Cognitive Assessment Skills to Overcome the Rebellious Attitude of Patients: An Exploratory Case Study Analysis of Aboriginal Patients
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Cognitive Assessment Skills to Overcome the Rebellious Attitude of Patients |
Managing patients' rebellious attitude is an exhausting issue that often raises questions on effective leadership skills among nurses in the healthcare profession. The research question "How Cognitive Assessment Skills can Help Nurses to Overcome Rebellious Attitude of Patients? An Exploratory Case Study Analysis of Aboriginal Patients" explore various issues that nursing staff faces in the Australian healthcare context. It is one of the primary responsibilities of the nursing staff to comply with patients’ needs by using their cognitive assessment skills to understand patients’ attitudes, perceptions and moods. This helps nursing staff to complete assessment plans concerning patients’ health. Gannotta et al. (2018) argue that the use of cognitive skills helps nursing staff to evaluate and understand different social, cultural, religious and personal attributes that serve as barriers between the nursing staff and patients. It is also a matter of concern that cognitive abilities among old age patients reduce and resulting in psychological pressure leading to a rebellious attitude among patients. Australian Agency of Clinical Innovation (2020) has introduced a standard of five different types of tools for accurate mapping of cognitive skills among Australian patients regardless of their social or cultural background.
This is quantitative research. The research question has been designed using PICO, the quantitative method to understand patient/population, intervention, comparison and outcome of the research. The application of the PICO framework has been done in the following manner.
P: Aboriginal patients are people like us, it is a matter of understanding their cultural, social and religious values while giving Aboriginal patients care services.
I: the primary intervention that has been focused on in this research is concerned with the accurate application of assessment tools to understand the cognitive level among patients. It has been tried to understand what causes the rebellious attitude among Aboriginal patients when services requirements are different from their cultural values.
C: Comparison aspect of PICO framework helps to understand the alternative options to overcome this issue that includes involving another care worker from the Aboriginal background who understand the Aboriginal culture well.
O: consultation with other professionals will help to resolve service-related issues and thus cognitive assessment improves for better future services to clients.
A focused observation and study of patients' attitudes (the use of cognitive assessment techniques) reveal that the application of cognitive assessment tools can help to reduce rebellious behaviour among patients. The application of DRS-R-98 is a useful option to understand the attitude and behaviour of older patients to improve care plans and to speed up the recovery process among patients. Zhuang et al. (2021) note that small scale problems sometimes lead to a higher level of abnormality that causes rebellious attitudes among patients.
This research focuses on using close-ended survey questions to generate data concerning the importance of cognitive issues and how cognitive assessment can be applied to reduce rebellious attitudes among patients. The aimed population size is 150 (participant nurses).
Summary
Social and cultural differences often create problems; especially among older patients. It is one of the challenging aspects of nursing job to deal with such issues using cognitive assessment techniques. The application of Australian Standards in this regard can decrease the burden on nursing staff. The right use of assessment mechanisms can help to overcome this challenge, especially when dealing with Aboriginal patients who have diverse cultural, social and religious values.References
Australian Agency of Clinical Innovation (2020). Cognitive screening tools. Care of Confused Hospitalised Older Persons (CHOPS). https://aci.health.nsw.gov.au/chops/chops-key-principles/undertake-cognitive-screening/cognitive-screening-toolsGannotta, R., Malik, S., Chan, A. Y., Urgun, K., Hsu, F., & Vadera, S. (2018). Integrative medicine as a vital component of patient care. Cureus, 10(8), e3098. https://doi.org/10.7759/cureus.3098
Zhuang, L., Yang, Y., & Gao, J. (2021). Cognitive assessment tools for mild cognitive impairment screening. Journal of Neurology, 268(5), 1615–1622. https://doi.org/10.1007/s00415-019-09506-7