Culturally Competent Ethical Decision Making

Subject: NRS520

Assessment: 3 Culturally Competent Ethical Decision Making

Due Date: 19/10/2010

Length: 2000-2500

The world is multicultural and with this comes a diversity of morals, values and beliefs. Working in regional Australia as a community mental health clinician presents many challenges one of which is working with refugees from Nepal. The following assessment will explore conflicting values and beliefs at three different levels consisting of individual, organisational, and societal levels. Some women experience post natal depression, a significant health problem after the birth of a baby. There are many factors connected to the cause including a past history of depression, past history of abuse, relationship issues and stressful life events (Beyondblue, 2010). For some cultures the stigma associated with mental health causes many problems.   There has been minimal mental health and psychosocial support or mental health care in Nepal (Jordans, et al. 2010). Research has found depressive symptoms of women from Nepal after childbirth affects both the mother and child and often the symptoms are related to the woman’s relationship with her husband (Ho-Yen, Bondevik, Ebberhard & Bjovatn, 2007).
As globilisation becomes the norm it is expected that nurses will encounter ethical dilemmas within areas of their occupations.   The following ethical dilemma being discussed will identify how humans can have different beliefs and values within their varied cultures and how it can sometimes be difficult to work with these cultural beliefs. The Nepalese population have the belief that anyone who encounters a mental illness will always remain unwell and the stigma reflects badly onto the family (Krishnan & Cutler, 2005).
The inter-relationship between cultural practice and disease including identification of health and illness in their social context will be discussed whilst the goals of the discipline of nursing with the provision of meaningful...