1 postsRe Topic 3 DQ 2Community health nurses must recogniz.docx
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1 posts Re: Topic 3 DQ 2 Community health nurses must recognize any biases or stereotypes when working with different communities. A preconceived assumption of certain attributes, characteristics, and behaviors of members of a certain group is referred as a stereotype (Falkner, 2018). People construct stereotypes form direct personal experience or from other people like the media. For example, Asians are good in math or women are bad drivers. The personal feeling or attitude toward a person or group based on the stereotype is referred to as having a bias (Falkner, 2018). Healthcare workers implicit bias by unconsciously displaying attitude that directly affects patient care based on stereotypes (Falkner, 2018). For example, a homeless patient is presumed to be more medication-seeking compared to people with a job. Although healthcare workers may want to think they are not biased, the occurrences very common (Falkner, 2018). Cultural competence is an imperative skill for nurses and other healthcare professionals. Cultural competency allows nurses to be effective in establishing rapport with patients with proper nursing assessments and implementing interventions designed to meet the patient’s needs (Flowers, 2004). There are models that nurses can assess to provide culturally competent care. For example, the Campinha Bacote Cultural Framework Model include: cultural awareness, knowledge, skill, encounters, and desire, the process of cultural awareness (Flower, 2004). Cultural awareness involves an in-depth exploration of one’s own cultural and professional background as learning about another person’s culture does not guarantee unbiased actions. Cultural knowledge involves the process of seeking information of different ethnic groups such as through journal articles or seminars. Cultural skill involves a nurse collecting relevant cultural data and accurately performing a culturally specific physical assessment such as space and communication. Cultural encounter involves the process of nurses directly engaging in cross-cultural interactions with patients from diverse backgrounds. And last, cultural desire involves the motivation of nurses to become culturally aware and seeking cultural encounters (Flowers, 2004). Hawaii is a very culturally diverse state with a rich cultural history of immigrants. Being an immigrant myself, I love learning about other cultures, especially ethnic foods. It’s amazing but the foods are very similar to one another, yet the taste is very different. For example, one of our Filipino resident’s intake was decreasing. She typically consumed less than 25% of all meals. As soon as we changed her diet to what she was familiar with, her intake changed to almost 100% with all meals. .
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1 postsRe Topic 3 DQ 2Community health nurses must be c.docx
1 posts
Re: Topic 3 DQ 2
Community health nurses must be culturally compliant to provide the most adequate and highest level of quality care. Understanding certain feelings and recognizing these is the first step for the nurse to put aside stereotypes and bias. Most of the time, they are learned behaviors prior to nursing. Stereotyping in nursing is a preconceived assumption regarding a certain group of people; this, in turn, leads to various personal feelings built upon that stereotype resulting in being bias. In health care, these feelings can lead to implicit bias feelings we unconsciously display towards patients and can impact patient care (Falkner, 2018). It is challenging for nurses not to be biased against one group or the other due to the fact that medically and scientifically there are certain groups or populations that certain condition/diseases are more prevalent than others, but "jumping the gun" per say could result in false diagnosis or inadequate treatments (Puddifoot, 2019). Community nurses must take into account the scientific and medical data related to each and every individual.
Campinha-Bacote and Munoz (2001) proposed a five-component model for developing cultural competence: Cultural awareness, Cultural knowledge, Cultural skill, Cultural encounters, and Cultural desire. One important way for nurses to achieve cultural competence and promote respect is to challenge our own beliefs and ask better questions regarding our patient populations. For example, nurses should avoid unintentionally stereotyping a patient into a specific cultural or ethnic group based on characteristics like outward appearance, race, country of origin or religious preference. Additionally, many subcultures and variations can exist within a cultural or ethnic group. For instance, the term Asian-American includes cultures such as Chinese, Japanese, Taiwanese, Filipino, Korean and Vietnamese, and within these cultures, there are variations in a geographic region, religion, language, family structure and more.
Using 200-300 APA format with references to support the discussion.
How should the nurse address these concepts to ensure health promotion activities are culturally competent? Propose strategies that you can employ to reduce cultural dissonance and bias to deliver culturally competent care. Include an evidence-based article that address the cultural issue
.
