International Journal of Nursing Terminologies and Classifications Volume 15, No. 1, January-March, 2004 17
Susan Walsh, MSN, RNC
PURPOSE. To formulate a plan of care for a
culturally diverse population and develop a
resource for the healthcare team in providing
culturally competent care.
DATA SOURCES. Books, journal articles.
DATA SYNTHESIS. Healthcare workers are
challenged to provide appropriate care for an
increasingly diverse population. A cluster of
nursing diagnoses were used to develop a plan of
care addressing the unique challenges of caring
for a diverse population served by a community
hospital.
CONCLUSION. A care plan was devised and
inserted into the nursing diagnosis�based
nursing documentation computer system for easy
access when needed.
PRACTICE IMPLICATIONS. A care plan for a
diverse population can promote respectful and
excellent care for every patient.
Search terms: Care plans, cultural competence,
diversity, nursing diagnosis
Elaboration d�un plan de soin pour des patients
de cultures différentes
BUT. Elaborer un plan de soin pour une
population de culture différente et développer une
ressource pour l�équipe de santé, qui doit
dispenser des soins culturels compétents.
SOURCES DE DONNÉES. Manuels, articles de
revues.
SYNTHÈSE DES DONNÉES. Dispenser des soins
appropriés à une population de cultures variées
représente un défi pour les soignants. Un groupe
de diagnostics infirmiers fut utilisé pour élaborer
un plan de soin destiné à une population
multiculturelle, fréquentant un hôpital
communautaire.
CONCLUSIONS. Un plan de soin fut élaboré et
inclus dans le système de soin informatisé, basé
sur les diagnostics infirmiers afin d�en faciliter
l�accès aux soignants.
IMPLICATIONS POUR LA PRATIQUE. Un plan de
soin destiné à une population multiculturelle
peut promouvoir des soins empreints de respect et
d�excellence pour tous les patients.
Mots-clés: Compétence culturelle, diversité
culturelle, diagnostics infirmiers, plan de soin
Formulation of a Plan of Care for Culturally Diverse
Patients
Translation by Cécile Boisvert, MSN, RN
18 International Journal of Nursing Terminologies and Classifications Volume 15, No. 1, January-March, 2004
Formulation of a Plan of Care for Culturally Diverse Patients
Elaboração de um plano de cuidados para
pacientes culturalmente diversos
OBJETIVO. Formular um plano de cuidados para
uma população culturalmente diversa e
desenvolver um recurso para a equipe de saúde
oferecer um cuidado culturalmente competente.
FONTE DE DADOS. Livros, artigos em periódicos.
SÍNTESE DOS DADOS. Trabalhadores da saúde
têm o desafio de oferecer uma assistência
apropriada para uma população cada vez mais
diversificada. Um agrupamento de diagnósticos
de enfermagem foi utilizado para desenvolver um
plano de cuidados abordando os desafios únicos
de assistir uma população diversificada, servida
por um hospital comunitário.
CONCLUSÃO. Um plano de cuidados foi criado
e i.
The Role of the Advanced Practice Nurse in cultural.docxbkbk37
The document discusses the role of advanced practice nurses in bridging the cultural gap between nurses and patients. As the US population becomes more diverse, cultural competency in healthcare is increasingly important. The document proposes that advanced practice nurses can help address this issue by following the mnemonic ASKED - developing awareness of personal biases, cultural skills to assess patients, knowledge of diverse cultures, encounters with diverse patients, and the desire to engage in culturally competent care. As healthcare providers to a diverse global population, advanced practice nurses are well-positioned to improve care for patients from various cultures by overcoming barriers and reducing health disparities.
The document discusses the development of a teaching program to raise awareness of vulnerable populations in a workplace. It describes nursing theorists Leininger and Watson who emphasized holistic and culturally competent care. The author developed posters on ethical cultural competence that were displayed and will be used in a September presentation. The presentation aims to discuss how understanding different cultures can help provide equitable, patient-centered care and meet quality standards. Understanding cultural factors is important for implementing effective health interventions in a holistic manner.
Cultural competence in healthcare is important for equitable treatment of all patients. There are several guidelines from professional organizations to promote cultural competence. These guidelines focus on creating awareness of sociocultural factors' influence, making clinical settings accessible, and respecting cultural differences. Some healthcare accreditation standards now mandate curriculum on cultural competence. As a result, medical schools provide skills for understanding diverse cultures' views of illness. Improving awareness of patients' cultural needs can be achieved through better communication and encouraging participation in online networks. Healthcare organizations also aim to adopt culturally sensitive policies to reduce barriers and disparities in access to care.
Cultural competency in healthcare is important because patients come from diverse backgrounds. Healthcare providers must be aware of different cultures and treat all patients with respect, without projecting personal beliefs. They should receive ongoing education on diverse cultures to best meet patient needs. As the US population changes, healthcare administrators must ensure standards and resources are in place to provide culturally appropriate care for all.
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Cultural Competency Essay
Cultural competency
In healthcare industry cultural competence is an important component and it is not an isolated aspect of medical care as it improves patients clinical outcomes. Cultural competence is express as a dynamic, complex and it involves skill that healthcare providers need to develop in order to respond to their individual diverse cultural patients (Brenda, 2016). Cultural competency is defined as creating consciousness of an individual s life; feeling and thoughts without allowing it to have an unwanted control or power by demonstrating knowledge on the patients cultural and respecting their differences. Another definition had been stated that cultural competence is how the healthcare providers advocate effectively and deliver required needs for their diverse cultural patients (Weber, 2003). Cultural competency is a concept that had been used widely in nursing profession.
The aim is to improve effectiveness and efficiency of healthcare services for patients with diverse cultural background. It was developed by recognition of cultural barriers among the healthcare providers and patients; that could affect the quality of healthcare delivered to the...show more content...There are great quantities of international literature pertaining to cultural competency and the importance of it had been integrated into healthcare. In the United States, the importance s of cultural competency within healthcare practice is widely accredited to the state and federal regulations for culturally competent healthcare (WHO, 2012). Reviews had examined the cultural competency and related concepts within healthcare setting such as nursing, mental health and healthc
This document provides an overview of transcultural nursing concepts and cultural competence in healthcare. It defines key terms like culture, ethnicity, religion, and discusses Giger and Purnell's model for assessing cultural variations. The document also summarizes Madeleine Leininger's Culture Care Theory, which focuses on discovering culturally appropriate caring behaviors. It outlines the basic assumptions and key concepts of the theory, including cultural diversity, universality, and the need to interface generic and professional care to provide culturally congruent nursing.
Clinical interactions and communication are key factors for improving chronic disease self-management for Aboriginal and Torres Strait Islander peoples with rheumatic heart disease. Improving communication requires effective two-way and cross-cultural communication between patients, community members, and healthcare providers. Strategies like clinical yarning and developing cultural health capital can help build rapport and understanding between patients and providers to support self-management. Addressing social and cultural factors is important for meaningful patient-provider interactions and successful self-management.
The Role of the Advanced Practice Nurse in cultural.docxbkbk37
The document discusses the role of advanced practice nurses in bridging the cultural gap between nurses and patients. As the US population becomes more diverse, cultural competency in healthcare is increasingly important. The document proposes that advanced practice nurses can help address this issue by following the mnemonic ASKED - developing awareness of personal biases, cultural skills to assess patients, knowledge of diverse cultures, encounters with diverse patients, and the desire to engage in culturally competent care. As healthcare providers to a diverse global population, advanced practice nurses are well-positioned to improve care for patients from various cultures by overcoming barriers and reducing health disparities.
The document discusses the development of a teaching program to raise awareness of vulnerable populations in a workplace. It describes nursing theorists Leininger and Watson who emphasized holistic and culturally competent care. The author developed posters on ethical cultural competence that were displayed and will be used in a September presentation. The presentation aims to discuss how understanding different cultures can help provide equitable, patient-centered care and meet quality standards. Understanding cultural factors is important for implementing effective health interventions in a holistic manner.
Cultural competence in healthcare is important for equitable treatment of all patients. There are several guidelines from professional organizations to promote cultural competence. These guidelines focus on creating awareness of sociocultural factors' influence, making clinical settings accessible, and respecting cultural differences. Some healthcare accreditation standards now mandate curriculum on cultural competence. As a result, medical schools provide skills for understanding diverse cultures' views of illness. Improving awareness of patients' cultural needs can be achieved through better communication and encouraging participation in online networks. Healthcare organizations also aim to adopt culturally sensitive policies to reduce barriers and disparities in access to care.
Cultural competency in healthcare is important because patients come from diverse backgrounds. Healthcare providers must be aware of different cultures and treat all patients with respect, without projecting personal beliefs. They should receive ongoing education on diverse cultures to best meet patient needs. As the US population changes, healthcare administrators must ensure standards and resources are in place to provide culturally appropriate care for all.
Paper Writing Service - HelpWriting.net 👈
✅ Quality
You get an original and high-quality paper based on extensive research. The completed work will be correctly formatted, referenced and tailored to your level of study.
✅ Confidentiality
We value your privacy. We do not disclose your personal information to any third party without your consent. Your payment data is also safely handled as you process the payment through a secured and verified payment processor.
✅ Originality
Every single order we deliver is written from scratch according to your instructions. We have zero tolerance for plagiarism, so all completed papers are unique and checked for plagiarism using a leading plagiarism detector.
✅ On-time delivery
We strive to deliver quality custom written papers before the deadline. That's why you don't have to worry about missing the deadline for submitting your assignment.
✅ Free revisions
You can ask to revise your paper as many times as you need until you're completely satisfied with the result. Provide notes about what needs to be changed, and we'll change it right away.
✅ 24/7 Support
From answering simple questions to solving any possible issues, we're always here to help you in chat and on the phone. We've got you covered at any time, day or night.
Cultural Competency Essay
Cultural competency
In healthcare industry cultural competence is an important component and it is not an isolated aspect of medical care as it improves patients clinical outcomes. Cultural competence is express as a dynamic, complex and it involves skill that healthcare providers need to develop in order to respond to their individual diverse cultural patients (Brenda, 2016). Cultural competency is defined as creating consciousness of an individual s life; feeling and thoughts without allowing it to have an unwanted control or power by demonstrating knowledge on the patients cultural and respecting their differences. Another definition had been stated that cultural competence is how the healthcare providers advocate effectively and deliver required needs for their diverse cultural patients (Weber, 2003). Cultural competency is a concept that had been used widely in nursing profession.
The aim is to improve effectiveness and efficiency of healthcare services for patients with diverse cultural background. It was developed by recognition of cultural barriers among the healthcare providers and patients; that could affect the quality of healthcare delivered to the...show more content...There are great quantities of international literature pertaining to cultural competency and the importance of it had been integrated into healthcare. In the United States, the importance s of cultural competency within healthcare practice is widely accredited to the state and federal regulations for culturally competent healthcare (WHO, 2012). Reviews had examined the cultural competency and related concepts within healthcare setting such as nursing, mental health and healthc
This document provides an overview of transcultural nursing concepts and cultural competence in healthcare. It defines key terms like culture, ethnicity, religion, and discusses Giger and Purnell's model for assessing cultural variations. The document also summarizes Madeleine Leininger's Culture Care Theory, which focuses on discovering culturally appropriate caring behaviors. It outlines the basic assumptions and key concepts of the theory, including cultural diversity, universality, and the need to interface generic and professional care to provide culturally congruent nursing.
Clinical interactions and communication are key factors for improving chronic disease self-management for Aboriginal and Torres Strait Islander peoples with rheumatic heart disease. Improving communication requires effective two-way and cross-cultural communication between patients, community members, and healthcare providers. Strategies like clinical yarning and developing cultural health capital can help build rapport and understanding between patients and providers to support self-management. Addressing social and cultural factors is important for meaningful patient-provider interactions and successful self-management.
Nursing practice is impacted by community involvement in several ways. Community health is affected by factors like culture, diversity, and access to care. With shorter hospital stays, nurses must find ways to educate and support patients outside of the hospital to improve health. This involves developing chronic care models, conducting outreach programs, and using telemedicine. It is important for nursing practice to understand community needs through data collection and train on diverse cultural beliefs to provide patient-centered care. Higher nursing education is needed to allow nurses to better coordinate care across settings and help patients manage chronic conditions in the community.
This document discusses patient and family centered care. It explains that patient and family centered care involves working together with providers, patients, and families to improve the patient experience and quality of care. It shares how other organizations have successfully adopted this model of cultural change. This model is referred to as patient and family centered care (PFCC). Facilities that have implemented PFCC have seen benefits like reduced call lights, fewer falls, and lower readmission rates. The adoption of a new PFCC culture takes continual effort from the entire healthcare team.
New Requirements And Challenges Joint Commission Cultural Competency Requir...mlw0624
The document discusses new requirements by the Joint Commission for hospitals to improve cultural competency and meet CLAS standards. It focuses on workforce and human resource issues, recommending that hospitals target diverse recruitment, provide cultural competency training to staff, and get staff input on improving care for diverse patients. Hospitals will be evaluated on these organizational supports and readiness factors during accreditation reviews starting in 2012.
Culturally competent care involves delivering health care that is congruent with a patient's cultural beliefs and practices. Standards for culturally competent care aim to eliminate health disparities and ensure all patients receive respectful, understandable care. Some standards being met include providing culturally sensitive care and recruiting a diverse staff. Standards not being met are lack of ongoing training for staff and inadequate language services. Where standards are not met, solutions include assessing patient population needs, evaluating current practices, and recruiting a diverse workforce.
This presentation introduces the concepts of cultural competency and health disparities and biases that may arise when treating patients of different backgrounds.
Identify any genetic predisposition your chosen population ( Hispanifideladallimore
Identify any genetic predisposition your chosen population ( Hispanics) has to a particular disease ( Diabetes) and develop primary practice interventions that reflect the cultural considerations of the population.
Then, develop culturally appropriate, measurable interventions to help your population members maintain an optimal state of health, avoiding the problem that you identified them being at risk for developing.
Culturally aware nurses recognize that states of health are revealed differently across cultures and ethnicities. Culture and ethnic background will affect the way each individual responds to health, illness, and death (Stanhope & Lancaster, 2016). These nurses are also aware of their own biases, which may affect the care they provide to others (Stanhope & Lancaster, 2016). Because most nurses work in institutions with individual patients, they are accustomed to delivering culturally competent care on a one-on-one basis. When a public health nurse deals with a population, he or she must consider how the population culture affects the ways in which the community nurse may interact. This can be with regard to the provision of education or mass health care needs such as those required in a foodborne illness, if mass vaccinations are needed for a communicable disease outbreak, or if education is required to prevent heart disease. In addition to understanding the nuances of the culture of a population, community health nurses must understand the role genetics play in health. Some disorders, such as glaucoma and diabetes, have a genetic link, as do some cancers, such as breast and ovarian.
