Culture is one of the organizing concepts upon which nursing is based and defined. As healthcare providers, nurses must implement their knowledge of cultural, ethnic, and social diversity to develop a culturally sensitive nursing practice. This enables nurses to be more effective in initiating nursing assessments and serving as a patient advocate.

Background:
       Leininger (2014) defines culture as a set of values, beliefs, and traditions that are led by a specific group of people and handed down from generation to generation. Culture is learned, shared, values transmitted, a way of life, and practices of a particular group that guides day-to-day thinking, decisions, and actions.

       Technological advances have transformed our social world into what Marshall McLuhan termed a global village. In other words, we need to think of the entire world when we talk about our social environment. Computers, satellites, and communication technology have brought the world closer together and made cross-cultural encounters an everyday occurrence.

       Cultural competence is the ability to provide holistically effective care to patients who come from different cultures. In nursing, there is a requirement to be sensitive to communication, both verbally and non-verbally. It is an evolving process that depends on self-awareness, knowledge, attitude, and development and application of skills. Nurses should never make assumptions about their patient’s beliefs; for example, stating that all Jehovah’s Witnesses will refuse blood transfusions is a generalization.

       Being culturally insensitive can lead to stereotyping, discrimination, racism, and prejudice. Some cultures do not call elders by their first names. Nurses should always ask how the patient wants to be addressed. Some cultures would not allow a male nurse to examine a female patient so the team should be aware of this cultural issue. People may have different beliefs about medical care and treatment in the United States, and the nurse needs to offer respect and gain knowledge of the patient’s situation.

       In the healthcare systems of today, healthcare providers are diverse. Nurses have much to offer from their own culture. Culture is universal and dynamic. It is taught to other members of the health care team as a matter of sharing. Distinctions between culture, ethnicity, race, and religion may be confusing. Think of it this way, you are a member of the subculture of the student, you are also a member of an ethnic group, (e.g. Portuguese-American from the Azores), a racial group (white, African American), and a religion (Roman Catholic, Jewish), each with its own set of beliefs and values. So, your culture is a blend of all of those characteristics (Treas & Wilkinson, 2014).

Scholarly Paper:

There is one scholarly paper due in this course. It is recommended that students prepare for this paper each week.

1. Select a culture that you wish to investigate.
2. Research the health beliefs and practices of the culture selected.
3. Use the questions from the Guidelines for Cultural and Social Diversity and Ethnicity in Canvas to formulate a scholarly paper about the culture that a nurse could use as a reference to provide culturally sensitive care to a member of the ethnic group.
4. Discuss how you would implement the use of this reference.

GUIDELINES FOR CULTURAL AND SOCIAL DIVERSITY AND ETHNICITY Fall 2018-1.docx

Length of paper 8-10 pages or whatever it takes to concisely discuss your ideas excluding title page, references, and appendices.

TURNITIN is enabled and it is the student’s responsibility to check the Turnitin score after submitting the paper. If the score is greater than 20% the student must revise the paper to bring the score down below 20%.

Follow APA format and style guidelines in APA manual 6th ed.  i.e. Title page with “Running head:”, shortened title, and pagination; all in-text citations MUST have a reference and all references MUST have in-text citations; Direct quotes from sources other than classic articles (Nightingale,etc.) should be minimal.  All references must be peer-reviewed from literature searches and have a publication date within the last 5 years. Dictionaries and Drug Reference books can be used for information gathering only but are NOT appropriate references.  Most “.com” and “.net” websites are not reliable sources. Newspaper articles and news media are not reliable sources and therefore not acceptable references for the purposes of this paper.

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Reply to this discussion (site sources if applicable)

Stakeholders are an important entity in an organization’s performance and operations; A stakeholder is a person or group that is involved in or affected by a course of action (Hughes-Rease,2015). internal stakeholders are within an organization and include health care professionals, administration and others that play important roles. External stakeholders include patients, suppliers, health insurance providers and other financial organizations; they also play an important role in the organizational operations. The support of stakeholders is important in the success of the change proposal because they have a large influence on the organization, and they would help provide knowledge, skills and resources to implement the change. The way to secure their support would be to keep them informed about the proposal and the changes that would need to be made and to demonstrate to them the EBP that supports the proposal. Keeping stakeholders involved in all parts of the proposal will allow them to provide input and to generate a positive adoption of the change.

CV Attendance Questions

Due: by the start of class 1

Please answer the 5 questions below for attendance credit. Submit your answers to the proper assignment folder. Please do not share work. 

1. Describe 3 clinical manifestations specific to right-sided heart failure in the pediatric patient 
2. Describe the four classifications of congenital heart defects and explain how each manifests in the pediatric patient 
3. Which items should be included in the medication education for a pediatric patient taking digoxin and furosemide? 
4. What is Rheumatic Fever and how is it treated? 
5. What is a hypercyanotic spell, who suffers from it, and how is it treated?

Introduction to Theory in Healthcare Informatics

Write an essay addressing each of the following points/questions. Be sure to completely answer all the questions for each number item. There should be three sections, one for each item number below, as well the introduction (heading is the title of the essay) and conclusion paragraphs. Separate each section in your paper with a clear heading that allows your professor to know which bullet you are addressing in that section of your paper. Support your ideas with at least three (3) scholarly citations using APA citations in your essay. Make sure to reference the citations using the APA writing style for the essay. The cover page and reference page do not count towards the minimum word amount. Review the rubric criteria for this assignment.

