NURS 3046 Nursing Project

Physical Characteristics

The man under description was an Aboriginal who was obese or overweight and the man probably at 30 years of age. The Aboriginal man had blonde hair on his head and facial hair and blue eyes that exemplified her body. In addition, the Aboriginal man in my view was around 179.6 cm tall and was second-hand clothes that were decent (Muennig, 2008., pp. 128).

Lifestyle

The man in my view is not married being at 30 years and it makes the guess as good as that he does not have children since there is no partner. The image of the man in my mind is that he lives in rural area. Furthermore, my image of the man is someone who does unskilled jobs in his rural area because of the educational level and socioeconomic factors. In my view, the man is not employed since he does not have skills necessary to perform skilled jobs. The man in my views seems do not have any hobby because most of the time is spent on trying to meet ends meet (Browne, 2009, pp. 166).

Reason for Admission to the Emergency Department

In my view, there is likelihood involved in a crime and caught up and injured by a mob and left behind unattended. Also, there is possibility that the man might have been hit by a vehicle while on the road because might have been coming from his causal duties. This means that he might been left unattended after being hit by the vehicle and the friend had to pick him up.

Analysis and Description

My personal bias stems from my worldview and perspectives that shaped up my views regarding this indigenous population in describing the image, lifestyle and the reason the man was admitted to the ED. My worldview and societal influences have shaped my personal bias on the Aboriginal people in the society, where I believe that the Aboriginal people are always obese because of the lifestyle issues that surround their health. In addition, the societal influence has made to develop a personal bias that the Aboriginal people cannot afford food and that they have poor health. These have been linked to the low socioeconomic status of the Aboriginal people. Literature has established that overweight and obesity were widespread amongst people above 15 years and above, 28% were overweight and 29% were obese and nearly two-fifths in the normal or healthy range (Muennig, 2008., pp. 130). The prevalence of obesity among the Aboriginal is greater in females than on males. The overweight and obesity among this group has been attributed to energy imbalance over a sustained period of time. In addition, lifestyle factors, like unhealthy nutrition, as well as the absence of physical exercise have been attributed to the increasing risk of developing obesity (Castro et al., 2015, pp. 76).

My lifestyle observations among the Aboriginal people were influenced by worldviews and prior experiences that shaped by personal bias. The worldview that I have regarding the Aboriginal is that they have poor lifestyle that characterized by low-income level in the society that makes it hard to afford decent living or live in urban setting, but the majority resides in rural areas. Furthermore, my worldview and prior experiences influences my personal bias that the Aboriginal people do causal jobs because they are not skilled. I believe that they do not have the necessary skills that will allow them to do skilled jobs because of the educational background. My prior experiences inform that the Aboriginal people cannot afford decent housing and jobs because they come from low socioeconomic level. Studies show that gaps in education and job skills among the Aboriginal people is primary underlying the income and job quality where they experienced significant labor disadvantages. They have lower levels of representation in skilled labor and well-paid jobs (White and Chanoff, 2011, pp. 211).

My personal bias on the man admission to ED was influenced by my societal influence prior experience on the crime and accidents that are connected to Aboriginal people. The society that I come form subscribe to the perspective that the Aboriginal people are mostly involved in crimes that place them in dangers and even imprisonment. In most instances, those involved in crimes are either killed or seriously injured that can be admitted to ED. In addition, my prior experience informs me that the majority of the reported accidents involving pedestrians involve Aboriginal people in ED. Literature has established that Aboriginal people are 15-20 times more to commit crime that non-Aboriginal people. This has been shown by the high number of Aboriginals in prisons in Australia and Canada (Pletcher et al., 2008, pp. 71). Also, more Aboriginal people are involved in road accidents because of their lifestyle that makes them not to afford private transport and walk on roads in most cases. For Aboriginal, motor vehicle crashes (MVCs) is twice as much as in non-Aboriginal people in Australia (Saha et al. 2008, pp. 655).

