Cross-cultural communication, Essay

The purpose of this essay is to economic consumption grammatical construction on an aspect of my accomplishment that I maintain got bewilder across so distant as a pupil shield, and how I formulate to practice session this intimacy when I start my placements. This leave alone give me a good base on which to build my inter ain skills. afterwards having a brief introduction on various godlinesss, it brought to my attention the diversity in multi ethnical societies and how, as a nurse I posit a good disposition of treatment and dialogue barriers that I give make sense across.The United Kingdom (UK) has wel totald a mixture of ethnic groups, each bringing with their own culture, with their own language. Multi ethnicism is an ideology that promotes the institutionalism of communities containing multiple cultures. I concord turn backn it upon myself to find bring out information to brighten much familiarity on contrastive religions, set and beliefs, and the distinct aspects of cargon this relates to. This will then en satisfactory me to harbour perseverings and their families to a capaciouser extent efficiently, effectuateively and in a affected enjoyment centred manor.In terms of use boundion throughout this essay, I Plan to use Gibbs Reflective Cycle (Gibbs 1988). This will help with structural preferences. I will in like manner be reflecting individu completelyy on some of the noesis I gained. Reflection aims to bridge the gap between theory and practice to doom the inter proportion of skills and knowledge. Reflection relates to me as a student nurse as suggested by Hargreaves (1997 pp.04) that reflective practice is often included in overlord education programs as a way of encouraging practitioners to critic completelyy prize their behaviour, beliefs and ideas on practice. She states that this will lead to improved clinical expertness and, consequently, improve nursing c ar.DescriptionThe early Lecture I accredite d on Religion was an Introduction to the chaplaincy team. They translate ghostly counselling for allone inquireing advice, courage and support. Wittenburg-Lyles E, (2008) explains that The Chaplaincy team are adequate to provide visits to local places. This lecture make upd my as trustworthydness of faith and moral issues. During my placements, I will comeacross many contrary cultures and religions. This is when I realised I needed to do a lot of research into different faiths to modify me to support my patient roles and their beliefs. I was given an example that I whitethorn come across. Some apparitional belief in praying on their knees, if a patient for some close needed to lose their leg amputated, this would then effect a certain aspect of their life. Therefore I would need to support them in a way that they could calm meet there religious needs. I will reflect on this in practice by augmenting my knowledge on different religions.Next, we explored ethics, Value s and beliefs here I learnt about the responsibilities I will arrive at as a nurse, for example, how to obeisance patients dignity and privacy (Baillie, 2011). I have an considering that each psyche is unique. I will reflect on this in practice by treating each patient as an individual. Regardless of their race, ethnic, gender, inner orientation, age, physical abilities, religious beliefs or political beliefs.Thirdly in a nonher(prenominal) lecture, I was introduced to twain service users and cultural posts in health concern. A Buddhist from the Chaplaincy service came in to the university. I plunge it rattling enkindle finding out some Buddhisms beliefs. For an example, death is essential and Buddhists like to prepare for death when meditating. Budas also like to exact a small Buda, picture of a Buda or beads for sing to remember their teacher. We then had a talk about Christianity from a Catholic Farther. I learnt that there will be dietary requirements inside Christ ianity, as some Christians will except eat fish on a Friday, no meat.They also like to carry on them a symbolic representation of Christianity. That may be beads, holy water or a wooden cross. Christians do non like to be overly exposed during personalized bring off needs. This has now widened my knowledge on two different religions. I shall reflect on this by taking the knowledge I have gained into practice, for when I come across patients with these beliefs. As a nurse some terms there will be conflict when it comes to religions of employees only when you must non to be judgemental, (Nursing and tocology council (NMC), 2010). Because of organism a nurse, this is mainly due to transmitting control. Some faculty maybe beseeched to remove clothing or jewellery, which could be against their religiousbeliefs, although gaffer wear is now allowed for nursing and doctors. Some would deal this is discrimination, as some crapper get away with it. I think back this is a typical example of how religious beliefs piece of tail also push staff as well as patients and relatives. NMC (2010) states that as a nurse I may recognise diversity and respect with cultural differences, values and beliefs of others including the spate you care for and other members of staff.FeelingsI feel the lectures I attend were very interesting, it was not until this back breaker that I realised it would be a very interesting topic to reflect upon and learn more about. both(prenominal) the Buddhist and the Christian, were very helpful when anyone wanted to know anything, they both rent with the class at the start of their lecture by making a plan of what, we as a class wanted to cover throughout the duration of the lecture. I do feel that I held back similarly much when it came to questions at the end and could have chooseed some more questions myself, all though others asked similar questions to what I was thinking.The information I gained during these three lectures has be en useful. that I felt as if I slake needed to widen my knowledge further by doing some research. I hope the prototypic step is to be self aware of my own cultural beliefs. being self aware is crucial as will identify any prejudices or attitudes that could be making a barrier in prior of good communication, best practice and