Tag: culturally

Discuss the imperative for cultural competence in health care and culturally sensitive health intervention.

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Discussion Topic 1: I Foresee Great Things for You
Planning for the future is a major component for ensuring any healthcare organization is financially sound. Being a part of that future as a nurse entrepreneur is an exciting prospect. For this discussion, share with your colleagues in this course what you forecast for the future of healthcare finance and what role you might play in helping to build that future. Describe how you fit the profile of a nurse entrepreneur.
Please continue working on your project. You can inform your professor if you encounter difficulties, have questions, or need feedback.
Your Task:
Consider the following for this module:
Discuss the imperative for cultural competence in health care and culturally sensitive health intervention. How does self-awareness influence cultural competence? What factors should be considered when designing a health promotion program (e.g., to increase physical activity, reduce smoking, etc.) for your target cultural group? Your responses to these questions should be based firmly upon health behavior and/or health planning theory; a wonderful example of such is Airhihenbuwa’s PEN-3 Model. (Click here for a discussion of the PEN-3 Model.) Keep in mind that this is but one such model, which, incidentally, draws upon accumulated knowledge from the fields of cultural studies and health education.
Here’s an additional article describing an application of the PEN-3 model to a chronic disease: http://digitalscholarship.unlv.edu/cgi/viewcontent.cgi?article=1033&context=jhdrp
Please also look up another article that applies to the PEN-3 model as part of scholarly research.

 

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Synthesize knowledge from nursing the natural and social sciences mathematics and the humanities as the basis for providing culturally competent care within a diverse society.

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Using the Program Objectives as the outline, beginning with Program Objective 1: 
Identify the objective, considering the reason for having the objective within the framework of the nursing program. Do not use the objective as a heading; rather integrate the program objective into your narrative.
Use scholarly literature (theoretical and evidence-based journal articles) with appropriate citations to substantiate points made in your discussion of the objective. Why is this objective important to the School of Nursing curriculum? For instance, objective one is to use the UCF School of Nursing conceptual framework as a basis for professional nursing practice. Ask yourself: why is it important to use a conceptual framework as a basis for professional nursing practice? Then find literature to support why it is important, and use that as your scholarly literature. For objective one, you will not be discussing the conceptual framework, but rather why using a conceptual framework is important. Scholarly literature is NOT a substantiation of assignments completed in the program. It demonstrates the importance or reason for incorporating the objective into the curriculum. Discuss which of the AACN Essentials of Bacalaureate Education are met by this objective. Use exemplars from your papers, logs, care plans, BB Discussion Boards, clinical experiences, etc. to provide the evidence that you have accomplished each of the Program Objectives. * Explain your movement toward mastery of this objective throughout your course of study from your first semester on. 
 * Identify what you will need to do to continue to work on mastery of the objective. 
 Program Objectives: At the completion of the University of North Florida′s baccalaureate program in nursing, the graduate will: 1. Use the UNF School of Nursing conceptual framework as a basis for professional nursing practice. 2. Synthesize knowledge from nursing, the natural and social sciences, mathematics and the humanities as the basis for providing culturally competent care within a diverse society.

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What strategies may the RN use to provide culturally sensitive nursing care that reflects the patient/family health- illness beliefs and healthcare practices?

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What strategies may the RN use to provide culturally sensitive nursing care that reflects the patient/family health- illness beliefs and healthcare practices?

 

 

Scenario:

The RN is caring for a group of patients with two individuals who present a challenge in developing a therapeutic relationship. One is a 15-year-old male who experienced a head injury after being thrown from the back of an all-terrain vehicle (ATV). The patient was placed on a ventilator. On the third day of hospitalization he begins to be more responsive, opening his eyes on request and following the movement of people in the room. One of his parents attempts to stay with him all of the time. The other patient is an elderly woman who does not speak English as her primary language. She had just received a diagnosis where she will need to make serious decisions about her care. Her adult son wants to be her interpreter. There are some very personal questions the RN will need to ask during her assessment and is uncertain about the son™s involvement.

