Multicultural Health Care Setting Essay

Nurses must be cultural competent before going abroad for them to be able to deliver nursing care that will allow effective interactions and the development of appropriate responses to persons from diverse cultures, races and ethnic backgrounds. Filipino nurses were overworked and underpaid in their own country, which is believed the reason that prods nurses to migrate. One main reason why Filipino nurses work abroad is to have a better future, where ever it may be, beside, most of Filipino nurses were somehow oriented about the culture of other states. They thought that it is better to shift gears for success rather waiting for nothing until they will got old. The principle of each and every Filipino nurses that works abroad, which is to have a better life in days to come is always proven, and the effectiveness of hard work and patience will always have the good result, and a better way of living that will bring them in each sweat that they done best, one of the good factor in working abroad is having the assurance to the successful, if one will do their best to do their best to pursue the dreamed to have a better life. Every Filipino nurses before going abroad must possess cultural awareness, cultural knowledge, cultural skill, cultural encounter and cultural desire. Q2. How can the revealed problems of nurses affect the changing practices in the multicultural health settings? Being in new country can be challenging because of the link between language and culture. Although other countries have the necessary language qualifications for entry of practice, they have difficulties if the workplace language is their second language. Nurses need to adjust on how to interact with patients, colleagues and fellow professionals in a multi-disciplinary team. They can experience cognitive fatigue from the need to concentrate on hearing and speaking of unfamiliar language. Language difficulties can lead to medical errors or near misses which affects the quality of care to patient. Male nurses can also face discrimination from other health care workers. Particularly in a work place full of female nurses, they may find they are not given the same respect that female nurses receive in the work place. It is important to speak to a supervisor, where it involves a colleague; they should try speaking to that person first. He may not have recognised that what they were saying amounted to discrimination. Everyone deserves a work place free from discrimination and stereotyping. The more men who continue to train to become nurses and more everyone speaks but against discrimination, the more effective all nurses can be in helping patients. Nurses who are sexually harassed at work frustration and emotional consequences. Sexual harassment at work increases anxiety and undermines the nurse’s ability to focus on the delivery of safe and competent care. Homesickness, weather and food are hard for the Filipino nurses to be adjusted of. But for the sake of their future they conquer this problem. They just think that they have higher income, better benefits and compensation package, lower nurse-patient ratio, more options on working hours and change to upgrade nursing skills, opportunity for family to migrate, opportunity to travel and learn other cultures, influence from peers and relatives and to experience advance technology, better socio-political and economic stability. Q3. Guided by the problems uncovered how the political and economic issues in the healthcare system may improve the nursing practice. Give at least five (5) substantial evidences. Politicians worldwide are confronted by the conflicting demands of a health service increasingly hungry for cash to fund advancing technology, an ageing population requiring more care and a public that wishes to keep taxation low. Changes may also come from a real desire to move the focus of healthcare away from an insensitive technological approach to one based on holistic care. At a time when the status of doctors is in decline, hastened by isolated but high profile ‘scandals’, it is easier to raise the status and responsibilities of nurses, whom the public regard with respect and affection. Other pressures have added to this process. These include a requirement to reduce the working hours of junior medical staff, and new training schemes which provide for more formal teaching and less face-to-face contact with patients. The medical focus is changing from treatment only, to active prevention strategies for example, screening for colorectal cancer. Biological therapies, such as antibodies for Crohn’s disease, are substantially more expensive than traditional drug treatments. Consumers that is, the healthcare-seeking publicare better informed and living longer. They are less tolerant of long waiting lists and want to be active participants in their own healthcare. Nurses are now generally better educated, within a university environment, and are more able to take on responsibility for patient care. The reaction of doctors to change in the status of nurses has been mixed. Some have embraced change enthusiastically: ‘Nurses can do some of what doctors do, usually to the greater satisfaction of patients. Others have been more guarded. But change seems inevitable. The question may be more about whether change will be imposed for the sake of political expediency or whether health professionals will take the lead in shaping the health service of the future. [pic] As I can see this paradigm, the message of this paradigm is as simple as we are committed to delivery of health care service that consist of Transcultural nursing, changing practice, health care system, political and economic issues, ethical, legal and social issues, bioethical issues in nursing and health care and issues in health care.