Discuss about the Opportunity for Healing and Holistic Care.
Kathleen and her daughter Anne are quite concerned as they live away from healthcare a sector which is about 150 kilometers away. After undergoing radiotherapy for breast cancer treatment, Kathleen had become more weeks and has become entirely dependent on her daughter. Due to this increasing dependency, it is very important for both of them to take help from services who will provide Kathleen with services necessary for her quality living. As the palliative care team visits the community team weekly, Anne will have to care for her mother. However as Kathleen is admitted to the hospital, she is quite concerned as how the western healthcare treatment will handle her care. Her daughter is also apprehensive of the fact that as they live far apart, it would be highly problematic for her to go and meet her mother every day. This had in turn resulted them in developing Management stress as they not only feel physical separation but also emotional separation as well. Moreover as they are indigenous people, they might not have experienced any sort of crisis before where they had to take the help of western healthcare system. Therefore it has become a concern for them that whether their feelings and dignity will be respected or not (Rix et al. 2014). Moreover, they might also be feeling that their culture might not be properly understood which might hurt their sentiments also. Moreover, mother as well as her daughter is also unsure that they will not be able to properly express their concern to the healthcare staffs and may not have a good time with her stay at the hospital. Mainly the lack of knowledge about the working system of the healthcare facilities of the western culture may be a source of their concern for which they are afraid of. Moreover, the circumstantial isolation for both of the daughter and mother is also creating a pressure resulting on mental and physical stress.
The healthcare professional mainly the nurse needs to play a major role in providing patient satisfaction as well as help the family members to able to cope up the stresses that they develop due to their patient. As the patient and his family is of indigenous background, it may become extremely difficult for them to understand the culture and the traditions by which the western healthcare system works. Therefore, it is the duty of the nurse to make the patient feel comfortable by making her feel that their culture is respected and well accepted by the western system (Best and Gormand 2016). While communicating with the patient and her daughter the nurse should maintain each and every culture that they possess so that they do not feel secluded. Indigenous cultures like not making eye contact while talking, asking for decisions from family members, making them involved in decision making Management and others should be followed by the nurses. Once the patient feels that her dignity and autonomy is respected and they care for their wishes, automatically the patient will feel comfortable. While communicating with her daughter, the nurse should make sure that she resolves all her queries in a way where she feels relieved that her mother is in right hands and does not have to worry (Rahaman, Homes and Chartarnd 2016). The nurse should also have the idea that as they are indigenous people and have no idea about the healthcare system, therefore while communicating with her, she should be patient and describe her every aspects in way where the family manner never feels that she is not treated properly and feels the nurse to be arrogant. Her lack of knowledge should never be highlighted by nurse. The nurse would make them feel included in their system so that they do not see the system to be of different culture or feel aloof from them.
A registered nurse who would handle the case should have detailed knowledge about the code of ethics she needs to follow for proper practice. Code 3 of the codes of ethics proposed by the NMBA states that a nurse should value the diversity of the people. It refers nurses to practice their skills with individuals of different backgrounds according to their culture. Nurses have to develop deep knowledge about the culture of the people she is treating along with the language which the patient speaks ("New-Code-of-Ethics-for-Nurses" 2017). This indeed would help the nurse to understand Kathleen and her daughter’s needs and would respond them accordingly. According to the codes of professional conducts as well, NMBA had guided how nurses should effectively engage themselves in providing the best care to students with dignity. It had said that it is the duty of the nurse to not only respect the dignity of a patient with different background, but also respect their ethnicity and their values ("6_New-Code-of-Professional-Conduct-for-Nurse" 2017). They must not impose their own beliefs on the beliefs of the patient and handle situations tactfully to provide respect. Therefore following this the registered nurse should also conduct her communication with Anna and Kathleen in such a way so that there is no breach in the professional codes of conduct. This would also help the nurse to develop bonds which in turn in believed to help in rapid recovery and patient satisfaction. According to standards of practice by the Australian board of nursing and midwifery, a nurse should always remember the standard 4 which instructs the nurse to conduct Management practices which are culturally appropriate. Therefore form such instructions, the registered nurse will plan her intervention and modify her communication techniques in a way which would make them feel comfortable ("Registered-nurse-standards-for-practice-" 2017).
6_New-Code-of-Professional-Conduct-for-Nurse. 2017. https://file:///C:/Users/Enanna%20Das/Downloads/6_New-Code-of-Professional-Conduct-for-Nurses-August-2008-1-. Retrieved 23 April 2017, from https://file:///C:/Users/Enanna%20Das/Downloads/6_New-Code-of-Professional-Conduct-for-Nurses-August-2008-1-.PDF
Best, O. and Gorman, D., 2016. “Some of Us Pushed Forward and Let the World See What Could Be Done”: Aboriginal Australian Nurses and Midwives, 1900–2005. Labour History: A Journal of Labour and Social History, (111), pp.149-164.
New-Code-of-Ethics-for-Nurses. 2017. https://file:///C:/Users/Enanna%20Das/Downloads/5_New-Code-of-Ethics-for-Nurses-August-2008.. Retrieved 23 April 2017, from https://file:///C:/Users/Enanna%20Das/Downloads/5_New-Code-of-Ethics-for-Nurses-August-2008.PDF
Rahaman, Z., Holmes, D. and Chartrand, L., 2016. An Opportunity for Healing and Holistic Care Exploring the Roles of Health Care Providers Working Within Northern Canadian Aboriginal Communities. Journal of Holistic Nursing, p.0898010116650773.
Registered-nurse-standards-for-practice-. 2017. https://file:///C:/Users/Enanna%20Das/Downloads/Nursing-and-Midwifery-Board---Standard---Registered-nurse-standards-for-practice---1-June-2016. Retrieved 23 April 2017, from https://file:///C:/Users/Enanna%20Das/Downloads/Nursing-and-Midwifery-Board---Standard---Registered-nurse-standards-for-practice---1-June-2016.PDF
Rix, E.F., Barclay, L., Wilson, S. and Barclay, E.R.L., 2014. Can a white nurse get it?‘Reflexive practice’and the non-Indigenous clinician/researcher working with Aboriginal people. Rural Remote Health, 14(2679).