permission. This will empower the patient and validate that his voice matters. Listening attentively and allowing for the patient to finish rather than correcting or speaking for him and using open ended questions will allow for more information such as feelings and understanding of the subject to emerge. If the patient comes alone, eliciting formal and informal social support information is important to forming practical treatment plans. Gathering educational
background, literacy, and cultural preferences also offers a bridge to understanding the goals of the patients and his significant other’s. In a descriptive ‐ correlational study, the purpose was to analyze relationships between cultural mistrust, medical mistrust, and racial identity and to predict patient satisfaction among African American adults who are cared for by primary ‐ care nurse practitioners using Cox's Interaction Model of Client Health Behaviors. The conclusion was, “participants simultaneously held moderate cultural mistrust of European American providers and mistrust of the health care system, and high levels of trust and satisfaction with their nurse practitioners. One racial identity schema (conformity) and trust of nurse ‐ practitioner (NP) providers explained 41% of variance in satisfaction” (Benkert, Hollie, Nordstrom, Wickson, & Bins-Emerick 2009). There is also a link between the Tuskegee Syphilis Study and its effect on the trust of many African Americans of the health system especially those living in urban areas. With this in mind, I will do my best to gain his trust, be aware of any nonverbal communication, and address all of his questions and apprehensions.
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- Fall '18