Write an essay addressing the following prompts:

1. Electronic health records (EHRs) are easier to read than the paper charts of the past, but many complain that healthcare providers are focusing too much on the computer screen instead of the patient.

• Is this due to lack of skill or training, poor computer system design, or just the nature of computer charting?
• Is patient care suffering from the implementation of EHRs?
• Charting in an EHR consist of clicking boxes, do you feel this provides enough detail about the patient, condition, and events if there was a law suit?

1. Hebda, Hunter and Czar (2019) identify three types of data that is currently being tracked by organizations (p. 46).

• Identify and explain another type of data, specific to your practice, that is being tracked by an organization.
• Why do you feel this data is important to track? 
• Identify and discuss the organization that is tracking the data.
• Are there any ethical concerns with an outside organization tracking this data, explain and give examples?

1. In this week’s discussion post, you identified and explain the topic selected for the project.

• Provide a description of your selected topic based on input from the discussion forum. What is your project, why is it relevant to this class, and why is it important to you?
• Identify an informatics/healthcare theory from pages 29-30 of the textbook that aligns with the project and explain why.

Assignment Expectations-

Length: 500 words per essay prompt/each section (1500 total for this assignment)

Structure: Include a title page and reference page in APA style. These do not count towards the minimal word amount for this assignment. All APA Papers should include an introduction and conclusion. 

References: Use the appropriate APA style in-text citations and references for all resources utilized to answer the questions. Include at least three (3) scholarly sources to support your claims.

Rubric: This assignment uses a rubric for scoring. Please review it as part of your assignment preparation and again prior to submission to ensure you have addressed its criteria at the highest level.

Format: Save your assignment as a Microsoft Word document (.doc or .docx) or a PDF document (.pdf)

File name:  Name your saved file according to your first initial, last name, and the module num

This week we have a paper due concerning the Cardiovascular system.  Please use the scenario below to base your paper on.  It is not the goal to necessarily change ALL medications, however, that might be the case.  In short, I am looking for concrete examples of how you back up your decisions with proper resources and guidelines.

Talk to you soon!

Patient CB has a history of strokes. The patient has been diagnosed with type 2 diabetes, hypertension, and hyperlipidemia. Drugs currently prescribed include the following:

• Glipizide 10 mg po daily
• HCTZ 25 mg daily
• Atenolol 25 mg po daily
• Hydralazine 25 mg qid
• Simvastatin 80 mg daily
• Verapamil 180 mg CD daily

Instructions are attached bellow and you can choose the topic that you want to do the research on. Read all the instructions. 4-6 pages

 Instructions:

1. Log into Typhon and Watch the Student Entry Tutorial Video (70 minutes) in all entirely.

2. Then write a 1 paragraph summary about what you learned about typhon and the most important skills you will use in clinical rotation.

Login information (If required):

-Account number: 3111

-Username: [email protected]

-Password: Sandrita#1971

Link to the video: 

https://www3.typhongroup.net/np/videos/npst-datatutorial.asp

1. Group 2 : 40-year-old black recent immigrant from Africa without health insurance

Post a summary of the interview and a description of the communication techniques you would use with your assigned patient. Explain why you would use these techniques. Identify the risk assessment instrument you selected, and justify why it would be applicable to the selected patient. Provide at least five targeted questions you would ask the patient.

With the information presented in Chapter 1 of Ball et al. in mind, consider the following:

• By Day 1 of this week, you will be assigned a new patient profile by your Instructor for this Discussion. Note: Please see the “Course Announcements” section of the classroom for your new patient profile assignment.
• How would your communication and interview techniques for building a health history differ with each patient?
• How might you target your questions for building a health history based on the patient’s social determinants of health?
• What risk assessment instruments would be appropriate to use with each patient, or what questions would you ask each patient to assess his or her health risks?
• Identify any potential health-related risks based upon the patient’s age, gender, ethnicity, or environmental setting that should be taken into consideration.
• Select one of the risk assessment instruments presented in Chapter 1 or Chapter 5 of the Seidel’s Guide to Physical Examination text, or another tool with which you are familiar, related to your selected patient.
• Develop at least five targeted questions you would ask your selected patient to assess his or her health risks and begin building a health history.

By Day 3 of Week 1

Post a summary of the interview and a description of the communication techniques you would use with your assigned patient. Explain why you would use these techniques. Identify the risk assessment instrument you selected, and justify why it would be applicable to the selected patient. Provide at least five targeted questions you would ask the patient.

Develop a creative teaching strategy. This is a creative approach to teaching a topic chosen by the student. One example would be to choose a prop to use during a traditional lecture to demonstrate a concept. Examples of props: balloon, straw, string, goggles, cotton ball, rubber band, empty 2-liter plastic soft drink container. Another example is to create a wordart to drive home a concept https://wordart.com/create or write a catchy poem to aid student memory of key concepts associated with a nursing topic. Be creative – think outside the box.

Explain your original, creative teaching strategy in a word document or PowerPoint. Explain which learning style would benefit most from this teaching strategy.