course materials

1. Assignment: challenges in the access to affordable healthcare
Assignment: challenges in the access to affordable healthcare ON Assignment: challenges
in the access to affordable healthcareplease complete Milestone 3 assignment according to
the guidelines. see all
attachments. milestone1.docxmilestone2.docxmilestone3_interview_guidelines.docxstudent
_sample.docUnformatted Attachment PreviewCourse Project Milestone1- Interviewee
Profile Form Title: Milestone 1 Name: _____ • Describe the interviewee: profession or career,
the culture of origin, and working phone number. Be specific. (20 points) My interviewee is
SW, she is a 33 years old lady working as a nanny in New York City. She came to the city in
2014 straight from an old town called Mandera in Kenya. She is a mother of two children, a
boy and a girl aged 10 years and 6 years respectively whom she left with her mother to take
care of them as she came to work. She has been doing a Nanny Course online so as to secure
a certificate in her line of work. She has been working for the family she is currently with
since she came from Kenya. Her job is basically to take care of the employers’ three years
old son throughout the day since the parents are in white collar jobs and perform other
chores such as household chores and dropping their 10 years old daughter to school in the
morning and picking her up in the early afternoon. When she came she did not have any
driving experience and therefore she had to enroll for some part-time classes and once she
was through she was given the responsibility of taking the kid to school to earns her extra
income • State the number of years the interviewee has resided in your community. Please
verify that the interviewee has been living in a culture other than the one of origin for at
least the past 3–5 years. Provide a description of the current community (your community).
Assignment: challenges in the access to affordable healthcareBe specific. (20 points) Miss
SW has been living in Queens for 3 years now. The interviewee confessed that the
environment and the culture here is very different from her native town, Mandera. The
people are urbanized and do not have the traditions that most Kenyan communities have.
She considers herself lucky to be capable and allowed to drive a car which is not as common
in her native country. She had been able to make a few friends from the surrounding
residents especially another lady from South Africa who is also a nanny and happens to
drop the kids of her employer to school every morning too. She confessed that it is not easy
to find someone from Kenya because the city is very busy and people are always in a rush to
go on their duties. It is unlike in her native community where people can spend the whole
day sitting and talking about nothing in particular as the cows and goats graze on the fields
• Describe your relationship with the interviewee, such as friend, colleague, classmate, an

2. employee at the local restaurant, healthcare worker, migrant worker, and so on. (10 points)
The interviewee is a friend I happened to meet in my line of work. The first day we met in
the hospital and then later we met at a local food joint and had some time to interact and
know each other more. She interested me with her many stories about the differences she
sees in the western community compared to her native country. • Enumerate reasons why
you selected this interviewee that speak to the interviewee’s culture and experiences with
the healthcare system. Be specific. Describe the healthcare services that the interviewee has
received in the current environment or community. (45 points) I decided to interview her
because she represents the minority who are having challenges in the access to affordable
healthcare. Her ethnicity is African and she is not paid top dollar for her job which is also
another factor that is bringing a lot of disparity in the access to quality healthcare.
Assignment: challenges in the access to affordable healthcareShe is a reflection of how the
country is in denial about the situation of healthcare provision. Considering the challenges
of access to healthcare that her and other Black Americans are going through it is an
indicator that the U.S is lagging behind other developed nations in the healthcare measures
because the kind of care received is dependent on the race, income, and ethnicity. She is also
a representation of how the system has continued to kill the dream of people because from
where she comes from, she would expect a society whose healthcare is top notch.
Considering she has experience of using herbal medicine from her community then she is
right to expect things to be different in the most powerful country on earth. In the 2015
report by National Healthcare Disparities, it indicated that approximately 35% of the
African Americans and other low-income earners had difficulties getting proper healthcare.
