Cultural influences and personal values in the delivery of culturally competent nursing care

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Cultural influences and personal values in the delivery of culturally competent nursing care

Learning Outcomes
1. Examine personal tendencies for cultural bias, generalization, and assumptions as they influence the delivery of quality health care.
2. Discuss the relationship of health care insurance coverage related to disparities of various culture groups.
3. Compare and contrast the nurse’s role in the delivery of culturally competent care.
4. Apply the concepts that assist in fostering diverse relationships in providing health care on a global level.

Introduction

The course begins with an exploration of cultural influences and personal values in the delivery of culturally competent nursing care to diverse population groups. What we think, feel, and experience throughout our lives both personally and professionally can affect the manner in which we deliver health care. It is imperative for the nurse to practice with the patient’s health and cultural needs as a primary focus. Health care organizations provide guidelines and policies to assist in delivering culturally competent care, but it remains the nurse’s role to ensure they are followed. An evaluation of a case study requires the development of assessment techniques that enhance the student’s ability to apply the learned concepts.

 

Required Resources
Text
Dayer-Berenson, L. (2014). Cultural competencies for nurses: Impact on health and illness (2nd ed.). Burlington, MA, Jones & Bartlett Learning.
• Chapter 3: Global Diversity
• Chapter 4: Organization of Health care Delivery in the 21st Century

Articles
Chou, C., PhD., Tulolo, A., PharmD., Raver, E. W., B.S., Hsu, C., PhD., & Young, Gary,J.D., PhD. (2013). Effect of race and health insurance on health disparities: Results from the national health interview survey 2010. Journal of Health Care for the Poor and Underserved, 24(3), 1353-63. doi: 10.1353/hpu.2013.0131
• This article investigates how insurance coverage via the PPACA has influenced health disparities based on race/ethnicity.
Dovidio, J. F., & Fiske, S. T. (2012). Under the radar: How unexamined biases in decision-making processes in clinical interactions can contribute to health care disparities. American Journal of Public Health, 102(5), 945-952. doi:10.2105/AJPH.2011.300601
• The full text of this article is available in the EBSCOhost database in the Ashford University Library. This article addresses how racial and ethnic biases contribute to health disparities among African/Black, Hispanic, and Native American people.
Rosenbaum, S. (2011). The Patient Protection and Affordable Care Act: Implications for public health policy and practice. Public Health Reports, 126(1), 130–135. Retrieved from http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3001814/
• This reviews PPACA as it relates to its effect on care for diverse populations.

Multimedia
Nevco Healthcare Education. (1991). Understanding our biases and assumptions [Video file]. In Films on Demand. Retrieved from http://digital.films.com.proxy-library.ashford.edu/PortalPlaylists.aspx?aid=18596&xtid=2574
• This video allows you to understand how your own experiences in life influence your perceptions about others. It also shares information from members of minority populations to show how bias affects their lives.

Practice Activity. (2015). Transcultural Nursing. Burlington, MA: Jones & Bartlett Learning Navigate.
• The practice activities provide an opportunity to reinforce the concepts presented in the textbook readings.
• Complete the following practice activities: 3.1, 3.2, 3.3, 3.4, 4.1, 4.2, 4.3, 4.4

Website
Teaching Tolerance: A Project of the Southern Poverty Law Center. (2011). Test yourself for hidden bias. Retrieved from: http://www.tolerance.org/activity/test-yourself-hidden-bias
• This website allows you to test your own biases through a series of questions and sorting exercises. The sorting exercises are fast-paced and an outcome is provided when you complete each test. YOU DO NOT NEED TO SHARE THE TEST NAMES YOU TOOK OR YOUR OUTCOMES WITH THE CLASS OR INSTRUCTOR. This activity is for your confidential use only and gives you an idea of any possible biases you have.
• DIRECTIONS: When you reach the website, choose the CLICK HERE link in the second paragraph. A new tab/window will open, called PROJECT IMPLICIT. REGISTER with your either email address or CONTINUE AS A GUEST. Click GO. The page will change. Read the material and click I WISH TO PROCEED at the bottom of the page. The page will change, showing a list of tests you can take. If this list does not show, choose TAKE A TEST from the tabs at the top of the page. Take three or more of the bias tests from the list, of your topic choice. Topic choices are: Native American, Asian American, Sexuality, Arab-Muslim, Religion, Presidents, Weight, Age, Disability, Gender [in] Science, Skin-tone, Race, Weapons, and Gender [in] Career.

