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you  are a nursing student in a BSN Program, currently enrolled in a  Leadership course. As part of your current immersion experience, you are  working with the charge nurse in the operating room. In pre-op on the  first day of this clinical experience, you observe an upset client  refusing to sign a surgery consent unless a small religious object could  accompany him and stay attached to his body. This object is a key  component of his cultural beliefs, and he will cancel the surgery if he  is unable to keep the religious object attached to his body. The charge  nurse states, “Let me check and see what we can do, I will need a bit of  time to collaborate with others and see if we can identify a solution.”  You observe the charge nurse gather a team of nurses in the pre-op area  and begin reviewing the policy and procedure manuals for the facility  to determine if a solution can be identified to allow the object to be  taken into the operating room. While the healthcare team was looking for  a solution, someone recommended that the object is wrapped in  non-conductive material, and applied to the client under a sterile  dressing. According to policy, this would work with Surgeon approval.


In  post-conference, you debrief with a faculty member and discuss this  powerful example of healthcare team members working together to support  and respect a client’s unique cultural needs and belief system. The  clinical faculty tells you to complete a clinical journal entry which  describes the process involved in this example of professional practice.  Include the following in your journal entry:

  • Explain how relational inquiry was applied in this situation to promote the process of clinical reasoning.       
    • From context and culture
    • Optimization of health and well-being
    • Collaborating across differences
  • Do you believe this action was appropriate, and why or why not?
  • Provide  a supporting argument to defend choice for appropriate or  non-appropriate response by the nurse and include personal biases.
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