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BUMGT5922
AU
Federation University
Health profession is diverse, and divine service to humanity that not only encompasses serving people, treating diseases, providing care, but also, saves lives of uncountable people across the globe. It is quintessential in the service of nursing that all the patients must get access to equal, and quality care. However, during practice due to particular bias and preconceived notion about patients of a certain community, and physical appearance, a stereotyping occurs among the nursing professionals that hinders quality care to the patients, and consequently stigmatizes the pious profession (Cashin et al., 2017). The paper aims to discuss about two major types of stereotypes that makes me feel uncomfortable with, and creates a bias, and promotes human differences. Additionally, the paper will also be discussing about the suggestions that will foster a better professional relationship with the patient.
Abundant amount of information, and proofs are available that have mocked the entire existential system of Australian Nursing, and healthcare services. Stereotyping, social stigma, cultural bias, and hatred towards a particular religion or, cult have been on the rise since the past couple of decades. The same is also experienced by me during my nursing course. Racism in the prevalent system of Australian social structure have been that much deep penetrated into all spheres of the nation that it has not even spared the holy setting of the healthcare units. The Aboriginal people of Australian have been a major subject of my cultural bias during my personal experiences (FitzGerald &Hurst, 2017). That I somehow inherited from living in a white-dominated society that has always been very much indifferent in criticizing, alienating, and ostracizing the Aboriginal people. A patient named Paul Allen, was one of my patient during my healthcare attachment of my nursing course. He belonged to an Aboriginal community of the Torres Strait Island. The patient was suffering from Schizophrenia and during the course of his treatment I met him as apart of my training. Two main types of bias that I had developed gradually about the patient always made me uncomfortable. The first bias is about the very fact of his Aboriginality, and bias regarding his origin, culture, and condition of living. Additionally, the next bias that has generated in my mind was regarding the intelligence of the person, and his ineptness that he was not smart enough to stick to the prescribed module of treatment, and the suggestions made by the Registered Nurses (Maina et al., 2018). The human brain is filed with immense information, misinformation and biases that percolates into human psyche gradually based on the environment it dwells, and stays in. Based on the information, a certain pattern of stereotype is developed about a people, communities, and groups. Most of the time a cultural, and societal superiority works in the mind that always convinces the mind to believe that it is superior to others (Geia et al., 2020). The white-dominance that I have felt based on the social structure of Australia, and hence my upbringing in such a racist society. Thus, I have been a subject of unconscious bias that has been instilled because of automatic influence by stereotypes, and hence are impacting my judgments. The concept of implicit bias that has originated from the concept of unconscious association professed by Sigmund Freud (Byrne & Tanesini, 2015). These preconceived attributes creates certain characteristics regarding a particular group, which is termed as stereotyping. Implicit biases leads to unintentional bias that are not noticeable at the first place with the conscious mind, but in due course clearly reflects in professional practice. Research studies have shown events of physician-patient interaction, communicative association, and disparities in the outcome of the care. Racial and ethnic disparities hinder the outcome of the patient care most of the time, and does serious damage, and exacerbates the prevalent system of white-power supremacy. Stereotyping does serious damage in terms of patient output, and the confidence building approach that has involved a significant amount of time consisting of an entire chain of healthcare professional could get damaged because of one’s personal implicit bias (Quigley et al., 2021). Moreover, a patient always need an effective support from the nurse who are the only healthcare professionals that actively stays attached with the patients much longer when compared to the resident doctors, or, other staff. Thus, the patients find a hope of support, sympathy, and nurturing service from the side of the nurses. This starts with an engaging communicative approach with the patient in the language he is comfortable with (Doran et al., 2019) Thereafter, for the patient suffering from mental ailments must be cared to the best of service, mental support, and additional guidance required to empower the patient from the mind. At this place, if racism dive in, makes a serious damage in the approach the patient is being treated with. Moreover, the hatred towards the indigenous culture still mocks the existing social structure of the nation that has been dilapidated with consumerist culture, imported culture from Europe the “white man’s burden theory” (Galdas, 2017).
