Environmental Control


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A thirty-year-old Hispanic male named David was admitted into the emergency room with a gunshot wound that resulted from a drive-by shooting in his

neighborhood. When David is stabilized, he is placed in an empty room with two beds at the end of the hallway. The staff in the hospital largely identify as

Caucasian. Only three staff in the hospital speak Spanish. The inability to communicate effectively and consistently results in a barrier between staff and

David and his family, which frustrates both parties involved in David’s treatment. Additionally, the police have continually come to question David to

determine his knowledge and role in the drive-by shooting. Due to the frequent police presence and David’s large group of predominately male visitors, the

staff begin to avoid David’s room. Except for admission, not one staff member has actually had a conversation with David. The manager of the hospital quickly

sees that David’s interactions with staff have deteriorated to an extent that David’s treatment is compromised.

The Giger-Davidhizar Transcultural Assessment Model (GDTAM) identifies six cultural phenomena that shape health care encounters in the context of diversity:

communication, space, social organization, time, environmental control, and biological variations. This model provides a framework for the provider’s cultural

assessment and can be used to enhance cultural responsiveness to diverse populations.

In your own words, identify, describe, and apply an example of each of these six identified phenomena in the GDTAM to David’s treatment. For each example,

relate how an intervention can be implemented to help increase the staff and hospital’s cultural responsiveness.

You can use the format below to construct your discussion board response:

  1. Communication – Define this element of the model. Now explain how you would intervene on David’s behalf to present yourself as a culturally aware and

competent staff member.

  1. Space – Define this element of the model. Now explain how you would intervene on David’s behalf to present yourself as a culturally aware and competent

staff member. (Do this for each of the remaining elements listed below.)

  1. Social Organization
  2. Time
  3. Environmental Control
  4. Biological Variations

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