Recommended Resources
Text
Dayer-Berenson, L. (2014). Cultural competencies for nurses: Impact on health and illness (2nd ed.). Burlington, MA, Jones & Bartlett Learning.
• Chapter 6: Hispanics/Latinos
Articles
Cogan, J.A. (2011). The affordable care act’s preventive services mandate: Breaking down the barriers to nationwide access to preventive services. Journal of Law, Medicine & Ethics, 39(3), 355-365. doi: 10.1111/j.1748-720X.2011.00605.x
• The full-text version of this article can be accessed through the EBSCOhost database in the  University Library.
Worthen, M. S. (2014). The PPACA’s potential impact on hospitals. The RMA Journal, 96(7), 37-37, 11. Retrieved from http://www.rmahq.org/thermajournal/
• The full-text version of this article can be accessed through the ProQuest database in the University Library.

Supplemental Material
College of Health, Human Services, and Science: Department of Health Promotion (Producer). The Affordable Care Act and you: History, implications, and the future of health care [Webinar]. .
• This webinar discusses the impact of PPACA on the future of health care.

Websites
H.R. 3590–111th Congress: Patient Protection and Affordable Care Act [PDF]. (2010). In www.gpo.gov. Retrieved from http://www.gpo.gov/fdsys/pkg/BILLS-111hr3590enr/pdf/BILLS-111hr3590enr.pdf
• This website describes the updates to PPACA.
Kaiser Family Foundation. (2013). Summary of the affordable care act. Retrieved from: http://kff.org/health-reform/fact-sheet/summary-of-the-affordable-care-act/
• This website provides a summary of PPACA.
Williams, E., & Redhead, C.S. (2010). Public health, workforce, quality and related provisions in the Patient Protection and Affordable Care Act (PPACA). Congressional Research Service. Retrieved from: https://www.aamc.org/download/130996/data/ph.pdf.pdf
• This document gives a brief synopsis of PPACA as it relates to the workforce, public health, and quality care.

 
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Introduction to the Special Section: Toward a Dimensionally Based Taxonomy of Psychopathology

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Assignment 2: Discussion: Diagnosing Mental Health

In this module, your study includes the origin, development, and symptoms of mental disorders, known as psychopathology.
To complete this activity, consider the readings of this module, the DSM and the following article:

  • Introduction to the Special Section: Toward a Dimensionally Based Taxonomy of Psychopathology

Consider the complex relationship between mental and physical health, and societal treatment of each, then discuss the following:

  • Why do you think receiving a diagnosis is sometimes perceived as a double-edged sword?
  • Describe the three approaches to developing a diagnostic scheme (categorical, dimensional, and prototypical).
    • Identify advantages and disadvantages of each approach.
    • State your opinion on how each approach increases or decreases the stigma of mental illness.

Submission Details:

  • By the due date assigned, post your responses in a minimum of 300 words to this Discussion Area.
  • Through the end of the module, respond to at least two of your classmates’ posts. While responding, compare the similarities and differences between what you have constructed and what your classmates have.

Discussion Grading Table  Maximum Points    Quality of initial posting, including fulfillment of assignment   16    Quality of responses to classmates  12    Frequency of responses to classmates  4    Reference to supporting readings and other materials  4    Language and grammar  4    Total:  40

 
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Read the following quote from Nicholas Kristof: “I've always been interested in public health approaches because it seems to me we have this yearning for silver bullets, and that is not in fact how change comes about.

