Ulturally Competent Ethical Decision Making

Instructions for culturally competent ethical decision-making: Assignment #3 (adapted from Andrews & Boyle, 2008, Chapter 15, pp. 414 a 421)

Using an appropriate tool/framework, analyse a culturally defined, ethical dilemma you have experienced in clinical practice. This may have occurred with migrants, indigenous people, local clients whose second language is English, or people from a minority cultural group. An example of a tool/framework you can use is the a?Culturally Competent Model of Ethical Decision Makinga from your textbook (Andrews & Boyle, 2008, pp. 414-421). You may choose to use another tool/framework if this is your preference. If you think it appropriate, you may modify a tool/framework to suit your own situation; however, you must acknowledge all original sources. To help identify points made, you may wish to use headings and subheadings as outlined below (or in your chosen tool/framework). You should write this paper as a Word document, following CSU guidelines.

Describe the ethical dilemma.
o What is the setting?
o What people are involved?
o How do different groups or individuals perceive the problem?
o What assessment data about the situation are missing?
o How can additional information be obtained?
Using a culturally competent model of ethical decision making, critically analyse the problem and discuss and how you would redefine it.
o Identify conflicting values and beliefs at the individual, organisational and societal levels that influence perceptions and interactions between client/s and carer/s.
o Identify the cultural and ethical conflicts in the situation.
o Highlight any implications of these conflicts on the quality of care and/or client safety.
o Discuss the implications of power relations that may exist amongst participants.
o Outline culturally congruent strategies you would recommend to improve the situation.
Rationale
Some ethical dilemmas require thinking time prior to making a decision about nursing care. Other dilemmas are more complex and may need to be referred to the organisationas ethics committee (or other administrative groups) in order to come to a plan for acting in the given situation. Many ethical dilemmas are culturally defined.

Underpinning care with culturally competent ethical awareness promotes caregiveras sensitivity, empathic understanding, respect and acceptance of pluralistic beliefs and practices. Power within the nurse-client relationship is equalised so that clients are able to make informed choices about their care as well as feel more in control of decisions that impact upon their health and wellbeing. As highlighted in Andrews and Boyle (2008, p. 421), a?[e]quity, fairness, and meaningfulness in caring are fully realized by cultural competent practitioners, organizations and communitiesa?.

This assessment address subject learning objectives:
o Explore the interaction of health and ethnicity, language and culture.
o Define health and illness in their social context.
o Describe the inter-relationship between cultural practice and disease.
o Analyse concepts of inequity and disadvantage in a cultural context.
o Examine the influence of cultural factors on the development of the health care system and medical and nursing knowledge and practices.
o Critically analyse transcultural theories and models.