a The medical unit staff of an acute care hospital includes several RNs who have
a The medical unit staff of an acute care hospital includes several RNs who have worked on this unit for more than 10 years. In addition to caring for high-acuity patients, the nurses on the medical unit have also seen a change in the cultural makeup of the staff. The hospital has recently hired six new RNs from various ethnic backgrounds: two Middle Eastern nurses, one Chinese nurse, one Korean nurse, one Hispanic nurse, and one male nurse from Nigeria. All the nurses were trained outside the United States and were successful in passing the NCLEX-RN examination. Although all the nurses have taken additional classes and training, this is their first full-time job in the acute care setting. After going through the regular hospital orientation, the nurses are assigned to work on the day and evening shifts. After 2 months, three of the female nurses are having great difficulty working on the medical unit. Several of the regular RNs are complaining that the new nurses are not as competent and that they do not know how to relate with the staff and with the patients. Several staff members have asked to be transferred to another unit. In the clinical setting, it is important to become aware of cultural communication (tone of voice, use of words, gestures, touch, nonverbal communication) with staff and peers. *Identify cultural beliefs and values seen among peers and staff in the clinical setting. Discuss clinical examples and the implications related to health care delivery.

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