22CHAPTER 2 Cultural CompetencyAchieving cultural .docx
22
CHAPTER
2 Cultural Competency
Achieving cultural competence is a learning process that
requires self-awareness, reflective practice, and knowl-
edge of core cultural issues. It involves recognizing one’s
own culture, values, and biases and using effective patient-
centered communication skills. A culturally competent
healthcare provider adapts to the unique needs of patients
of backgrounds and cultures that differ from his or her
own. This adaptability, coupled with a genuine curiosity
about a patient’s beliefs and values, lay the foundation for
a trusting patient-provider relationship.
A Definition of Culture
Culture, in its broadest sense, reflects the whole of human
behavior, including ideas and attitudes, ways of relating to
one another, manners of speaking, and the material products
of physical effort, ingenuity, and imagination. Language is
a part of culture. So, too, are the abstract systems of belief,
etiquette, law, morals, entertainment, and education. Within
the cultural whole, different populations may exist in groups
and subgroups. Each group is identified by a particular
body of shared traits (e.g., a particular art, ethos, or belief;
or a particular behavioral pattern) and is rather dynamic
in its evolving accommodations with internal and external
influences. Any individual may belong to more than one
group or subgroup, such as ethnic origin, religion, gender,
sexual orientation, occupation, and profession.
Distinguishing Physical Characteristics
The use of physical characteristics (e.g., gender or skin
color) to distinguish a cultural group or subgroup is inap-
propriate. There is a significant difference between distin-
guishing cultural characteristics and distinguishing physical
characteristics. Do not confuse the physical with the cultural
or allow the physical to symbolize the cultural. To assume
homogeneity in the beliefs, attitudes, and behaviors of all
individuals in a particular group leads to misunderstandings
about the individual. The stereotype, a fixed image of any
group that denies the potential of originality or individuality
within the group, must be rejected. People can and do
respond differently to the same stimuli. Stereotyping occurs
through two cognitive phases. In the first phase, a stereotype
becomes activated when an individual is categorized into
a social group. When this occurs, the beliefs and feelings
(prejudices) come to mind about what members of that
particular group are like. Over time, this first phase occurs
without effort or awareness. In the second phase, people
use these activated beliefs and feelings when they interact
with the individual, even when they explicitly deny these
stereotypes. Multiple studies have shown that healthcare
providers activate these implicit stereotypes, or unconscious
biases, when communicating with and providing care to
minority patients (Stone and Moskowitz, 2011). With this
in mind, you can begin learning cult.
Discussion 1 (Lindsay) Module 1 DiscussionCultural competenc
Discussion 1 (Lindsay)
Module 1 Discussion
Cultural competence is having the capability to effectively interact with individuals belonging to different cultures. Being culturally competent is essential in the nursing profession. Specifically, because advanced practice nurses (APN) care for many different cultural groups in the community. Cultural competence plays a significant role in eliminating and decreasing health care disparities. Therefore, APNs must have the ability to communicate appropriately with different cultural backgrounds to effectively treat patient’s health concerns in a manner that is acceptable to the patient.
The Purnell model defines culture as behavioral patterns, beliefs, values, lifestyles, and all other factors that influence the human work and thought characteristics of a group of people that guide their worldview and decision making (Purnell, 2005). The Purnell model was a framework designed to use across all disciples and practice settings to assess different cultures. Every healthcare discipline values communication and must know their patients ethnocultural beliefs. Healthcare providers are more effective in caring for patients when they understand ethnocultural diversity. The model is a circle with three rims, the outlying rim represents global society, a second rim representing community, a third rim representing family, and the inner rim representing the person (Purnell, 2005). The interior of the circle is split into 12 parts representing cultural domains and their concepts. The 12 cultural domains construct the framework of the model. The Purnell model was developed for multiple purposes. These include providing a framework to learn concepts and characteristics of culture; define instances that affect an individual’s worldview; provide a tool that links the most significant relationships of culture; interrelate characteristics of culture that promote congruence to deliver sensitive and competent care; provide a structure for analyzing cultural data; and view individuals, families, and communities within their unique ethnocultural environment (Purnell, 2005). Communicating in a culturally sensitive way can minimize prejudices and biases.
