MSN 6025 Assessment 5 Practicum and Social Justice

Practicum and Social Justice

This reflective paper explores my practicum experience as a nurse in the field of overweight autistic teenagers. It highlights the accomplishments and challenges encountered in improving health outcomes for this population. Maintaining appropriate standards of confidentiality, promoting social justice, and providing culturally competent care are emphasized. Through this reflection, insights into the significant role of nurses in addressing the unique needs of overweight autistic teenagers and advocating for equitable and compassionate healthcare are gained.

Importance of Learning About Multicultural Care

Learning about multicultural care is paramount when working with overweight autistic teenagers. It involves understanding and respecting the diverse cultural backgrounds, beliefs, values, and practices of individuals and their families. By embracing multicultural care, nurses can provide more effective and culturally sensitive interventions, improving health outcomes and overall well-being for overweight autistic teenagers (Gonzaga et al., 2020).

Multicultural care recognizes that different cultures may have unique health, wellness, and illness perspectives. By acquiring knowledge about various cultural practices and beliefs related to weight management and autism, nurses can develop culturally appropriate and respectful interventions. For example, some cultures may have specific dietary preferences or traditional healing practices that can be incorporated into the care plan. By considering these cultural factors, nurses can enhance the effectiveness and acceptance of interventions, leading to better health outcomes (DuBay et al., 2022).

Additionally, statistics highlight the importance of multicultural care in addressing health disparities among different cultural groups. For instance, research by Min et al. (2020) shows disparities in obesity rates among different ethnic and cultural populations, with higher rates observed in certain communities. Similarly, autism prevalence varies across ethnic and cultural groups (Cohen et al., 2022). By understanding these disparities, nurses can tailor interventions and support services to meet the specific needs of overweight autistic teenagers from diverse cultural backgrounds.

Furthermore, cultural competence in care delivery has been associated with better patient satisfaction, increased treatment adherence, and improved health outcomes (Gerchow et al., 2020). When nurses take the time to learn about and respect the cultural identities of overweight autistic teenagers, they foster trust, engagement, and collaboration. This leads to more effective communication, increased patient involvement in decision-making, and ultimately better health outcomes (Kaihlanen et al., 2019).

Ethical Obligation of Nurses

Nurses have an ethical obligation to lead in providing culturally competent care for overweight autistic teenagers in healthcare organizations. This involves understanding and respecting diverse cultural backgrounds and tailoring care to meet their needs (Haddad & Geiger, 2022). Through my practicum experience, I witnessed the importance of cultural competence in engaging with this population and their families. By actively seeking to understand and respect their cultural perspectives, I contributed to improved health outcomes and patient satisfaction.

Culturally competent care entails delivering respectful and responsive healthcare that addresses the distinct cultural needs of patients. For example, research has shown that cultural competence training for healthcare providers is associated with improved patient satisfaction, increased treatment adherence, and reduced healthcare disparities (Beach et al., 2022). Dao et al. (2020) also highlighted the impact of cultural factors on healthcare outcomes. For instance, cultural beliefs and attitudes toward weight and body image can significantly influence treatment adherence and weight management among different cultural groups. One accomplishment during my practicum was developing cultural sensitivity by actively listening and learning from the experiences and stories shared by overweight autistic teenagers and their families. This allowed me to gain insight into their unique cultural values, beliefs, and preferences regarding weight management and autism care.

Nurses are ethically responsible for upholding justice, autonomy, and beneficence principles. By promoting cultural competence, nurses ensure equitable access to healthcare services, respect individual autonomy and preferences, and maximize the potential benefits of care for overweight autistic teenagers from diverse cultural backgrounds (Min et al., 2020). Nurses also play a critical role in advocating for policy changes and organizational practices that promote cultural competence and address healthcare disparities among different cultural groups.

