Apply a model of cultural competence to personal practice beliefs. For this assignment:

1. Reflect on the 5 constructs of Campinha-Bacote’s model of The Process of Cultural Competence in the Delivery of Healthcare Services: Cultural desire, Cultural Awareness, Cultural Knowledge, Cultural Skill, and Cultural Encounters. (See Chapter 2)
2. Review the Mission statements and values of St. Thomas University and its Nursing programs.
3. Reflect on your learning during this course.
4. Evidence of reflection on Campinha-Bacote’s cultural competency model and/or STU mission and values.
5. Your personal beliefs.
6. Your philosophy statement(s) related to culturally competent nursing care.
7. Implementing your beliefs.
8. Continuing your journey towards cultural competence

Submission Instructions:

• Your paper should be formatted per current APA and references should be current (published within last five years) scholarly journal articles or primary legal sources (statutes, court opinions)
• The paper is to be clear and concise and students will lose points for improper grammar, punctuation and misspelling.
• The paper is to be no shorter than 1 pages; nor longer than 2 pages in length, excluding the title, abstract and references page.
• Incorporate a minimum of 2 current (published within last five years) scholarly journal articles or primary legal sources (statutes, court opinions) within your work. Journal articles and books should be referenced according to current APA style (the library has a copy of the APA Manual).

Nutrition plays an essential role in supporting fitness and exercise. If you increase your level of physical activity, your need for nutrients and calories will also increase. In addition, the foods you eat before and after you exercise will have an impact on your performance during the physical activity and on your recovery afterward.

Perform some library research, and in a 2-3 page paper written in APA format using proper spelling/grammar, address the following:

1. Describe the importance of pre- and post-exercise nutrition choices. Provide examples of foods that are appropriate selections for each category.
2. Explain how foods and nutrients (including fluids and electrolytes) help improve a person’s performance during physical activity and their recovery afterward.
3. Consider your responses to items 1 and 2 above, and suggest an appropriate nutritional plan for a physically active person. Be sure to explain what the person should consume in an average day to support their caloric and nutritional needs.
4. Cite at least 2 credible references and present the resources in APA format on the References page.

 Describe the difference between research and quality improvement. Provide a workplace example where qualitative and quantitative research is applied and how it was used within your organization. When replying to peers, discuss how these research findings might be incorporated into another health care setting. 

 Telework opportunities are increasing in health care as they are in other employment sectors. Describe how members of a team can support each other best when they work on different schedules, in time zones, or on days. Include how principles of servant and values-based leadership enhance the working group and ensure timelines are fairly divided and implemented inside the desired goals. Describe any challenges you predict. Provide supporting references in your response.  PLEASE INCLUDE IN-TEXT CITATION AND REFERENCE

REPLY 1

Patients that we care for can come from a wide variety of religious backgrounds. Despite of their religious backgrounds, all patients need to be treated with respect according to their religious beliefs. In the case of this scenario with Sister Marry, while providing patient education, it is important for the health care professional to be culturally and spiritually sensitive with her religious belief. The first thing the staff must do is assess the situation, since Sister Mary is a catholic nun she may not feel very comfortable with certain things, and this should be addressed. Knowing that patient is a nun, I might include asking her if there are any personal request of what she needs that would make her more comfortable to comply.

In Sister Mary’s case she may harbor certain beliefs about nudity, the gender of her care provider, as well as revival method requests. This is why it is imperative to take a patient survey, or have her fill out a questionnaire so medical staff can be better antiquated with her needs. Before the examination an appointed staff member should meet with Mary and discuss the procedure in detail so she understands what is going to occur. Throughout this process Mary should be encouraged to ask questions or let the staff know of any special requests. Once this has been completed it will be necessary to have Mary sign documents affirming she is aware of what is going to transpire, and that she understands her part as the patient. Even reaching out to other staff may be helpful to see if anyone has knowledge or background in the Roman Catholic faith. Any religious restrictions should be discussed and noted clearly in her chart so other staff she may interact with is aware. Taking care of the patient is the number one priority, and as long as requests are not too demanding they can most likely be met.