Please discuss the following questions in no less than 4-5 paragraphs
· Provide a few examples of community resources that should be put in place to assist your population in resolving their health care needs. What gaps in service do you see that affect your population?
· Are there any cultural considerations that might inform your approach to caring for this population?
· Does your population have a genetic predisposition to the health care problem you have identified?
· Identify at least one evidence-based, culturally competent behavior change that would promote health for your selected population and for the specific health care problem you are addressing?
...
Student PaperCultural Competency in Baccalaureate Nursing .docxdeanmtaylor1545
Student Paper
Cultural Competency in Baccalaureate Nursing Education: A Conceptual Analysis
Deborah Byrne, RN, MSN, La Salle University, Villanova University
Abstract
The ability to deliver culturally competent nursing care is an expected competency of
undergraduate nursing education programs. The American Association of Colleges of Nursing
(AACN) and the National League for Nursing (NLN) have developed toolkits that provide nurse
educators with models and teaching strategies to facilitate student learning in cultural
competency. However, the concept of cultural competency varies as does the best method for
integrating and evaluating cultural competency in undergraduate nursing curriculum. With the
growing number of diverse clients, it is imperative that nursing students deliver culturally
competent care. This article explores the current view of the concept of cultural competency from
the standpoint of nursing education and the methods used to evaluate cultural competency in
undergraduate nursing education programs.
Keywords: cultural competency, simulation,
undergraduate nursing education, cultural
awareness, cultural humility
Background and Significance
Health care is increasingly complex, diverse,
and growing in the United States. The United
States Census Bureau (2009) predicts that the
U.S. population of non-European Caucasians will
be equivalent to Caucasian Americans by 2050.
According to Healthy People 2020, there are
significant health disparities among minority
groups. A fundamental goal of Healthy People
2020 is to eliminate health disparities for all
groups (U.S. Department of Health and Human
Services [USDHHS]). The need for culturally
competent health care is essential to reduce
health disparities and ensure positive health
outcomes.
The National League for Nursing (NLN) and
American Association of Colleges of Nursing
(AACN) include culturally appropriate care in their
accreditation standards and have developed
toolkits for nurse educators to assist with
incorporating cultural competency in
undergraduate nursing curricula (NLN, 2009;
AACN, 2008). There is, however, no consensus in
the literature regarding effective ways to teach
cultural competency to undergraduate
baccalaureate nursing students. Most nursing
programs in the United States include the concept
and skill of cultural competency as a program
outcome and attempt to integrate cultural
competency into their curricula. Attempts at
integration have been reported as inadequate in
developing culturally competent nurses (Brennan
& Cotter, 2008). As the diversity of the population
increases, so too must the cultural competency of
nurses in practice. It is imperative that
undergraduate nursing students develop cultural
competency knowledge, awareness, and skills
while experiencing didactic courses, clinical, and
simulation experiences.
Culture is integral to how people view death,
birth, illness, and health (Delgado et al., 2013).
For individuals to seek health care, .
Student PaperCultural Competency in Baccalaureate Nursing blazelaj2
This document summarizes a student paper on cultural competency in baccalaureate nursing education. It provides background on the importance of cultural competency in nursing, discusses definitions of culture and cultural competency from nursing and other fields, and analyzes key attributes of the concept of cultural competency, including cultural awareness, knowledge, skill, encounters, desire, sensitivity and humility. Conceptual models for teaching cultural competency in nursing are also examined. The document concludes that developing cultural competency in nursing students is important for reducing health disparities and ensuring positive patient outcomes.
Defining a Culturally Competent Organization Culturally competent .docxvickeryr87
Defining a Culturally Competent Organization Culturally competent health care, broadly defined as services that are respectful of and responsive to the cultural and linguistic needs of patients, is increasingly viewed as essential in reducing racial and ethnic disparities, improving health care quality, and controlling costs. The U.S. government considers cultural competence as a method of increasing access to quality care for all patients. The aim should be to develop systems more responsive to diverse populations. Managed care organizations view cultural competence as driving both quality and business. By embedding cultural competence strategies into quality improvement initiatives to make care more efficient and effective, clinical outcomes are improved while costs are controlled. Those in academic settings agree that cultural competency education is crucial for preparing future health care workers, although appropriate education on the topic is provided in only half of the medical schools in the United States (Betancourt, Green, Carrillo, & Park, 2005). According to the Office of Minority Health, cultural competence refers to the ability of health care providers and organizations to understand and respond effectively to the cultural and linguistic needs of patients (Office of Minority Health, 2001). Cultural competence encompasses a wide range of activities and considerations. It includes providing respectful care that is consistent with cultural health beliefs of the clients and family members. Competent interpreter services and programs to promote staff diversity are other ways in which health care organizations can increase cultural competence (Clancy & Stryer, 2001). Because communication is a cornerstone of patient safety and quality care, every patient has the right to receive information in a manner he or she understands. Effective communication allows patients to participate more fully in their care. Communicating effectively with patients is also critical to the informed consent process and helps practitioners and hospitals give the best possible care. For communication to be effective, the information provided must be complete, accurate, timely, unambiguous, and understood by the patient. Many patients of varying circumstances require alternative communication methods: patients who speak and/or read languages other than English; patients who have limited literacy in any language; patients who have visual or hearing impairments; patients on ventilators; patients with cognitive impairments; and children. The hospital has many options available to assist in communication with these individuals, such as interpreters, translated written materials, pen and paper, communication boards, and speech therapy. It is up to the hospital to determine which method is the best for each patient. Various laws, regulations, and guidelines are relevant to the use of interpreters. These include Title VI of the Civil Rights Act, 1964; Executive Order .
This document discusses health information resources for libraries in Webb County, Texas to address health disparities in the primarily Hispanic population. It provides an overview of federal initiatives to reduce health disparities and a profile of Webb County demographics. Resources discussed include Healthy People 2010 Library Project, MedlinePlus, and CDC websites. It also covers additional issues libraries face in providing accessible health information to patrons and evaluating online health resources.
Running head CULTURAL INCOMPETENCE IN NURSING .docxjoellemurphey
Running head: CULTURAL INCOMPETENCE IN NURSING
CULTURAL INCOMPETENCE IN NURSING12
Literature Review: Cultural Incompetence in Nursing
Bettina Vargas
Kaplan University
Literature Review: Cultural Incompetence in NursingComment by Tracy Towne: Use citations to support yoru statements so the reader knows it is not just your opinion
In healthcare, cultural incompetence impedes the delivery of quality care at the global, national and healthcare organizational level. In the United States, the minority disproportionate access of healthcare is mainly due to cultural incompetence in nursing and so are the increasing health issues they face, such as high rates of diseases and deaths. At the practicum site, Coral Gables Nursing and Rehabilitation, the effect of cultural incompetence in reference to the delivering poor quality care to a culturally diverse patient population is evident. With this in mind, the focus of this literature review is to provide insight on the trends of cultural incompetence, explore theories used to examine cultural incompetence, gaps in the pre-existing literature and solutions to cultural incompetence. This will help to contextual cultural incompetence and find lasting solutions for eradicating cultural incompetence and prioritizing cultural competence.
Trends
Cultural incompetence in nursing finds its roots in the nursing education and training. According to Bednarz, Schim, & Doorenbos (2010), as the general population records increased diversity, so do the nursing classroom where the minorities are enrolling in nursing education at a higher rate. This increases the need to focus on diversity in nursing education to nurture cultural competent nursing professionals. However, cultural incompetence among the teaching staff in terms of the inability to counter diversity barriers make it difficult to teach a diverse classroom and impart students with cultural competence. These barriers emerge from values and common attitudes held by nursing education and culture such as avoiding unwanted discrimination and the Golden Rule, which is “do unto others as you would have them do unto you” (para. 9). As Hassouneh (2013) indicate, the effect of such barriers, is “unconscious incompetence” as well intentioned faculties are unable to recognize realities, including the fact that each student is unique and deserves unique treatment, thus generating more barriers towards instilling students with cultural competence. The nursing education and training lacks uniformity in accommodating the needs of diverse students. Lack of efficiency in cross-cultural communication, both in written and spoken form aggravates this. Besides, nursing education has no profound way of bringing the different cultures, jargon and professional languages that the students and the faculty possess together to create coherence and increasingly enable the nurses and the faculty to understand each other. The effect is a learning environme ...
Culture in Nursing DQ 1 student reply Martha Gomez.docxwrite31
1) Dr. Madeleine Leininger is considered the founder of transcultural nursing. In the 1950s, she observed differences in how nurses and patients from different cultures interacted. This led her to study how culture influences healthcare and develop theories to provide culturally competent care.
2) The Andrews/Boyle Transcultural Interprofessional Practice (TIP) model provides a framework for delivering patient-centered care that considers a patient's cultural context. The model emphasizes collaboration between healthcare professionals and effective communication.
3) Key concepts in transcultural nursing developed by Dr. Leininger include the Sunrise model, three nursing modalities, and eight standards for evaluating culturally competent care. Her work established transc
This document provides information about health education resources from the National Library of Medicine and the National Network of Libraries of Medicine. It discusses consumer health and health literacy, defines health literacy, and identifies populations that are more likely to have low health literacy. It also outlines National Library of Medicine resources like MedlinePlus and DailyMed and describes funding opportunities through the National Network of Libraries of Medicine MidContinental Region.
Emerging Standards of CareTitleCourse NameTopi.docxjack60216
Emerging Standards of Care
Title:
Course Name:
Topic Name:
Professor’s Name:
Student Name:
Date:
Introduction
Define Cultural Competency is a well set of congruent or harmonious behaviors, policies, and attitudes that come together in a professional, system, or among agencies that enables actual work in cross-cultural circumstances (HHS, 1997). In our world increasing population growth dealing with cultural and ethnic and racial communities, every people have their own health profiles and cultural personality, so for these things it creates a great challenge for US health care system (Behn J D & Gonwa T, 1992). In United States Cultural Competency is most important to the health care because it’s the best way doctors and patients discuss about health related matter without any cultural differences distressing the conversation but simultaneously enhancing it (HHS, 1997). For a health care organization cultural competency has more benefits. Such as it increases trust, increases respect, decrease unwanted surprises, increases creativity, helps the defeat fear of mistakes, increase involvement from other cultural groups, and promotes fairness and inclusion. Health care organization can show cultural competency by writing a good mission statement that bind to cultural competence as portion of the organizations behavior.
Emerging Standards of Care
According to the United States department of DHHS Office of Minority Health, Incorporated health care attitude must obey the entire person, work diagonally the lifetime, include early intrusion methods and prevention method, and be person-centered, recovery focused and strength-based" (U.S. Department of Health and Human Services, 2000). In the model of healthcare, patient must be treated or cared not only according to usual nursing practice but respect for the people’s belief system with their culture and integrate into the care.
Providers that esteem the languages, cultures, and people’s worldviews they serve are more victorious in activating and engaging individuals, communities and families to be an effective accomplice in their own health care (U.S. Department of Health and Human Services, 2000)
By integrating into people’s care beliefs and requirements, the professional can make rapport with the people in such a good way that must be encourages the people to be functioning or more active in their own health care decisions based on the individual's belief system and professional's medical understanding. Culturally competent care is care that responsive or respectful to an individual's health requirements, beliefs, and practices. This particular type of care is responsive to the individual's religious and cultural beliefs as well as ethnic beliefs that have been revealed to engage individuals into share or in some cases participating in their healthcare.
The skill to provide culturally competent care is most important for all nurses. Those nurses who work in high-stress or high-acuity heal ...
SEMINAR PRESENTATION ON CULTURAL COMPITENCEDaudaUsman6
This seminar presentation discusses cultural competence in healthcare. It will define culture and cultural competence, explain why cultural competence is needed in nursing care, and discuss Madeleine Leininger's transcultural nursing theory. Recommendations for nurses to enhance their cultural competence will also be provided. The presentation aims to promote understanding of different cultures and provide culturally appropriate care to all patients.
Salon 2 15 kasim 11.00 12.00 nuran aydin-ingtyfngnc
The document discusses the importance of cultural competency in nursing care. It notes that culture shapes individuals' experiences, perceptions, and decisions. Providing culturally sensitive care requires understanding how culture influences health beliefs, behaviors, and patient-provider relationships. The best solution is for healthcare professionals to become culturally competent by developing knowledge of different cultural groups, skills in cross-cultural communication and patient-centered care, and awareness of one's own cultural values. Ongoing training and education can help improve cultural competency and lead to better patient outcomes and satisfaction.
Intercultural communication between patients and health care providers2001Kelsy Saulsbury
This study examines the relationship between cultural sensitivity, effective intercultural communication, and stress/anxiety among healthcare providers interacting with patients from different cultures. The researchers developed survey questions to measure cultural sensitivity and effective intercultural communication. They hypothesized a correlation between cultural sensitivity, communication effectiveness, and reported anxiety. The surveys were administered to providers at a community health system to test this hypothesis and better understand how to develop intercultural training programs.
International Clinical Nursing Leadership Mentoring: Enriching Student's Know...Crimsonpublisherscojnh
Nurses in today's dynamically evolving health care profession are expected to have the knowledge and expertise for caring for the wide diversity of people that comprise the patient populations in the hospitals and clinical environments around the globe. This article presents a unique and special international program that promotes the acquisition of knowledge by novice nursing students concerning the care of a diversity of pediatric patients through having the mentoring and guidance of nursing clinical leaders
International Clinical Nursing Leadership Mentoring: Enriching Student's Know...Crimsonpublisherscojnh
Nurses in today's dynamically evolving health care profession are expected to have the knowledge and expertise for caring for the wide diversity of people that comprise the patient populations in the hospitals and clinical environments around the globe. This article presents a unique and special international program that promotes the acquisition of knowledge by novice nursing students concerning the care of a diversity of pediatric patients through having the mentoring and guidance of nursing clinical leaders. The program has been established for eleven years and is based with two university schools of nursing and two children's hospitals in the United States and the United Kingdom. The purpose of this article is to showcase this program and introduce a vehicle for introducing nursing students to caring for diverse people through successful programs such as this one
The profession of nursing has become globally based and nurses are now expected to practice with a wealth of knowledge regarding the increasing diversity of the world's population and emerging cultures. Nurses that practice both in the United States, as well as abroad throughout the world, are learning about the customs of people of multiple cultures and emerging diversities. The Sullivan Report on diversity in the health care professions additionally showcased the need for an increase in diversity of the members in the health professions, as well as for those in the health professions to engage their knowledge in learning and becoming culturally competent in understanding the world's dynamically changing population [2]. Nurses in today's dramatically evolving health care environment must be aware of cultural differences and similarities in patient populations and be prepared for caring for patients from a wealth of cultures, as well as unique backgrounds
Assist with first annotated bibliography. Assist with f.docxnormanibarber20063
Assist with first
annotated bibliography
.
