Cultural Competence and Nutrition in Health Promotion

Select an ethnic minority group that is represented in the United States (American Indian/Alaskan Native, Asian American, Black/African American, Hispanic/Latino, Native Hawaiian, or Pacific Islander). Using health information available from Healthy People, the CDC, and other relevant government websites, analyze the health status for this group.

In a paper of 1,000-1,250 words, compare and contrast the health status of your selected minority group to the national average. Include the following:

  1. Describe the ethnic minority group selected. Describe the current health status of this group. How do race and ethnicity influence health for this group?
  2. What are the health disparities that exist for this group? What are the nutritional challenges for this group?
  3. Discuss the barriers to health for this group resulting from culture, socioeconomics, education, and sociopolitical factors.
  4. What health promotion activities are often practiced by this group?
  5. Describe at least one approach using the three levels of health promotion prevention (primary, secondary, and tertiary) that is likely to be the most effective in a care plan given the unique needs of the minority group you have selected. Provide an explanation of why it might be the most effective choice.
  6. What cultural beliefs or practices must be considered when creating a care plan? What cultural theory or model would be best to support culturally competent health promotion for this population? Why?

Cite at least three peer-reviewed or scholarly sources to complete this assignment. Sources should be published within the last 5 years and appropriate for the assignment criteria and public health content.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

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

Searching for Evidence to Improve Nursing Outcomes

All articles that I access, for any purpose, are evidence-based, peer reviewed literature. I usually obtain literature from the university library, but I have used CINAHL previously. I used the Chamberlain University Library for this assignment, which took me to ProQuest. Both articles I accessed were published in nursing literature related to my topic of concern.

The problem I identified just yesterday was that out of 58 students in my Pharmacology class, 6 of these students evidently had issues with how to use the Publication Manual of the American Psychological Association [APA] (use of quotation marks, citations, and references [also, using WebMD and WebEx] and they don’t know how to properly develop the reference list). I don’t think there was intentional plagiarism by a few students, but I looked for articles on how to help students with this kind of work. Again, for this literature search I utilized the Chamberlain Library and clicked on the “search articles” header, and from their I went straight to ProQuest Nursing. From there, I used the advanced search putting in key words: nursing students and APA, followed by checking the Peer Review box. Although I found 479 results, there is a dearth in more current literature that specifically addresses APA formatting in writing (McGuire, Gerber, Elgsti, & Currin, 2001), where the 4th edition of the APA manual was used as a reference. When I narrowed the date of publication down to 2010 to 2019, I found 279 results that were all over the map (279 results), and I found few that were focused on APA usage by nursing students.

I was able to locate one current article that was published in Nursing Open by authors at two Canadian schools of nursing. The authors identified the purpose: “To explore self-efficacy among first-year nursing students in the context of disciple-specific writing” (Mitchell, Harrington & McMillan, 2017, p. 240). The design was identified as a quasi-experimental study, and the methods used were data collection before and after a writing course was completed by nursing students during orientation (Mitchell et al.). The researchers described participants as 132 Baccalaureate nursing students that were spilt into 3 groups: full study participants that received the course and were tested pre- and post-course; experiment only group that did not receive the course but had both the pre- and post-test; and, a control group that had a pre- and post-test within a specific timeframe. The study was noted to have ethical (IRB) approval, and the authors also described the course with sources identified and these, in my opinion, seemed sound based on the topics and were taken from credible literature including the Journal of Nursing Education, Journal on Excellence in College Teaching, Nurse Education in Practice, Quality Advancement in Nursing Education, and others. The authors reviewed and discussed relevant literature review in the article as well. The authors used citations, references, and tables to substantiate the findings of the study. Study limitations were clearly identified as well as suggestions for further research.

The Self-Efficacy Scale for Academic Writing (SESAW) was created by Mitchell using a 4-point Likert Scale for 10 questions in the test. They also used the STAI (State Trait of Anxiety Inventory) tool by Spielberger (as cited by Mitchell et al.). A “One-way Analysis of Variance (ANOVA)” (Mitchell, et al., p. 243) was used by the authors for statistical significance. Pearson’s r calculations were used for statistical analysis as well as independent t tests. Results of the study findings are indicated by Mitchell et al., are as follows:

1. An improvement in APA usage and grammar over time

2. Correlations between anxiety trait and SESAW identified

3. Students that entered nursing school directly from high school did not do as well as others who had more academic experience

4. English as Second Language students showed no difference in performance

In the final conclusions, Mitchell et al., noted that the study indicates: “discipline-specific

writing instruction can influence writing self-efficacy in first year nursing students.” (p. 249).

              I plan to share this article with Chamberlain University leadership in hopes that we could have something like this for all our students and before they start their nursing courses (perhaps during orientation?). Moreover, I really wish I could focus my DNP project on just such a topic, but I don’t suppose it’s clinical enough. I look forward to hearing your thoughts and suggestions as well, even on my reference of an article without a DOI that I struggled with (see below).

References

McGuire, S.L., Gerber, D.E., & Currin, M.D. (2001). Helping students use APA format. Journal of

Nursing Education, 40(9), 414-416. URL: https://chamberlainuniversity.idm.oclc.org/login?qurl=https%3A%2F%2Fwww.proquest.com%2Fdocview%2F203935573%3Faccountid%3D147674 (Links to an external site.) accessed on 29 Sept 2020.

Mitchell K.M., Harrigan T. & McMillan, D.E. (2017). Writing self‐efficacy in nursing students: The

influence of a discipline‐specific writing environment. Nursing Open, 4(4), 240-50.

