Describe a pediatric patient and/or their family members that you have cared for who is deemed by healthcare professionals to be ‘difficult’.

Choose ONE of the following prompts to discuss:
1. Imagine that you are a nurse lobbyist at the legislature in your state, with a specific focus on child and teen health. The children in this state encompass a broad range of social determinants of health. You are asked to recommend state-wide health policies to improve the health of this population, along with corresponding engagement strategies to reach nurses in the state.
What would be the first pediatric policy that you would recommend? Please provide a rationale for your selection
How can you effectively reach nurses to encourage their action to promote the policy?
What are one or more reasons why many nurses do not engage in lobbying efforts?
2. Describe a pediatric patient and/or their family members that you have cared for who is deemed by healthcare professionals to be ‘difficult’.
To what extent do you think that cultural factors, e.g. beliefs, values and customs common to a group, might have been implicated in this situation?
What are one or more barriers to culturally competent care that are specific to the nurse relationship with pediatric patients?
List at least one strategy that a nurse can employ to overcome barrier(s) to cultural
competence with pediatric patients.

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