Assist with first
annotated bibliography
.
(Thesis topic: Psychotherapy)
. Each submission must also include a brief critique of the source (e.g., how could the study be improved, criticism of the author(s) assertions, ideas for future studies, etc.).
summary of the article, including the purpose/hypothesis of the study, a statement about the participants and methods utilized in the study, results and implications for future research, as well as the methodological limitations/critique of the study.
.
Assistance needed with SQL commandsI need assistance with the quer.docxnormanibarber20063
Assistance needed with SQL commands
I need assistance with the query commands assigned to an assignment. I have the databases properly created and do not need assistance with the commands associated with creating the databases. Here is the complete assignment. I have attached the database information.
The structure of the movies database is as follows:
Director (
DIRNUB
, DIRNAME, DIRBORN, YR-DIRDIED)
STAR (
STARNUB
, STARNAME, BIRTHPLACE, STARBORN, YR-STARDIED)
MOVIE (
MVNUB
, MVTITLE, YRMDE, MVTYPE, CRIT, MPAA, NOMINATIONS, AWRD,
DIRNUB
)
MOVSTAR (
MVNUB
,
STARNUB
, AMTPAID)
MEMBER (
MMBNUB
, MMBNAME, MMBADD, MMBCITY, MMBST, NUMRENT, BONUS, JOINDATE)
TAPE (
TAPENUM,
MVNUB, PURDATE, TMSRNT,
MMBNUB
)
Create Video Store database as discussed in the class. Make sure to correct column widths/types before creating tables. Use SQL to form queries to produce the following reports
:
** List the names and numbers of directors whose names begin with the alphabet ‘K’.
List the tape no, movie title, and the membership number and name of members, who are currently borrowing tapes numbered below 20. Arrange the report in descending order by tape number.
List the names and respective numbers of stars and directors who have worked together.
** List the tape numbers for movies of movie type: ‘HORROR’.
List the name of the director who has received the maximum number of total awards considering all his/her movies: AWRD.
** List the names of all members who have not borrowed any movie currently.
List the movie type and number of tapes for each type in the database.
** For each movie list total how many times it has been rented: TMSRNT.
Report the total times rented (TMSRNT) for each movie type.
The database administrator discovers that the name of director whose number is 7 in the database should be spelt as ‘JOHNNY FORD’. Make corrections to the data.
Delete the movie number 14 and all its tapes. Print both tables to verify.
List all tape numbers and their movie titles, and indicate the member number and member name if the tape is currently rented out.
13. List all tape numbers, and also indicate the member’s city if a tape is currently rented out by a member.
14. Who is the youngest director?
How many movies did he/she direct?
15. Grant access to me (joshi) to your movstar table for select and update.
16. Create a unique index on movstar table.
17. For each movie type list the average age of movies given the current year is 2011.
18. ** Create a view MEMB_TAPES that includes the currently rented movies and the members who are renting them, include movie type.
19. ** Use the view MEMB_TAPES to find all currently rented “COMEDY” type movies and members who are renting them.
20. ** List all tape numbers, along with movie name and member name if rented out (leave member name blank if not rented out).
.
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Nursing practice is impacted by community involvement in several ways. Community health is affected by factors like culture, diversity, and access to care. With shorter hospital stays, nurses must find ways to educate and support patients outside of the hospital to improve health. This involves developing chronic care models, conducting outreach programs, and using telemedicine. It is important for nursing practice to understand community needs through data collection and train on diverse cultural beliefs to provide patient-centered care. Higher nursing education is needed to allow nurses to better coordinate care across settings and help patients manage chronic conditions in the community.
This document discusses patient and family centered care. It explains that patient and family centered care involves working together with providers, patients, and families to improve the patient experience and quality of care. It shares how other organizations have successfully adopted this model of cultural change. This model is referred to as patient and family centered care (PFCC). Facilities that have implemented PFCC have seen benefits like reduced call lights, fewer falls, and lower readmission rates. The adoption of a new PFCC culture takes continual effort from the entire healthcare team.
New Requirements And Challenges Joint Commission Cultural Competency Requir...mlw0624
The document discusses new requirements by the Joint Commission for hospitals to improve cultural competency and meet CLAS standards. It focuses on workforce and human resource issues, recommending that hospitals target diverse recruitment, provide cultural competency training to staff, and get staff input on improving care for diverse patients. Hospitals will be evaluated on these organizational supports and readiness factors during accreditation reviews starting in 2012.
Culturally competent care involves delivering health care that is congruent with a patient's cultural beliefs and practices. Standards for culturally competent care aim to eliminate health disparities and ensure all patients receive respectful, understandable care. Some standards being met include providing culturally sensitive care and recruiting a diverse staff. Standards not being met are lack of ongoing training for staff and inadequate language services. Where standards are not met, solutions include assessing patient population needs, evaluating current practices, and recruiting a diverse workforce.
This presentation introduces the concepts of cultural competency and health disparities and biases that may arise when treating patients of different backgrounds.
Identify any genetic predisposition your chosen population ( Hispanifideladallimore
Identify any genetic predisposition your chosen population ( Hispanics) has to a particular disease ( Diabetes) and develop primary practice interventions that reflect the cultural considerations of the population.
Then, develop culturally appropriate, measurable interventions to help your population members maintain an optimal state of health, avoiding the problem that you identified them being at risk for developing.
Culturally aware nurses recognize that states of health are revealed differently across cultures and ethnicities. Culture and ethnic background will affect the way each individual responds to health, illness, and death (Stanhope & Lancaster, 2016). These nurses are also aware of their own biases, which may affect the care they provide to others (Stanhope & Lancaster, 2016). Because most nurses work in institutions with individual patients, they are accustomed to delivering culturally competent care on a one-on-one basis. When a public health nurse deals with a population, he or she must consider how the population culture affects the ways in which the community nurse may interact. This can be with regard to the provision of education or mass health care needs such as those required in a foodborne illness, if mass vaccinations are needed for a communicable disease outbreak, or if education is required to prevent heart disease. In addition to understanding the nuances of the culture of a population, community health nurses must understand the role genetics play in health. Some disorders, such as glaucoma and diabetes, have a genetic link, as do some cancers, such as breast and ovarian.
Please discuss the following questions in no less than 4-5 paragraphs
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· Does your population have a genetic predisposition to the health care problem you have identified?
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...
Student PaperCultural Competency in Baccalaureate Nursing .docxdeanmtaylor1545
Student Paper
Cultural Competency in Baccalaureate Nursing Education: A Conceptual Analysis
Deborah Byrne, RN, MSN, La Salle University, Villanova University
Abstract
The ability to deliver culturally competent nursing care is an expected competency of
undergraduate nursing education programs. The American Association of Colleges of Nursing
(AACN) and the National League for Nursing (NLN) have developed toolkits that provide nurse
educators with models and teaching strategies to facilitate student learning in cultural
competency. However, the concept of cultural competency varies as does the best method for
integrating and evaluating cultural competency in undergraduate nursing curriculum. With the
growing number of diverse clients, it is imperative that nursing students deliver culturally
competent care. This article explores the current view of the concept of cultural competency from
the standpoint of nursing education and the methods used to evaluate cultural competency in
undergraduate nursing education programs.
Keywords: cultural competency, simulation,
undergraduate nursing education, cultural
awareness, cultural humility
Background and Significance
Health care is increasingly complex, diverse,
and growing in the United States. The United
States Census Bureau (2009) predicts that the
U.S. population of non-European Caucasians will
be equivalent to Caucasian Americans by 2050.
According to Healthy People 2020, there are
significant health disparities among minority
groups. A fundamental goal of Healthy People
2020 is to eliminate health disparities for all
groups (U.S. Department of Health and Human
Services [USDHHS]). The need for culturally
competent health care is essential to reduce
health disparities and ensure positive health
outcomes.
The National League for Nursing (NLN) and
American Association of Colleges of Nursing
(AACN) include culturally appropriate care in their
accreditation standards and have developed
toolkits for nurse educators to assist with
incorporating cultural competency in
undergraduate nursing curricula (NLN, 2009;
AACN, 2008). There is, however, no consensus in
the literature regarding effective ways to teach
cultural competency to undergraduate
baccalaureate nursing students. Most nursing
programs in the United States include the concept
and skill of cultural competency as a program
outcome and attempt to integrate cultural
competency into their curricula. Attempts at
integration have been reported as inadequate in
developing culturally competent nurses (Brennan
& Cotter, 2008). As the diversity of the population
increases, so too must the cultural competency of
nurses in practice. It is imperative that
undergraduate nursing students develop cultural
competency knowledge, awareness, and skills
while experiencing didactic courses, clinical, and
simulation experiences.
Culture is integral to how people view death,
birth, illness, and health (Delgado et al., 2013).
For individuals to seek health care, .
Student PaperCultural Competency in Baccalaureate Nursing blazelaj2
This document summarizes a student paper on cultural competency in baccalaureate nursing education. It provides background on the importance of cultural competency in nursing, discusses definitions of culture and cultural competency from nursing and other fields, and analyzes key attributes of the concept of cultural competency, including cultural awareness, knowledge, skill, encounters, desire, sensitivity and humility. Conceptual models for teaching cultural competency in nursing are also examined. The document concludes that developing cultural competency in nursing students is important for reducing health disparities and ensuring positive patient outcomes.
Defining a Culturally Competent Organization Culturally competent .docxvickeryr87
Defining a Culturally Competent Organization Culturally competent health care, broadly defined as services that are respectful of and responsive to the cultural and linguistic needs of patients, is increasingly viewed as essential in reducing racial and ethnic disparities, improving health care quality, and controlling costs. The U.S. government considers cultural competence as a method of increasing access to quality care for all patients. The aim should be to develop systems more responsive to diverse populations. Managed care organizations view cultural competence as driving both quality and business. By embedding cultural competence strategies into quality improvement initiatives to make care more efficient and effective, clinical outcomes are improved while costs are controlled. Those in academic settings agree that cultural competency education is crucial for preparing future health care workers, although appropriate education on the topic is provided in only half of the medical schools in the United States (Betancourt, Green, Carrillo, & Park, 2005). According to the Office of Minority Health, cultural competence refers to the ability of health care providers and organizations to understand and respond effectively to the cultural and linguistic needs of patients (Office of Minority Health, 2001). Cultural competence encompasses a wide range of activities and considerations. It includes providing respectful care that is consistent with cultural health beliefs of the clients and family members. Competent interpreter services and programs to promote staff diversity are other ways in which health care organizations can increase cultural competence (Clancy & Stryer, 2001). Because communication is a cornerstone of patient safety and quality care, every patient has the right to receive information in a manner he or she understands. Effective communication allows patients to participate more fully in their care. Communicating effectively with patients is also critical to the informed consent process and helps practitioners and hospitals give the best possible care. For communication to be effective, the information provided must be complete, accurate, timely, unambiguous, and understood by the patient. Many patients of varying circumstances require alternative communication methods: patients who speak and/or read languages other than English; patients who have limited literacy in any language; patients who have visual or hearing impairments; patients on ventilators; patients with cognitive impairments; and children. The hospital has many options available to assist in communication with these individuals, such as interpreters, translated written materials, pen and paper, communication boards, and speech therapy. It is up to the hospital to determine which method is the best for each patient. Various laws, regulations, and guidelines are relevant to the use of interpreters. These include Title VI of the Civil Rights Act, 1964; Executive Order .
This document discusses health information resources for libraries in Webb County, Texas to address health disparities in the primarily Hispanic population. It provides an overview of federal initiatives to reduce health disparities and a profile of Webb County demographics. Resources discussed include Healthy People 2010 Library Project, MedlinePlus, and CDC websites. It also covers additional issues libraries face in providing accessible health information to patrons and evaluating online health resources.
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Running head: CULTURAL INCOMPETENCE IN NURSING
CULTURAL INCOMPETENCE IN NURSING12
Literature Review: Cultural Incompetence in Nursing
Bettina Vargas
Kaplan University
Literature Review: Cultural Incompetence in NursingComment by Tracy Towne: Use citations to support yoru statements so the reader knows it is not just your opinion
In healthcare, cultural incompetence impedes the delivery of quality care at the global, national and healthcare organizational level. In the United States, the minority disproportionate access of healthcare is mainly due to cultural incompetence in nursing and so are the increasing health issues they face, such as high rates of diseases and deaths. At the practicum site, Coral Gables Nursing and Rehabilitation, the effect of cultural incompetence in reference to the delivering poor quality care to a culturally diverse patient population is evident. With this in mind, the focus of this literature review is to provide insight on the trends of cultural incompetence, explore theories used to examine cultural incompetence, gaps in the pre-existing literature and solutions to cultural incompetence. This will help to contextual cultural incompetence and find lasting solutions for eradicating cultural incompetence and prioritizing cultural competence.
Trends
Cultural incompetence in nursing finds its roots in the nursing education and training. According to Bednarz, Schim, & Doorenbos (2010), as the general population records increased diversity, so do the nursing classroom where the minorities are enrolling in nursing education at a higher rate. This increases the need to focus on diversity in nursing education to nurture cultural competent nursing professionals. However, cultural incompetence among the teaching staff in terms of the inability to counter diversity barriers make it difficult to teach a diverse classroom and impart students with cultural competence. These barriers emerge from values and common attitudes held by nursing education and culture such as avoiding unwanted discrimination and the Golden Rule, which is “do unto others as you would have them do unto you” (para. 9). As Hassouneh (2013) indicate, the effect of such barriers, is “unconscious incompetence” as well intentioned faculties are unable to recognize realities, including the fact that each student is unique and deserves unique treatment, thus generating more barriers towards instilling students with cultural competence. The nursing education and training lacks uniformity in accommodating the needs of diverse students. Lack of efficiency in cross-cultural communication, both in written and spoken form aggravates this. Besides, nursing education has no profound way of bringing the different cultures, jargon and professional languages that the students and the faculty possess together to create coherence and increasingly enable the nurses and the faculty to understand each other. The effect is a learning environme ...
Culture in Nursing DQ 1 student reply Martha Gomez.docxwrite31
1) Dr. Madeleine Leininger is considered the founder of transcultural nursing. In the 1950s, she observed differences in how nurses and patients from different cultures interacted. This led her to study how culture influences healthcare and develop theories to provide culturally competent care.