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Read the following quote from Nicholas Kristof: “I’ve always been interested in public health approaches because it seems to me we have this yearning for silver bullets, and that is not in fact how change comes about. Change comes through silver buckshot — a lot of little things that achieve results. That’s a classic public health approach.”
Nicholas Kristof’s ‘Path’ to More Effective Giving. Knowledge@Wharton (2014, November 11). Retrieved from http://knowledge.wharton.upenn.edu/article/nicholas-kristofs-path-to-more-effective-giving/
Now you will consider the controversial topic of gun control and mass shootings, a major public health issue. Assuming that in the case of mass shootings the silver bullet is gun control, make an evidence-based argument, supported with hard data and cited properly, to either refute Kristof’s statement or support it. Focus your post on using an upstream approach and discussing what solutions you recommend.
*If you have not watched the required video yet, please do so before posting your response.

 
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Select one of the eight leadership competencies Huston described and relate it to your own leadership of nurses and nursing.

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In Huston’s (2010) brief, but impressive article (required reading this week), the author outlines several leadership competencies that EVERY nurse leader will need for 2020. That year is not too far in the future, is it?
Select one of the eight leadership competencies Huston described and relate it to your own leadership of nurses and nursing. This Question description
In Huston’s (2010) brief, but impressive article (required reading this week), the author outlines several leadership competencies that EVERY nurse leader will need for 2020. That year is not too far in the future, is it?
Select one of the eight leadership competencies Huston described and relate it to your own leadership of nurses and nursing. This should promote a robust discussion as we come from different clinical and nonclinical perspectives.
Discuss how the BSN-prepared nurse can assist a nurse leader in the budgeting process by contributing data readily available to the staff nurse.
Link to article: Huston, C. (2010). What skills will the nurse leaders of 2020 need? (2010). Kai Tiaki Nursing New Zealand, 16(6), 14–15. Retrieved from http://proxy.chamberlain.edu:8080/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105060080&site=ehost-live
promote a robust discussion as we come from different clinical and nonclinical perspectives.
Discuss how the BSN-prepared nurse can assist a nurse leader in the budgeting process by contributing data readily available to the staff nurse.
Link to article: Huston, C. (2010). What skills will the nurse leaders of 2020 need? (2010). Kai Tiaki Nursing New Zealand, 16(6), 14–15. Retrieved from http://proxy.chamberlain.edu:8080/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105060080&site=ehost-live

 
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Identify ONE specific learning need which you feel you need to develop your nursing practice.It must be appropriate for a third year student nurse.

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Identify ONE specific learning need which you feel you need to develop your nursing practice.It must be appropriate for a third year student nurse.

Identify ONE specific learning need which you feel you need to develop your nursing practice. This specific learning need must relate to either medicines management and/or nutrition. It must be appropriate for a third year student nurse. Critically analyse at least 4 up to date research studies that relate to your specific learning need, ensuring you also use many other sources of evidence to support your critical analysis. Critically reflect on what you have learnt from the evidence in relation to your nursing practice.

 

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A Methodical Review

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Discussion: A Methodical Review

Assignment 1: A Methodical Review

Using the Argosy University online library resources, locate a research study related to forensic psychology. Present an analysis of the article by addressing the following points:

· Provide a brief overview of the problem being studied, the research design, and the participants being used for the study and the general findings of the study.

· Identify the research question, independent variable, and dependent variable.

· If you were the researcher conducting this study and found that you were not familiar with the particular research population, what steps would you take to prepare yourself to conduct the research with this population?

· Was any deception used in this study? If so, why was this deception necessary? If not, do you think that the study would have benefited from any kind of deception?

· What steps did the researcher take to protect his or her participants?

· What are the limitations of the study’s design and/or implementation?

· If you were the researcher, would you have conducted this study the same way in relation to ethics and protection of the participants? If not, what changes would you make?

Post your response in a minimum of 300 words.

All written assignments and responses should follow APA rules for attributing sources.

While responding to classmates, offer suggestions, ideas, and evaluative comments.

Submission Details:

· By the due date assigned, post your responses to this Discussion Area.

· Through the end of the module, respond to at least two of your classmates’ posts. While responding, compare the similarities and differences between what you have constructed and what your classmates have.

