Week 5 Assignment: Ethical and Cultural Perspectives of Inquiry Paper

Running head: CULTURAL AND ETHICAL INQUIRY 1

CULTURAL AND ETHICAL INQUIRY 5

Cultural and Ethical Inquiry

Abstract

Healthcare providers need to consider cultural and ethical factors when providing care services to patients. Patient satisfaction at the emergency department (ED) may involve respecting patients' rights, their cultural beliefs, and protecting confidentiality. The violation of patients' rights and privacy make them unhappy with the provided services. Healthcare facilities have implemented policies that ensure nurses and physicians observe culture and ethics to improve the satisfaction of patients. Cedars Sinai in Los Angeles and Vail Medical Center in Colorado has implemented policies to restrict recordings within ED. In the entire U.S., most states have passed laws on patient confidentiality which enable an individual to make part of interplay to record it because only consent from one party is needed to get care services in the ED. A practice of audiovisual recording is unethical within the ED. There is a need to post precautions in the emergency room, waiting for the bay, and patient wards to discourage such acts.

Cultural and Ethical Inquiry

Description of Patients' Declined Satisfaction Scores

Cultural Perspective of Inquiry

According to Govere & Govere (2016), nurses and physicians should consider cultural factors to improve patient satisfaction at the emergency department (ED). As a result, nurses should respect patients' rights, cultural-based beliefs, respect for life, and provide culturally related healthcare, especially among vulnerable populations such as pregnant women and children. African Americans claim that nurses disregard their home medication or pay little attention to their cultural values and beliefs, such as forbid needle sticks. At ED, patients from minority groups say that physicians do not listen to them during alternative emergence care treatment.

Ethical Perspective of Inquiry

Hospitals such as Cedars Sinai in Los Angeles and Vail Medical Center in Colorado have enforced policies to limit most recordings within ED (Iserson, Allan, Geiderman, & Goett, 2019). Across the country, most states have confidentiality Acts that allow a person to make part of interplay to record it because only consent from one party is needed to get care services in the ED. Healthcare centers discourage prohibited audiovisual recording by posting precautions in the emergency room, waiting for the bay, and patient wards. They discourage such practices by developing policies that illegalize recording.

Research Questions

Level 1 Questions

1. What ethical factors are attributed to decreasing patient satisfaction in the ED?

Liked patient confidential information at the ED

2. What is the level of patients leaving the hospital due to unethical practices?

For every 20 patient visits, five decide to leave because they are not assured of their confidentiality.

3. Who is affected by the effect of unethical practices on patient dissatisfaction?

The entire hospital

4. What occurs at the hospital's ED to cause forced audio recording?

Unclear or lack of policies that prohibit any audio recording activity.

Level 2 Questions

1. What is the economic effect of printing posters to place in strategic areas where audio recording and photograph activities occur?

The hospital will finance the printing of posters and cater to any other associated costs.

2. Why are patients experiencing dissatisfaction with services provided?

Nurses and physicians have less concern about patients' cultural beliefs, values, and norms on treatment. Most of African American patients complain much of being disrespected.

3. What is the healthcare center's economic effect from patients leaving the hospital because of disrespect or delay before being attended?

The hospital continues to lose the funds generated from ED because when patients file a case against the hospital for breaching confidentiality, the hospital incurs legal costs.

4. How did the hospital's ED realize dissatisfaction among patients results from culturally incompetent nurses?

The realization was due to patients' blame towards some English-speaking physicians who have stereotypes against Spanish-speaking patients.

Conclusion

Conclusively, decreasing satisfaction scores among emergency patients result from poor cultural and ethical practices. Patients get satisfied if their privacy is protected and given due respect during treatment. Hospitals should have culturally competent healthcare workers to guarantee high levels of patient satisfaction. Audio recording and photographs are some of the unethical practices within the ED. Cultural-associated issues such as discrimination, stereotypes, and language barriers undermine patients' happiness at the emergency department. Overall, hospitals, through their emergency departments, should reconsider having culturally qualified healthcare workers who can comply with laws, ethics and practice a high level of professionalism when handling diverse patients to ensure increased patient satisfaction

References

Govere, L., & Govere, E. M. (2016). How effective is cultural competence training of healthcare providers on improving patient satisfaction of minority groups? A systematic review of literature. Worldviews on Evidence‐Based Nursing, 13(6), 402-410. https://sigmapubs.onlinelibrary.wiley.com/doi/full/10.1111/wvn.12176

Iserson, K. V., Allan, N. G., Geiderman, J. M., & Goett, R. R. (2019). Audiovisual recording in the emergency department: Ethical and legal issues. The American Journal of Emergency Medicine, 37(12), 2248-2252. https://pdf.sciencedirectassets.com/272456/1-s2.0-S0735675719X0011X/1-s2

McCarthy, D., Mikkola, K., & Thomas, T. (2020). Utilitarianism with and without expected utility. Journal of Mathematical Economics, 87, 77-113.

Moskop, J. C., Geiderman, J. M., Marshall, K. D., McGreevy, J., Derse, A. R., Bookman, K., ... & Iserson, K. V. (2019). Another look at the persistent moral problem of emergency department crowding. Annals of emergency medicine, 74(3), 357-364. https://www.sciencedirect.com/science/article/pii/S0196064418314793?casa_token=B

Nápoles‐Springer, A. M., Santoyo, J., Houston, K., Pérez‐Stable, E. J., & Stewart, A. L. (2005). Patients’ perceptions of cultural factors affecting the quality of their medical encounters. Health Expectations, 8(1), 4-17.