Week 11 lecture and discussion questions
Attached Files:
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Culture, Family, and Community.
Review the attached PowerPoint presentation. Once done,
1. Define Culture, Family, and Community and discuss how they are related.
2. Mention and discuss what cultural concepts will you use to provide nursing care to families, communities and, aggregates.
3. Mention and discuss potential health problems in refugees and immigrant populations.
4. Mention and discuss interventions that are culturally sensitive and relevant to address the health concerns of a refugee population.
INSTRUCTIONS:
As stated in the syllabus present your assignment in an APA format word document, Arial 11 font attached to the forum in the discussion tab of the blackboard titled “Week 11 discussion questions” and the SafeAssign exercise in the assignment tab of the blackboard. It is mandatory to post your assignment in the SafeAssign exercise. If the assignment is not posted there, I will grade the assignment as 0. A minimum of 2 evidence-based references besides the class textbook no older than 5 years must be used and quoted.
A minimum of 800 words is required. Please make sure to follow the instructions as given and use either spell-check or Grammarly before you post your assignment. Please review the rubric attached in lecture You must present the assignment according to how it is posted, answering the questions by number, essay-style assignments will not be accepted unless otherwise specified.
Chapter
1
1:
Culture, Family, and Community
Copyright © 2016 Wolters Kluwer Health | Lippincott Williams & Wilkins
Copyright © 2016 Wolters Kluwer • All Rights Reserved
1
Community-Based Settings #1
An understanding of culture and cultural concepts contributes to the nurse’s knowledge and facilitates culturally competent nursing care in community-based settings.
Nurses are moving from acute care to community-based settings.
Copyright © 2016 Wolters Kluwer • All Rights Reserved
2
Community-Based Settings #2
Concepts such as partnership, collaboration, empowerment, and facilitation now form the basis for community-based nursing practice with individuals, families, and aggregates in the community.
An aggregate is a collection of people who can be thought of as a whole simply because they happen to be in the same place at the same time.
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3
Community-Based Settings #3
Community-based collaborative action research (CBCAR) is an approach for nurses to partner with communities to address health issues.
Care that is not congruent with the client’s value system is likely to increase the cost of care because it compromises quality and inhibits access to services.
Copyright © 2016 Wolters Kluwer • All Rights Reserved
4
Overview of Culturally Competent Nursing Care in Community Settings
The use of cultural knowledge in community-based nursing practice begins with a careful assessment of clients and families in their own environments.
Cultural data are discussed with the client and family to develop mutually shared goals.
Nurses must take into account the diverse cultural factors that will motivate clients to make successful changes in lifestyle and behavioral modifications.
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5
A Transcultural Framework
Cultural/social/ecological approach:
Nursing focus is on the community as client.
A cultural/social/ecological framework facilitates a view of the community as a complex collective yet allows for diversity within the whole.
Assists the nurse to identify values and cultural norms of a community.
Copyright © 2016 Wolters Kluwer • All Rights Reserved
6
Question #1
Is the following statement true or false?
The goal of practicing in a culturally sensitive manner is to provide care that the client, family, and health care providers are in agreement with.
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7
Answer to Question #1
True
Rationale: The use of cultural knowledge in community-based nursing practice begins with a careful assessment of clients and families in their own environments. Cultural data that have implications for nursing care are selected from clients, families, and the environment during the assessment phase and are discussed with the client and family to develop mutually shared goals.
Copyright © 2016 Wolters Kluwer • All Rights Reserved
8
Cultural Issues in Community Nursing Practice #1
Cultural influences on individuals/families:
Family roles, communication, decision making
Health beliefs/practices, alternative therapies
Patterns of daily living
Social networks
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9
Cultural Issues in Community Nursing Practice #2
Cultural influences on individuals/families (cont.):
Identification with a cultural group, language
Nutritional practices
Religious preferences
Culturally appropriate behavior styles
Copyright © 2016 Wolters Kluwer • All Rights Reserved
Cultural Issues in Community Nursing Practice #3
Cultural factors within communities:
Influence of demographics on health care; the United States is more diverse; morbidity/mortality rates
Subcultures in the United States and diversity within them
Refugee and immigrant populations, asylees
Dinka community
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11
Cultural Issues in Community Nursing Practice #4
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12
Cultural Issues in Community Nursing Practice #5
Cultural factors within communities (cont.):
Maintenance of traditional cultural values and practices, assimilation, acculturation, integration
Access to health and nursing care for diverse cultural groups :
Economic status
Discriminatory factors
Geographic location
Copyright © 2016 Wolters Kluwer • All Rights Reserved
Question #2
Is the following statement true or false?
Assimilation and acculturation can be defined as the process by which individuals shed their traditional culture and lifestyle and embrace and adapt to their new culture—something all successful immigrants and refugees experience.
Copyright © 2016 Wolters Kluwer • All Rights Reserved
14
Answer to Question #2
False
Rationale: The terms assimilation and acculturation refer to ways in which immigrants and refugees adapt and change over time. These terms may imply giving up one’s traditional culture for the dominant culture. Integration, incorporating some aspects of the new culture while maintaining cultural traditions and values, may better describe a successful immigrant or refugee experience.