Grading Criteria Maximum Points
Quality of initial posting, including fulfillment of assignment instructions 16
Quality of responses to classmates 12
Frequency of responses to classmates 4
Reference to supporting readings and other materials 4
Language and grammar 4
Total: 40

Assignment

1:

A

Methodical

Review

Using the Argosy University online library resources, locate a research

study related to forensic psychology. Present an analysis of the article by

add

ressing the following points:

·

Provide a brief overview of the problem being studied, the research

design, and the participants being used for the study and the general

findings of the study.

·

Identify the research question, independent variable, and depende

nt

variable.

·

If you were the researcher conducting this study and found that you were

not familiar with the particular research population, what steps would

you take to prepare yourself to conduct the research with this

population?

·

Was any deception used i

n this study? If so, why was this deception

necessary? If not, do you think that the study would have benefited from

any kind of deception?

·

What steps did the researcher take to protect his or her participants?

·

What are the limitations of the study’s desig

n and/or implementation?

·

If you were the researcher, would you have conducted this study the

same way in relation to ethics and protection of the participants? If not,

what changes would you make?

Post your response in a minimum of 300 words.

All written a

ssignments and responses should follow APA rules for

attributing sources.

While responding to classmates, offer suggestions, ideas, and evaluative

comments.

Submission

Details:

·

By

the

due

date

assigned,

post your responses to this

Discussion

Area

.

Assignment 1: A Methodical Review

Using the Argosy University online library resources, locate a research

study related to forensic psychology. Present an analysis of the article by

addressing the following points:

 Provide a brief overview of the problem being studied, the research

design, and the participants being used for the study and the general

findings of the study.

 Identify the research question, independent variable, and dependent

variable.

 If you were the researcher conducting this study and found that you were

not familiar with the particular research population, what steps would

you take to prepare yourself to conduct the research with this

population?

 Was any deception used in this study? If so, why was this deception

necessary? If not, do you think that the study would have benefited from

any kind of deception?

 What steps did the researcher take to protect his or her participants?

 What are the limitations of the study’s design and/or implementation?

 If you were the researcher, would you have conducted this study the

same way in relation to ethics and protection of the participants? If not,

what changes would you make?

Post your response in a minimum of 300 words.

All written assignments and responses should follow APA rules for

attributing sources.

While responding to classmates, offer suggestions, ideas, and evaluative

comments.

Submission Details:

 By the due date assigned, post your responses to this Discussion Area.

 
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Review the discussion thread "Best Practices in Making Recommendations" on the In Your Professional Opinion page linked in the Resources.

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Elements of a Good Course of Action

Review the discussion thread “Best Practices in Making Recommendations” on the In Your Professional Opinion page linked in the Resources. Integrate what you have learned from the Campus group with two additional points from the research to provide an analysis of best practices for developing courses of action.
Imagine that you are a nurse in a large hospital. You have heard that there is new doctor in the psychiatry department but you have not met him. One day, you receive a call from Dr. Smith (the new doctor) telling you that he wants you to give Ms. Ruben, a patient, a dose of Astroten before he comes to examine her. He asks if you have it in stock and waits for your answer. You check the medicine shelf and find that you do have it and it clearly shows that the maximum dose should be 10 milligrams. He then orders you to give her 20 milligrams. Would you comply?
This was an actual field experiment under real world circumstances by Hofling, et al. (1966). Would it surprise you to know that 95% of the nurses who were called complied with the doctors order? This was true even though the dosage was clearly excessive and it was against hospital rules to take medication orders over the telephone.
Using what you have learned in this unit, can you explain the behavior of the nurses in this situation? Why did they obey the doctor even though they were breaking the rules and putting the patient at risk? Be sure to support your answer with information from the textbook or other appropriate psychology-specific sources. What implication does this have for hospital practices given the estimated 7700 deaths per year in the U.S. caused by medication errors in hospitals?

