Culture in Nursing

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Question 1

Culture influences the health practices and attitudes of patients by providers and patients. Therefore, to become a culturally competent nurse, one has to integrate knowledge, attitude and skills in supporting and caring for people across different cultures. Knowledge is the cognition of culture base of people of different cultures including their traditions and values. Understanding other people’s culture helps understand how they view illnesses and its different treatment modalities (Chae & Park, 2019). While knowledge is important, there is need for a right attitude for it to translate into culturally competent care.

The adoption of a culturally competent attitude comes from understanding and getting knowledge. For knowledge to be effective, it must be accompanied by the right attitude. Further, the awareness allows the nurse to better understand the attitudes of their patients. When a nurse is aware of their own attitudes, such as stereotypical tendencies, they can change them to offer genuine care and concern (Jernigan et al., 2016). Finally, with the right knowledge and attitude, a nurse gets to develop culturally competent skills. Development of skills means learning how to communicate to patients in a way that makes them understand care plan. The development of culturally competent skills requires a right attitude and knowledge from the nurse (Andres & Bolye, 2016). Therefore, for culturally competent patient care to be provided, the complex interaction between knowledge, attitude and practices must be present.

Question 2

The first step towards delivery of culturally congruent and competent care for clients from a variety of backgrounds is developing awareness and avoiding making assumptions of cultures that one is not familiar with. The awareness of the need for culturally competent care is necessary to help avoid making assumptions. The second step is to learn about other cultures which are related to patients. A nurse should learn about the community that he/she interacts with in order to get immersed in them (Marion et al., 2016). Thirdly, the nurse should build trust and rapport with patients regardless of their cultural backgrounds.

The fourth step is to overcome language barriers that may affect exchanges with the patients. Language may be a significant barrier to effective interactions with patients (Andres & Bolye, 2016). Finally, active listening and patient education is necessary in delivering culturally competent care. This involves a due consideration of the concerns and needs of patients and regard for their cultural diversity.

Question 3

Cultural baggage refers to attitudes, expectations, judgments and patterns of thinking that people carry from their home cultures which influence or hinder their transcultural encounters.

Ethnocentrisms refers to a condition where an individual the cultures of others according to preconceptions that originates from the standards and contexts of their own culture. In other words, it is judging other people’s cultures with the view that one’s own culture is superior.

Cultural imposition refer to believe by an individual or a group that their culture is dominant causing them to impose their values and behavior patterns on to others.

Prejudice is a preconceived affective feeling towards a person based on membership to a certain group that is not based on actual experience or reason.

Discrimination refers to treatment of people differently after categorizing them into groups based on gender, race, sex, age and other characteristics.

Question 4

While individual cultural competence applies to an individual nurse, organizational cultural competence applies to an agency, system or a group of professionals. Individual cultural competence refers to the state where an individual nurse is capable of functioning effectively in the context of cultural diversity. On the other hand, organizational cultural competence refers to a set of skills for practice, policies, and even structures that come together in a system, or agency among professionals that allow the agency or system to work in an effective manner in culturally different cultures (Chae & Park, 2019). This highlights different people being affected. 

The elements of individual and organizational cultural competence also vary. First, while at individual level cultural competence involve awareness and acceptance of differences, at organizational level it involves valuing diversity among members. Also, where there is understanding of the dynamics of differences in at individual level, there is management of dynamics of differences at organizational level.

References

Andres, A.M. & Bolye, J.S. (2016). Transcultural Concepts in Nursing Care (7th ed.). ISBN 978-1-4511-9397-8

Chae, D., & Park, Y. (2019). Organisational cultural competence needed to care for foreign patients: A focus on nursing management. Journal of nursing management, 27(1), 197-206.

Jernigan, V. B. B., Hearod, J. B., Tran, K., Norris, K. C., & Buchwald, D. (2016). An examination of cultural competence training in US medical education guided by the tool for assessing cultural competence training. Journal of health disparities research and practice, 9(3), 150.

Marion, L., Douglas, M., Lavin, M., Barr, N., Gazaway, S., Thomas, L., & Bickford, C. (2016). Implementing the new ANA standard 8: Culturally congruent practice. Online Journal of Issues in Nursing, 22(1).

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Epidemiology of health and illness

Define epidemiology and identify the epidemiological models used to explain disease and health patterns in populations.

  How can you apply the epidemiological methods to describe the stated of health in the community or aggregate?

 Mention and analyze the factors that have contributed to the failure of health planning legislation to control health care costs.

 Compare and contrast Freire’s approach to health education with individualistic health education model.

Research Design

How do the sampling methods and sample sizes vary for the different types of quantitative and qualitative research?


 Hypothetically, what sampling method would you use to conduct a study of your selected evidence-based practice problem/topic? Why?