The impact of the bias must be minimized I the due course of treatment, or else it will cater to an irreversible damage. It must be noted that in healthcare profession, nothing must be seen above the great cause of the service. Professional ethics must be placed above every little ill-feelings of the mid, and that makes the service greater than other social services. A proper channel of communication must be open always for enabling a conducive environment for the patient to feel free to ask about their doubts, and areas lacked in their understanding regarding the prescription, or the treatment process (Smith & Noble, 2014). Additionally, cultural competency, and cultural sensitivity must be incorporated in the training of the nurses so that required competence is developed right from the very beginning. Blending more people from the Aboriginal community both as educators, trainers, and as students will vastly contribute to the cause that will exterminate the sense of alienation of the indigenous communities, and will cater to an inclusive, engaging, and a racism free united Australia where every nationals are treated equally, an with dignity (Schultz & Baker, 2017).
The paper discussed two major types of stereotypes that makes me feel uncomfortable with, and creates a bias, and promotes human differences. Additionally, the paper will also be discussing about the suggestions that will foster a better professional relationship with the patient. Probably it is the only service on earth that not only witnesses a new life bring into earth, and sees the life leaving the material world. Hence, the moral values of the medical professionals should be very high, and above all there should be empathy in the minds of the practitioners. Thus, empathy, cultural competence, prioritizing nursing ethics above all will be very effective in will fostering a better professional relationship with the patients.
Byrne, A., & Tanesini, A. (2015). Instilling new habits: addressing implicit bias in healthcare professionals. Advances in Health Sciences Education, 20(5), 1255-1262. DOI: https://doi.org/10.1007/s10459-015-9600-6
Cashin, A., Heartfield, M., Bryce, J., Devey, L., Buckley, T., Cox, D., ... & Fisher, M. (2017). Standards for practice for registered nurses in Australia. Collegian, 24(3), 255-266. DOI: https://doi.org/10.1016/j.colegn.2016.03.002
Doran, F., Wrigley, B., & Lewis, S. (2019). Exploring cultural safety with Nurse Academics. Research findings suggest time to “step up”. Contemporary nurse, 55(2-3), 156-170. DOI: https://doi.org/10.1080/10376178.2019.1640619
FitzGerald, C., & Hurst, S. (2017). Implicit bias in healthcare professionals: a systematic review. BMC medical ethics, 18(1), 1-18. DOI: https://doi.org/10.1186/s12910-017-0179-8
Galdas, P. (2017). Revisiting bias in qualitative research: Reflections on its relationship with funding and impact. DOI: https://doi.org/10.1177/1609406917748992
Geia, L., Baird, K., Bail, K., Barclay, L., Bennett, J., Best, O., ... & Wynne, R. (2020). A unified call to action from Australian nursing and midwifery leaders: ensuring that Black lives matter. Contemporary nurse, 56(4), 297-308. DOI: https://doi.org/10.1080/10376178.2020.1809107
Maina, I. W., Belton, T. D., Ginzberg, S., Singh, A., & Johnson, T. J. (2018). A decade of studying implicit racial/ethnic bias in healthcare providers using the implicit association test. Social Science & Medicine, 199, 219-229. DOI: https://doi.org/10.1016/j.socscimed.2017.05.009
Quigley, A., Hutton, J., Phillips, G., Dreise, D., Mason, T., Garvey, G., & Paradies, Y. (2021). Implicit bias towards Aboriginal and Torres Strait Islander patients within Australian emergency departments. Emergency Medicine Australasia, 33(1), 9-18. https://onlinelibrary.wiley.com/doi/epdf/10.1111/1742-6723.13691
Schultz, P. L., & Baker, J. (2017). Teaching strategies to increase nursing student acceptance and management of unconscious bias. Journal of Nursing Education, 56(11), 692-696. DOI: https://doi.org/10.3928/01484834-20171020-11
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