 
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Traditional learning theories: Operant and classical conditioning

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The primary goal of the Learning and Cognition Handbook assignment is to integrate concepts from the discipline of learning and cognitive psychology into a usable and professional guide that is designed for a specific audience based on your career goals. The purpose of this handbook is to share helpful strategies and apply what you have learned from the course to six major topics in the field. You will incorporate your findings from required sources and the relevant sources you researched in the Week 2 Discipline-Based Literature Review, as well as those from the Week 3 Assignment: Choosing Your Focus.
To complete this assignment, you may utilize the Learning and Cognition Handbook template or create your own using the template as a guide. Your handbook should include the sections listed below, incorporating a minimum of one visual (e.g., table, figure, or image) with a maximum of five visuals per section. Each image must be retrieved and cited based on current copyright laws. You may wish to use the Where to Get Free Images guide for assistance with accessing freely available public domain and/or Creative Commons licensed images.
Handbook Sections:
Table of Contents
List all sections and subsections included in the handbook with the applicable page numbers.
Preface (100 to 150 words)
Provide an overview of the handbook and its potential use by your chosen audience.
Introduction to the Major Topics (200 to 300 words)
Provide an introductory summary of the six topics listed below and discuss any careers in psychology specifically related to at least one of them:

  • Traditional learning theories: Operant and classical conditioning
  • Traditional learning theories: Behaviorism and social learning theory
  • Attention and memory
  • Decision-Making
  • Language acquisition
  • Organizational and lifelong learning

Describe how one or more of these areas may be connected to your future career goals.
Major Topics (1 to 2 pages for each major topic)
Communicate the extent to which the six major topics of learning and cognition affect related sub-topics by synthesizing the course learning principles and/or theories. Consider how these sub-topics may be related to your future career goals. For instance, if you intend to become an applied behavior analyst, behaviorism and related technique for learning may be directly connected to your future role. For each major topic, apply basic research methods and skeptical inquiry to explain the theoretical perspectives and empirical research that substantiate the relationship between the topic and at least two related sub-topics. In your review, consider how these topic and sub-topics are directly connected to evaluations and interventions in psychology practice in various fields. Focus on the areas most related to your future area of practice, paying particular attention to how theories are examined in research studies. The following are some sub-topics to consider:

 
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Self Directed Learning Plan (SDLP), science homework help

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Self Directed Learning Plan (SDLP), science homework help

Question descriptionLooking Ahead: Self Directed Learning Plan (SDLP) – DRAFT

Purpose:

It’s important to develop your professional goals and how you achieve them in this course and your chosen program.

Directions:

To prepare your SDLP for the review, complete the steps outlined below. If you are prepared to submit it before Unit 7 week, please do so. This will give your instructor an opportunity to connect with you early in the term. To submit the SDLP early, simply upload it to the Unit 7 SDLP Dropbox and your instructor will have an opportunity to review it there anytime during the course and provide preliminary feedback.

After exploring the course description, course outcomes, and unit themes and outcomes, complete your SDLP for this course. Not all courses will directly impact your strengths or your areas of development.

What do you expect to learn in this course that will help you achieve your academic and professional goals? You are encouraged to reflect earnestly about how the course content and experience might serve your goals, as well as about what you might proactively do in the course to develop in your target areas.

If you have determined there are additional areas from which you would benefit, or areas you would like to replace, this is a good time to do so. Remember, this is your learning plan, so design it to help you achieve your unique goals.

This Assignment will be graded based on evidence of thoughtful development of your SDLP; a draft is due in this unit. Your Unit 7 Draft of the SDLP MUST be submitted in the SDLP Template (you cannot submit a paper). If you have references for the SDLP, these must be added under a Reference Heading at the very end of the SDLP Template. You do not need to submit a title page in APA format with the SDLP Assignment. Your final version, incorporating instructor feedback from the Unit 7 SDLP Draft is due in Unit 9.

SDLP Template

To view the Grading Rubric for this Assignment, please visit the Grading Rubrics section of the Course Resources.

Assignment Requirements:

Before finalizing your work, you should:

  • be sure to read the Assignment description carefully (as displayed above);
  • consult the Grading Rubric (under the Course Resources) to make sure you have included everything necessary; and
  • utilize spelling and grammar check to minimize errors.

Your writing Assignment should:

  • follow the conventions of Standard American English (correct grammar, punctuation, etc.);
  • be well ordered, logical, and unified, as well as original and insightful; and
  • display superior content, organization, style, and mechanics.