Initial Discussion Post:

Using the scenario above create a discussion post in response to the following:

Describe how the RN establishes a caring, therapeutic relationship with these patients.
Can the RN approach these situations in the same manner as with patients who are awake, alert, and speak the same language? Explain your answer.
What strategies may the RN use to provide culturally sensitive nursing care that reflects the patient/family health- illness beliefs and healthcare practices?
Name and explain which defense mechanism each family member may be using to cope with the stress described in the scenario.
What symptoms of anxiety or fear might the RN, expect to assess and be prepared to address?
Discuss how the RN knows therapeutic relationships have been established (i.e., what evaluation criteria are used to make this decision).
Base your initial post on your readings and research on this topi

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What was the most surprising thing you learned about culturally competent nursing care from watching the videos?

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There are many videos on the Web that demonstrate culturally competent nursing care. Explore your favorite video archive, such as YouTube, and watch some of these videos (you can use the keywords “cultural care nursing”).
Identify the videos you watched. Provide a list of the titles and the URL. In a 1-2 page Word document, answer the following questions about the video(s) you viewed.

What was the most surprising thing you learned about culturally competent nursing care from watching the videos?
What was the most interesting thing you learned about culturally competent nursing from watching the videos?
What are some challenges and/or barriers in being culturally competent in nursing practice?
In what ways did the videos provide you with an understanding about the relationship between cultural competence and client quality and safety?
After watching the videos, describe two areas of awareness you gained about being more open to cultural diversity in clients and populations?

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What is the value of a culturally competent healthcare organization and its staff?

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1. Cultural Diversity in Healthcare

Read over the information in The Provider’s Guide to Quality & Culture website and Chapter 3 of your course text. Provide a substantive 150 to 250 word initial post that fully answers the following questions:

  • How have the changing definitions of diversity affected healthcare management and the delivery of healthcare services?
  • What is the value of a culturally competent healthcare organization and its staff?  How would you measure cultural competence in your organization?
  • If you were in charge of an organization with low cultural competency and a highly diverse workforce, what programs would you implement for your organization and why?
  1. Healthcare Ethics and Law

A woman arrives at a suburban emergency room in active labor. Both she and her husband speak very little English. The staff determines that the mother (and baby) is uninsured and unable to pay for healthcare services out-of-pocket. The baby is showing signs of distress and needs to be delivered. The on-call OB-GYN physician refuses to come to the hospital. He recommends that the patient be transferred to another facility.  Provide a substantive 150 to 250 word initial post that fully answers the following questions:

  • What ethical principles relate to this case scenario?
  • What legal principles relate to this scenario?
  • What might the legal consequences be to the health care organization if there is a delay in treatment?

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How does the nursing metaparadigm impact the implementation of culturally proficient nursing care?

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How does the nursing metaparadigm impact the implementation of culturally proficient nursing care?

Submission Instructions:
Your initial post should be at least 500 words, formatted and cited in proper APA style with support from at least 2 academic sources. Your initial post is worth 8 points.
You should respond to at least two of your peers by extending, refuting/correcting, or adding additional nuance to their posts. Your reply posts are worth 2 points (1 point per response.)
All replies must be constructive and use literature where possible.
Please post your initial response by 23:59 Thursday, and comment on the posts of two classmates by 23:59 Sunday.
You can expect feedback from the instructor within 48 to 72 hours from the Sunday due date.

Grading Rubric

Your assignment will be graded according to the grading rubric.

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nursing standards and ethical principles to provide spiritually and culturally appropriate care.

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This week’s graded topics relate to the following Course Outcomes (COs).

CO 4: Evaluate the delivery of care for individuals, families, aggregates, and communities based on theories and principles of nursing and related disciplines. (PO 1)
CO 7: Apply professional nursing standards and ethical principles to provide spiritually and culturally appropriate care. (PO 6)
CO 8: Demonstrate effective communication strategies and teamwork in managing the healthcare of individuals, families, aggregates, and communities. (PO 3)
Discussion
Locate a news article or story related to a current event in healthcare policy. Some examples may be, but are not limited to healthcare reform, the Affordable Care Act, prescription drugs, healthcare costs, insurance coverage, healthcare fraud, transparency, or underinsured populations.

Provide a brief overview of the article, and include the URL link.
As a healthcare professional, has this raised any ethical questions or concerns for you?
How can a community health nurse (CHN) be involved as a change agent for related healthcare policies?
Professor’s comment: Hello Class,

This week, we will be exploring healthcare policy. Please consider the below questions when formulating your response.

Have any of your views changed about healthcare policy based on what you have learned? Did you find you had any misconceptions (positive or negative)?
How can CHNs ensure that all cultural groups in their community understand important healthcare policies?
How is your community impacted by current healthcare practices?

