How Does the Community Health Nurse Recognize Bias, Stereotypes, and Implicit Bias Within the Community? NRS 428

How Does the Community Health Nurse Recognize Bias, Stereotypes, and Implicit Bias Within the Community? NRS 428

How does the community health nurse recognize bias, stereotypes, and implicit bias within the community? How should the nurse address these concepts to ensure health promotion activities are culturally competent? Propose strategies that you can employ to reduce cultural dissonance and bias to deliver culturally competent care. Include an evidence-based article that address the cultural issue. Cite and reference the article in APA format.

A community health nurse can recognize bias, stereotypes, and implicit bias within the community simply by being culturally competent. Understanding the people in your community can help you prepare for what to expect in the community health setting. According to our book, “the nurse should be well informed regarding stereotypes and biases in order to be sensitive to these issues and provide the most unbiased care possible.” (Falkner, 2018). The nurse can address these concepts to ensure health promotion activities are culturally competent by being aware of how people are judged by others.

Also, understanding what issues the patient is facing and what the patient may face in their culture with any treatment plans that are made. Helping the patient to recover and providing resources that they may not have access to can help tremendously. Strategies that can be employed to reduce cultural dissonance and bias to deliver culturally competent care would be to simply treat the patient as if they were a member of your family. You do not change the way you would do a normal assessment and cover all areas and resources with everyone the same. This allows you to provide the same care to every patient, every time allowing no one to feel individualized or left out.

In a recent study they found that “moral emotions are frequently elicited by communication and care practices considered ‘foreign’. The main implication is that although safe practice in healthcare organizations is reliant on highly functioning teams, collaboration is challenged by interprofessional power relations of contested culturally shaped values. We address practice‐based strategies that enable engagement with moral emotions to enhance effective teamwork.” (Cook, Brunton, 2018). We as healthcare workers need to be able to understand the patient’s needs as well as communicate with other healthcare team members no matter what race or ethnicity they are. The goal between the patient, you as the nurse, and the rest of the healthcare team should be the same in the end. 

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References: 

Cook, C., & Brunton, M. (2018). The importance of moral emotions for effective collaboration in culturally diverse healthcare teams. Nursing inquiry, 25(2), e12214. 

Falkner, A. (2018). Community & Public Health: The Future of Health Care. https://lc.gcumedia.com/nrs427vn/community-and-public-health-the-future-of-healthcare/v1.1/#/chapter/3.

Great post. It has been noted that a number of healthcare personnel have an implicit bias against gay and lesbian people. This bias has led to a number of LGBT people avoiding healthcare facilities and not seeking treatment for ailments early. Ableism is also a common bias where people believe that people with disabilities are not as capable or as valuable as those without disabilities, and a study carried out showed that professionals preferred people without disabilities. It is important that healthcare professionals act in a manner that does not display preferences.

References

Smith.A. 2021. Medical news today. Bias in healthcare.

www.medicalnewstoday.com/articles/biases-in-healthcare

Replies

Shana Fogelman

replied toRhoda Fadri

Jan 16, 2022, 10:05 PM

Replies to Rhoda Fadri

Hi Rhoda!

Your post was very informative, and I LOVE the point you made that we should treat our patient’s how we would want our family members to be treated if it were them to help reduce cultural dissonance and bias. Having this mindset of treating our patients like family has been proven to help healthcare workers to be more attentive, listen closely, keep an open mind, and to be non-judgmental (Yun, 2017). I also personally feel that doing that can help the patient feel more supported in their care, and helps them really be able to trust us as nurses and that as a healthcare system we are providing the best care possible for them. As for working together and being able to collaborate with our interprofessional team, I feel that struggle of often times not feeling heard or that the doctor feels that I do not know what I am talking about and they are smarter than I. However, keeping in mind this concept of treating my patient like a family member I do not allow that to stop me from speaking up and pushing for things that my patient needs.

Reference:

Yun, O. D. (2017, October 10). Treating Patients Like Family. Austin Regional Clinic. https://www.austinregionalclinic.com/news-and-events/article/doctors/treating-patients-like-family

How does the community health nurse recognize bias, stereotypes, and implicit bias within the community?

A community health nurse must be able to identify prejudice, stereotypes, and implicit bias in order to deliver fair and culturally competent treatment. A community health nurse can spot these prejudices in the following ways: Self-Reflection and Awareness: The nurse must first reflect on themselves and become conscious of their own prejudices and presumptions. They can learn how their personal views may influence how they engage with the community by engaging in this introspective process. Community health nurses should participate in cultural competence training to improve their comprehension of different cultures, backgrounds, and identities. They will be able to identify any prejudices they may have and comprehend how stereotypes affect health outcomes thanks to this training (Smith,2022).

Active listening enables nurses to detect any language or actions that suggest prejudice or stereotyping when interacting with community members. Uncovering underlying biases might be aided by paying attention to minor indicators.

The nurse can see bias or stereotypes within the healthcare system by observing how patients and community people are handled and spoken to. For instance, bias may be present if certain groups frequently receive care that is of lower quality or experience longer wait times.

How should the nurse address these concepts to ensure health promotion activities are culturally competent? 

Nurses should approach the development, implementation, and assessment of these activities with a profound understanding and respect for the cultural variety of the populations they serve in order to ensure that health promotion programs are culturally competent. They can do the following to address the ideas of cultural sensitivity, prejudice, and stereotypes in health promotion in order to fully grasp the community’s beliefs, values, customs, and health practices. The nurse in question could start by undertaking a thorough cultural assessment of the area and determining the community’s assets and strengths that can be used to advance initiatives to promote health (Quinn-Szcesuil, 2018).

The nurse should also include the patient and their families in the planning and decision-making process for initiatives to promote health. Their input guarantees that initiatives are timely and considerate of cultural differences.

To obtain knowledge and develop trust, the nurse should work together with local organizations, community leaders, and cultural experts.

 Propose strategies that you can employ to reduce cultural dissonance and bias to deliver culturally competent care.

One could construct individualized care plans, so that their specific cultural needs can be met to the patient’s satisfaction. This will ensure that the patient’s personal beliefs are thrusted into the foray, and can help them mentally & emotionally. Another strategy is to call out biases whenever they are being expressed by coworkers or other professionals, as this line of thinking could permeate into the collective, impacting our ability to be non-partial towards our patients.

What do you propose one should look into when it comes to dealing with an unfamiliar population?

Smith, A. B., Johnson, C. D., Martinez, E. L., & Nguyen, T. (2022). Cultural Competence in Community Health Nursing: Strategies for Bias Reduction and Health Promotion. Journal of Community Nursing, 30(3), 45-52. 

Quinn-Szcesuil, J. (2018, January 3). Recognizing implicit bias in health care settings. Minority Nurse. https://minoritynurse.com/recognizing-implicit-bias-health-care-settings/

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