How to Submit

Submit your Assignment to the unit Dropbox before midnight on the last day of the unit.

When you are ready to submit your Assignment, select the unit Dropbox then attach your file. Make sure to save a copy of the Assignment you submit.

 
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Describe the relationship between the AACN Essentials and your new-found knowledge about Patient Centered Care. Are there opportunities for you to improve?

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After you have completed your self-assessment, answer the following questions:
If you are willing, please share your total score on the AACN Essentials Self-Assessment. If you do not wish to share your score,(my score is 73) give a general description of your current KSA levels.
Candidly identify and share with your classmates areas where knowledge, skills or abilities (KSAs) are lacking?
Describe the relationship between the AACN Essentials and your new-found knowledge about Patient Centered Care. Are there opportunities for you to improve?
Chamberlain College of Nursing NR447: RN Collaborative Healthcare
Week 2: The AACN Essentials of Baccalaureate Education for Professional Nursing Self-Assessment
Understanding the competencies related to the AACN Essentials of Baccalaureate Education for Professional Nursing Practice provides you with valuable information as you begin to study this course.
Complete this self-assessment, which is based on The Essentials of Baccalaureate Education for Professional Nursing from the American Association of Colleges of Nursing (2008) prior to posting to the discussion on this topic
Place a check mark or X in the column that best describes your current level of competency or understanding of the Essential’s statement. There are no incorrect answers.
After you have completed the assessment, total the number of points that you earned. Record this number in a location where you will be able to retrieve it at the end of the course, when it will serve as the basis for a future discussion.

AACN (American Association of Colleges of Nursing) Baccalaureate Essentials Poor
1		 Good
2		 Very Good
3		 Excellent
4
Essential II: Basic Organizational and Systems Leadership for Quality Care and Patient Safety x
Apply leadership concepts, skills, and decision-making in the provision of high quality nursing care, healthcare team coordination, and the oversight and accountability for care delivery in a variety of settings. x
Demonstrate leadership and communication skills to effectively implement patient safety and quality improvement initiatives within the context of the interprofessional team. x
Participate in quality and patient safety initiatives, recognizing that these are complex system issues, which involve individuals, families, groups, communities, populations, and other members of the healthcare team. x
Employ principles of quality improvement, healthcare policy, and cost-effectiveness to assist in the development and initiation of effective plans for the microsystem and system-wide practice improvements that will improve the quality of healthcare delivery. x
Essential V: Healthcare Policy, Finance, and Regulatory Environments x
Demonstrate basic knowledge of healthcare policy, finance, and regulatory environments, including local, state, national, and global healthcare trends. x
Explore the impact of sociocultural, economic, legal, and political factors influencing healthcare delivery and practice. x
Examine the roles and responsibilities of the regulatory agencies and their effect on patient care quality, workplace safety, and the scope of nursing and other health professionals’ practice. x
Advocate for consumers and the nursing profession. x
Essential VI: Interprofessional Communication and Collaboration for Improving Patient Health Outcomes x
Use inter and intrarofessional communication and collaborative skills to deliver evidence-based, patient-centered care. x
Incorporate effective communication techniques, including negotiation and conflict resolution to produce positive professional working relationships. x
Demonstrate appropriate teambuilding and collaborative strategies when working with interprofessional teams. x
Advocate for high-quality and safe patient care as a member of the interprofessional team. x
Essential VIII: Professionalism and Professional Values x
Demonstrate the professional standards of moral, ethical, and legal conduct. x
Promote the image of nursing by modeling the values and articulating the knowledge, skills, and attitudes of the nursing profession. x
Reflect on one’s own beliefs and values as they relate to professional practice. x
Articulate the value of pursuing practice excellence, lifelong learning, and professional engagement to foster professional growth and development. x
Total for each column
Grand total (add all columns) 73

Source: American Association of Colleges of Nursing (AACN). (2008). The essentials of baccalaureate education for professional nursing practice. Washington, DC: AACN. Retrieved from http://www.aacn.nche.edu/education-resources/baccessentials08.pdf/

NR 447 Week 2 Self-Assessment Form.docx 9-6-15 LMD 1
 
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