2) The Andrews/Boyle Transcultural Interprofessional Practice (TIP) model provides a framework for delivering patient-centered care that considers a patient's cultural context. The model emphasizes collaboration between healthcare professionals and effective communication.
3) Key concepts in transcultural nursing developed by Dr. Leininger include the Sunrise model, three nursing modalities, and eight standards for evaluating culturally competent care. Her work established transc
This document provides information about health education resources from the National Library of Medicine and the National Network of Libraries of Medicine. It discusses consumer health and health literacy, defines health literacy, and identifies populations that are more likely to have low health literacy. It also outlines National Library of Medicine resources like MedlinePlus and DailyMed and describes funding opportunities through the National Network of Libraries of Medicine MidContinental Region.
Emerging Standards of CareTitleCourse NameTopi.docxjack60216
Emerging Standards of Care
Title:
Course Name:
Topic Name:
Professor’s Name:
Student Name:
Date:
Introduction
Define Cultural Competency is a well set of congruent or harmonious behaviors, policies, and attitudes that come together in a professional, system, or among agencies that enables actual work in cross-cultural circumstances (HHS, 1997). In our world increasing population growth dealing with cultural and ethnic and racial communities, every people have their own health profiles and cultural personality, so for these things it creates a great challenge for US health care system (Behn J D & Gonwa T, 1992). In United States Cultural Competency is most important to the health care because it’s the best way doctors and patients discuss about health related matter without any cultural differences distressing the conversation but simultaneously enhancing it (HHS, 1997). For a health care organization cultural competency has more benefits. Such as it increases trust, increases respect, decrease unwanted surprises, increases creativity, helps the defeat fear of mistakes, increase involvement from other cultural groups, and promotes fairness and inclusion. Health care organization can show cultural competency by writing a good mission statement that bind to cultural competence as portion of the organizations behavior.
Emerging Standards of Care
According to the United States department of DHHS Office of Minority Health, Incorporated health care attitude must obey the entire person, work diagonally the lifetime, include early intrusion methods and prevention method, and be person-centered, recovery focused and strength-based" (U.S. Department of Health and Human Services, 2000). In the model of healthcare, patient must be treated or cared not only according to usual nursing practice but respect for the people’s belief system with their culture and integrate into the care.
Providers that esteem the languages, cultures, and people’s worldviews they serve are more victorious in activating and engaging individuals, communities and families to be an effective accomplice in their own health care (U.S. Department of Health and Human Services, 2000)
By integrating into people’s care beliefs and requirements, the professional can make rapport with the people in such a good way that must be encourages the people to be functioning or more active in their own health care decisions based on the individual's belief system and professional's medical understanding. Culturally competent care is care that responsive or respectful to an individual's health requirements, beliefs, and practices. This particular type of care is responsive to the individual's religious and cultural beliefs as well as ethnic beliefs that have been revealed to engage individuals into share or in some cases participating in their healthcare.
The skill to provide culturally competent care is most important for all nurses. Those nurses who work in high-stress or high-acuity heal ...
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This seminar presentation discusses cultural competence in healthcare. It will define culture and cultural competence, explain why cultural competence is needed in nursing care, and discuss Madeleine Leininger's transcultural nursing theory. Recommendations for nurses to enhance their cultural competence will also be provided. The presentation aims to promote understanding of different cultures and provide culturally appropriate care to all patients.
Salon 2 15 kasim 11.00 12.00 nuran aydin-ingtyfngnc
The document discusses the importance of cultural competency in nursing care. It notes that culture shapes individuals' experiences, perceptions, and decisions. Providing culturally sensitive care requires understanding how culture influences health beliefs, behaviors, and patient-provider relationships. The best solution is for healthcare professionals to become culturally competent by developing knowledge of different cultural groups, skills in cross-cultural communication and patient-centered care, and awareness of one's own cultural values. Ongoing training and education can help improve cultural competency and lead to better patient outcomes and satisfaction.
Intercultural communication between patients and health care providers2001Kelsy Saulsbury
This study examines the relationship between cultural sensitivity, effective intercultural communication, and stress/anxiety among healthcare providers interacting with patients from different cultures. The researchers developed survey questions to measure cultural sensitivity and effective intercultural communication. They hypothesized a correlation between cultural sensitivity, communication effectiveness, and reported anxiety. The surveys were administered to providers at a community health system to test this hypothesis and better understand how to develop intercultural training programs.
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Nurses in today's dynamically evolving health care profession are expected to have the knowledge and expertise for caring for the wide diversity of people that comprise the patient populations in the hospitals and clinical environments around the globe. This article presents a unique and special international program that promotes the acquisition of knowledge by novice nursing students concerning the care of a diversity of pediatric patients through having the mentoring and guidance of nursing clinical leaders
International Clinical Nursing Leadership Mentoring: Enriching Student's Know...Crimsonpublisherscojnh
Nurses in today's dynamically evolving health care profession are expected to have the knowledge and expertise for caring for the wide diversity of people that comprise the patient populations in the hospitals and clinical environments around the globe. This article presents a unique and special international program that promotes the acquisition of knowledge by novice nursing students concerning the care of a diversity of pediatric patients through having the mentoring and guidance of nursing clinical leaders. The program has been established for eleven years and is based with two university schools of nursing and two children's hospitals in the United States and the United Kingdom. The purpose of this article is to showcase this program and introduce a vehicle for introducing nursing students to caring for diverse people through successful programs such as this one
The profession of nursing has become globally based and nurses are now expected to practice with a wealth of knowledge regarding the increasing diversity of the world's population and emerging cultures. Nurses that practice both in the United States, as well as abroad throughout the world, are learning about the customs of people of multiple cultures and emerging diversities. The Sullivan Report on diversity in the health care professions additionally showcased the need for an increase in diversity of the members in the health professions, as well as for those in the health professions to engage their knowledge in learning and becoming culturally competent in understanding the world's dynamically changing population [2]. Nurses in today's dramatically evolving health care environment must be aware of cultural differences and similarities in patient populations and be prepared for caring for patients from a wealth of cultures, as well as unique backgrounds
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Assist with first annotated bibliography. Assist with f.docxnormanibarber20063
Assist with first
annotated bibliography
.
Assist with first
annotated bibliography
.
(Thesis topic: Psychotherapy)
. Each submission must also include a brief critique of the source (e.g., how could the study be improved, criticism of the author(s) assertions, ideas for future studies, etc.).
summary of the article, including the purpose/hypothesis of the study, a statement about the participants and methods utilized in the study, results and implications for future research, as well as the methodological limitations/critique of the study.
.
Assistance needed with SQL commandsI need assistance with the quer.docxnormanibarber20063
Assistance needed with SQL commands
I need assistance with the query commands assigned to an assignment. I have the databases properly created and do not need assistance with the commands associated with creating the databases. Here is the complete assignment. I have attached the database information.
The structure of the movies database is as follows:
Director (
DIRNUB
, DIRNAME, DIRBORN, YR-DIRDIED)
STAR (
STARNUB
, STARNAME, BIRTHPLACE, STARBORN, YR-STARDIED)
MOVIE (
MVNUB
, MVTITLE, YRMDE, MVTYPE, CRIT, MPAA, NOMINATIONS, AWRD,
DIRNUB
)
MOVSTAR (
MVNUB
,
STARNUB
, AMTPAID)
MEMBER (
MMBNUB
, MMBNAME, MMBADD, MMBCITY, MMBST, NUMRENT, BONUS, JOINDATE)
TAPE (
TAPENUM,
MVNUB, PURDATE, TMSRNT,
MMBNUB
)
Create Video Store database as discussed in the class. Make sure to correct column widths/types before creating tables. Use SQL to form queries to produce the following reports
:
** List the names and numbers of directors whose names begin with the alphabet ‘K’.
List the tape no, movie title, and the membership number and name of members, who are currently borrowing tapes numbered below 20. Arrange the report in descending order by tape number.
List the names and respective numbers of stars and directors who have worked together.
** List the tape numbers for movies of movie type: ‘HORROR’.
List the name of the director who has received the maximum number of total awards considering all his/her movies: AWRD.
** List the names of all members who have not borrowed any movie currently.
List the movie type and number of tapes for each type in the database.
** For each movie list total how many times it has been rented: TMSRNT.
Report the total times rented (TMSRNT) for each movie type.
The database administrator discovers that the name of director whose number is 7 in the database should be spelt as ‘JOHNNY FORD’. Make corrections to the data.
Delete the movie number 14 and all its tapes. Print both tables to verify.
List all tape numbers and their movie titles, and indicate the member number and member name if the tape is currently rented out.
13. List all tape numbers, and also indicate the member’s city if a tape is currently rented out by a member.
14. Who is the youngest director?
How many movies did he/she direct?
15. Grant access to me (joshi) to your movstar table for select and update.
16. Create a unique index on movstar table.
17. For each movie type list the average age of movies given the current year is 2011.
18. ** Create a view MEMB_TAPES that includes the currently rented movies and the members who are renting them, include movie type.
19. ** Use the view MEMB_TAPES to find all currently rented “COMEDY” type movies and members who are renting them.
20. ** List all tape numbers, along with movie name and member name if rented out (leave member name blank if not rented out).
.
assingment Assignment Agenda Comparison Grid and Fact Sheet or .docxnormanibarber20063
assingment
Assignment: Agenda Comparison Grid and Fact Sheet or Talking Points Brief
It may seem to you that healthcare has been a national topic of debate among political leaders for as long as you can remember.
Healthcare has been a policy item and a topic of debate not only in recent times but as far back as the administration of the second U.S. president, John Adams. In 1798, Adams signed legislation requiring that 20 cents per month of a sailor’s paycheck be set aside for covering their medical bills. This represented the first major piece of U.S. healthcare legislation, and the topic of healthcare has been woven into presidential agendas and political debate ever since.
As a healthcare professional, you may be called upon to provide expertise, guidance and/or opinions on healthcare matters as they are debated for inclusion into new policy. You may also be involved in planning new organizational policy and responses to changes in legislation. For all of these reasons you should be prepared to speak to national healthcare issues making the news.
In this Assignment, you will analyze recent presidential healthcare agendas. You also will prepare a fact sheet to communicate the importance of a healthcare issue and the impact on this issue of recent or proposed policy.
To Prepare:
Review the agenda priorities of the
current/sitting U.S. president and the two previous presidential administrations.
Select an issue related to healthcare that was addressed by each of the last three U.S. presidential administrations.
Reflect on the focus of their respective agendas, including the allocation of financial resources for addressing the healthcare issue you selected.
Consider how you would communicate the importance of a healthcare issue to a legislator/policymaker or a member of their staff for inclusion on an agenda.
The Assignment: (1- to 2-page Comparison Grid, 1-Page Analysis, and 1-page Fact Sheet)
Part 1: Agenda Comparison Grid
Use the Agenda Comparison Grid Template found in the Learning Resources and complete the Part 1: Agenda Comparison Grid based on the current/sitting U.S. president and the two previous presidential administrations and their agendas related to the public health concern you selected. Be sure to address the following:
Identify and provide a brief description of the population health concern you selected and the factors that contribute to it.
Describe the administrative agenda focus related to the issue you selected.
Identify the allocations of financial and other resources that the current and two previous presidents dedicated to this issue.
Explain how each of the presidential administrations approached the issue.
Part 2: Agenda Comparison Grid Analysis
Using the information you recorded in Part 1: Agenda Comparison Grid on the template, complete the Part 2: Agenda Comparison Grid Analysis portion of the template, by addressing the following:
Which administrative agency would most likely be respons.
Assimilate the lessons learned from the dream sequences in Defense o.docxnormanibarber20063
Assimilate the lessons learned from the dream sequences in Defense of Duffer's Drift.
The Lieutenant's dream sequences help him understand his tactical problem and make decisions when faced with a new problem. The Lieutenant had virtually no knowledge of the terrain, the weather, civilians, enemy, etc. If an intelligence section had been made available to the Lieutenant, how might have he used such a staff to help him avoid the painful (and deadly) consequences of poor decision making in his dream sequences?
.
Assignmnt-500 words with 2 referencesRecognizing the fa.docxnormanibarber20063
Assignmnt:-
500 words with 2 references
Recognizing the fact usernames passwords are the weakest link in an organization’s security system because username and password are shareable, and most passwords and usernames are vulnerable and ready to be cracked with a variety of methods using adopting a record number of devices and platforms connected to the Internet of Things daily and at an alarming rate.
Provide the all-inclusive and systematic narratives of the impact of physical biometric operations on the current and future generation.
500 words with 2 references
Discussion:-
Discussion
Effective and efficient use of biometric technology will play a key role in automating method of identifying living persons based on individual physiological and behavioral characteristics.
Provide the comprehensive narratives on the advantages and disadvantages of a physical biometric system?
.
Assignmnt-700 words with 3 referencesToday, there is a crisi.docxnormanibarber20063
Assignmnt-700 words with 3 references
Today, there is a crisis about organizations’ inability to resolve the age-old problem of how to control the abuse of trust and confidence given to authorized officials to freely logon onto the organization’s system, Many such officials , turn around to betray the organization by committing cybercrimes. Vulnerability stems from interactions and communications among several system components and categorized as deficiency, weakness and security cavity on
network data center.
To what extent do internal threats constitute a key factor against any organization’s ability to battle insider threats caused by people who abuse assigned privilege?
What is the most effective mechanism for organizations to combat internal threats?
Why should disgruntled employees must be trained on the danger of throwing wastepaper and electronic media in a bin within and outside the facility?
Discussion:
400 words with 2 references
Per Fennelly (2017-182), “Why do Employees steal?” employee stealing is a multiple part operation.
Most organizations are often intolerant and impatient to verify employee’s identity and background and establish trust due to the time-consuming nature of daily assignments.
Most organizations often ignore to establish and adopt on-board ecological waste management action plans to deal with discarded materials, shredded left-over documents and magnetic media and placing fragments in isolated location.
Nonetheless, organizations must learn to support and train employers who are assigned to work and protect the organization data center, facilities and resources. Large segments of any organizations’ facility managers are often none-aggressive and choose short cuts in discharging assigned services by posting passwords on the screen and leaving confidential documents lying out on the table and uploading same document to associates, husbands, loved ones and competitors. Most authorized users within the organization are often the puniest linkage in any security operation.
Per Fennelly (2017-182), “Why do Employees steal?”
employee stealing is a multiple part operation.
Disgruntled employees can install sniffers on organizations’ data file server via polite phone calls
They can gain required user identification and password to access the organization’s secured data center.
