comment from post 4

| June 8, 2016


That is an excellent point, Amy.

We often jump to conclusions based on our own cultural beliefs and

customs. It is critical that we not only

be culturally competent to the patients culture but do not push our own onto

them in our assessments of the situations (Salman, Lee,

Cooksey-James (2014). I had a case where a mother of an infant, who had heart

defects repaired one month prior to the ED visit, came in to the hospital in

critical condition. This infant coded in

our ED but was resuscitated. The mother

chose not to fly immediately with her child to the valley (3 hours away). Instead, she went back out to the reservation

to a ceremony by the medicine man for her infant and planned on going to the

valley after the ceremony. Several

members of my staff were deeply troubled by this. They could not comprehend the

mother not flying with her infant. We

met and debriefed about cultural awareness in order to help the nursing staff

with their feelings about this situation. We explained to them that culturally

the mother felt she could help her child more by attending the ceremony that

being at the bedside at that moment. There

were continued mixed feelings about this case after the debriefing but the staff

did come away with a new awareness of the culture of the Navajo people.

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