Course Project Milestone 2 Interview Guide and Questions Form Title: Milestone 2 Your
Name: __________________ • Note the proposed date of the interview. Describe the location of
the interview and how privacy will be maintained. Be specific. (20 points) I have planned to
conduct the interview on the Morning of 25th November. I have planned to hold the
interview on a weekend because it is the most convenient time for my interviewee. We shall
be meeting at the Comma Cafe which is not far away from her residence or mine. I have
chosen this joint because of the serenity offers. It is a quiet place that where we can have
our interview without worrying about noise or someone eavesdropping. It is a well-spaced
cafe to enhance privacy and minimize the probability of distractions. • Describe the process
you will use for documenting your interview and what steps you will take to ensure its
accuracy. For example, do you plan to take notes and then ask the subject for verification, or
do you plan to record the interview in audio or video and then transcribe it? (14 points) I
talked to the interviewee about my options and she informed me that she was comfortable
with my preferred option of recording the entire interview. Therefore, I am planning to use
my phone for recording and also to have a notebook on the side to take notes on the major
points that I would be interested in making an analysis on later. • • Identify five categories
from Appendix A in your text from which you would like to develop primary (and follow-
up) questions for your interview. The categories from which you may choose are listed
below. • Biocultural Variations and Cultural Aspects of the Incidence of Disease •
Assignment: challenges in the access to affordable healthcareCommunication • Cultural
Affiliations • Cultural Sanctions & Restrictions • Developmental Considerations • Economics

3. • Educational Background • Health-Related beliefs and Practices • Kinship and Social
Networks • Nutrition • Religion and Spirituality • Values Orientation Type the names of the
five categories you have chosen in the table below in the column marked “Categories.”
Develop one primary question for each of the five categories. Please note that the questions
should be in your own words and designed to elicit meaningful responses, for example,
open- ended or focused format. Use the table to type each question next to its
corresponding category. (60 points) • Develop two follow-up questions for each primary
question. Type these next to the corresponding primary questions. (40 points) • Indicate
reasons for asking specific questions that relate to the culture of origin and healthcare
experiences. (50 points) Categories Primary Question Related to Category Follow-up
Questions for each primary question Reasons for asking questions that are related to
culture of origin Category 1: Help me understand more about the health system in your
culture and the various practices incorporated into the system that ensures that the people
have access to healthcare? 1. What are some of the ways in which you used to access health
care in your community back in Kenya that shows how the healthcare system operates The
main reason for asking this question is to getter a better understanding of the healthcare
systems available in her ethnic culture and the cultural practices that were used as
alternatives. Am wondering what are the cultural sanctions and restrictions that have an
impact or affect access to healthcare. 1. Describe to me one of the situations whereby the
cultural sanctions and restrictions affected your access to healthcare. Cultural Affiliations
Category 2: Cultural Sanctions and Restrictions 2. Considering the practices in many African
communities, were there cultural practices where you come from that you think interfered
with the people’s ability to get proper healthcare provided by the government? 2. Expound
more on these suctions and restrictions to help me understand if they apply on the medicine
given This question is meant to bring a clear picture on some of the cultural practices that
influence the people’s ability to access health care in the health facilities in the healthcare
facilities or specific practices conducted in the general access to healthcare Category 3:
Economics In what way do you feel that the economic capabilities of your country and that
of the US have an impact on the healthcare system available 1. What are the constraints to
access to good healthcare that you feel has been influenced by the economic conditions of
your native country Kenya This question is meant to help explain whether economic
strength of a country is directly related to the quality of healthcare it offers to the people 2.
Assignment: challenges in the access to affordable healthcareDescribe an experience you
have had in an effort to seek healthcare that clearly shows the disparity in the health care
system in your country and the one here. Category 4: HealthRelated Beliefs and practices
Category 5: Religion and spirituality Let ‘s talk more about some of the beliefs and practices
in your culture that touch on health and how they influence the decision to seek or not to
seek healthcare services from a healthcare facility 1. How have these practices affected the
overall health of the people in areas where these beliefs and practices are dominant It
seems to me that most of the African cultural practices are also tied to their religious
practices, expound more on how 1. let us talk more about your religion in particular and
some of its practices that have become incorporated into the culture that has 2. In what
ways have these beliefs and practices affected you in this new environment and have they

4. influenced some of the decisions you have made on matters of health This question is meant
to delve on the practices and cultural beliefs and how they affect the health and healthcare
decisions of those who practice them This question is meant to provide more information
on the interviewee religious perception and its spirituality is developed to become a part of
the culture which in turn affects the healthcare system had an impact on the healthcare. 2.