References: American Psychological Association. (2010). Publication manual of the American Psychological Association (6th ed.). Washington, DC: Author.

Nies, M. A., & McEwen, M. (2019). Community/public health nursing: Promoting the health of populations (7 ed.). St. Louis, MO: Elsevier.

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Perform a culturally competent nursing assessment.

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Course Project, Transcultural Assessment, Milestone 2: Guide and Questions (graded, 200 points)

Updated 9/2018

Purpose

The purpose of the Course Project is to give the student the opportunity to apply concepts in transcultural nursing by performing a transcultural nursing assessment. The purpose of Milestone 2 is to develop an assessment guide utilizing open-ended questions that will encourage participation by the individual.

Course Outcomes

The completion of the Course Project enables the student to meet the following Course Outcomes.

CO1: Identify theories, concepts, and beliefs related to transcultural nursing. (PO1)

CO2: Communicate effectively with culturally diverse individuals, families, and organizations. (PO3)

CO4: Perform a culturally competent nursing assessment. (PO3)

Points

The entire project is worth 600 points. Milestone 2 is worth 200 points of this total.

Due Dates

You are to submit your completed NR394 Milestone 2 by Sunday, 11:59 p.m. MT, at the end of Week 4.

Requirements and Guidelines

1. Review the Course Outcomes for this assignment, which are listed above.

2. Review the best practices in Introduction & Resources and Course Project Overview in Canvas.

3. Research your individual’s cultural background prior to developing questions. Think about the impact the culture of origin has on the individual’s physical health; that is, what illnesses and conditions are prevalent in this culture? What are commonly held beliefs about health in the individual’s culture of origin that could influence the individual’s perception of healthcare and health practices in the current culture/community?

4. Refer to Appendix A in your text and select five (5) categories upon which you will concentrate for your assessment guide and questions. Thoroughly review each of the categories, and think about your individual.

5. Develop an assessment guide and questions with specific initial and follow-up questions. Include questions that reflect a thorough understanding of the categories (Appendix A) that you selected about the influence culture may have on the individual’s health and well-being.

6. Review the Differences Between Closed and Open-Ended Questions document (Links to an external site.). Use the suggestions as you formulate/propose your initial and follow-up questions.

7. Download the Milestone 2 assessment template (Links to an external site.) embedded in these guidelines.

8. Fill in information using the template. This does not require APA formatting; however, you are expected to write clearly and use proper grammar and spelling. The template is expandable to accommodate your typing.

9. Submit the completed template to the Milestone 2 assignment page by Sunday of Week 4 at 11:59 p.m. MT.

10.Prior to submission of Milestone 3, revise the Assessment Guide and Questions based on instructor feedback.

Note: Do not schedule the assessment to occur until after midnight on Friday of Week 5 to allow your instructor time to grade this Milestone unless you have obtained special permission from your instructor. Do not perform the assessment until after midnight on Friday of Week 5 for the same reason. If the individual’s schedule requires that you conduct the assessment before this day and time, consult your instructor regarding early submission of Milestone 2 (Assessment Guide and Questions) to ensure that you receive comments and incorporate revisions/suggestions in your assessment. Make sure you obtain your instructor’s permission before proceeding.

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Providing Culturally Competent Nursing Care

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Providing Culturally Competent Nursing Care.

 

Book: Weber, J.R. & Kelley, J.H. (2018). Health assessment in nursing (6th ed.). Philadelphia, PA: Wolters Kluwer. This week’s graded topics relate to the following Course Outcomes (COs). (CO #1) – Utilize prior knowledge of theories and principles of nursing and related disciplines to explain expected client behaviors, while differentiating between normal findings, variations, and abnormalities. (PO #1) (CO #2) – Recognize the influence that developmental stages have on physical, psychosocial, cultural, and spiritual functioning. (PO #1) (CO #3) – Utilize effective communication when performing a health assessment. (PO #3) This week you have your choice of three discussion topics! Select the one that most interests you and answer the corresponding questions completely.

Remember to reference both the book or lesson, and an outside scholarly source. Option #1: You are the nurse assessing an Orthodox Jewish client with peptic ulcer. The client is strictly religious and refuses to eat the food provided at the health care facility. Describe how you would further assess and provide care for this client. What steps could you take to increase your cultural competence, if you were not familiar with this faith? Option #2: You are the nurse caring for a client with Crohn’s disease. The client believes he is being punished by God. The client is spiritually distressed and cannot come to terms with the illness. How would you respond to this client? What are some identified risk factors for spiritual distress, and recommended interventions? Option #3: Describe a time in your clinical nursing practice when you have cared for a client of cultural, religious, or spiritual practices different from your own. What were some of the challenges you faced caring for this client? What steps did you take (or could you have taken) to ensure the patient received culturally/spiritually competent care?