It is very essential for health educator to understand the psychosocial factors, personality types, and the patient’s self-perception while providing patient education. The psychological factors in patients would include the age of the patient, the past experiences and expectations, and attitudes about the illness (Grand Canyon University, 2007). Health care provider should assure Marry about the confidentiality of her health information because Marry as being a nun may feel unfree to assess her physically if assurance of privacy and confidentiality not provided. For instance, in the patient education planning, we as a professional should consider their timing of regular rituals, such as regular attendance at Mass or special observance of special holy days, may be highly stressful to Catholic patients. In addition, we can involve contacting clergy and/or a hospital chaplain to convince her with further education or treatment planning if required.

Reference

Plante, T. G. (2003). “Psychological consultation with the Roman Catholic Church: Integrating who we are with what we do.”Journal of Psychology and Christianity, 22, 304-308.

Grand Canyon University. (2007). Psychosocial factors and patient education. Retrieved on November May 23,2018 from https://lc-ugrad3.gcu.edu../user/users.html?

REPLY2

As healthcare professionals we will treat people from every religion, ethnicity, and age. It is important to take into consideration everything that comes with the patient such as spiritual beliefs and religious considerations. For example, with Sister Mary, since she is a Roman Catholic Nun, she may be uncomfortable with certain things that need to happen. As her nurse I would try to stay wither the whole time or ensure a female is with her to help her through her procedures. During the neural examination, I would ask spiritually appropriate questions that would help assess if she is neurologically intact, while respecting her privacy. Moving onto the physical assessment I would ask her what would make her comfortable during this as I would have to inspect her whole body. I would educate her that this needs to be done to assure there are no further injuries. Maybe have another Sister in the room or just one female nurse. During the X-Rays I would educate her that we are specifically looking at the bones in her face to assess the injury and develop a plan of care once again further. During the CT of her head, I would once again explain to her that as long as there is no metal in her hat or clothes she can remain in them if it makes her feel more comfortable. I would explain we are looking for injuries on the brain that may have occurred due to the mechanism of injury.

I would educate her before everything and during everything as well as explaining everything again afterwards. It is also important to listen to Sister Mary as Roman Catholics believe illness is a punishment from God (Swihart, 2020). By having a priest come see her, it may help her through prayer cope with what is going on as sacrament by a priest is important for the sick in this religion. Also ensuring she has her rosary may lead to patient comfort during all this.

“When individuals and systems work together to provide a positive environment of cultural competence that meets the religious and spiritual needs of patients, the outcome for patients improves, and the system as a whole creates a more positive healthcare environment.” (Swihart, 2020)

Swihart DL, Martin RL. Cultural Religious Competence In Clinical Practice. [Updated 2020 Mar 27]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2020 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK493216/

Discussion: Workplace Environment Assessment

How healthy is your workplace?

You may think your current organization operates seamlessly, or you may feel it has many issues. You may experience or even observe things that give you pause. Yet, much as you wouldn’t try to determine the health of a patient through mere observation, you should not attempt to gauge the health of your work environment based on observation and opinion. Often, there are issues you perceive as problems that others do not; similarly, issues may run much deeper than leadership recognizes.

There are many factors and measures that may impact organizational health. Among these is civility. While an organization can institute policies designed to promote such things as civility, how can it be sure these are managed effectively? In this Discussion, you will examine the use of tools in measuring workplace civility.

To Prepare:

• Review the Resources and examine the Clark Healthy Workplace Inventory, found on page 20 of Clark (2015).
• Review and complete the Work Environment Assessment Template in the Resources.

By Day 3 of Week 7

Post a brief description of the results of your Work Environment Assessment. Based on the results, how civil is your workplace? Explain why your workplace is or is not civil. Then, describe a situation where you have experienced incivility in the workplace. How was this addressed? Be specific and provide examples.

3 sources for this discussion

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TASK

Telenursing and Telemedicine

Telenursing and telemedicine will only be successful if patients engage in the program. You have been asked by your manager to pilot a program aimed at improving transitions of care using the new telemedicine system recently implemented at your hospital.

