Scenario 1: Providing Culturally Congruent Ethical Nursing
Scenario 1: Providing Culturally Congruent Ethical Nursing Care: Harem Code of Ethics Provision 1: The nurse practices with compasion and respect for the inherent dignity; worth, and unique attributes of every person (ANA, 2015). You are an Faith Community Nurse and the lead nurse at a faith community’s free clinic. Today, you are very busy and have nursing students from the local college assisting in providing patient care. Hareem, a 25-year-old Muslim patient, comes to the clinic with her husband. She has on a long dress and wears a head scarf. She has been experiencing continued respiratory issues related to her recent diagnosis of asthma and relates chat she feels miserable, complaining of feeling warm with chest area discomfort. Kevin, a senior-level nursing student, volunteers to assist you with caring for Harem. When Kevin introduces himself to her, she looks down and does not speak. Hareem’s husband asks you and Kevin if only women could provide care to his wife at the clinic. You then ask Kevin to leave the room and provide nursing care for Hareem. After Hareem and her husband leave the clinic, Kevin pulls you aside and asks what he did wrong. Questions: 1. Discuss the religious and cultural beliefs about modesty for Muslims. Include a discussion about conversing with members of the opposite sex, dress, and eye contact. 2. How would the responses be different if the patient was a male and the nurse was a female? 3. Discuss the cultural beliefs about health and healing. What are the ethical implications? Scenario 2: Providing Culturally Congruent Ethical Nursing Care: Noa Code of Ethics Provision 1: The nurse practices with compassion and respect for the inherent dignity, worth, and unique attributes of every person (ANA, 2015). You are an Faith Community Nurse for a Jewish synagogue; however, you are a Christian and worship at a Presbyterian church. You have been asked to visit Noa, an 82-year-old Jewish woman who has severe heart failure and is in palliative care in the local hospital. Noa’s husband, Levi, three sons, and their family members are all present. Questions: 1. Discuss the religious and cultural beliefs about end-of-life and postmortem care for Jewish patients. 2. Noa is receiving enteral nutrition through a gastric tube. What is your understanding of withholding or withdrawing nutrition, hydration, and medication according to the Jewish tradition? 3. How would your care differ if Noa was a Jehovah’s Witness, a Roman Catholic, or a Native American? Scenario 3: Providing Culturally Congruent Ethical Nursing Care: Mary Code of Ethics Provision 8: The nurse collaborates with other health professionals and the public to protect and promote human rights, human diplomacy, and health initiatives (ANA, 2015). You are an Faith community nurse for a large suburban faith community. One of your parishioners, Mary, a 35-year-old female who is in a partnered relationship, asks if she can visit with you about some healthcare issues that her children are experiencing. They moved into your community from a large urban community one year ago and began worshiping in your faith community six months ago. You agree to meet with her during your office hours. Mary confides that her children seem more anxious, exhibiting “stomach upsets,” and having difficulty in school. She believes the health issues of her children are related to bullying that her children are experiencing at school. Questions: 1. Discuss the faith community nurses role in supporting families such as Mary’s. 2. How does this situation relate to the Code of Ethics Provisions 8 and 1? 3. Describe ways to enhance inclusivity in faith communities.
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