Culturally competent communication means communicating with mindfulness and knowledge of health disparities and understanding that sociocultural influences have important effects on beliefs, behaviors, and the skills used to manage these factors appropriately (Taylor & Lurie, 2004). It is also important to recognize and understand different communication needs and styles. For example, identifying patient language preferences, literacy levels, and level of English proficiency. Promoting culturally competent communication in the health care setting reflects high quality care and a holistic approach. Good patient-provider communication is associated with increased adherence to treatment plans, higher patient satisfaction, and improved health outcomes (Taylor & Lurie, 2004). ...
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1 postsRe Topic 3 DQ 2Community health nurses must be c.docx
1 posts
Re: Topic 3 DQ 2
Community health nurses must be culturally compliant to provide the most adequate and highest level of quality care. Understanding certain feelings and recognizing these is the first step for the nurse to put aside stereotypes and bias. Most of the time, they are learned behaviors prior to nursing. Stereotyping in nursing is a preconceived assumption regarding a certain group of people; this, in turn, leads to various personal feelings built upon that stereotype resulting in being bias. In health care, these feelings can lead to implicit bias feelings we unconsciously display towards patients and can impact patient care (Falkner, 2018). It is challenging for nurses not to be biased against one group or the other due to the fact that medically and scientifically there are certain groups or populations that certain condition/diseases are more prevalent than others, but "jumping the gun" per say could result in false diagnosis or inadequate treatments (Puddifoot, 2019). Community nurses must take into account the scientific and medical data related to each and every individual.
Campinha-Bacote and Munoz (2001) proposed a five-component model for developing cultural competence: Cultural awareness, Cultural knowledge, Cultural skill, Cultural encounters, and Cultural desire. One important way for nurses to achieve cultural competence and promote respect is to challenge our own beliefs and ask better questions regarding our patient populations. For example, nurses should avoid unintentionally stereotyping a patient into a specific cultural or ethnic group based on characteristics like outward appearance, race, country of origin or religious preference. Additionally, many subcultures and variations can exist within a cultural or ethnic group. For instance, the term Asian-American includes cultures such as Chinese, Japanese, Taiwanese, Filipino, Korean and Vietnamese, and within these cultures, there are variations in a geographic region, religion, language, family structure and more.
Using 200-300 APA format with references to support the discussion.
How should the nurse address these concepts to ensure health promotion activities are culturally competent? Propose strategies that you can employ to reduce cultural dissonance and bias to deliver culturally competent care. Include an evidence-based article that address the cultural issue
.
22CHAPTER 2 Cultural CompetencyAchieving cultural .docx
22
CHAPTER
2 Cultural Competency
Achieving cultural competence is a learning process that
requires self-awareness, reflective practice, and knowl-
edge of core cultural issues. It involves recognizing one’s
own culture, values, and biases and using effective patient-
centered communication skills. A culturally competent
healthcare provider adapts to the unique needs of patients
of backgrounds and cultures that differ from his or her
own. This adaptability, coupled with a genuine curiosity
about a patient’s beliefs and values, lay the foundation for
a trusting patient-provider relationship.
A Definition of Culture
Culture, in its broadest sense, reflects the whole of human
behavior, including ideas and attitudes, ways of relating to
one another, manners of speaking, and the material products
of physical effort, ingenuity, and imagination. Language is
a part of culture. So, too, are the abstract systems of belief,
etiquette, law, morals, entertainment, and education. Within
the cultural whole, different populations may exist in groups
and subgroups. Each group is identified by a particular
body of shared traits (e.g., a particular art, ethos, or belief;
or a particular behavioral pattern) and is rather dynamic
in its evolving accommodations with internal and external
influences. Any individual may belong to more than one
group or subgroup, such as ethnic origin, religion, gender,
sexual orientation, occupation, and profession.
