Week 1 Discussion

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Grand Canyon University *

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MISC

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Nursing

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Nov 24, 2024

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Uploaded by pmacharia439

My current practice in nursing is in the OB department, mainly labor and delivery, post- partum, and couplet care. In addition the metaparadigms of nursing, the other concepts that are relevant to my personal practice in nursing are caring practices and response to diversity (Peterson & Bredow, 2019). The concept of caring practices involves providing compassionate and supportive care to my patients by focusing on their needs. Initially, future needs are not always known, especially when caring for a mother who has been admitted for induction of labor. While admitting the mother, it is my job to meet basic needs (Peterson & Bredow, 2019). During the admission process I will learn the mother goals for labor, pain management, how she will feed her infant, and who her support system is. Until the labor process really starts, it is hard to determine what will happen. Initially my care is based on standards and protocols (Peterson & Bredow, 2019). As the labor process progresses, it is my job to respond to not only the needs of the patient and her family with compassion, I must also respond to changes in fetal heart tones that may warrant outcomes the patient and family may not be anticipating. Some mothers for example plan on having an unmedicated delivery. It is my job to support their choice, but if I start to see negative changes in the fetal heart rate or arrest in the labor process due to poor coping skills, often pain management options may need to be discussed, especially if the plan or care is starting to look like a cesarean section may happen. Using caring practices allows me to treat my patient with compassion while providing care practices that are specific to my patient’s needs (Peterson & Bredow, 2019).

The concept of responding to diversity goes hand in hand with the caring process (Peterson & Bredow, 2019). In order to engage with my patient and respond to the needs of her and her family, I must be able understand the cultural needs as well. By incorporating my patient’s cultural needs into my practice, I can establish rapport and gain my patient’s trust (Greene, 2020). I often work with a large Hispanic population, that have different practices and beliefs. As a nurse, I know and understand the benefits on skin-to skin contact and breastfeeding for the mother and the infant. The Hispanic population on the other hand has a different perspective from what I have learned and know to be best. Part of response to cultural diversity is to accommodate personal and professional differences in my plan of care (Peterson & Bredow, 2019). The Hispanic culture believes that the mother does not have milk and that the colostrum to be bad or spoiled and often will not breastfeed initially (Greene, 2020). It is my job to teach the patient and family about the benefits of breastfeeding immediately, the importance of colostrum, and reinforce to the mother and her family that the infant’s needs are being met. Often times this is not enough, and the mother wants to give the infant a bottle. In situations like this I use response to diversity to anticipate and integrate the cultural differences into my plan of care (Peterson & Bredow, 2019). I do this by assisting and encouraging the mother to breastfeed initially and then to supplement with a bottle after breastfeeding, This allows the infant to benefit from breastfeeding, while incorporating the cultural differences into the plan of care to meet the diverse needs of the patient (Peterson & Bredow, 2019).

References Greene M. J. (2020). Strategies for incorporating cultural competence into childbirth education curriculum. The Journal of perinatal education , 16 (2), 33–37. doi:10.1624/105812407X191489 Peterson, S. J., & Bredow, T. S. (2019). Middle Range Theories: Application to Nursing Research and Practice (4th ed.). Retrieved from https://digitalbookshelf.southuniversity.edu/#/books/9781496348524/

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