Providing Culturally Competent Nursing Care

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Identify four (4) guidelines the registered professional nurse may use to enhance the ability to provide culturally competent nursing care. Provide one example the culturally competent nurse applies to each of the four (4) selected guidelines. At least one example must address care of patient(s) not occurring in an acute care hospital.

Posted on | by KN Simon

Identify four (4) guidelines the registered professional nurse may use to enhance the ability to provide culturally competent nursing care. Provide one example the culturally competent nurse applies to each of the four (4) selected guidelines. At least one example must address care of patient(s) not occurring in an acute care hospital..

culturally sensitive nursing care

culturally sensitive nursing care

Project description
Using APA format, write a six (6) to ten (10) page paper (excludes cover and reference page) that examines culturally sensitive nursing care. The paper consists of two (2) parts and must be submitted by the close of week six (6).

A minimum of three (3) current professional references must be provided. Current references include professional publications and valid websites dated within five (5) years. Additionally, a textbook that is no more than one (1) edition old may be used.

Part 1 Introduction

Address the following:

Using your own words, define culturally competent nursing care. Support your definition with a professional literature citation.
Identify four (4) guidelines the registered professional nurse may use to enhance the ability to provide culturally competent nursing care. Provide one example the culturally competent nurse applies to each of the four (4) selected guidelines. At least one example must address care of patient(s) not occurring in an acute care hospital.
Describe how the registered professional nurse evaluates if the patients cultural needs have been met.
Describe whether cultural practices must be accommodated in all aspects of health care. Provide a specific example and rationale to support your response.
Part 2- Demonstrating Culturally Competent Nursing Care

Address the following:

Select one of the following cultures and focus on the direct caregiving role of the RN at the bedside:
Asian
Native American
Hispanic
Select four (4) cultural features, associated with the selected culture that influence the provision of nursing care for patients with chronic illness and at the end of their lives. Describe how the four (4) cultural features influence the provision of care to the patients. At least one (1) feature must address chronic illness and at least one (1) feature must address end of life care.
Provide a total of four (4) nursing interventions that demonstrate nursing care, which reflect the respect for the dignity and uniqueness of those cultural features for patients experiencing chronic illness (2 interventions) and at the end of their lives (2 interventions).

Compose your work using a word processor (or other software as appropriate) and save it frequently to your computer. Use a 12 font size, double space your work and use APA format for citations, references, and overall format. Information on how to use the Excelsior College Library to help you research and write your paper is available through the Library Help for AD Nursing Courses page. Assistance with APA format, grammar, and avoiding plagiarism is available for free through the Excelsior College Online Writing Lab (OWL). Be sure to check your work and correct any spelling or grammatical errors before you submit your assignment.

You are required to submit your paper to Turnitin (a plagiarism prevention service) prior to submitting the paper in the course submission area for grading. Access is provided by email to the email address on record in your MyExcelsior account during week 2 of the term. Once you submit your paper to Turnitin check your inbox in Turnitin for the results. After viewing your originality report correct the areas of your paper that warrant attention. You can re-submit your paper to Turnitin after 24-hours and continue to re-submit until the results are acceptable. Acceptable ranges include a cumulative total of less than 15% for your entire paper, and no particular area greater than 2% (excluding direct quotes and/or references).

See the videos below for instructions on how to submit your paper to Turnitin and view your Originality Report.
Video Submitting a Paper
Video Viewing Your Originality Report

When youre ready to submit your work for grading, click Browse My Computer and find your file. Once youve located your file click Open and, if successful, the file name will appear under the Attached files heading. Scroll to the bottom of the page, click Submit and youre done.

This activity will be assessed according to the NUR109 M6A3: Cultural Competence: Registered Professional Nurse Responsibility Paper Rubric.

Identify four (4) guidelines the registered professional nurse may use to enhance the ability to provide culturally competent nursing care. Provide one example the culturally competent nurse applies to each of the four (4) selected guidelines. At least one example must address care of patient(s) not occurring in an acute care hospital.

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