meds, theory, management principle) and according to the literature”¦” and add supportive reference. Avoid comments such as “I agree” or “good comment.”
References:
Initial Post: Minimum of two (2) total references: one (1) from required course materials and one (1) from peer-reviewed references.
Response posts: Minimum of one (1) total reference: one (1) from peer-reviewed or course materials reference per response.
Words Limits
Initial Post: Minimum 200 words excluding references (approximately one (1) page)
Response posts: Minimum 100 words excluding references.
peer discussion 1
My clinical practice project focuses on assessing and treating pain in patients in light of their culture, values, and needs. Ultimately, I am assessing how patients of differing cultures perceive and manage their pain. The concept for my project is in line with the QSEN competency of patient-centered care as I am seeking to ensure that each unique patient receives the best care possible, and specifically in the area of pain for this project. Patient-centered care can be defined as the identification and acknowledgement of patients as participants in their care; furthermore, it is respecting and complying to their individual values and beliefs when providing care (QSEN Institute, 2019). This is an essential component of care and that is why there are many organizations that align with it.
One of these organizations that I chose to work with is the Transcultural Nursing Society. This organization aims to ensure all nurses are well trained in transcultural nursing practices so that all nurses can meet the cultural needs of patients. This organization does many things to support their mission, including: setting standards for health care systems, publishing articles on culturally competent care in their journal called Journal of Transcultural Nursing, and assisting leadership in cultivating environments where culturally competent, exceptional, and safe care is provided for all people (Transcultural Nursing Society, 2019).
The Journal of Transcultural Nursing has countless articles on the varying subjects within nursing care and how different cultures play into them, including how differing cultures perceive and manage pain. Something that could be helpful to do further research on is if there are different interventions for managing pain that work better for certain cultures. For example, African Americans often rate their pain higher than others, are less likely to show signs of and report pain, and are less willing to use pain medications (Booker, 2016, p. 76). If more research was done to investigate the reasoning behind these inclinations and what treatment options they are willing to use, it can lead to a better understanding and education of nurses on how to care for this type of patient. African Americans are just one example, but this type of research could be applied to all different cultures which would result in a higher understanding and better practice for nurses.
A possible solution for this concept would be to create a questionnaire to assist nurses in more effectively assessing their patients of varying cultures so that they get an accurate picture of their pain and how to effectively manage that pain. It is the hope that this questionnaire would create a safe dialogue between nurse and patient so that trust is developed, safety is maintained, and pain does not go untreated.
There are many different types of cultures in the world so it is no surprise that there are many different cultures present in health care systems. This makes the QSEN competency of patient-centered care a bit more detailed as a patient’s culture can have a significant effect on their health care preferences (QSEN Institute, 2019). This applies to their perception and treatment of pain, which is the subject of discussion for this clinical practice project. It is the hope that with the use of existing research and the development of a questionnaire that nurses can be educated and knowledgeable about how to properly assess patients pain and effectively treat their pain all in a way that is respectful and conscious of their culture.
References
Booker, S. Q. (2016). African Americans’ perceptions of pain and pain management: A systematic review. Journal of Transcultural Nursing, 27 (1), 73-80. Doi: 10.1177/1043659614526250
QSEN Institute. (2019).”¯Graduate QSEN competencies.”¯Retrieved”¯from”¯http://qsen.org/competencies/graduate-ksas/
Transcultural Nursing Society. (2019). About us: Our story. Transcultural Nursing Society: Many Cultures One World. Retrieved fro