DOI:10.1002/nop2.90 accessed 29 Sept 2020.

I NEED A COMMENT FOR THIS POST WITH AT LEAST TWO PARAGRAPH AND TWO SOURCES NO LATER THAN FIVE YEARS

Case Study – Gonorrhea/Chlamydia

2-page case study analysis

Scenario 1: A 32-year-old female presents to the ED with a chief complaint of fever, chills, nausea, vomiting, and vaginal discharge. She states these symptoms started about 3 days ago, but she thought she had the flu. She has begun to have LLQ pain and notes bilateral lower back pain. She denies dysuria, foul-smelling urine, or frequency. States she is married and has sexual intercourse with her husband. PMH negative.

Labs: CBC-WBC 18, Hgb 16, HCT 44, Plat 325, ­ Neuts & Lymphs, sed rate 46 mm/hr, C-reactive protein 67 mg/L CMP within normal limit

Vital signs T 103.2 F Pulse 120 Resp 22 and PaO2

99% on room air. Cardio-respiratory exam WNL with the exception of tachycardia but no murmurs, rubs, clicks, or gallops. Abdominal exam + for LLQ pain on deep palpation but no rebound or rigidity. Pelvic exam demonstrates copious foul-smelling green drainage with a reddened cervix and + bilateral adnexal tenderness. + chandelier sign. Wet prep in ER + clue cells and gram stain in ER + gram-negative diplococci.

In your Case Study Analysis related to the scenario provided, explain the following:

  • The factors that affect fertility (STDs).
  • Why inflammatory markers rise in STD/PID.

As for all the case studies please focus on the following elements:

A detailed explanation of the pathophysiology

Clinical manifestations due to the pathophysiology

Genetic/ethnic considerations

Use research, current sources less than 5 years, and analysis to support your answers

rubric attached

SWOT Analysis

Approach your written assignment as follows: 

  1. Pick a health services organization that you may work for or with which you are familiar.  It can be a local or national organization. 
  2. Research the organization by visiting its website and, if possible, its location. 
  3. Research the industry in which your organization operates, e.g. nursing homes, private physician practice.
  4. Using your findings, conduct a SWOT analysis of your organization. Use the SWOT Analysis Worksheet provided under Course Content
  5. Conduct a competitive analysis of your organization.  Use the Competitive Analysis Worksheet provided under Course Content.  

Prepare your written assignment by addressing each of the following questions in order: 

  1. What is the mission of the health care organization?
  2. What are their corporate level goals?
  3. Who are their customers?
  4. From your SWOT analysis, what do you conclude are the organization’s main strengths and weaknesses?
  5. From your SWOT analysis, what do you conclude are the organization’s main opportunities and threats?
  6. Who are the primary competitors to the organization? 
  7. Do you think the organization has a customer-focused orientation to its practices and procedures?  Why or why not? 

NOTE:  You will not find definitive information on your organization relating to these questions, some of the information is propriety or not available through public means.  Use and cite data whenever you find it, or use your best judgment as to what you think is occurring at the organization.  Be sure to offer your rationale for your conclusions. 

Homework

 Explain how the Florence Nightingale Theory is utilized in nursing education, practice, and nursing research.

free journal

 For this journal, I would like you to write 150 words about whatever you like. Tell me about your week, or tell me about one of your classes. This is a free journal where you can use this space to simply write and express yourself.  

grief

Appendix J – Grief

Ticket to class:

  • Place in dropbox prior to the start of class
  • No single word responses (at least 100+ words in each response)
  • Give examples
  • Cite resources
  • Give the questions some thought and answer honestly
  • Number your answers to correspond with the question
  • Worth 12 points / 10%

Watch the following videos:

These are short video of less than 3 minutes.

Questions:

  1. How did each of the videos make you feel? Explain.
  2. What thoughts came to mind after viewing each video? Explain.
  3. What were some interesting facts that reached out to you while watching each video? Give examples.

Nursing and the aging Family DQ week 8

 APA, less than 10 % similarity

Question

Research and discuss programs and resources available to assist family caregivers to reduce caregiver strain when taking care of tan older parent/family member at home.

Distractors in our Environments (Nursing)

 Discussion Question

Distractions are everywhere. They may include cellphones, multiple alarms sounding, overhead paging, monitors beeping, and various interruptions that disrupt your clinical practice.

Give an example of an ethical or legal issue that may arise if a patient has a poor outcome or sentinel event because of a distraction such as alarm fatigue. What does evidence reveal about alarm fatigue and distractions in healthcare when it comes to patient safety?

Sampling Methods

 

M3: Lesson 10 – Discussion

  1. Create an original posting with a minimum of 250-300 words.
  2. Back up your arguments with reliable evidence.

Sampling Methods 

Instructions:

  1. Please find an experimental or quasi-experimental or descriptive article you wild like to use for the article critique assignment.  Make sure it is from a nursing journal and is not older than five years. on a topic of your interest.
  2. Review the article and provide a summary of the article, and answer the following questions:
    1. Discuss whether you think the article is true-experimental, quasi-experimental, or no experimental. You must also state what type of quantitative design (descriptive, correlational, etc.)
    2. Where was the setting of the study?
    3. What are the sampling methods?  Does the sample reflect the population (representativeness)?  What about sample size?  What was the risk of sampling error in the study?  Did the author acknowledge the sample criteria?  Inclusion or exclusion?
    4. What are the variables being measured?
    5. What data collections methods were used?
    6. What is the intervention?