patient advocacy. Festini F (2009) comments that, Effective communication is the main aspect of delivering culturally competent care. This is where I needed to reflect upon myself by looking into the Johari Window and the four Quadrants. Being self aware is a two way process. If we do not know who we are, we take for grantedt know how we appear to others. This made me realise I need to become more confident in myself when asking questions in count of my group. This will take time with feeling convenient.EvaluationThroughout my learning on this topic so far, it has been very useful to see where my knowledge is lacking. I know need to research further int o this topic. It has given me the fillip to widen my knowledge. These lectures on religion have been an plaza opener. I have realised there is so much complexity in relation to region and different faiths that as a nurse, I will need to know about. Previously I would have had no knowledge on this. I will improve on this by using a range of research ideas to gain knowledge which will then increase efficiency, I will continue to reflect on this area in order to develop as a nurse.AnalysisIt was at this point I realised that although the information that I have gained so far has been more than useful, it did not answer all my questions. As I still need some more guidance on what to do in situations I may come across when out in practice, whether this may be communication or treatment barrier issues.Morals are influenced by cultural values, beliefs and religion, not only by the law (Griffith and Tengnah, 2010). Morals values and beliefs and assumptions influence healthcare. I understa nd that cultural and language barriers can complicate situations. As a professional I must have the ability to interact impressively with clients and other professionals. During social interaction, I believe that nurses should avoid stereotyping when caring for patients from different cultures, suggested by Alexis, (2011).I have come cross a few patients from different religions with their own languages whilst I have been working in care. When communicating with a patient that does not sing English as their first language, care can be compromised if effective communication is not used. When explaining something to the patient, there needs to be a oddment between using simple sentences without being patronising. For example I would ask do you hurt anywhere, or are you in any nuisance? Instead of saying, are you in any discomfort? I would assist staff not to use as many aesculapian checkup terms, I understand this may otherwise be confusing and distressing for the patient. I wo uld only ask one question at a time to avoid overwhelming the individual. When asking patients these questions, I must also understand a patients cultural perceptions and experiences regarding pain (Magnusson, 2011). I can reflect on this when I go into practice by involving theircultural perceptions when decision making on pain relief.I think sometimes a quiet time is a good time to doorway your patients communication skills. I would then have more time to look at their non-verbal clues, posture, facial expressions, is there any eye contact used or maybe there are signs of anxiety. When situations scratch around communication barriers I work with other members of staff, the patients relatives and different members of the multidisciplinary team so that I can find out the best slipway possible to draw with them, and any fateicular activities of occasional living or rituals (Roper, Logan and Tierney, 1998), that are important and relevant to their cultural needs. In some of my f indings, I came across some good examples of how there could be a barrier between you and your patient in terms of personal care. I found that some patients do not feel comfortable if they are being touched by the opposite sex.Others dislike their heads being uncovered, they must keep it covered with clothing for modesty. These views come mainly from Jewish and Islamic religions. I found it very interesting to know that two different religions may not like a certain part of care to be carried out but for two completely different reasons. Asian Americans do not like any touching of the head as their view is that it is impolite, as they believe that their spirit resides there. I found out that in some cases all you need to do is ask for permission. This reflects back to good communication skills.I consider the main intent of communication between the nurse and patients is that messages are understood accurately. My research told me that closely health agencies have access to medical instances for major languages. There is ordinarily a member of the family that maybe helpful by speaking English, but they are not as reliable as articulations, explained by, Griffith, (2009). Another reason why not to use a family member as an interpreter is that they might only translate the bits that they want the patient to hear and not the full story. I understand that if there is a family member interpreter or a professional interpreter, the potential for misunderstanding can increase. I found the information from Ting Toomey (1999) very interesting for this. She describes three ways that culture can interfere with effective cross cultural understanding. These being,cognitive constraints, Behaviour constraints and Emotional constraints.I believe that it is crucial that all staff should document the specific communication skills that are needed with each individual patient and the patients response. As suggested by Festini, (2011). Weather this be in the medical record or a care plan. In my knightly experiences it is also crucial that these affective communication skills are previous(prenominal) on through handovers, which increases the opportunity for successful staff-patient interactions, (Randell, 2011). I plan to take my ideas and past experiences into practice with me. As I feel it works brilliantly and is effective in terms of meeting patients, beliefs and preferences. I am also aware that each placement I go to may have a different way of doing things. I look forward to gaining untried knowledge that may better my communication skills for people with cultural preferences.It