Response to Tara Miller`s Post

Responseto Tara Miller`s Post

The response has revealed clearly how culture interferes with thecompetence in a medical setting. Apart from that, the culture alsoaffects the competence of the quality of care through the ethicaldilemmas. More specifically, some cultural practices might be inconflict with certain treatment approaches. Some cultures often donot support abortion, blood transfusions as well as the lifesavingoptions (Kokko, 2011). The scenario might be an obstacle, and it willinterfere with the treatment approaches because of the culturaldifferences. Surrogate decision-making might also be a problem in thedelivery of the healthcare.

Hence, it is effective if the medical officers strive to find commonground in the ethical dilemmas that the others might face. In theprocess, they will also clarify a number of issues and help themunderstand where the conflict originates from. In fact, moreknowledge and experience might help the nurses understand how theywill face the dilemmas. The culture also has led to the communicationbarrier where the nurses are unable to clarify how they willimplement the treatment plan (Campinha-Bacote, 2011). Some of themare unable to illustrate the extent of the illness and how they mightreduce the complications. The communication barrier might even createa misunderstanding between the patient and the nurse and that mightbe a problem later.

More importantly, the nurses are supposed to prioritize accuracy intheir decision making, and that will not be possible if the culturaldifferences lead to the ethical dilemmas and the communicationbarrier too. Instead, increased awareness and seminars that willclarify some of the cultural differences will be quite convenient inhandling the issues that might arise (Douglas et al., 2011). All inall, the increased education is the efficient way that the medicalfield will handle the cultural differences.


Campinha-Bacote, J. (2011). Delivering patient-centered care in themidst of a cultural conflict: The role of cultural competence. TheOnline Journal of Issues in Nursing, 16(2).

Douglas, M. K., Pierce, J. U., Rosenkoetter, M., Pacquiao, D.,Callister, L. C., Hattar-Pollara, M., … &amp Purnell, L. (2011).Standards of practice for culturally competent nursing care: 2011update. Journal of Transcultural Nursing, 22(4), 317.

Kokko, R. (2011). Future nurses’ cultural competencies: what aretheir learning experiences during exchange and studies abroad? Asystematic literature review. Journal of Nursing Management,19(5), 673-682.