Most organization retain an employee on the same salary for twenty years and they pay new a newly hired employee the salary of the actively existing employee.
Most organizations often ignore to establish and adopt on-board ecological waste management action plans to deal with discarded materials, shredded left-over documents and magnetic media and placing fragments in isolated location.
.
Assignment For Paper #2, you will pick two poems on a similar th.docxnormanibarber20063
Assignment:
For Paper #2, you will pick two poems on a similar theme to
compare and contrast
. Your paper will explain how the poems use some of the poetic devices we’ve been discussing to express distinct attitudes towards their common subject. It will point out the
similarities and differences
in the ways the two poems do
this
. Therefore, you will need to compare and contrast the general tones of the poems as well as how they use poetic devices to create those tones. Poetic devices you might want to consider include diction, imagery, figurative language, sound (including rhyme, alliteration, assonance, rhythm, and meter), and form.
Your
audience
for this paper is other students in the class who have read these poems. You can assume that your reader has the poems in front of him or her, so you don’t need to quote the whole poem, though a brief paraphrase might be useful. You will need to quote specific lines, phrases, or words in order to point out specific features of the poems. Your
purpose
is to help your reader see the
differences and similarities
in the two poems and, consequently, to better understand how each one works to create its particular effects or meanings.
Your paper should be
800 – 1000 words long, typed and double-spaced, with 1” margins all around
.
Use of secondary sources (other than our own textbook) is not allowed
for this assignment. If you have questions about the poem, ask other students or the instructor.
Here are some
suggested topics
:
1. Compare and contrast the ways Whitman’s “To a Locomotive in
Winter
” (p. 504) and Dickinson’s “I like to see it lap the Miles” (p. 504-05) represent their common subject: a locomotive. What claims does each poem make about the locomotive? What tone or attitude is taken towards the locomotive? How does each poem use specific poetic devices to create its tone?
2. Compare and contrast the ways Lovelace’s “To
Lucasta
” (p. 521) and Owens’ “
Dulce
et
Decorum
Est
” (p. 521-22) represent their common subject: war. What claims does each poem make about war? What tone or attitude is taken towards war? How does each poem use specific poetic devices to create its tone?
3. Compare and contrast the ways
any two
love poems in our reading represent their common subject. What claims does each poem make about love? What tone or attitude is taken towards love? How does each poem use specific poetic devices to create its tone? (Please check the two poems you pick with the instructor before proceeding.)
4. Compare and contrast the ways
any two
of the following poems represent God:
·
Donne’s “Batter my Heart, Three-
Personed
God” (p. 531),
·
Hopkins’ “God’s Grandeur” (p. 624),
·
Herbert’s “Easter Wings” (p. 676),
·
Blake’s “The
Tyger
” (p. 824-25).
What claims does each poem make about God? What tone or attitude is taken towards God? How does each poem use specific poetic devices to create its tone?
5. Compare and contrast the ways.
Assignment Write an essay comparingcontrasting two thingspeople.docxnormanibarber20063
Assignment:
Write an essay comparing/contrasting two things/people/places/ideas, etc. This should not simply be a list of their similarities and differences, but a cohesive essay written in paragraph form with a thesis, introduction, body, and conclusion.
Remember, a compare/contrast thesis can be formulated in one of the following ways:
1) One thing is better than another
2) Two things that seem to be similar are actually different
3) Two things that seem different are actually similar
Parameters:
*Typed
*Double-Spaced
*Times New Roman
*12 Point Font
*1 Inch Margin
*3 pages (not even a word shorter)
*2 outside sources
.
Assignment Travel Journal to Points of Interest from the Early Midd.docxnormanibarber20063
Assignment :Travel Journal to Points of Interest from the Early Middle Ages, Romanesque, and Gothic World
Travel Journal to Points of Interest from the Early Middle Ages, Romanesque, and Gothic World
Travel was one of the social characteristics that helped shape the Early Middle Ages and the Romanesque period—either to the Middle East to fight in the Crusades or throughout Europe as part of extensive pilgrimages.
For this assignment, put yourself in the place of a person living during this time who traveled extensively throughout Europe by selecting six pieces of art or architecture that you found personally to be the most interesting and important examples that date from this period in history. You should have 2 examples from each of the time periods specific to the Middle Ages: two examples from the Early Middle ages, two that represent the Romanesque, and two that represent Gothic art.
Your objects need to date between 400 CE and 1300 CE—the time span that encompasses the Early Middle Ages, Romanesque, and Gothic periods.
You are going to create a travel journal and itinerary for other students who will travel with you to your points of interest. Create a PowerPoint presentation of seven slides, including an introduction, your five destinations, and a conclusion. On each slide, include the image of the artwork or architecture, and the following information about the image:
Its location
Its name
The period of time it was created
Three interesting points about the artwork/building
What people viewing the image could learn about the Early Middle Ages, the Romanesque period, or Gothic art and architecture.
Why you selected this image
THIS MUST BE FOLLOWED
Assignment 2 Grading Criteria
Maximum Points
Selected two images representative of the early Middle Ages style, from between 400 CE and 1000 CE.
10
Provided location, name, and period of time created for the early Middle Ages images.
12
Explained why you selected each early Middle Ages image, and offered three interesting points about each image and what people could learn from viewing each image.
15
Selected two images representative of the Romanesque style, from between 1000 CE and 1100 CE.
10
Provided location, name, and period of time created for the Romanesque style images.
12
Explained why you selected each Romanesque style image, and offered three interesting points about each image and what people could learn from viewing each image.
15
Selected two images representative of the Gothic style, from between 1100 CE and 1300 CE.
10
Provided location, name, and period of time created for the Gothic style images.
12
Explained why you selected each Gothic style image, and offered three interesting points about each image and what people could learn from viewing each image.
15
The PowerPoint presentation meets length requirements and contains correct spelling and grammar.
.
Assignment What are the factors that influence the selection of .docxnormanibarber20063
Assignment
What are the factors that influence the selection of access control software and/ or hardware? Discuss all aspects of access control systems.
DQ requirement:
initial posting to be between 200-to-300 words.
All initial posts must contain a properly formatted in-text citation and scholarly reference.
Reply post 100-to-150 words.
No plagarism
.
Assignment Write a research paper that contains the following.docxnormanibarber20063
Assignment:
Write a research paper that contains the following:
Discuss the visual assets such as charts, interactive controls, and annotations that will occupy space in your work.
Discuss the best way to use space in terms of position, size, and shape of every visible property.
Data representation techniques that display overlapping connections also introduce the need to contemplate value sorting in the z-dimension, discuss which connections will be above and which will be below and why. Show example using any chart or diagram of your choice.
Your research paper should be at least 3 pages (800 words) excluding cover page and reference page. It should be double-spaced, have at least 2 APA references, and typed in Times New Roman 12 font. Include a cover page and a table of content.
.
Assignment Talk to friends, family, potential beneficiaries abou.docxnormanibarber20063
Assignment
Talk to friends, family, potential beneficiaries about your idea. Do they agree that you deeply understand what the proposed beneficiaries are doing currently to manage/endure their problem? Explain. What are your proposed beneficiaries doing currently to manage/endure their problem? How would you get buy-in from others to sign on to your proposed Beneficiary Experience table (reference Chapter 4)? Include research to support your social entrepreneurship idea.
Minimum 2 pages
Minimum 2 scholarly sources
APA formatted
.
Assignment The objective of assignment is to provide a Power .docxnormanibarber20063
Assignment:
The objective of assignment is to provide a
Power Point Presentation
about
all vaccines including the Flu vaccine in the pediatric population
. Your primary goal as a
Family Nurse Practitioner
is to educate parents about the importance of vaccination and understanding their beliefs and preference by being cultural sensitive in regards this controversial topic. This is an individual presentation and must include
a minimum of 8 slides with a maximum of 10 slides
.
This presentation must include a “Voice Presentation”. Please, this part includes
as a note in each slide
, so I can read it. Thank you.
and the following headings:
*Voice attached in all slides. Please use notes, so I can read it.
ALL REFERENCES FROM USA and within 5 years.
1.
Introduction
(Clearly identifies the topic and Establishes goals and objectives of presentation)
2.
Clinical Guidelines Evidence Based Practice per CDC
– (Presents an insightful and through analysis of the issue (s) identified. Excellent Clinical guidelines)
3.
Population and Risk Factors
(The population is identified and addressed as well the topic(s) and issue(s)
4.
Body and Content
: (Makes appropriate and powerful connections between the issue(s) identified and the concept(s) studied. Very creative and Supports the information with strong arguments and evidence.
5.
Education
– (Presents detailed, realistic, and appropriate recommendations and education including parents/patients)
6.
Conclusion
. Excellent Conclusion clearly supported by the information presented
.
Assignment During the on-ground, residency portion of Skill.docxnormanibarber20063
Assignment:
During the on-ground, residency portion of Skills Lab II, you will have attended sessions covering topics relevant to advanced clinical social work practice. During Skills Lab II, you join with a group of three to four students to present a clinical case. You will create your own case—this case will be a situation you have faced in practice or one you create. During the presentation, you and each group member are expected to demonstrate knowledge, awareness, and skills appropriate to a concentration-year master’s student.
The presentation should include the following:
· The identification of the individual/family or group with background information including:
o Presenting problem or concern
o History of the presenting problem
o Social history
o Family history
o Previous interventions
· Your assessment of the client/family/group
· Your engagement of the client/family/group
o Specify the specific social work practice skills that were or would be used in your engagement.
This is the right up about this project
Tiffany, a 17-year-old African American female resides in Huston Texas with her mother (48 years old) and 2 brothers (20 years old and 10 years old). Tiffany was raised by her mother. Her father went to prison for selling drugs when Tiffany was 5 years old. Tiffany has been having trouble sleeping, her grades have dropped, she is no longer interested in sports or her after school club activities. Tiffany is also afraid to go outside and she does not want to leave her mother’s side. Tiffany reports she gets nervous and has heart palpitations when she sees a police car or hears police sirens. Tiffany’s mother is concerned about the sudden change of behavior in her daughter and thus, took her in to see a therapist.
Tiffany was very active in school. She had good grades, active in sports and after school clubs. The teachers spoke very highly of Tiffany, however, expressed concerns to her mother when they noticed a change in her grades. Additionally, the school staff noticed Tiffany withdrawing from her friends appeared to be isolating herself from others. Tiffany and her family were active within their church community. Tiffany and her family live in a low-income community. Tiffany’s mother does work full time, however, she still receives SNAP and Medicaid services. They also live in Section 8 housing. Tiffany lives in a community with a high crime rate. She often witnesses and hears stories of police brutality. Tiffany’s mother had to explain to her children how to respond to a police officer with they are ever stopped. Tiffany’s other brother has a history of police involvement.
.
Assignment PurposeThe first part of this assignment will assist.docxnormanibarber20063
Assignment Purpose:
The first part of this assignment will assist you in identifying a topic which you will work with for subsequent activities in the course. The second part of the assignment helps you articulate what constitutes plagiarism.
Part 1:
In this course you will be using a variety of resources and research tools. This activity will guide you in formulating a topic to use for later assignments in this course.
1. What is something you are curious about? What is something you see out in the world that you want to know more about? Perhaps think of health, business, or socio-cultural issues. Write it here:
_______________________________________________________________________
(Need help selecting a topic? Review the Research Topic Starting Points for EN 104, EN 106, EN 111, and EN 116 guide from the Herzing University Library. Browse some of the resources linked there for generating topic ideas. http://herzing.libguides.com/research_topic_starting_points)
2. Create a Mind Map for your topic in the Credo Reference Database available through the Herzing University Library. You can access the link to that database and view a brief tutorial in the Research Topics Starting Points guide at http://herzing.libguides.com/research_topic_starting_pointsIf you need assistance using this tool, contact the Herzing University Librarians using the contact information in that guide. You might need to play around with how you word your topic.
Did the Mind Map help you narrow your topic? Describe your experience with the Mind Map feature and indicate your narrowed topic:
3. Write at least three research questions related to your topic and circle or somehow indicate the one you are most interested in answering:
4. Create a thesis statement for your research project. Be sure it meets the characteristics of a “strong” thesis statement as described in the reading for this unit.
Characteristics of a Strong Thesis Statement
· Answers the research question and is adequate for the assignment.
· Takes a position – doesn’t just state facts.
· It is specific and provable.
· It passes the “so what?” test.
Include your thesis statement here:
Part 2:
The following paragraph is from this source:Spiranec, S., &Mihaela, B. Z. (2010). Information literacy 2.0: Hype or discourse refinement? Journal of Documentation, 66(1), 140-153. doi:http://dx.doi.org.prx-herzing.lirn.net/10.1108/00220411011016407
Web 2.0 is currently changing what it means to be an information literate person or community…. The erosion did not begin with Web 2.0 but had started considerably earlier and became evident with the first web document without an identifiable author or indication of origin. Generally, this erosion comes naturally with the advancement towards electronic environments. In the era of print culture the information context was based on textual permanence, unity and identifiable authorship, and was therefore stable. The appearance of Web 1.0 has already undermined .
Assignment PowerPoint Based on what you have learned so .docxnormanibarber20063
Assignment:
PowerPoint:
Based on what you have learned so far in this course, create a PowerPoint presentation that addresses each of the following points. Be sure to completely answer all the questions for each bullet point. Use clear headings that allow your professor to know which bullet you are addressing on the slides in your presentation. Support your content with at least four (4) citations throughout your presentation. Make sure to reference the citations using the APA writing style for the presentation. Include a slide for your references at the end. Follow best practices for PowerPoint presentations related to text size, color, images, effects, wordiness, and multimedia enhancements.
Title Slide (1 slide)
At each stage of development, culture can have a distinct impact on basic aspects of life. Based on your reading thus far, describe how cultural influences impact development throughout the lifespan. Include the following aspects of life:
Cognition (2-3 slides)
Acceptance of cultural traditions (2-3 slides)
Biological health (2-3 slides)
Personality(2-3 slides)
Relationships (2-3 slides)
References (1 slide)
Each slide should have a graphic and very few words. In a separate Word file, create a script to use when giving this presentation (about 50 words per content slide - 500 words total). Submit both files to the dropbox.
.
Assignment In essay format, please answer the following quest.docxnormanibarber20063
Assignment: In essay format, please answer the following questions:
On your second In-Class Assignment, which was on John Stuart Mill's freedom of thought and discussion, you were asked to provide your own opinion on any moral issue.
1) Your task is to write an essay
DEFENDING
the
the OPPOSITE opinion.
