For most nurses world-wide, activities are centred around working directly with patients and so the nurse-patient relationship is of the greatest importance. Ethnocentrism on the part of the health care community has led to misdiagnosis, mistreatment and undertreatment of culturally diverse individuals world-wide. This author discusses a tool, Greipp's Model of Ethical Decision-Making, which can be used to assist nurses in analysing the effects of culture, beliefs and diversity upon the caregiver and care recipient within an ethical framework.
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References
1.
Alderson P.Defining ethics in nursing practice. Nurs Stand1992; 6(17): 33-35.
2.
Greipp M.Greipp's model of ethical decision making. J Adv Nurs1992; 17: 734-38.
3.
Andrews MMCultural perspectives on nursing in the 21st century. J Prof Nurs1992; 8(1): 7-15.
4.
Calvillo ER, Flaskerud JHReview of the literature on culture and pain of adults with focus on Mexican Americans. J TranscultNursing1991; 2(2): 16-23.
5.
Littlewood R.Psychiatric diagnosis and race bias: empirical and interpretative approaches. Soc Sci Med1992; 34: 141-49.
6.
McDonald DDGender and ethnic stereotyping and narcotic analgesic administration . Res Nurs Health1994; 17: 45-49.
7.
Murphy K., Clark J.Nurses' experiences of caring for ethnic-minority clients. J Adv Nurs1993; 18: 442-50.
Leininger M.Ethnomethods: the philosophic and epistemic bases to explicate transcultural nursing knowledge. J Transcult Nurs1990; 1(2): 40-51.
10.
Lynam MJTowards the goal of providing culturally sensitive care: principles upon which to build nursing curricula. J Adv Nurs1992 ; 17: 149-57.
11.
Lawrence J. , Helm A.Consistencies and inconsistencies in nurses' ethical reasoning. J Moral Educ1987; 16: 167-76.
12.
Christensen P.Multicultural competencies in early intervention: training professionals for a pluralistic society. Infants Young Child1992; 4(3): 49-57.
13.
Haffner L.Cross-cultural medicine: a decade later. West J Med1992; 157: 255-59.
14.
Andrews M., Boyle J.Transcultural concepts in nursing care, second edition. Philadelphia: Lippincott , 1995.
15.
Greipp M.Undermedication for pain: an ethical model. Adv Nurs Sci1992; 15(1): 44-53.
16.
Bishop A., Scudder J.The practical, moral, and personal sense of nursing. New York: State University of New York Press, 1990.
17.
AAN expert panel report: culturally competent health care . Nurs Outlook1992; 40: 277-83.
18.
Beauchamp TL , Childress JFPrinciples of biomedical ethics, third edition. New York: Oxford University Press , 1989.
19.
Huggins EA, Scalzi CCLimitations and alternatives: ethical practice theory in nursing. Adv Nurs Sci1988; 10(4): 43-47.
20.
Penticuff J.Conceptual issues in nursing ethics research . J Med Philos1991; 16: 235-58.
21.
Wenger AFCultural meaning of symptoms. Holistic Nurs Pract1993; 7(2): 22-35.
22.
Henderson DJ , Sampselle C., Mayes F., Oakley D.Toward culturally sensitive research in a multicultural society. Health Care Women Int1992; 13: 339-50.
23.
International Council of Nurses.Code for nurses, 1973. Geneva: International Council of Nurses, 1973.
24.
American Nurses' Association.Code for nurses with interpretive statements. Kansas City, MS: American Nurse' Association, 1985.
25.
Leininger M.Cultural care diversity and universality: a theory of nursing. New York: National League for Nursing Press , 1991.