Analysis

Culturally safe as well as respectful practice needs having understanding of the way a nurses’ own culture, biases, values, attitudes, assumptions besides beliefs impact their interactions with individuals as well as families, the community as well as peers. In my case, the bias is conscious (explicit) because I am aware that I have the bias (Chapman et al., 2013, pp. 1504). The following are the consequences of personal bias towards providing cultural safe care and respectful nursing:

• The personal biases will negatively my cultural communication with the patient because I have already developed a perspective regarding the Aboriginal person seeking assistance in health matters. The communication will not be effective because there will be no trust on the patient and communication might be strained because of poor rapport. Cultural miscommunication will arise in this case because I will interpret patient’s own cultures founded on my own that will lead to misconstruction of the other’s intentions because the interpretations will be based on my assumptions and other worldviews. I will not be in a position to make arrangements whenever possible to meet specific language, communication and cultural needs of the Aboriginal person and their families. The interaction with the patient and their families will be ineffective because of the miscommunication problem that will affect the delivery of service (Saha et al., 2003, pp. 1713).
• Because of the personal bias on the Aboriginal people, I will not be able to develop an inclusive nursing environment that will enable the patient to express and become open regarding the health issue that he wants to be addressed. I will not be able to creative encouraging, culturally secure environment via role modeling, in addition to supporting the patient’s rights, self-respect plus safety in the nursing environment affecting the delivery of service to the Aboriginal person because of the bias.
• The bias will affect my cultural competence aspect that is essential in providing individualized care to the Aboriginal person. The personal bias will negative affect my awareness of cultural ways and skills in recognizing various cultural patterns that will allow me to provide patient-centered plan that would assist meet the recognized health objectives for the patient (McNaughton-Dunn, 2002, pp. 152). 
• The personal bias will hugely affect my collaboration and engagement with the patient and their families. This will undermine the engagement where I will not listen to the patient and in many instance ignore the concerns of the patient. This will affect the response of care, as treatment and diagnosis will become blurred or not described appropriately to the patient. This will be damaging to the patient and their families, especially those who do not have the necessary resources to seek health services elsewhere (Gustafson, 2005, pp. 5).

References

Browne, A. J. (2009). Discourses Influencing Nurses’ Perceptions of First Nations Patients. Canadian Journal of Nursing Research, 41(1), 166-191.

Castro, A., Savage, V., and Kaufman, H. (2015). Assessing Equitable Care for Indigenous and Afrodescendant Women in Latin America. Rev Panam Salud Publica, 38(2), 76.

Chapman, E. N., Kaatz, A., and Carnes, M. (2013). Physicians and Implicit Bias: How Doctors May Unwittingly Perpetuate Health Care Disparities. Journal of General Internal Medicine, 28(11), 1504-1510.

Gustafson, D.L. (2005). Transcultural nursing theory from a critical cultural perspective. Advances in Nursing Science, 28, 2- 16.

McNaughton-Dunn, A. (2002). Cultural competence and the primary care provider. Journal of Pediatric Health Care, 16(3), 151-155.

Muennig ,P, (2008). ‘The Body Politic: The Relationship between Stigma and Obesity- Associated Disease. BMC Public Health, 8:128–38.

Pletcher MJ, Kertesz SG, Kohn MA, and Gonzales R. (2008). Trends in opioid prescribing by race/ethnicity for patients seeking care in US emergency departments. JAMA. 299:70– 78.

Saha S, Freeman M, Toure J, Tippens KM, Weeks C. and Ibrahim S. (2008).  Racial and ethnic disparities in the VA health care system: a systematic review. J Gen Intern Med. 23(5):654-71.

Saha, S., Arbelaez, J. J., and Cooper, L. A. (2003). Patient–Physician Relationships and Racial Disparities in the Quality of Health Care. American Journal of Public Health,93(10), 1713- 1719.

White A. and Chanoff D. (2011). Seeing Patients: Unconscious Bias in Health Care, Cambridge, Massachusetts Harvard University Press.