Distinguishing Physical Characteristics
The use of physical characteristics (e.g., gender or skin
color) to distinguish a cultural group or subgroup is inap-
propriate. There is a significant difference between distin-
guishing cultural characteristics and distinguishing physical
characteristics. Do not confuse the physical with the cultural
or allow the physical to symbolize the cultural. To assume
homogeneity in the beliefs, attitudes, and behaviors of all
individuals in a particular group leads to misunderstandings
about the individual. The stereotype, a fixed image of any
group that denies the potential of originality or individuality
within the group, must be rejected. People can and do
respond differently to the same stimuli. Stereotyping occurs
through two cognitive phases. In the first phase, a stereotype
becomes activated when an individual is categorized into
a social group. When this occurs, the beliefs and feelings
(prejudices) come to mind about what members of that
particular group are like. Over time, this first phase occurs
without effort or awareness. In the second phase, people
use these activated beliefs and feelings when they interact
with the individual, even when they explicitly deny these
stereotypes. Multiple studies have shown that healthcare
providers activate these implicit stereotypes, or unconscious
biases, when communicating with and providing care to
minority patients (Stone and Moskowitz, 2011). With this
in mind, you can begin learning cult.
Discussion 1 (Lindsay) Module 1 DiscussionCultural competenc
Discussion 1 (Lindsay)
Module 1 Discussion
Cultural competence is having the capability to effectively interact with individuals belonging to different cultures. Being culturally competent is essential in the nursing profession. Specifically, because advanced practice nurses (APN) care for many different cultural groups in the community. Cultural competence plays a significant role in eliminating and decreasing health care disparities. Therefore, APNs must have the ability to communicate appropriately with different cultural backgrounds to effectively treat patient’s health concerns in a manner that is acceptable to the patient.
The Purnell model defines culture as behavioral patterns, beliefs, values, lifestyles, and all other factors that influence the human work and thought characteristics of a group of people that guide their worldview and decision making (Purnell, 2005). The Purnell model was a framework designed to use across all disciples and practice settings to assess different cultures. Every healthcare discipline values communication and must know their patients ethnocultural beliefs. Healthcare providers are more effective in caring for patients when they understand ethnocultural diversity. The model is a circle with three rims, the outlying rim represents global society, a second rim representing community, a third rim representing family, and the inner rim representing the person (Purnell, 2005). The interior of the circle is split into 12 parts representing cultural domains and their concepts. The 12 cultural domains construct the framework of the model. The Purnell model was developed for multiple purposes. These include providing a framework to learn concepts and characteristics of culture; define instances that affect an individual’s worldview; provide a tool that links the most significant relationships of culture; interrelate characteristics of culture that promote congruence to deliver sensitive and competent care; provide a structure for analyzing cultural data; and view individuals, families, and communities within their unique ethnocultural environment (Purnell, 2005). Communicating in a culturally sensitive way can minimize prejudices and biases.
Culturally competent communication means communicating with mindfulness and knowledge of health disparities and understanding that sociocultural influences have important effects on beliefs, behaviors, and the skills used to manage these factors appropriately (Taylor & Lurie, 2004). It is also important to recognize and understand different communication needs and styles. For example, identifying patient language preferences, literacy levels, and level of English proficiency. Promoting culturally competent communication in the health care setting reflects high quality care and a holistic approach. Good patient-provider communication is associated with increased adherence to treatment plans, higher patient satisfaction, and improved health outcomes (Taylor & Lurie, 2004). ...
Running head CULTURAL SENSITVITY1CULTURAL SENSITVITY2.docx
Running head: CULTURAL SENSITVITY1
CULTURAL SENSITVITY2
Cultural Sensitivity
Name
Institution
Cultural Sensitivity
Introduction
Cultural sensitivity refers to the awareness as well as the sensitivity to culture and other practices. Cultural sensitivity can encompass examining different cultures and how they should be accurately approached in the health care. It also includes how to communicate according to within the health care setting. Cultural sensitivity is important area because it can impact the way people work in the health care facilities. It also encompasses valuing differences so as harassment and discrimination, either intended or not, do not happen. Culture is a fundamental and complex concept with consist of broad aspects of people in the health care setting (Campinha-Bacote, 2003). It includes the concepts of sexual orientation, gender, faith, age, disability, race, ethnicity, profession and socioeconomic status. Cultural sensitivity stems from this understanding in that; it is must encompass interpersonal skill as well as the knowledge that will allow the providers of health care, appreciate, understand, and work with individuals from different cultures other than theirs. It also consists of acceptance and awareness of the people’s cultural differences, knowledge, self-awareness of the cultures of the patient and adapting to the skills. Many cultural groups, including lesbian and gay people, individuals with disabilities, lower socio-economic groups and ethnic minorities, for example, African-Americans (Campinha-Bacote, 2003). Cultural sensitivity is considered one of the reasons peoples do not access quality health care services because people are not aware as well as understand the effects attached to one’s culture and how it may be perceived by others. An individual's culture should not appear to be dominant in the place of work.