Furthermore, professional nursing organizations, such as the American Nurses Association (ANA) and the Transcultural Nursing Society (TCNS), provide guidelines and resources to support nurses in delivering culturally competent care (Hosseinzadegan et al., 2020). These organizations emphasize the importance of cultural self-awareness, cultural knowledge, and cultural skills in nursing practice. Additionally, it is crucial for nurses to adhere to the Health Insurance Portability and Accountability Act (HIPAA) regulations to ensure the security and privacy of patients’ Protected Health Information (PHI). Maintaining confidentiality and safeguarding sensitive patient data is paramount in providing culturally competent care. By integrating the principles of cultural competence and HIPAA compliance, nurses can create a safe and inclusive environment that respects patients’ cultural values while protecting their privacy rights.

Reflection on Practicum Experience Including Accomplishments and Challenges

During my practicum experience focusing on overweight autistic teenagers, I encountered accomplishments and challenges in improving their health outcomes. One of the significant accomplishments was developing personalized care plans that addressed each individual’s specific needs and challenges (Flaherty & Bartels, 2019). By collaborating with interdisciplinary teams, I contributed to developing holistic interventions that integrated medical, behavioral, and nutritional approaches. These personalized care plans aim to promote weight management, enhance overall well-being, and support the unique characteristics of autistic teenagers.

Another accomplishment was establishing rapport and trust with overweight autistic teenagers and their families. Building a strong therapeutic relationship was essential in understanding their concerns, motivations, and barriers to achieving optimal health (Walls et al., 2021). Through active listening and empathy, I fostered open communication, which allowed for a deeper understanding of their experiences and perspectives. This, in turn, facilitated effective collaboration and shared decision-making.

However, I also encountered challenges in my practicum experience. One significant challenge was addressing the limited availability of resources and support services tailored to overweight autistic teenagers. The lack of specialized programs and interventions made it difficult to provide comprehensive care (Evans et al., 2022). To overcome these challenges, I engaged in advocacy efforts to raise awareness about the unique needs of overweight autistic teenagers and the importance of tailored interventions. I collaborated with stakeholders to explore potential partnerships, secure funding, and develop innovative solutions to bridge the gaps in care.

I also encountered challenges navigating cultural differences and ensuring fair and equitable care. Cultural norms and expectations vary among different cultural groups, requiring me to continuously educate myself and seek guidance from colleagues and mentors (Iheduru‐Anderson et al., 2020). To address these challenges, I actively engaged in ongoing education and training focused on cultural competence. I participated in workshops and seminars that provided insights into different cultural perspectives and effective communication strategies. Collaborating with interdisciplinary teams and seeking input from cultural liaisons and community resources proved invaluable in enhancing my cultural competence and addressing the needs of overweight autistic teenagers from diverse backgrounds.

Completion of Hours

Throughout my practicum experience, I completed the required hours towards my practicum experience by actively engaging in various activities related to improving health outcomes for overweight autistic teenagers. These activities included conducting assessments, developing personalized care plans, collaborating with interdisciplinary teams, and participating in educational initiatives. I also dedicated time to advocacy efforts, raising awareness about the unique needs of this population and advocating for equitable access to healthcare resources and services. By aligning my practicum hours with the principles of social justice, I aimed to address healthcare disparities, promote fairness, and advocate for the rights and well-being of overweight autistic teenagers.

Conclusion MSN 6025 Assessment 5 Practicum and Social Justice

In conclusion, my practicum experience as a nurse working with overweight autistic teenagers has provided valuable insights into the complexities and nuances of healthcare delivery for this population. I have witnessed the transformative impact of maintaining appropriate standards of confidentiality, promoting social justice, and providing culturally competent care. Moving forward, I am committed to continuing my professional growth, advocating for equitable healthcare practices, and ensuring that the unique needs of overweight autistic teenagers are met with compassion, understanding, and respect.

