[Answered]: Please comment on how to intervene in a…

Please comment on how to intervene in a culturally appropriate manner Maria Gonzalez, an enthusiastic new graduate, argues heatedly with her nursing supervisor, certain that her persuasive, rational approach will win her case, if not the pure “rightness” of her cause. Located approximately 50 miles from a sophisticated urban university medical center is a rural Amish community. With frequent intermarriage has come some serious, but surgically correctable, cardiac defects among the offspring of the Amish. Members of the Amish community have become a familiar nursing “problem” for the staff of this large children’s hospital. Arriving in “unreasonably large groups”, several adults, adolescents girls, and younger children often come to visit Jeremiah, a 6-month-old with ventricular septal defect. The problem of overnight accommodation for the extended “family”, which includes members of the biological family as well as of the extended Amish community, has become a topic of lively debate among the nursing staff. Sensitive to the cultural practices and beliefs of the Amish child and his family, the new graduate begins her argument on behalf of the family’s right to adhere to Amish cultural practices. The supervisor listens impatiently as Maria argues her case for cultural sensitivity and quickly interrupts with her decisions. “These people are such nuisance. They don’t even know how to flush the toilets when they visit the hospital. This isn’t a hotel. They can just go back to their horse and buggies, outhouses, and old-fashioned ways. The answer is NO! The natural biological mother and father may spend the night. Everybody else is to go home. And that’s final.”