2) Please structure your essay in the following format: (SEE ATTACHED FILE FOR MORE DETAILS ON WHAT EACH OF THESE MEAN)
I. Introduction/Thesis Statement
II. Body - Include at least two reasons why one would support this position
III. Counter-Argument - What is the argument against that position?
IV. Reply to Counter-Argument - Why could the counter-argument be wrong?
V. Conclusion
.
Assignment Name:
Unit 2 Discussion Board
Deliverable Length:
150-500 words (not including references) 2 Peer Responses
Details:
The Discussion Board (DB) is part of the core of online learning. Classroom discussion in an online environment requires the active participation of students and the instructor to create robust interaction and dialogue. Every student is expected to create an original response to the open-ended DB question as well as engage in dialogue by responding to posts created by others throughout the week. At the end of each unit, DB participation will be assessed based on both level of engagement and the quality of the contribution to the discussion.
At a minimum, each student will be expected to post an original and thoughtful response to the DB question and contribute to the weekly dialogue by responding to at least two other posts from students. The first contribution must be posted before midnight (Central Time) on Wednesday of each week. Two additional responses are required after Wednesday of each week. Students are highly encouraged to engage on the Discussion Board early and often, as that is the primary way the university tracks class attendance and participation.
The purpose of the Discussion Board is to allow students to learn through sharing ideas and experiences as they relate to course content and the DB question. Because it is not possible to engage in two-way dialogue after a conversation has ended, no posts to the DB will be accepted after the end of each unit.
A. Questions for weekly discussions and conversations (not part of the required Discussion Board assignment)
These questions can serve as the starting point for your discussions during the week. They are “thought starters,” so that you can explore some ideas associated with the discussion board and unit topics. Answers are not required, and should not be submitted with your required assignment. Answers are not graded.
1. What images do we use today that originated from creations by early civilizations for religious ceremonies?
2. What historical art images do we use today, from creations by early civilizations, for cultural celebrations?
B. Required Discussion Board assignment.
From the list below, choose one Greek work of art and one Roman work of art and
compare and contrast
them according to the criteria listed:
Greek Art
Roman Art
The
Doryphoros
(Polykleitos, 450 BCE)
Augustus of Primaporta
(c. 20 BCE)
The Laocoon Group
(1
st
Century, CE)
Marcus Agrippa with Imperial Family
(South frieze from the Ara Pacis, 13-9 CE)
Nike of Samothrace
(c. 190 BCE)
She-Wolf
(c. 500 BCE)
The Temple of Athena
(427–424 BCE)
The Colosseum
(72–80 CE)
The Parthenon
(447–438 BCE)
The Arch of Constantine
(313 CE)
Answer the following list of questions in a comparative essay to evaluate your choices. Be sure to introduce the works you have chosen.
What is the FORM of the work?
Is it a two-dimensional or three-dimensional work of art?
What materials are us.
Assignment In essay format, please answer the following questions.docxnormanibarber20063
Assignment: In essay format, please answer the following questions:
1) Briefly summarize Stirner's Egoism.
2) Look at some contemporary moral issues in the news, either current or past, and apply his Egoist theory to the issue. How would he view the issue?
3) Do you agree with the way Stirner would view the issue? Why or why not?
All together, the answers must total up to about 500-700 words. Assignments
MUST
have the following format: Name, Class, and Essay Subject & Date in the upper left hand corner.
Double Spaced
, 12pt Times New Roman or Arial font. If you use outside sources, it must include a works cited page.
.
Beyond Degrees - Empowering the Workforce in the Context of Skills-First.pptxEduSkills OECD
Iván Bornacelly, Policy Analyst at the OECD Centre for Skills, OECD, presents at the webinar 'Tackling job market gaps with a skills-first approach' on 12 June 2024
Temple of Asclepius in Thrace. Excavation resultsKrassimira Luka
The temple and the sanctuary around were dedicated to Asklepios Zmidrenus. This name has been known since 1875 when an inscription dedicated to him was discovered in Rome. The inscription is dated in 227 AD and was left by soldiers originating from the city of Philippopolis (modern Plovdiv).
LAND USE LAND COVER AND NDVI OF MIRZAPUR DISTRICT, UPRAHUL
This Dissertation explores the particular circumstances of Mirzapur, a region located in the
core of India. Mirzapur, with its varied terrains and abundant biodiversity, offers an optimal
environment for investigating the changes in vegetation cover dynamics. Our study utilizes
advanced technologies such as GIS (Geographic Information Systems) and Remote sensing to
analyze the transformations that have taken place over the course of a decade.
The complex relationship between human activities and the environment has been the focus
of extensive research and worry. As the global community grapples with swift urbanization,
population expansion, and economic progress, the effects on natural ecosystems are becoming
more evident. A crucial element of this impact is the alteration of vegetation cover, which plays a
significant role in maintaining the ecological equilibrium of our planet.Land serves as the foundation for all human activities and provides the necessary materials for
these activities. As the most crucial natural resource, its utilization by humans results in different
'Land uses,' which are determined by both human activities and the physical characteristics of the
land.
The utilization of land is impacted by human needs and environmental factors. In countries
like India, rapid population growth and the emphasis on extensive resource exploitation can lead
to significant land degradation, adversely affecting the region's land cover.
Therefore, human intervention has significantly influenced land use patterns over many
centuries, evolving its structure over time and space. In the present era, these changes have
accelerated due to factors such as agriculture and urbanization. Information regarding land use and
cover is essential for various planning and management tasks related to the Earth's surface,
providing crucial environmental data for scientific, resource management, policy purposes, and
diverse human activities.
Accurate understanding of land use and cover is imperative for the development planning
of any area. Consequently, a wide range of professionals, including earth system scientists, land
and water managers, and urban planners, are interested in obtaining data on land use and cover
changes, conversion trends, and other related patterns. The spatial dimensions of land use and
cover support policymakers and scientists in making well-informed decisions, as alterations in
these patterns indicate shifts in economic and social conditions. Monitoring such changes with the
help of Advanced technologies like Remote Sensing and Geographic Information Systems is
crucial for coordinated efforts across different administrative levels. Advanced technologies like
Remote Sensing and Geographic Information Systems
9
Changes in vegetation cover refer to variations in the distribution, composition, and overall
structure of plant communities across different temporal and spatial scales. These changes can
occur natural.
हिंदी वर्णमाला पीपीटी, hindi alphabet PPT presentation, hindi varnamala PPT, Hindi Varnamala pdf, हिंदी स्वर, हिंदी व्यंजन, sikhiye hindi varnmala, dr. mulla adam ali, hindi language and literature, hindi alphabet with drawing, hindi alphabet pdf, hindi varnamala for childrens, hindi language, hindi varnamala practice for kids, https://www.drmullaadamali.com
Chapter wise All Notes of First year Basic Civil Engineering.pptxDenish Jangid
Chapter wise All Notes of First year Basic Civil Engineering
Syllabus
Chapter-1
Introduction to objective, scope and outcome the subject
Chapter 2
Introduction: Scope and Specialization of Civil Engineering, Role of civil Engineer in Society, Impact of infrastructural development on economy of country.
Chapter 3
Surveying: Object Principles & Types of Surveying; Site Plans, Plans & Maps; Scales & Unit of different Measurements.
Linear Measurements: Instruments used. Linear Measurement by Tape, Ranging out Survey Lines and overcoming Obstructions; Measurements on sloping ground; Tape corrections, conventional symbols. Angular Measurements: Instruments used; Introduction to Compass Surveying, Bearings and Longitude & Latitude of a Line, Introduction to total station.
Levelling: Instrument used Object of levelling, Methods of levelling in brief, and Contour maps.
Chapter 4
Buildings: Selection of site for Buildings, Layout of Building Plan, Types of buildings, Plinth area, carpet area, floor space index, Introduction to building byelaws, concept of sun light & ventilation. Components of Buildings & their functions, Basic concept of R.C.C., Introduction to types of foundation
Chapter 5
Transportation: Introduction to Transportation Engineering; Traffic and Road Safety: Types and Characteristics of Various Modes of Transportation; Various Road Traffic Signs, Causes of Accidents and Road Safety Measures.
Chapter 6
Environmental Engineering: Environmental Pollution, Environmental Acts and Regulations, Functional Concepts of Ecology, Basics of Species, Biodiversity, Ecosystem, Hydrological Cycle; Chemical Cycles: Carbon, Nitrogen & Phosphorus; Energy Flow in Ecosystems.
Water Pollution: Water Quality standards, Introduction to Treatment & Disposal of Waste Water. Reuse and Saving of Water, Rain Water Harvesting. Solid Waste Management: Classification of Solid Waste, Collection, Transportation and Disposal of Solid. Recycling of Solid Waste: Energy Recovery, Sanitary Landfill, On-Site Sanitation. Air & Noise Pollution: Primary and Secondary air pollutants, Harmful effects of Air Pollution, Control of Air Pollution. . Noise Pollution Harmful Effects of noise pollution, control of noise pollution, Global warming & Climate Change, Ozone depletion, Greenhouse effect
Text Books:
1. Palancharmy, Basic Civil Engineering, McGraw Hill publishers.
2. Satheesh Gopi, Basic Civil Engineering, Pearson Publishers.
3. Ketki Rangwala Dalal, Essentials of Civil Engineering, Charotar Publishing House.
4. BCP, Surveying volume 1
Strategies for Effective Upskilling is a presentation by Chinwendu Peace in a Your Skill Boost Masterclass organisation by the Excellence Foundation for South Sudan on 08th and 09th June 2024 from 1 PM to 3 PM on each day.
Leveraging Generative AI to Drive Nonprofit InnovationTechSoup
In this webinar, participants learned how to utilize Generative AI to streamline operations and elevate member engagement. Amazon Web Service experts provided a customer specific use cases and dived into low/no-code tools that are quick and easy to deploy through Amazon Web Service (AWS.)
it describes the bony anatomy including the femoral head , acetabulum, labrum . also discusses the capsule , ligaments . muscle that act on the hip joint and the range of motion are outlined. factors affecting hip joint stability and weight transmission through the joint are summarized.
Film vocab for eal 3 students: Australia the movie
International Journal of Nursing Terminologies and Classificat.docx
1. International Journal of Nursing Terminologies and
Classifications Volume 15, No. 1, January-March, 2004 17
Susan Walsh, MSN, RNC
PURPOSE. To formulate a plan of care for a
culturally diverse population and develop a
resource for the healthcare team in providing
culturally competent care.
DATA SOURCES. Books, journal articles.
DATA SYNTHESIS. Healthcare workers are
challenged to provide appropriate care for an
increasingly diverse population. A cluster of
nursing diagnoses were used to develop a plan of
care addressing the unique challenges of caring
for a diverse population served by a community
hospital.
CONCLUSION. A care plan was devised and
inserted into the nursing diagnosis�based
2. nursing documentation computer system for easy
access when needed.
PRACTICE IMPLICATIONS. A care plan for a
diverse population can promote respectful and
excellent care for every patient.
Search terms: Care plans, cultural competence,
diversity, nursing diagnosis
Elaboration d�un plan de soin pour des patients
de cultures différentes
BUT. Elaborer un plan de soin pour une
population de culture différente et développer une
ressource pour l�équipe de santé, qui doit
dispenser des soins culturels compétents.
SOURCES DE DONNÉES. Manuels, articles de
revues.
SYNTHÈSE DES DONNÉES. Dispenser des soins
appropriés à une population de cultures variées
représente un défi pour les soignants. Un groupe
3. de diagnostics infirmiers fut utilisé pour élaborer
un plan de soin destiné à une population
multiculturelle, fréquentant un hôpital
communautaire.
CONCLUSIONS. Un plan de soin fut élaboré et
inclus dans le système de soin informatisé, basé
sur les diagnostics infirmiers afin d�en faciliter
l�accès aux soignants.
IMPLICATIONS POUR LA PRATIQUE. Un plan de
soin destiné à une population multiculturelle
peut promouvoir des soins empreints de respect et
d�excellence pour tous les patients.
Mots-clés: Compétence culturelle, diversité
culturelle, diagnostics infirmiers, plan de soin
Formulation of a Plan of Care for Culturally Diverse
Patients
Translation by Cécile Boisvert, MSN, RN
18 International Journal of Nursing Terminologies and
4. Classifications Volume 15, No. 1, January-March, 2004
Formulation of a Plan of Care for Culturally Diverse Patients
Elaboração de um plano de cuidados para
pacientes culturalmente diversos
OBJETIVO. Formular um plano de cuidados para
uma população culturalmente diversa e
desenvolver um recurso para a equipe de saúde
oferecer um cuidado culturalmente competente.
FONTE DE DADOS. Livros, artigos em periódicos.
SÍNTESE DOS DADOS. Trabalhadores da saúde
têm o desafio de oferecer uma assistência
apropriada para uma população cada vez mais
diversificada. Um agrupamento de diagnósticos
de enfermagem foi utilizado para desenvolver um
plano de cuidados abordando os desafios únicos
de assistir uma população diversificada, servida
por um hospital comunitário.
CONCLUSÃO. Um plano de cuidados foi criado
e inserido no sistema informatizado de docu-
mentação de enfermagem fundamentado em
diagnósticos de enfermagem, para fácil acesso
sempre que necessário.
IMPLICAÇÕES PARA A PRÁTICA. Um plano de
cuidados para uma população diversificada pode
promover uma assistência respeitosa e excelente
para cada paciente.
Palavras para busca: Competência cultural,
diversidade, diagnóstico de enfermagem, planos
de cuidados
Translation by Shigemi Kamitsuru, PhD, RN
Translation by Jeanne Michel, PhD, RN,
5. and Alba de Barros, PhD, RN
International Journal of Nursing Terminologies and
Classifications Volume 15, No. 1, January-March, 2004 19
Formulación de un plan de cuidados para
pacientes de diversas culturas
PROPÓSITO. Formular un plan de cuidados para
una población culturalmente diversa y
desarrollar recursos para que el equipo de
cuidados de salud proporcione cuidados
culturalmente competentes.
FUENTES DE DATOS. Libros, artículos.
SÍNTESIS DE LOS DATOS. Los trabajadores
sanitarios se enfrentan al reto de proporcionar
cuidados apropiados a una población que cada vez
es más diversa. Se ha utilizado un grupo de
diagnósticos de enfermería, para desarrollar un
plan de cuidados dirigido al desafío de cuidar a
una población culturalmente diversa que es
atendida en un medio hospitalario.
CONCLUSIONES. Se desarrolló un plan de
cuidados basado en los diagnósticos de
enfermería, para facilitar el acceso cuando fuera
necesario y se insertó en un sistema informático,
para documentar la atención enfermera.
