Nursing Competence on Addressing Arab Culture
Mrs. Nasser arrived at the urgent-care center with her 16-year-old daughter, who had been experiencing burning upon urination, itching around her genital area, and a high fever. Mrs. Nasser appeared very anxious, explaining to the nurse that her daughter had never had these symptoms before. The nurse tried to calm Mrs. Nasser and asked that her daughter, Samia, get undressed in preparation for a physical examination. Mrs. Nasser appeared concerned and requested that the nurse inform the doctor that she will not allow the doctor to perform a vaginal examination on her daughter.
The nurse explained to Mrs. Nasser that it will be necessary for the doctor to examine Samia so that she can determine the cause of Samia’s discomfort. Mrs. Nasser became extremely agitated and explained to the nurse that in her culture, young girls are not allowed to have a vaginal examination for fear that their virginity will be compromised. Mrs. Nasser insisted that she would not allow her daughter to be examined by the female doctor on duty. Mrs. Nasser requested that the nurse ask the doctor to write a prescription for her daughter’s infection, or else she would leave the clinic immediately.
1)How should the nurse respond to Mrs. Nasser’s request? Explain your rationale.
2)Identify culturally congruent strategies that may be most effective in addressing the needs of Mrs. Nasser.
3)How might the nurse ensure that Mrs. Nasser’s concerns are addressed appropriately and that Samia has received the appropriate care?
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Introduction
Physicians encounter diverse challenges during healthcare delivery. Hsieh and Kramer (2021) identify cultural barriers as the leading issues of concern in culturally diversified environments like the United States. As a result, professionals must remain alert to subtle cultural elements through improved cultural awareness to ensure they approach the patients appropriately and use acceptable communication strategies to facilitate proper physician-patient interactions that promote care. In this context, the nurse should demonstrate her cultural competence while interacting with Mrs. Naser and use appropriate strategies to ensure she addresses her concerns sufficiently.
Responding to Mrs. Nasser’s Request
Mrs. Nasser’s interactions with the nurse highlight a cultural disagreement incident requiring communication approaches with distinguished cultural awareness. Hsieh and Kramer (2021) argue that healthcare providers should prioritize doing good without harm in all contexts. In this case, the Nurse’s response should recognize the parent’s cultural concerns while prioritizing the importance of all health procedures. The nurse can achieve this objective by acknowledging the practice and the need to preserve the patient’s virginity. As a result, the nurse should enlighten the caregiver about the urgency and safety of the examination to dispel any associated fears. She should also provide a detailed explanation that clarifies the process is non-intrusive to ensure she provides consent that allows healthcare providers to provide an accurate diagnosis. Once Samia’s mother understands that her daughter cannot receive an appropriate prescription without the examination in any reputable healthcare facility because it informs the intervention, she will understand the certainty and value for the benefit of her child. Thus, creating awareness, educating, and using culturally competent communication approaches to respond is important in this scenario.
Culturally Congruent Strategies for Addressing the Needs
Efficient interaction with Mrs. Nasser and stirring her willingness to consent to examine Samia requires the nurse’s use of culturally congruent strategies. For instance, Cuellar et al. (2020) indicate health education while considering group culture-specific beliefs related to their health is a critical s...