How does the current culture affect your religion and the cultural practices in relation to
healthcare influence in healthcare Course Project Milestone 3: The Interview Guidelines and
Grading Rubric Purpose The purpose of the Course Project is to give the student the
opportunity to apply concepts in transcultural nursing by conducting a transcultural
nursing assessment. The purpose of Milestone 3 is to conduct an interview as part of a
transcultural nursing assessment, and conduct an interview. You will submit a written
document reflecting on concepts of transcultural nursing related to the interview.
Requirements and Guidelines • Review the Course Outcomes for this assignment, which are
listed above. • Assignment: challenges in the access to affordable healthcareSchedule a time
to meet with the interviewee to conduct a face-to-face interview. You may not conduct the
interview by phone call, e-mail or by asking the interviewee to fill in a form. You must be
able to understand your interviewee. An interpreter is not allowed. • Conduct the interview
in a professional manner using the preapproved questions (Milestone 2). • There is no
designated form for the assignment. The formatting of the Questions and Answers is at the
discretion of the student. Grading Criteria Category Length of document Introduction of
Student and Interviewee Interviewee Gives Permission for Interview
Professionalism/Organization Responsiveness/Guidance Points % Description 15 5 30 10
Create a written document using MS Word 2010 (or higher) that is five to six doublespaced
pages in Times New Roman size 12 font. All questions and answers are to be included.
Introduce self to interviewee and state purpose of interview. Ask interviewee to introduce
self or introduce the interviewee. 15 5 45 15 Conduct interview in a professional and
organized fashion moving from one primary question to followup questions covering
categories as appropriate. 30 10 Respond to comments of interviewee that facilitates
further discussion moving from one primary to secondary question for clarification. Guides
the interview so that maximum information about the categories is obtained. Ensure that
interviewee states willingness to be interviewed or student validates willingness. Student
explains that the interviewee can refuse to answer questions or stop the interview at any
time. 30 10 Responses indicate genuine interest, courtesy and respect of interviewee and
culture of origin. 90 30 Explain what was learned from the interview process. Is specific
reflecting on statements made, not repeating answers. Explain how information gleaned
from interview will impact nursing practice when responsible for the nursing care of
another individual from the interviewee’s culture of origin. 45 15 Submit an edited written
document that accurately captures the interview, and is in a format that the instructor may
download and review. Include a cover sheet including name of student, name of instructor,
date and time of interview as well as initials and workable phone number of interviewee.
300 points 100% Interest/Courtesy/Respect Learning/Practice Impact Documentation of
Interview Total Grading Rubric Assignment Criteria Length of document 15 points A
(100%) Exceptional B (88%) Exceeds C (80%) Meets Outstanding or highest level of

5. performance Very good or high level of performance Competent or satisfactory level of
performance Creates a written document using MS Word 2010 (or higher) that is five to six
double-spaced pages in Times New Roman size 12 font. All questions and answers are
included. Creates a written document using MS Word 2010 (or higher) that is six to seven
doublespaced pages, OR the font is incorrect. All questions and answers are included.