Healthcare Disparities and How they Relate to Cultural Sensitivity in the Healthcare Setting
Health care disparities, by definition, refer to the differences in health as well as healthcare between population groups. It typically involves a higher burden of illness, mortality experienced in the health care setting, disabilities, and injury by one population group about another. Moreover, it refers to the differences between groups in the health care facilities regarding provision of care services, its access, and quality given. This issue are related to the people’s cultural sensitivity in that the issue surrounds this concept are based on socioeconomic status, gender, sexual orientation, age, and disability status. Similarly, cultural insensitivity arises from disparities that in return causes care limit as well as continued improvement in overall quality of cares (Campinha-Bacote, 2003). Health care disparities can be exacerbated by looking at some things that comprise specific health conditions, provider biases, differences in access to care, poor patient-provider comm ...
Read Theory and Practice of Counseling and Psychotherapy, pages.docx
Read:
Theory and Practice of Counseling and Psychotherapy
, pages 43-45; and
Addressing Diverse Populations in Intensive Outpatient Treatment
I have attached additional reading material, I need this by Thursday,
Serving Special Populations
After completing the reading for this unit, what do you think is the greatest obstacle facing special populations in addiction treatment? What will you do as a counselor to ensure that all of your clients receive the best treatment possible?
Your paper is to be in APA format, 1-2 pages, and include sources. Please see
paper guidelines
for explanation of requirements.
Addressing Diverse Populations in Intensive Outpatient Treatment
1. Introduction
1. Introduction
Culture is important in substance abuse treatment because clients' experiences of culture precede and influence their clinical experience. Treatment setting, coping styles, social supports, stigma attached to substance use disorders, even whether an individual seeks help--all are influenced by a client's culture. Culture needs to be understood as a broad concept that refers to a shared set of beliefs, norms, and values among any group of people, whether based on ethnicity or on a shared affiliation and identity.
Retrieved from,
Substance Abuse: Clinical Issues in Intensive Outpatient Treatment
, Center for Substance Abuse Treatment (2006).
2. What It Means To Be a Culturally Competent Clinician
It is agreed widely in the health care field that an individual's culture is a critical factor to be considered in treatment. The Surgeon General's report, Mental Health: Culture, Race, and Ethnicity, states, "Substantive data from consumer and family self-reports, ethnic match, and ethnic-specific services outcome studies suggest that tailoring services to the specific needs of these [ethnic] groups will improve utilization and outcomes” (U.S. Department of Health and Human Services 2001, p. 36). The Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV) (American Psychiatric Association 1994) calls on clinicians to understand how their relationship with the client is affected by cultural differences and sets up a framework for reviewing the effects of culture on each client.
Because verbal communication and the therapeutic alliance are distinguishing features of treatment for both substance use and mental disorders, the issue of culture is significant for treatment in both fields. The therapeutic alliance should be informed by the clinician's understanding of the client's cultural identity, social supports, self-esteem, and reluctance about treatment resulting from social stigma. A common theme in culturally competent care is that the treatment provider--not the person seeking treatment--is responsible for ensuring that treatment is effective for diverse clients.
Meeting the needs of diverse clients involves two components: (1) understanding how to work with persons from different cultures and (2) understandi.
Running head CULTURAL INCOMPETENCE IN NURSING .docx
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 ...