IMPLICACIONES PARA LA PRÁCTICA. Un plan de
cuidados para una población culturalmente
diversa, puede promocionar cuidados excelentes y
respetuosos para cada paciente.
Términos de búsqueda: Competencia cultural,
diversidad, diagnósticos de enfermería, planes de
cuidados
6. Susan Walsh, MSN, RNC, is a staff nurse in the neonatal
intensive care unit at Saint Elizabeth Regional Medical
Center in Lincoln, NE.
Maintaining proficiency and competency in provid-
ing health care to patients and their families has become
more and more challenging. The ethnic population
within the continental United States has increased, and
the needs of these diverse groups are unique and unfa-
miliar to many healthcare workers. According to the U.S.
Census Bureau, the number of foreign-born residents in
the United States increased from 19.8 million to slightly
more than 28 million between 1990 and 2000. And by the
year 2050, whites will account for less than half the pop-
ulation (Griffin, 2002).
In order to improve care for a wider range of diverse
patient populations, a community hospital in the central
United States expanded its definition of cultural diver-
sity to include religion, physical or mental challenges,
and nontraditional family units as well as ethnicity. The
population of individuals with physical and mental chal-
lenges has increased as well. Recent estimates are that
19.7% of the U.S. population has some level of disability
and that 12.3% of the population has a severe disability,
indicating a large population with diverse healthcare
needs (U.S. Department of Commerce [USDC], 2001).
Often these healthcare needs contribute to differences in
communication ability as well as different perceptions of
health and illness. Healthcare workers care for patients
and their significant others from nontraditional families
on a daily basis. In 1990, there were more than 7 million
single-parent families in the United States, as well as 3.9
million or 5.5% of American children living with a
grandparent (USDC). With the increase of diversity of
7. languages spoken, definitions of the family unit, and
healthcare practices, it is easy for healthcare facilities to
become overwhelmed with developing appropriate re-
sources and care plans for meeting the challenge. This ar-
ticle discusses the formulation of a care plan to assist
healthcare providers in meeting the needs of a diverse
population.Translation by Mercedes Ugalde, MHS, RN
20 International Journal of Nursing Terminologies and
Classifications Volume 15, No. 1, January-March, 2004
Providing culturally competent care is assessed using
direct observation of care, testing, and monitoring of
patient/associate satisfaction surveys, and personal
encounters.
The Office of Civil Rights within the USDHHS has ad-
ditional policies (2001a). Title VI, the Civil Rights Act,
prohibits discrimination toward individuals with limited
English proficiency (LEP). This act not only addresses
appropriate interpreter services and regulations but also
provides for equal access to federally assisted programs.
Interpretation of this act, by the Office of Civil Rights,
states that the �key to providing meaningful access for
LEP persons is to ensure that the recipient/covered en-
tity and LEP person can communicate effectively� (p. 8).
Staff members need training so that they understand the
organization�s policy on provision of interpretation ser-
vices and are able to implement it effectively.
The Magnet Nursing Services Recognition Program
for Excellence in Nursing Services of the American
Nurses Credentialing Center (ANCC) awards �magnet
status� to hospitals that display major attributes of excel-
8. lence (McClure & Hinshaw, 2002). One of these major at-
tributes is �attention to patient, family, and staff cultural
and ethnic diversity� (Gasda, 2002, p. 45). Magnet appli-
cation requirements include Standard XI: Ethics Mea-
surement Criterion 11.4, which addresses �fostering a
nondiscriminatory climate in which care is delivered in a
manner that is culturally sensitive and that is reflective of
the cultural diversity that exists within the organization�
(ANCC, 2003 � 2004, p. 115). Sources of evidence of com-
pliance to this standard include assessment of the diver-
sity of the patients cared for within the healthcare organi-
zation, culturally sensitive policies affecting patients and
staff, as well as cultural education programs for staff.
A recent report published by the National Academy
of Sciences (2002) addressed racial and ethnic disparities.
The Academy concluded that, based on an increasingly
diverse U.S. population, the initiation of training pro-
grams for healthcare associates was a promising inter-
vention strategy to reduce healthcare disparities. Diver-
sity educational programs that begin with enhancement
of healthcare associates� awareness of cultural and social
Formulation of a Plan of Care for Culturally Diverse Patients
Literature Review
Requirements of Accrediting Agencies and
Government Guidelines
Several accrediting agencies advocate for more cultur-
ally sensitive workplaces. The Joint Commission on Ac-
creditation of Health Care Organizations (JCAHO, 2003)
addresses ethical issues related to providing care in its
�Standard and Intent Statements for Patient Rights.� The
Patient Rights and Organizational Ethics Standard 1 di-
9. rects hospital structure be based upon �the patient�s right
to care that is considerate and respectful of his or her
personal values and beliefs� (p. 77). The Education Stan-
dards state that the goals of effective patient and family
education are to be integrated with the patients� spiri-
tual, psychosocial, and cultural values. Further elabora-
tion of this concept can be found in the Education Stan-
dards: �[D]esigning education processes includes . . . the
physical, cognitive, cultural, social, and economic charac-
teristics of the patients being taught� and �The hospital
selects and makes available educational resources, in a
form the patient can understand, based on patient learn-
ing needs� (pp. 156 � 157). Various teaching methods and
resources including interpretative services, special de-
vices, videotapes, and other teaching materials are listed
as potential necessary educational aids.
The Office of Minority Health within the U.S. Depart-
ment of Health and Human Services (USDHHS) has set
national Culturally and Linguistically Appropriate Ser-
vices (CLAS) standards for linguistically appropriate and
culturally sensitive healthcare services (USDHHS,
2001b). Standard 1 directs healthcare organizations to
provide patients and consumers with �effective, under-
standable, and respectful care that is provided in a man-
ner compatible with their healthcare beliefs and practices
and preferred language� (p. 7). Standard 3 articulates the
expectation that healthcare organizations provide staff at
all levels with ongoing education and training in cultur-
ally appropriate service delivery. Methods of implement-
ing these standards include providing appropriate cul-
tural education and training and assessment of skills.
International Journal of Nursing Terminologies and
10. Classifications Volume 15, No. 1, January-March, 2004 21
and mental and physical characteristics, but also com-
munication skills, educational background, religion, pri-
mary language, work experience, income level, geo-
graphic locale, experience in the military, and family
status.
Dreher and MacNaughton (2002) agreed with previ-
ous definitions of cultural competency in nursing, but
defined two major areas of competency. The first was
structure and content related to clinical interaction be-
tween the patient and nurse. The second focus required
the nurse to become knowledgeable about patients�
lifestyles, behaviors, and health patterns and apply this
knowledge to providing care. The authors further cau-
tioned the healthcare provider about making assump-
tions and generalizations that individuals from the same
cultural group are all the same. Ford (2003), a nationally
recognized speaker on cultural diversity, supported this
belief and encouraged healthcare providers to simply
ask their patients about their specific cultural needs. The
clinical nurse needs to have a strong background con-
cerning cultural norms, but needs to personalize and in-
dividualize care for the patient and family. The Mayo
Clinic in Rochester, MN, articulates a nursing philosophy
that �meeting patient needs comes first and this means
providing culturally competent care to all patients�
(Leinonen & Smith, 2002, p. 260).
Nursing Diagnosis
Nursing diagnoses, particularly the NANDA (2001)
taxonomy, have been accused of being insensitive with
regard to cultural considerations. Leininger criticized
the NANDA classifications because they are not based
11. on any international or transcultural data (Carpenito-
Moyet, 2002). Leininger (1990) also believes that many
diseases and illnesses are directly related to specific cul-
tures that need to be understood by nurses. These dis-
eases and illnesses formulate different expressions of
health care, wellness, and illness. Leininger further be-
lieves that experts or individuals from that culture
should construct culturally specific nursing diagnoses
based on that culture.
factors that influence healthcare, as well as implementa-
tion methods to apply information, are also valuable
ways to decrease this disparity.
Cultural Competence
Cultural competence has been discussed extensively in
the nursing literature. In order to formulate either a diver-
sity diagnosis or a nursing care plan, cultural competence
needed to be defined. Leininger (1999) stated that cultur-
ally competent care is using knowledge that has been
learned about a specific culture and applying it in sensi-
tive, creative, and meaningful ways when providing care
to individuals from diverse backgrounds. The goal is to
deliver culturally competent care to patients and their
families, in other words, excellent nursing care in the con-
text of the patient�s cultural and or religious beliefs.
Alexander (2002) defined cultural competence as �a
set of congruent behaviors, attitudes and polices that
come together in a system, agency, or among profession-
als and enables that system, agency, or those profession-
als to work effectively in cross-cultural situations� (p. 30).
Alexander stated that one cannot manage diversity with-
out valuing diversity. Employees at every level within a
healthcare organization, regardless of age, sexual orienta-
12. tion, race, ethnic background, or religion, have the pri-
mary goal to care for patients and their needs. This ne-
cessitates cultural competence education for employees
at every level within the organization.
Burchum (2002) described cultural competence as an
ongoing developmental process that is based on in-
creased knowledge and skills specific to cultural sensitiv-
ity, understanding, interaction, and awareness. For
nurses providing competence in cultural care, it means
that care is individualized and appropriate in regard to
the patient�s cultural values, beliefs, and practices. Pa-
tients are empowered by providers� commitment to de-
veloping cultural competence. Frusti, Niesen, and Cam-
pion (2003) stated that diversity competence is �an
individual�s ability to respect each person�s uniqueness�
(p. 31). They believe that diversity not only includes sex-
ual orientation, age, gender, ethnic backgrounds, race,
22 International Journal of Nursing Terminologies and
Classifications Volume 15, No. 1, January-March, 2004
Plan of Care
Saint Elizabeth Regional Medical Center recognized
the need to provide a structured resource for nurses car-
ing for the growing number of diverse patients. An ex-
tensive literature review focused on diversity, culture,
and cultural competency. Development of a care plan
that contained a cluster of pertinent nursing diagnoses
for culturally diverse patients evolved as the best option
(Table 1). Relevant nursing diagnoses were identified,
and expected outcomes and nursing interventions de-
fined for each nursing diagnosis. This structured re-
13. source/care plan became a positive and proactive re-
sponse to the needs of the diverse patient population. By
developing such care plans, we sought to avoid the neg-
ative stereotypes such as use of nursing diagnoses of
noncompliance or �nonadherence� that may be a result of
cultural barriers to understanding or acceptance.
The facility for which this care plan was designed
elected to include not only diversity of culture but also
religion, physical, or mental challenges and nontradi-
tional family units. The cultural diversity care plan be-
came an adjunct to the general admission care plan for
all patients. This care plan addresses the unique chal-
lenges in caring for a diverse population and serves as a
resource for the healthcare team in providing culturally
competent care. Following the nursing process and using
the NANDA diagnoses, this care plan was easily incor-
porated into the hospital�s clinical documentation sys-
tem. The care plan is prefaced with the premise that
every patient evidences some level of cultural and reli-
gious diversity, but when the level of diversity hampers
health promotion and disease recovery, special strategies
need to be implemented (Lipson, Dibble, & Minarik,
2000; NANDA, 2001; Sparks & Taylor, 2001).
The first nursing diagnosis identified on the care plan
is impaired verbal communication. This diagnosis encom-
passes not only inability to speak, but also hearing
deficits and difficulty in expressing thoughts. Interven-
tions include interpreter services, alternative communi-
cation methods, providing health information resources
in the familiar language, and recognition of importance
Formulation of a Plan of Care for Culturally Diverse Patients
Carpenito-Moyet (2002) pointed out that a nursing di-
14. agnosis cannot be a judgment that nurses make with re-
gard to their client and family�s responses to illness based
on the nurse�s own values, responses, or cultural perspec-
tive. Errors in nursing diagnosis, however, can occur if the
nurse is unfamiliar with a specific culture and their beliefs.
This presents two major challenges to the nurse. One is
that the nurse needs to be familiar with numerous cul-
tures, beliefs, practices, and responses to illness, wellness,
and stress. The greater challenge is to avoid cultural
stereotypes and be open-minded and nonjudgmental in
identifying and implementing nursing diagnoses and care
plans. Every patient has personal values, perspectives, and
interpretations of wellness and disease. Lack of familiarity
with the diverse patient�s unique customs may create bar-
riers to provision of respectful and excellent care.
Culture can be present in all domains of life, and this
poses an additional complication to developing a care
plan specific to diversity (Tripp-Reimer, Brink, &
Pinkham, 1999). Any nursing diagnosis that deals with
behavior has the potential to have a cultural cause and
need. A number of nursing diagnoses can be directly
linked to differences in cultural values. Primary exam-
ples are nursing diagnoses such as ineffective coping, non-
compliance, knowledge deficit, impaired verbal communica-
tion, altered parenting, anxiety, and social isolation.
Removing the consideration of diversity from any of
these nursing diagnoses opens the possibility of missing
the influence of diversity issues on the diagnosis and ul-
timately successful intervention strategies.
The option of using alternative nursing interventions
or outcome classification systems was explored by a
group of professional nurses within the organization as
part of the care planning process. The Nursing Interven-
tions Classification (NIC) and Nursing Outcomes Classi-
15. fication (NOC) presented similar dilemmas when at-
tempting development of a specific diversity diagnosis
(McCloskey & Bulechek, 2000; Tripp-Reimer et al., 1999).
Using either the NIC or NOC classification systems pre-
sented an additional conflict for our facility in that our
clinical documentation system was formatted on nurs-
ing diagnoses alone.
International Journal of Nursing Terminologies and
Classifications Volume 15, No. 1, January-March, 2004 23
Table 1. Nursing Care Plan for Culturally Diverse Patients
Definition Every patient evidences cultural and religious
diversity. However, when the level of diversity hampers health
promotion
and disease recovery, altering strategies need to be
implemented.
Clinical Problem/Nursing Diagnosis Expected Outcome Nursing
Intervention
Impaired verbal communication related to ■ Patient will
communicate needs ■ Assess need for interpreter.
■ Inability to speak dominant language and ability to
understand ■ Assist in intervention with alternative commu-
■ Hearing deficit instructions effectively. nication methods
such as sign language, inter-
■ Difficulty in expressing thought ■ Patient is satisfied with
staff�s preter services, and hearing enhancement de-
verbally or recognition of differences. vices.
■ Inability to speak ■ Use health-information resources in
patient�s
16. familiar language if possible.
■ Recognize importance of variations in personal
space, nonverbal communication, and touch
for specific individuals.
■ Use resources to enhance communications with
the verbally impaired.