What are some of the ways that you can encourage both patient and provider engagement to ensure the pilot program success?
What barriers or challenges would you anticipate?

As in all assignments, cite your sources in your work and provide references for the citations in APA format. Support your work, using your course lectures and textbook readings. Helpful APA guides and resources are available in the University Online Library. Below are guides that are located in the library and can be accessed and downloaded via the  University Online Citation Resources: APA Style page. The American Psychological Association website also provides detailed guidance on formatting, citations, and references at APA Style.

Please explain the purpose of the four heart valves, and describe their structure and locations. 

Qualitative & Quantitative Research Design

          A researcher chooses a research method or design as a guide to formulate, answer questions, or test hypotheses (Fain, 2017). A research design is a strategy used to conduct a research study. It is a blueprint or plan used to answer specific questions, and it comprises three distinct elements, a plan, a structure, and a strategy (Bloomfield & Fisher, 2019).  According to Clark & Vealé (2018), qualitative research is used to record data that is not in the form of numbers such as opinions, feelings, and experiences; quantitative research is used to measure data in the form of numbers. Although guidelines for conducting qualitative research exist, each project is unique, and the researcher must decide how to proceed. Because the researcher is the primary instrument of data collection and analysis in qualitative research, focus, and interpretive thinking. Qualitative research seeks to understand people’s experiences, the meanings they assign to those experiences, the psychosocial aspects of and language used in interpersonal interactions, and the factors that influence perspectives and interactions (Ramani & Mann, 2016). Through reflection, researchers can better explain the topic under inquiry by minimizing or disclosing their assumptions and biases while collecting, coding, and sorting qualitative data.

          Qualitative research is also conducted in a natural setting, delving deeply into perceptions and meaning of experiences, institutional culture and practices, barriers and facilitators to change, and reasons for success or failure of interventions. Though researchers may design their study informed by existing theories or their observations, the primary goal is to explore participants’ experiences. Qualitative studies are exploratory; questions are open-ended, do not require a priori hypotheses, and are characterized by “how and why” rather than “what” questions. A well-formulated study question determines what understanding is gained and directly influences the study design and methods employed (Ramani & Mann, 2016). In contrast, quantitative research can be characterized as a formal, objective, systematic process used to describe variables, test relationships between them, and examine cause and effect associations between variables. Quantitative research generates numerical data, mainly informed by rationalist or post-positivist ideas and supported by several assumptions. Also, in quantitative research, control must be maintained. Control refers to the researcher’s methods to prevent or minimize factors that may influence or bias the findings Bloomfield & Fisher, 2019).

           In quantitative research, the researcher’s involvement is defined as detached; in qualitative research, the role is participatory. Qualitative researcher gains access to the participants’ natural environment and is the leading research instrument used to collect and analyze data. In quantitative research, the researcher is objective and distant; however, qualitative research and interpretivism understand that individuals are complicated and respond differently to their environment, and do not require objectivity. Subjectivity is inevitable and often seen as valuable in qualitative research. Acknowledging that it is challenging to eliminate biases, qualitative researchers present their assumptions, values, and reasons for choosing the research topic directly in a positionality statement included in the study’s findings. Both research methods are essential and useful in evidence-based advanced practice nursing. However, the qualitative way best influences it because it records data related to individuals’ opinions, feelings, and experiences instead of numbers.

References

Bloomfield, J., & Fisher, M. J. (2019). Quantitative research design. Journal of the Australasian Rehabilitation Nurses’ Association (JARNA), 22(2), 27–30.

Clark, K. R., & Vealé, B. L. (2018). Strategies to Enhance Data Collection and Analysis in Qualitative Research. Radiologic Technology, 89(5), 482CT-485CT.

Fain, J. A. (2017). Reading, Understanding, and Applying Nursing Research (5 Ed.). Philadelphia, PA: F. A. Davis Company.

Ramani, S., & Mann, K. (2016). Introducing medical educators to qualitative study design: Twelve tips from inception to completion. Medical Teacher, 38(5), 456–463.