 How would you determine the sample type and size?


Responses need to address all components of the question, demonstrate critical thinking and analysis, and include peer reviewed journal evidence to support the student’s position.

Please be sure to validate your opinions and ideas with citations and references in APA format.

The initial discussion response should be in the range of 250-300 words.

COMMUNITY NURSING

Epidemiology of Health and Illness.

Community Health Planning

Implementation and evaluation 


Review attached power points Ch. 5, 7 and 8. Once done answer the following questions.


  Define epidemiology and identify the epidemiological models used to explain disease and health patterns in populations.

  How can you apply the epidemiological methods to describe the stated of health in the community or aggregate?

 Mention and analyze the factors that have contributed to the failure of health planning legislation to control health care costs.

 Compare and contrast Freire’s approach to health education with individualistic health education model.


As stated in the syllabus present your assignment in an APA format word document, APA required font

A minimum of 2 evidence-based references (besides the class textbook) no older than 5 years must be used. 

A minimum of 800 words is required and not exceeding 1,000 words (excluding the first and reference page). Please make sure to follow the instructions as given and use either spell-check or Grammarly before you post your assignment.


Due dates: Assignment – Wednesday, May 13, 2020, at 11:59 PM in the discussion tab of the blackboard, and in the SafeAssign exercise in the assignment tab of the blackboard.

Nursing theory

,"According to literature by Masters (2015), there are several key terms that will become beneficial for you to understand:


Assumptions                                                             

 Clarity

 Concept

 Conceptual Model

 Derivable consequences

 Empirical Precision

 Environment

 Generality

Health               

 Human Being (Person)

 Metaparadigm

 Nursing

 Philosophies of nursing

 Simplicity

 Theory

 Worldview


Masters (2015) has illustrated that conceptual models and nursing theories are specific to our profession. Please be aware that there are non-nursing models that have influenced our profession. There was some thought alteration regarding the theoretical thought process of the nursing profession. As you know our discipline has foundations stemming from physiological, biological, and social sciences.

Please review this video on The Foundations of Theory accessible by the following link: https://www.youtube.com/watch?v=NZdJXohU3-U

Some of the theories that are highlighted include:


 General Systems Theory

 Social Cognitive Theory

 Stress and Coping Theory

 General Adaption Syndrome


Nurses have adopted or extracted concepts from these theories and have incorporated them into their foundations (Masters, 2015).

There is a large range of nursing theorist and their theories expand across classifications of Grand Nursing Theories, Middle Range Theories, and Practice Level Theories. Their models cover academic discipline, research, and professional issues. In a review of choosing, evaluating and implementing nursing theories for practice, please access and review the following link regarding nursing theorists and theories. Here you will find useful information regarding our class topic.

Nursing Theories and Theorist

https://nurseslabs.com/nursing-theories/ 

Florence Nightingale

Classified as an early theorist, Florence Nightingale developed the environmental theory. Her theory consisted of thirteen canons. If you take a moment to review these thirteen canons, you can see how they apply both directly/indirectly to our nursing care today. This is a primary example of how theory supports our practice.

Please take a moment to review Nightingale’s Environmental Model of Caring in her textbook as you prepare for your class discussion that is due January 18, 2020. Please feel free to reach out if you have any questions.

References    

“Foundations of Theory.” (2014, March 13). Retrieved January 12, 2020, from https://www.youtube.com/watch?v=NZdJXohU3-U. 

Masters, K. (2015). Nursing theories: A framework for professional practice. Sudbury, MA: Jones & Bartlett Learning.

Wayne, G. (2020, January 2). Nursing Theories and Theorists: An Ultimate Guide for Nurses. Retrieved from https://nurseslabs.com/nursing-theories/.Discussion 





Question #1

Please make certain that you follow all grading rubrics and assignment requirements. Initial posts should be 250 words and responses should be at least 150 words. A reference should support your statement. 

This is a two-part discussion question


Based on your nursing practice specialty, which nursing theorist/theory might align with your current career.


Nightingale considered the discipline of nursing to be both an art and a science, Do you agree or disagree? Why?

The interpretation of research in health care is essential to decision making

. By understanding research, health care providers can identify risk factors, trends, outcomes for treatment, health care costs and best practices. To be effective in evaluating and interpreting research, the reader must first understand how to interpret the findings. You will practice article analysis in Topics 2, 3, and 5.

For this assignment:                                                                                                                                                                      

Search the GCU Library and find three different health care articles that use quantitative research. Do not use articles that appear in the Topic Materials or textbook. Complete an article analysis for each using the ""Article Analysis 1"" template.

Refer to the ""Patient Preference and Satisfaction in Hospital-at-Home and Usual Hospital Care for COPD Exacerbations: Results of a Randomised Controlled Trial,"" in conjunction with the ""Article Analysis Example 1,"" for an example of an article analysis.