Ineffective health maintenance related to ■ Evidence and
behavior of ■ Determine discrepancy factors between pa-
■ Cultural patterns nonsupportive of improving health
measures. tient�s health needs and religious and cultural
wellness patterns.
■ History of non-health-seeking behaviors ■ Provide support
and logic for necessary change
in health practices: contact religious or cultural
leaders as needed.
■ Supply resource information that is specific and
sensitive to patient�s heritage.
Knowledge deficit related to ■ Patient will demonstrate specific
■ Select teaching strategies that are best suited for
■ Lack of familiarity with information knowledge application.
the patient�s learning needs and heritage.
resources ■ Utilize resources/interpreter services that ac-
■ Communication barriers commodate the patient and family
appropriately.
■ Cultural and religious practices that are ■ Have patient/family
give return verbalization
17. incongruent with wellness and/or demonstration of newly
learned skills.
■ Emphasize importance of new knowledge to
disease recovery and health promotion.
■ Acknowledge efforts.
■ Provide resources and support for maintaining
new healthcare knowledge and practice in
community setting.
Imbalanced nutrition related to ■ Patient is satisfied with
nutritional ■ Assess and acknowledge specific dietary requests.
■ Specific cultural and religious patterns choices and culturally
sensitive ■ Refer to nutritionist as needed.
and restrictions information. ■ Integrate specific cultural
requests with healthy
■ Unavailability of usual preference of ■ Patient weight is
within normal diet and health improvement.
food because of hospital setting limits within necessary time ■
Provide diet choices based on religious rules
■ Conflict with specific disease/diet/ frame. and cultural
preferences. (Consult Culture and
health improvement and cultural and ■ Patient�s lab work is
within normal Nursing Care: A Pocket Guide [Lipson, Dibble,
&
religious restrictions limits within necessary time Minarik,
2000] regarding hot/cold balance,
frame. fasting, and typical foods.)
Compromised family coping related to ■ Family will increase
participation ■ Assess effects that illness has had on the family.
18. ■ Lack of familiar ethnic and religious in patient�s care. ■
Integrate typical culture-specific family com-
resources in the healthcare setting, ■ Patient/family will
indicate munication patterns.
■ Nontraditional family units verbally or behaviorally better ■
Encourage family participation in health care
■ Lack of privacy understanding and acceptance. for the patient.
■ Specific religious or cultural beliefs ■ Incorporate religious
and cultural requests
■ Disease severity whenever possible.
■ Role disparity brought on by communi- ■ Be sensitive to
unique cultural family patterns.
cation deficits or disease ■ Encourage support system for
family.
■ Use specific resources within hospital (e.g.. pas-
toral care, social services, case managers) and
within community (Asian Community Center,
Faces of Middle East, Catholic Social Services,
Lincoln Action Program).
This plan of care may be reproduced for noncommercial
purposes without permission from the author.
of personal space, nonverbal communication, and touch
for specific individuals (Andrews, Boyle, & Carr, 2003;
Cox et. al., 2002; Joyce & Villanueva, 2000; Lipson et al.,
2000). A specific clinical example might be not only hav-
ing a competent interpreter for a Hispanic couple with
an infant in the neonatal intensive care unit, but also
posting at the infant�s bedside in Spanish milestone
weight gains according to age. Additional resources in
19. Spanish that review the infant�s care and treatment plan
should be available to reinforce and enhance communi-
cation for these parents.
The next nursing diagnosis, ineffective health mainte-
nance, includes cultural patterns that may not be sup-
portive of wellness and a history of poor health-seeking
behaviors. Interventions include determining discrepan-
cies between the patient�s health needs and religious and
cultural patterns. Additional interventions include provi-
sion of support and logic necessary for change of behav-
iors and supplying resource information specific to the
patient�s heritage (Andrews et al., 2003; NANDA, 2001;
Tucker, Canobbio, Paquette, & Wells, 2000). An example
of discrepancy in health-seeking behaviors was seen in a
Vietnamese family who brought their toddler to the
emergency department with a persistent high fever. The
child had numerous bruises. The healthcare worker de-
termined that the parents had been using coin rubbing
(cao gio) as a home remedy to treat the child�s fever. A
culturally competent provider would be sensitive to this
practice, but would provide support and explain the
logic behind a healthcare regimen that may include an-
tibiotics, lab screening, and earlier access to health care
(Davis, 2000; Lipson et al., 2000).
The third nursing diagnosis is knowledge deficit. Lack
of familiarity with informational resources, communica-
tion barriers, and cultural and religious practices that are
incongruent with wellness are all related to having a
deficit in knowledge. Nursing interventions must be cen-
tered on provision of teaching strategies best suited to
the patient�s learning needs and heritage. Use of re-
sources and teaching tactics that accommodate patients
and their families appropriately, provision of resources,
and support for maintenance of new healthcare knowl-
20. 24 International Journal of Nursing Terminologies and
Classifications Volume 15, No. 1, January-March, 2004
edge and practice in the community setting (Carpenito-
Moyet, 2002; Lipson et al., 2000; NANDA, 2001) are in-
corporated into the care plan. An example of interven-
tions to address this nursing diagnosis would be
including the mother, sister, and mother-in-law in active
participation and support for an Arab-American woman
who is in labor. Since in this tradition fathers do not par-
ticipate in the birth process, teaching strategies and com-
fort measures need to be directed at those who can sup-
port the patient in labor. Healthcare providers must
realize that lack of participation by a Arab-American fa-
ther in the birth process does not constitute neglect or
lack of interest. If no female family members are avail-
able, Arab-American women may require the encour-
agement and support of alternative individuals, and
nurses must provide education for the support system
that is present (Kridli, 2002; Lipson et al., 2000).
Imbalanced nutrition can be the result of specific cul-
tural and religious patterns and restrictions, but also of
unavailability of usual food preferences during hospital-
ization. Food preferences may be in conflict with a spe-
cific disease, diet or health improvement needs, and cul-
tural or religious restrictions. Referral to a culturally
sensitive nutritionist is an important component and re-
source for the intervention for this diagnosis. Additional
interventions include integration of specific cultural re-
quests into a healthy dietary plan, as well as health im-
provement and diet choices based on religious rules and
cultural preferences (Andrews et al., 2003; Lipson et al.,
2000; NANDA, 2001). The following example demon-
strates how specific cultural patterns can be integrated
21. into a specific disease care regimen. A middle-age male
of Middle-Eastern descent who practiced traditional eth-
nic patterns presented to the clinic with newly diagnosed
diabetes. The healthcare provider in conjunction with a
dietician integrated insulin and blood sugar monitoring
around the patient�s traditional meal pattern of having
the largest meal around 2 P.M. (Lipson et al., 2000).
Compromised family coping is the final nursing diagno-
sis in the care plan. This diagnosis is related to lack of fa-
miliar ethnic and religious resources in the healthcare
setting, nontraditional family units, lack of privacy, spe-
Formulation of a Plan of Care for Culturally Diverse Patients
cific religious or cultural beliefs, disease severity, and role
disparity brought on by communication deficits or dis-
ease. Nursing interventions include assessment and inte-
gration of the illness beliefs and the specific family cul-
tural patterns. Religious and culturally related requests
are implemented whenever possible. Encouragement
and sensitivity to family values are emphasized. Use of
�within the walls� as well as community resources are
identified (Andrews et al., 2003; Cox et al., 1995; Lipson
et al., 2000; NANDA, 2001).
There are numerous opportunities for incorporating re-
ligious and cultural requests within the healthcare setting.
A Native American family�s wish to see their terminally
ill, ventilator-dependent infant on a traditional papoose
board with a large family tribal ceremony demonstrated a
unique challenge. Culturally sensitive healthcare workers
working with neonatologists, primary nursing staff, respi-
ratory therapists, and family members enabled the family
22. to safely position the infant on a papoose board and trans-
port the infant to an area where all tribal members could
be present for the ceremony. Nursing interventions may
include sensitivity to unique cultural family patterns. For
example, grandparents who are assuming the role of par-
ents may need additional updated health information on
child care and support for their expanded role. Single par-
ents may need additional resources for accessing respite
care options. Family units that have a family member
physically unavailable (e.g., deployed overseas, incarcer-
ated) may need innovative nursing interventions. Digital
cameras, e-mail, Red Cross communications, and support
groups may need to be used.
Additional Practice Implications
This nursing care plan has been integrated into the
general admission care plans for all patients at our facil-
ity. It is available online via Intranet resource manuals at
all times for easy access and referral. The intent is that
this plan of care will guide healthcare workers in target-
ing the needs and resources for any patient with diver-
sity. The ultimate goal is to promote respect and provide
excellent patient care for every individual, including
International Journal of Nursing Terminologies and
Classifications Volume 15, No. 1, January-March, 2004 25
those with unique diversities. Compliance with govern-
ment guidelines is evidenced within the clinical docu-
mentation system that integrates care plans and nursing
documentation. This care plan also provides a prompt
for referral to multidisciplinary team members to orga-
nize their care and prioritize resources for these patients.
Conclusion
23. Expanding the definition of culture to include diver-
sity of culture, plus religion, physical, or mental chal-
lenges and nontraditional family units allowed us to im-
prove care for the increasing number of patients with
diversity. This care plan focuses on the uniqueness and
positive opportunities and challenges of working with
diverse populations.
Author contact: [email protected], with a copy to the Editor:
[email protected]
References
Alexander, G. (2002). A mind for multicultural management.
Nursing
Management, 33(10), 30 � 34.
American Nurses Credentialing Center. (2003 � 2004). The
magnet recog-
nition program: Health care organization application manual.
Washing-
ton, DC: Author.
Andrews, M., Boyle, J., & Carr, J. (2003). Transcultural
concepts in nursing
care (4th ed.). Philadelphia: Lippincott.
Burchum, J. (2002). Cultural competence: An evolutionary
perspective.
Nursing Forum, 37(4), 5 � 15.
Carpenito-Moyet, L.J. (2002). Nursing diagnosis: Application to
clinical
practice (9th ed.). Philadelphia: Lippincott.
Cox, H., Hinz, M., Lubno, M., Scott-Tilley, D., Newfield, S.,
24. Slater, M., &
Sridaromont, K. (2002). Clinical applications of nursing
diagnosis:
Adult, child, women, psychiatric, geriatric, and home health
considerations
(4th ed.). Philadelphia: Davis.
Davis, R. (2000). International scene. Cultural health care or
child
abuse? The Southeast Asian practice of cao gio. Journal of the
Ameri-
can Academy of Nurse Practitioners, 12(3), 89 � 95.
Dreher, M., & MacNaughton, N. (2002). Cultural competence in
nurs-
ing: Foundation or fallacy? Nursing Outlook, 50, 181 � 186.
Ford, V. (2003, September 24). Cultural competence: What�s
the big deal
anyway? Paper presented at Saint Elizabeth Regional Medical
Cen-
ter Learning for Life Seminar, Lincoln, NE.
Frusti, D., Niesen, K., & Campion, J. (2003). Creating a
culturally com-
petent organization. Journal of Nursing Administration, 33(1),
31 � 38.
Gasda, K. (2002). The magnetic pull. Nursing Management,
33(4), 45 � 46.
Griffin, H. (2002). Embracing diversity. Nurse Week News 02
� 12. Re-
trieved February 27, 2003, from www.nurseweek.com/news/fea-
25. tures/02-12/diversity_print.html
Joint Commission on Accreditation of Healthcare
Organizations. (2003).
Hospital accreditation standards. Oakbrook Terrace, IL: Author.
Joyce, E., & Villanueva, M. (2000). Say it in Spanish.
Philadelphia: Saun-
ders.
Kridli, S. (2002). Health beliefs and practices among Arab
women.
American Journal of Maternal/Child Nursing, 27, 178 � 182.
Leininger, M. (1990). Issues, questions, and concerns related to
the
nursing diagnosis cultural movement from a transcultural
nursing
perspective. Journal of Transcultural Nursing, 2(1), 23 � 32.
Leininger, M. (1999). What is transcultural nursing and
culturally com-
petent care? Journal of Transcultural Nursing, 10(1), 9.
Leinonen, S., & Smith, M. (2002, October 15). A magnet
hospital exemplar:
Integrating transcultural concepts into quality patient care.
Paper pre-
sented at the Sixth Annual National Magnet Conference,
�Magnet
Status: An Attractive Outcome,� Mayo Clinic, Rochester, MN.
Lipson, J., Dibble, S., & Minarik, P. (2000). Culture and
nursing care: A
pocket guide (7th ed.). San Francisco: University of California
Press.
26. National Academy of Sciences. (2002). Unequal treatment:
Confronting
racial and ethnic disparities in health care. Retrieved February
26, 2004,
from www.iom.edu/report.asp?=4475
26 International Journal of Nursing Terminologies and
Classifications Volume 15, No. 1, January-March, 2004
Formulation of a Plan of Care for Culturally Diverse Patients
North American Nursing Diagnosis Association. (2001).
NANDA nurs-
ing diagnoses: Definitions and classification (2001�2002).
Philadelphia:
Author.
McCloskey, J.C., & Bulechek, G.M. (2000). Nursing
interventions classifi-
cation (3rd ed.). St. Louis: Mosby.
McClure, M., & Hinshaw, A. (2002). Magnet hospitals
revisited: Attraction
and retention of professional nurses. Washington, DC:
American
Nurses Publishing.
Sparks, S., & Taylor, C. (2001). Nursing diagnosis reference
manual (5th
ed.). Springhouse, PA: Springhouse.
Tripp-Reimer, T., Brink, P., & Pinkham, C. (1999). Culture
brokerage. In
G. Bulechek & J. McCloskey (Eds.), Nursing interventions:
Effective
27. nursing treatments (pp. 367 � 649). Philadelphia: Saunders.
Tucker, S., Canobbio, M., Paquette, E., & Wells, M. (2000).
Patient care
standards: Collaborative planning and nursing intervention (7th
ed.). St.
Louis: Mosby.
U.S. Department of Commerce, Economics and Statistics
Administra-
tion. (2001). Bureau of the census: Americans with disabilities,
single-par-
ent families and co-resident grandparents. Retrieved June 16,
2003, from
http://landview.census.gov/population
U.S. Department of Health and Human Services. (2001a). Office
of Civil
Rights Policy Guidance Title VI prohibition against national
origin dis-
crimination as it affects persons with limited English
proficiency. Re-
trieved February 5, 2003, from www.hhs.gov/ocr/lep/guide.html
U.S. Department of Health and Human Services. (2001b). Office
of Minority
Health National Standards for culturally and linguistically
appropriate services
in health care [OPHS Publication No. 8069]. Washington, DC:
Author.
NEW
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