References

Beach, M. C., Price, E. G., Gary, T. L., Robinson, K. A., Gozu, A., Palacio, A., Smarth, C., Jenckes, M. W., Feuerstein, C., Bass, E. B., Powe, N. R., & Cooper, L. A. (2022). Cultural competence. Medical Care, 43(4), 356–373. https://doi.org/10.1097/01.mlr.0000156861.58905.96

Cohen, S. A., Nash, C. C., Byrne, E. N., Mitchell, L. E., & Greaney, M. L. (2022). Black/White disparities in obesity widen with increasing rurality: Evidence from a national survey. Health Equity , 6(1), 178–188 . https://doi.org/10.1089/heq.2021.0149

Dao, M. C., Thiron, S., Messer, E., Sergeant, C., Sévigné, A., Huart, C., Rossi, M., Silverman, I., Sakaida, K., Bel Lassen, P., Sarrat, C., Arciniegas, L., Das, S. K., Gausserès, N., Clément, K., & Roberts, S. B. (2020). Cultural influences on the regulation of energy intake and obesity: A qualitative study comparing food customs and attitudes to eating in children from France and the United States. Nutrients, 13(1). https://doi.org/10.3390/nu13010063

DuBay, M., Watson, L. R., & Zhang, W. (2022). In search of culturally appropriate autism interventions: Perspectives of Latino caregivers. Journal of Autism and Developmental Disorders , 48(5), 1623–1639 . https://doi.org/10.1007/s10803-017-3394-8

Evans, K., Whitehouse, A. J. O., D’Arcy, E., Hayden-Evans, M., Wallace, K., Kuzminski, R., Thorpe, R., Girdler, S., Milbourn, B., Bölte, S., & Chamberlain, A. (2022). Perceived support needs of school-aged young people on the autism spectrum and their caregivers. International Journal of Environmental Research and Public Health, 19(23). https://doi.org/10.3390/ijerph192315605

Flaherty, E., & Bartels, S. J. (2019). Addressing the community‐based geriatric healthcare workforce shortage by leveraging the potential of interprofessional teams. Journal of the American Geriatrics Society, 67(S2). https://doi.org/10.1111/jgs.15924

Gerchow, L., Burka, L. R., Miner, S., & Squires, A. (2020). Language barriers between nurses and patients: A scoping review. Patient Education and Counseling , 104(3). https://doi.org/10.1016/j.pec.2020.09.017

Gonzaga, N. C., Araújo, T. L. de, Cavalcante, T. F., Lima, F. E. T., Galvão, M. T. G., Gonzaga, N. C., Araújo, T. L. de, Cavalcante, T. F., Lima, F. E. T., & Galvão, M. T. G. (2020). Nursing: Promoting the health of overweight children and adolescents. NCBI , 48(1), 153–161 . https://doi.org/10.1590/S0080-623420140000100020

Haddad, L. M., & Geiger, R. A. (2022). Nursing ethical considerations . National Library of Medicine. https://www.ncbi.nlm.nih.gov/books/NBK526054/

Hosseinzadegan, F., Jasemi, M., & Habibzadeh, H. (2020). Factors affecting nurses’ impact on social justice in the health system. Nursing Ethics , 28(1). https://doi.org/10.1177/0969733020948123

Iheduru‐Anderson, K., Shingles, R. R., & Akanegbu, C. (2020). Discourse of race and racism in nursing: An integrative review of literature. Public Health Nursing, 38(1). https://doi.org/10.1111/phn.12828

Kaihlanen, A.-M., Hietapakka, L., & Heponiemi, T. (2019). Increasing cultural awareness: Qualitative study of nurses’ perceptions about cultural competence training. BMC Nursing , 18(1), 1–9. https://doi.org/10.1186/s12912-019-0363-x

Min, J., Goodale, H., Brey, R., & Wang, Y. (2020). Racial-Ethnic disparities in obesity and biological, behavioral, and sociocultural influences in the united states: A systematic review. Advances in Nutrition: An International Review Journal, 8(2). https://doi.org/10.1093/advances/nmaa162

Walls, M., Broder-Fingert, S., Feinberg, E., Drainoni, M.-L., & Bair-Merritt, M. (2021). Prevention and management of obesity in children with autism spectrum disorder among primary care pediatricians. Journal of Autism and Developmental Disorders, 48(7), 2408–2417 . https://doi.org/10.1007/s10803-018-3494-0

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