is also essential to remember privacy when assessing a patient from a different culture. A quiet setting is always best, most importantly someplace where you will not be disturbed. This is where I would utilise my background knowledge into different religions, and use different strategies with in my knowledge. For example, some religions do not like direct eye contact. I read more into this when I spoke to some of the students in my class, as some of them are from different cultures. One from Zimbabwe explained to me that in Zimbabwe they only look people into the eye when they are looking for a fight or trouble.He also explained how he had to change his perception of others looking at him when he moved to the UK as every English man he came across looked into his eyes, this at first was scary for him, but he is now okay with it. This has brought to my attention that although this cannot be avoided, I as a nurse should still be courteous to their beliefs and consider the patients preferences. I also researched some of the decisions that patients make in connectedness to religious beliefs regarding treatment. Law can be used to challenge the decisions a parent or next of kin (NOK) decides but this usually only happens when the treatment is life saving.The NOK or the patient themselves need to be able to make an informed decision in order to give take on or discard treatment. I am aware that some religions refuse certain life saving treatments, and understand my role as a nurse is to advocate in my patients best interest, inform the patient or NOK of treatment options and consequences of refusing treatment. Emergency situations will not cut everyday in my nurse training or career, but I have more knowledge of my role should I be faced with this type of situation.Where religion may sway a patients decision all other options for treatment should be considered (Haan, 2005). As a nurse, it is my job to visualize my patient has an advocate, alternatives, and support to understand consequences of treatments and what will happen if they refuse.Conclusion ab initio I was unsure of which area of my learning I should reflect upon. After having worked in care previously, I felt looking into religion would not only be something good to reflect on but something interesting I could also learn upon. After everything I have learnt inside this topic so far, I have gained a new perspective on religions, morals and beliefs. .I wasnt sure whether I was deviation to use a reflective model because I wasnt sure if it was going to be appropriate as it is very structured. Once I had started to educate myself on a Multicultural Society and throughout supplying my notes I began to realise how helpful it was to have a structure, I was able to structure my notes into different sections which proved to be very useful.Throughout written material my essay I have learnt to have a lot more belief in myself and the ability I have in constitution an essay. But I have been able to identify my lack of knowledge on religion and culture. I think social issues will arise when staff members have a lack of understanding and knowledge of different religious beliefs, other than their own. This gave me the incentive to learn and research more to gain a better understanding, and widen my knowledge. Therefore I will be able to educate other n urses. I belief I could still now, expand on this knowledge further and I plan to do this throughout my time as a student and in my future career.Action PlanMy action plan will include and apply a method of reviewing everything that I have learnt from past experiences and research, thereby using reflective thinking. I will be apply the knowledge I have Learnt and encompass this in practice as a student nurse and also a registered nurse, which will help me become a safe and competent practitioner. If I was to come across a patient with specific religious beliefs I feel I could support them as well as their family by, not only by ensuring I provide good holistic care but also allowing them to maintain a good link with their religious beliefs.If I was to come across a patient that I could not talk to, I would use past experiences by using models and pictures which to a degree would be a great help. This would help the patients to identify their treatment procedures or help me to iden tify their needs. I understand that some patients I meet may have a family member that may make the decisions as their next of kin, or medical power of attorney. I believe I would also need to communicate well with the family member. I would take into consideration maybe a spiritual advisor, not just painkillers as a healer. In some peoples eyes, their god or spiritual leader is their way of healing.If in my career I come across a child patient for example in A&E, which had a religion barrier in the way of treatment. I would have to support certain legislations to ensure the refusing of medical treatment did not cause death, if parents deny this I would have to gather up other professionals.From my findings I now have good cross cultural communications skills, this can enhance my nursing. I could build the patients confidence in situations I may come across. By being aware and alarum I feel I could improve the patients golosh and wellbeing by minimising any cultural differences. I will enable my patients to continue with their religious practice whilst in a health care setting. Word Count 3004ReferencesAlexis, O. 2011. Health and cultural sensitivity in a diversifying society.British journal of healthcare assistants , 5 (6), p.297.Baillie, L. 2011. Respecting dignity in care in diverse care settings strategies of UK nurses. multinational ledger of nursing practice. 17 (4) p.336.Festini, F., 2009. Providing transcultural to children and parents an exploratory study from Italy. Journal of nursing scholarship, 41 (2), pp.220-7.Forrest, M.E.S., 2011. On becoming a critically reflective practitioner, Health information and libraries journal, online acquirable at onlinelibrary.wiley.com/doi/10.1111/j.1471-1842.2008.00787.x/full Accessed 01 may 2012.Griffith, J.K., 2004. The religious aspects of nursing care. fourth ed. 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