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The Importance Of Individualised Patient Assessment

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Refection on Competency Standard 4: Comprehensively conducts assessments An individualised patient assessment involves purpose, goal-orientated critical thinking and structure (Estes, Calleja, Theobald, & Harvey, 2013). This orderly approach to patient assessment provides a structure for clinicians practice and guides decision-making to prioritise essential care which subsequently enhances patient outcomes (Munroe, Curtis, Murphy, Strachan, & Buckley, 2015). A comprehensive assessment starts with a primary investigation of airway, breathing circulation and disability to identify and treat life threatening conditions (Munroe et al., 2015). Clinical information is gathered and interpreted during the physical head-to-toe examination, directed …show more content…

Kong, Qin, Zhou, Mou and Gao (2014) support this suggestion and adds that effective communication is a vital component of nursing practice contributing to wise decision-making and effective patient management. A holistic assessment which is culturally sensitive, ensures that healthcare is concordant to a patient’s values and beliefs (Tucker, Roncoroni & Sanchez, 2015). Cultural competence in nursing, requires health professionals to have an understanding of the diversity of cultures among patient groups and in doing so, to provide care which is respectful and culturally-centred (Tucker et al., 2015). Using the reflective model of situation, task, action and response (STAR) below, I was able to recall a clinical experience and review my practice in nursing (Swinburne University, …show more content…

This process enabled me to work in an efficient, rational way to problem solve and meet my patient’s needs (Munroe et al., 2015). On reflection, individualised safe nursing care was implemented when I was allocated to look after a patient in Joondulap Health Campus’s Emergency Department (JHC ED) who presented with central chest discomfort. On handover of an ISOBAR by the triage nurse, I promptly conducted observations using the ABCDE structure. The patient presented as a category 2, electrocardiograph information was attained and given to the assigned doctor for analysis. Following a diagnosis of non-life threatening ventricular tachycardia, the Doctor discussed the cardioversion treatment risks with the patient, consent was given and I was assigned to provide one-to-one nursing care. During the 2-hour waiting period, I familiarised myself with the JHC ED cardioversion protocol, ensured close monitoring of the patient and reported any changes to my supervising RN. I also utilised this time to establish a therapeutic

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Humans are complex and diverse beings that belong to different cultures, speak different languages, and have different perspectives on the world they live in. When cultures collide, it can be difficult to empathize and respect the differences that exist. Cultural sensitivity is, “The ability to be appropriately responsive to the attitudes, feelings, or circumstances of groups of people that share a common and distinctive racial, national, religious, linguistic or cultural heritage” (Arnold & Boggs, 2016, p. 119). Cultural sensitivity and effective communication, especially in the health care setting, are essential to bridging cultures and creating a common understanding.

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For this vSim assignment, I had to repeat the scenario three times before obtaining 100% on it, since I had forgotten about a few important steps when assessing my patient, and in my second try, I had forgotten to check the patient 's electronic health record even though I had already fixed my previous mistakes in the assessment. Three of the most important things I had to do differently in this scenario were to ask the patient about allergies to maintain patient safety before administering any drugs ordered, use the incentive spirometry to improve breathing and educate her about it since she had a hard time breathing due to pain, and educate the patient about wound care at the end before discharging her. Performing the procedures I missed in

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As such, cultural competence is an important practice for improve patient and community health and promoting justice for all clients and professional peers. Duly, nursing leaders learn and education cultural integrity as an effective tool in advocating for individual rights. Sources: [1]

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After taking the self-assessment survey for quality and culture, I would like to improve and understand how cultural competence can have a real impact on clinical outcomes. Taking from some of the questions I answered wrong, it make me wants to be cultural competent. There are a few questions I am surprised and shocked, that I answered them incorrectly. I do understand that with training, I will start to gain cultural competence but it will take consistent individual practice on my part to develop and maintain individual cultural competence. Cultural competence can lead to, health literacy, health equity, and fewer diagnostic errors, which might help the patient expand their choices and access high quality medical providers because patient

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The family upbringing was very strict and preservative parenthood in catholic religion and community also have outdated ideas and conventional gender ideologies, which was the environmental setting that influenced me as a cultural self. Working as a nurse in multicultural health care setting, I do believe that these childhood experiences would help me to understand and communicate with the people those with stereotypes about gender roles and a pre-modern way of thinking and as well as the people with the new generation with different culture by catering patient oriented care, which can be a good value for health professionals working in culturally diverse health care settings. This would aid to establish rapport and provide culturally attentive care to the patient (Bok-Myung, 2010; Dreachslin, 2012). Moreover my family history and circumstances helped me to comprehend different cultural identities and values and also realise the needs of effective communication skills. In order to become a culturally competent health care professional in multicultural health care environment, “intercultural communication skills” is not only beneficial to enhance the communication gap between patients and practitioners in relation to current health care service and but also can be a successful management tool to alleviate work related stress for health professionals (Eubanks et al., 2010).

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