Ethics and Transcultural Nursing Analytical Essay by kimann1968

Ethics and Transcultural Nursing
This paper discusses culturally competent ethical decision-making in clinical practice.
# 147552 | 2,732 words | 28 sources | APA | 2011 | CA

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In this article, the writer defines cultural competence and explains the Culturally Competent Model of Ethical Decision Making Framework. Subsequently the writer analyzes a culturally defined, ethical predicament experienced by the writer in a clinical setting. The writer makes use of the 'Culturally Competent Model of Ethical Decision Making Framework" to examine the dilemma. Through this vignette, the writer discusses the setting in which the event occurred, those members involved and how the different stakeholders perceived the dilemma. In addition, conflicting values and beliefs at individuals, societal or organizational levels that influenced perceptions and interactions between the patient and caregivers are identified. Further, any power relations that may have existed between the participants and safety implications for the patient are reviewed. The writer explores the concepts of discrimination and disadvantage in a cultural context.

Cultural Competence and Ethics
A Framework for Thinking Ethically
Defining the Ethical Dilemma, the Key Stakeholders involved with Mr. H.
Worldviews, Organizational Views, Health Care Provider Views, Patient and Family Views
Redefining the Problem using the 'Culturally Competent Model of Ethical Decision Making'
Discrimination in Health Care

From the Paper:

"Many members of the healthcare team failed Mr. H. on personal, ethical, cultural and organizational levels. Mr. H. was a man, a husband, a Mexican, a grandfather or otherwise known in Spanish as abuelo. He was loved by his family and was much missed back home in Mexico. He had not been in Canada long when he had his stroke. He had brought his family here in hopes of providing them with a better life, to be closer to his children who had immigrated a year earlier. His sons had been employed in a construction business and the family was cohabitating together to make ends meet. His hospital stay was nothing short of dreadful and frightening for him and undoubtedly for his family as well. Not one member of the health care team thought it abnormal that he was constantly restrained in his bed or wheelchair. Those members included nurses, social work, physiotherapy, and occupational therapy, physicians and speech and language pathology."

Sample of Sources Used:

  • Anderson, J. M. (1987). The cultural context of caring. Canadian Critical Care Nursing Journal,4(4), 7-13.
  • Andrews, M. M. & Boyle, J. S. (2008). Transcultural concepts in nursing care. Philadelphia (5th Ed.): Lippincott Williams &Wilkins.
  • Betacourt, J.R., Green, A.R., Carrillo, J.R. & Ananeh-Firempong, O. (2003). Defining cultural competence: A practical framework for addressing racial/ethnic disparities in health and health care. Public Health Report, 118, 293-302.
  • Boutain, D.M. (2005). Social justice as a framework for professional nursing. Journal of Nursing Education, 44, 404-407.
  • Brach, C. & Fraser, I. (2000). Can cultural competency reduce racial and ethnic disparities? Areview and conceptual model. Medical Care Research and Review, 1, 181-217. **

Cite this Analytical Essay:

APA Format

Ethics and Transcultural Nursing (2011, May 12) Retrieved November 28, 2023, from

MLA Format

"Ethics and Transcultural Nursing" 12 May 2011. Web. 28 November. 2023. <>