Copyright © 2016 Wolters Kluwer • All Rights Reserved
15
Assessment of Culturally Diverse Communities #1
The community nursing assessment often focuses on a broad goal, such as improvement in the health status of a group of people.
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16
Assessment of Culturally Diverse Communities #2
Basic Principles of Cultural Assessments:
1. All cultures must be viewed in the context in which they have developed.
2. The meaning and purpose of the behavior must be interpreted within the context of the specific culture.
3. There is such a phenomenon as intracultural variation.
Copyright © 2016 Wolters Kluwer • All Rights Reserved
17
Assessment of Culturally Diverse Communities #3
Cultural competence in health maintenance and health promotion:
Cultural competence in community settings begins with anticipatory planning.
Cultural sensitivity, the ability to be aware of the needs and emotions of others, is essential to meeting health needs that exist within diverse cultural groups.
Copyright © 2016 Wolters Kluwer • All Rights Reserved
18
Assessment of Culturally Diverse Communities #4
Cultural competence in health maintenance and health promotion (cont.):
Requires knowledge about:
Family systems
Coping behaviors
Lifestyle practices
Copyright © 2016 Wolters Kluwer • All Rights Reserved
Assessment of Culturally Diverse Communities #5
Cultural competence in primary, secondary, and tertiary preventive programs:
The major aim of community-based preventive programs is to reduce the risk for the population at large, rather than to prevent illnesses in specific individuals.
In their daily practice, community nurses are often involved in activities related to all three levels of prevention.
Copyright © 2016 Wolters Kluwer • All Rights Reserved
20
Assessment of Culturally Diverse Communities #6
Cultural Competence in primary, secondary, and tertiary preventive programs (cont.):
Primary—prevent the occurrence of an illness, disease, or health risk
Secondary—early diagnosis and appropriate treatment of a condition or disease
Tertiary—rehabilitation and the prevention of recurrences or complications
Copyright © 2016 Wolters Kluwer • All Rights Reserved
21
Question #3
The community health nurse should target certain high-risk behaviors for change during pregnancy, such as smoking, using drugs, consuming alcohol, and maintaining poor nutritional habits. Which of the following levels of prevention does this demonstrate?
Primary
Secondary
Tertiary
Assessment
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22
Answer to Question #3
A. Primary
Rationale: A program of primary prevention would focus on preventing infant morbidity and mortality and other health problems in mothers and their infants.
Early prenatal care may enhance pregnancy outcome and maternal health by assessing risk, providing health advice, and managing chronic and pregnancy-related health conditions.
Copyright © 2016 Wolters Kluwer • All Rights Reserved
23
· Name
DQ Rubric 2019
· Description
· Rubric Detail
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|
Levels of Achievement
|
|
Criteria
|
Proficient
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Competent
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Novice
|
|
Introduction and quality of discussion’s Argument
Weight 60.00%
|
100.00 %
It is consistent with application in research related to its context. Clarity of ideas. Comprehensive, in-depth and wide ranging.
|
70.00 %
The topic has a partially weak association to clarity of ideas and related topic. Relevant but not comprehensive.
|
15.00 %
Unable to address any part of the question and/or topic. Little relevance/some accuracy.
|
|
Objectivity of Tone, overall quality & Review of Literature in APA 6th format within past 7 years
Weight 10.00%
|
100.00 %
Tone is consistent, addressed professionally and objectively. Evidence in literature supports arguments.
|
70.00 %
The tone is not consistently objective. Some observations, some supportive evidence used.
|
15.00 %
No objectivity in tone. No evidence of literature review provided. Lacks evidence of critical analysis, poor to no use of supportive evidence.
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|
Grammar / Writing Skills
Weight 7.50%
|
100.00 %
Excellent mechanics, sentence structure and organization with no grammatical mistakes.
|
70.00 %
Some grammatical lapses , uses emotional responses in lieu of relevant points.
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0.00 %
Poor grammar, weak communication, lack of clarity.
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Peer Reply #1
Weight 7.50%
|
|
100.00 %
Demonstrates an exceptional ability to analyze and synthesize student work, asks meaningful extending questions.
|
|
70.00 %
Some ability to meaningfully comment on other students work and ask meaningful questions.
|
0.00 %
No peer response
|
|
Peer Reply #2
Weight 7.50%
|
100.00 %
Demonstrates an exceptional ability to analyze and synthesize student work, asks meaningful extending questions.
70.00 %
Some ability to meaningfully comment on other students work and ask meaningful questions.
0.00 %
No Peer response
|
|
Overall APA Use
Weight 7.50%
|
100.00 %
Demonstrates an exceptional ability to apply 6th edition APA standards.
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70.00 %
Some ability to to apply 6th edition APA standards. i.e. use of in-text citation, reference structure, quoting,etc.
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0.00 %
No adherence to 6th edition APA standards.
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