Creates a written document using MS Word 2010 (or higher) that is nine to 11 double-
spaced pages, AND the font is not correct. Some questions and answers are not included. 15
points 13 points 12 points NI (38%) Needs Improvement Poor or failing level of
performance F (0%) Developing Unsatisfactory level of performance Creates a written
document not using MS Word 2010 (or higher) that is less than five (5) doublespaced pages
and is in the wrong font. Assignment: challenges in the access to affordable
healthcareUnable to determine if all questions Creates a written document not using MS
Word 2010 (or higher) that is less than five (5) doublespaced pages and is in the wrong
font. Unable to determine if all questions Introduction of Student and Interviewee 30 points
Interviewee Gives Permission for Interview 15 points Introduces self to interviewee and
thoroughly states purpose of interview. Interviewee introduces self or student introduces
interviewee. 30 points Ensures that interviewee states willingness to be interviewed or
student validates willingness. Explains that interviewee may refuse to answer questions
and may stop the interview at any time. 15 points Professionalism/ Organization 45 points
Conducts an indepth interview in a professional and organized fashion moving from one
primary question to follow-up questions that cover five (5) categories as appropriate.
Categories are distinct. 45 points Responsiveness and Guidance 30 points Thoroughly
responds to and answers are included. and answers are included. 6 points Incorrectly states
the purpose of the interview. 11 points 0 points Fails to introduce self, interviewee, or state
purpose of interview. 0 points Introduces self and interviewee and briefly states the
purpose of interview. 26 points States purpose of interview but fails to introduce self or
interviewee. 24 points Asks interviewee to state willingness to be interviewed. Does not
give a complete explanation to the interviewee. Explains that interviewee may refuse to
answer questions and may stop the interview at any time. 13 points Conducts an interview
in a professional and organized fashion moving from one primary question to follow-up
questions covering four (4) categories as appropriate. Categories are distinct. 40 points
Generally responds to comments of Asks interviewee to state willingness to be interviewed.
Does not convey what explanation was given to interviewee. Explains that interviewee may
refuse to answer and may stop the interview at any time. 12 points Does not validate
interviewee’s willingness to be interviewed OR does not explain that the interviewee can
refuse to answer questions or stop the interview at any time. 6 points Does not validate
interviewee’s willingness to be interviewed AND does not explain that the interviewee can
refuse to answer questions or stop the interview at any time. 0 points Somewhat
disorganized but eventually covers primary questions and follow up questions three (3)
categories. Categories are distinct. 36 points Only covers two categories, or fails to mention
followup questions. Categories are distinct. 17 points Interview is disorganized and primary
and secondary questions are not addressed. Categories are NOT distinct.0 points Briefly
responds to comments of interviewee. Briefly responds to the comments of Does not

6. respond to comments of comments of interviewee that facilitates further discussion moving
from one primary to secondary question for clarification. Guides interview so that
maximum information about culture of origin and five (5) categories are stated. interviewee
but fails to facilitate further discussion while moving from one primary to secondary
question for clarification. Somewhat guides interview but only four (4) categories are
stated. 26 points The culture of origin is not clearly stated. Interviewee guides discussion.
24 points the interviewee. The culture of origin is not clearly stated. 11 points interviewee
and discussion is not progressive, which leaves unanswered questions about culture of
origin and categories. 0 points Responses mostly indicate interest, courtesy and respect of
interviewee and culture of origin and indicates some evidence that student has done
research on the culture of origin. Shows respect for the interviewee and expresses thanks
for willingness to participate. Responses rarely indicate interest, courtesy and respect of
interviewee and culture of origin OR indicates evidence that student has done research on
the culture of origin. Shows respect for the interviewee, but may forgot to express thanks
for willingness to participate. Does not state reasons for asking questions. 11 points
Responses show disrespect for the interviewee including interrupting the conversation, and
failing to express thanks for willingness to participate. 0 points 30 points Interest/
courtesy/ respect 30 points Responses completely indicate genuine interest, courtesy and
respect of interviewee and culture of origin and shows evidence that student has done
research on the culture of origin. Shows courtesy and respect to the interviewee by not
interrupting, by indicating active listening, and expressing thanks to the interviewee for
willingness to participate. 26 points 24 points 30 points Learning/ Practice Impact 90
points Thoroughly explains what was learned from interview reflecting on: statements
made, but not repeating answers; and how information gleaned from interview will impact
personal nursing practice when responsible for nursing care of another individual from the
interviewee’s culture of origin, and how culture impacts healthcare that interviewee
receives. 90