Please answer each discussion prompt listed below with at least 3 high-level scholarly references for each question discussion. Must be dated 2016 to 2021. Each discussion requires a minimum of 250 words.
Discussion Prompt Week 1
Compare and contrast cultural competence and cultural sensitivity used in health care settings by professional staff. Provide one specific example each for cultural competence and cultural sensitivity that could be applied in the nurse practitioner role in the primary care setting.
Discussion Prompt Week 2
Describe a situation in which you have encountered a culturally-derived communication misunderstanding in a healthcare setting and its outcome (Please see example below).
Please use this example: I have worked with many physicians, nurses, and patients who practice the Muslim faith. The encounter I had was with a patient who was a diabetic that was admitted for Diabetic Keto Acidosis (DKA) in the middle of the night. The usual protocol would be to keep them nothing by mouth (NPO) until we could get their blood glucose levels under control.
At the time, I was not familiar with the stipulations of Ramadan and quickly learned that those who are Muslim fast once a year for an entire month from sunrise to sunset, which is called Ramadan. Because the patient had been fasting all day, the patient came in demanding to eat food when he arrived because he would not be able to eat until once the sun rose again.
This situation produced a culturally derived misunderstanding because it was important for him to eat food while the sun was down, but it was necessary to keep him NPO until his blood glucose levels came down to a reasonable and safe range. One of the physicians who was Muslim and was also fasting at this time came to talk to him to explain why we had to keep him NPO.
The patient was able to relate to the physician because he was going through the same experience and understood why.
What actions could I, in the Nurse Practitioner role, implement to prevent culturally-derived miscommunications for the above example?
Are there ethical implications for not addressing cultural miscommunications for the above example?