While APA style is not required fr the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

The Intervention and Assessment Models Chapter 4

- Tools of the Trade,"BOOK ISBN: 978-1-305-27147-0


very important all comes from the book !!!!




Chapter 3 - The Intervention and Assessment Models

Chapter 4 - Tools of the Trade


Question(s): Case of Elizabeth. 

Ana is a 45-year-old white female who is recently divorced. She is not doing well in her love life and comes to you to get some immediate help. She expresses feeling sad most of the time with suicidal ideation. She looks unkempt, sad, and has a hard time putting words together.  

1. Of the nine intentional strategies depicted in your book, which ones are the most important ones in this situation(mention 3 in the order of priorities) 

2. Why are those the most important? (explain and justify your answer)


Guidelines :The answer should be based on the knowledge obtained from reading the book, no just your opinion. If there are 2 questions in the discussion, you must answer both of them. Your grade will be an average of both questions (50% each question). First question: Mention the adequate strategy for this case scenario (50%). Second part of this question: explain / justify your answer (50%).

Alternative herbal medicine to treat insomnia

Power Point Presentation 

Assigned student for this week for presentation              

This will be done weekly and according to what we will be studying for that week, and will begin Week 2, and end Week 9.

Each student will be responsible for preparing one presentation on pharmacological management of the disease or pharmacological applications of a drug or group of drugs.


 Each student will clearly write a title for this topic. Examples are ‘Pharmacological Management of Deep Vein Thrombosis and/or Pulmonary Embolisms Using Anticoagulants/Thrombolytics and Nursing Implications’ or ‘Pharmacological Effects of Anti-hypertensive Medications in the Management of Hypertension and Nursing Implications’.

   

     Nursing Implications are the nursing related consequences and what you as the nurse should be looking for in the treatment and care of your patient.

   

 

 Students must get their title approved by the professor before the deadline shown in your schedule. Unapproved titles will not be accepted

 The presentation must identify the Pharmacodynamic properties and actual/potential effects on the patient.

 This is worth 20 points

Tympanic Membrane and Thyroid Gland

Using the classroom resources or South University Online Library, research the tympanic membrane and the thyroid gland. In a Microsoft Word document of 4-5 pages formatted in APA style, address each of the following criteria.


 Two focused health assessment histories

   

     One assessment related to the tympanic membrane and the other focused on the thyroid gland.

     The assessments can be hypothetical patients or patients you have had in the past (remember HIPAA if you are describing a previous patient).

   

 

 A description of the normal and abnormal findings of the tympanic membrane.

 Information on how to examine the thyroid gland using both the anterior and posterior methods.

 A concise note in the subjective, objective, assessment (be sure to include the NANDA diagnosis as well as the medical diagnosis), and plan (SOAP) format with each patient's encountered findings.

   

     For a review of SOAP notes:

     SOAP Documentaion

   

 

 Information about laboratory/diagnostic tests used for screening clients with tympanic membrane or thyroid gland issues.

   

     Include the expected normal results for each test.

   

 


On a separate references page, cite all sources using APA format. Please note that the title and reference pages should not be included in the total page count of your paper.


 Use this APA Citation Helper as a convenient reference for properly citing resources.

 This handout will provide you the details of formatting your essay using APA style.

 You may create your essay in this APA-formatted template.

Policy/Regulation Fact Sheet

As a professional nurse, you are expected to apply your expertise to patient care. On occasion, you will also be expected to share that expertise.

With evolving technology and continuous changes to regulations designed to keep up these changes, there is usually a need to share information and expertise to inform colleagues, leadership, patients, and other stakeholders.

In this Assignment, you will study a recent nursing informatics-related healthcare policy, and you will share the relevant details via a fact sheet designed to inform and educate.

To Prepare:                                                                               


 Review the Resources on healthcare policy and regulatory/legislative topics related to health and nursing informatics.

 Consider the role of the nurse informaticist in relation to a healthcare organization’s compliance with various policies and regulations, such as the Medicare Access and CHIP Reauthorization Act (MACRA).

 Research and select one health or nursing informatics policy (within the past 5 years) or regulation for further study.


The Assignment: (1 page)

Create a 1-page fact sheet that your healthcare organization could hypothetically use to explain the health or nursing informatics policy/regulation you selected. Your fact sheet should address the following:


 Briefly and generally explain the policy or regulation you selected.

 Address the impact of the policy or regulation you selected on system implementation.

 Address the impact of the policy or regulation you selected on clinical care, patient/provider interactions, and workflow.

 Highlight organizational policies and procedures that are/will be in place at your healthcare organization to address the policy or regulation you selected. Be specific.