4 DQ 1The best way to gather cultural information from the p.docx
4 DQ 1
The best way to gather cultural information from the patient is to ask them. We can ask the family members as well. Also, we can research information through the Internet, journals or articles. There are factors that a nurse should educated themselves on to have better care for their patients when it comes to cultural competency. Language barriers can be an obstacle when it comes to cultural care for a patient. A translator can be used to help understand the patient. Many cultures have traditional rules when it comes to who is superior in their family. For example, some parts of the Islamic culture, the husband is in charge of speaking and decides for the wife who is a patient. The wife cannot be alone in a room with another male nurse. As Nurses, we should learn the different traditional rules of cultures and their religion as well. Health care workers must have respect along with no judgment of what race or cultures display as their traditions. It also depends on where you live as some cities or towns or more diverse than others. For example, in New York, it is very diverse. There are very large amount of different translators to assist in any language barriers. Cultural competence is an important component of excellence in health care delivery and can contribute to the elimination of racial and ethnic health disparities (Minority Nurse, 2018). We can demonstrate cultural competency in nursing practice through several ways. One of them is using a interpreter if required. Secondly, there are cultural competency certificates they can obtain. Thirdly, staff can be trained to improve the competency culturally. Fourthly, we can research information about a culture along with asking the patient and family members. The important part is accepting the culture and wanting to learn about it. Being judgmental or disrespectful will not create a healthy nursing practice.
Respond to the above post by supporting Using 200-300 APA format with references
.
(1) citation reference 150 words CultureHmong CultureC.docx
(1) citation reference 150 words
Culture
Hmong Culture
Considerations
In beginning the interview, a consideration to remember is that eye contact is considered rude to Hmong People and that tone of voice and body language are very important; taking too loudly, placing too much emphasis on words, or talking excessively with hands and arm movements can result in noncompliance (Carteret, 2012). As this patient is young and assumed to be mainstream with Western culture, she will likely be understanding and forgiving of eye contact, tone, and body language but interactions with older family members will require care.
Gender of the nurse might play a role in some assessments, it is important to ask if a male nurse has permission to touch the abdomen or auscultate the lungs, heart, or abdomen. Questions pertaining to sex should be private and held with a nurse who is the same gender as the patient, it is of note that questions or examinations regarding sexual health can be misinterpreted as judgment of promiscuity, resulting in refusal, so sex must be addressed with much explanation and rationale without judgment (Carteret, 2012). As infection can be related to sex or sexual contact, this should be addressed with this patient.
The patient’s language preference for the interview is also important. The patient is a young adult and in college, however, her preference might be Hmong, or the language typically spoken at home. Another consideration is, does the patient want anyone else present for her interview/assessment? Hmong People have a family structure that is patriarchal, meaning, the father generally very involved in decision making and can, ultimately have the final say on a topic or treatment; the mother is caregiver and may wish to be present to help take care of the patient. Hmong Elders also play a large role in decision making, with a Grandfather that might want to talk directly with the doctor and make decisions over the wishes of the patient or patient’s father (Carteret, 2012).
Hmong Culture has roots in animism, which is the belief that objects, places, animals, people, etc. all have spirits and bodies that maintain a natural balance (Duffy, J., Harmon, R., Ranard, D.A., Thao, B., & Yang, K. (2004). The fever in this patient could be related to an imbalance in her spirit, an inhabitation by another sprit that is making her ill, disapproval of recent behavior by dead ancestors, or a curse (Carteret, 2012). The family might elect to have a religious healer, or Shaman visit to perform holistic medicine on the patient, some of this medicine might cause burns or pinch marks with coining or skin pinching being common practices for illness (Khuu, Yee, & Zhou, 2017). An understanding of Western medicine might not be present, the patient or family may ask for dosages of antibiotics for infection or acetaminophen of fever to be increase or decrease based on how they feel; it is important to explain that medications are dosed on scientifi.
One World Many Cultures For Health Commu
A presentation about intercultural encounters within the healthcare relationship. This presentation was give, specifically, to allied health professional students.
19The Purnell Model forCultural CompetenceChapter 2.docx
19
The Purnell Model for
Cultural Competence
Chapter 2
LARRY D. PURNELL
This chapter presents the Purnell Model for Cultural
Competence, its organizing framework, and the assump-
tions upon which the model is based. In addition, American
cultural values, practices, and beliefs are presented to assist
non–native American health-care providers to understand
American ways. The American references are meant to
describe, not prescribe or predict, behaviors and practices.
Although the authors recognize that Canada and Mexico are
part of North America, American, as used in this chapter,
refers to the dominant middle-class values of citizens of the
mainland United States. Owing to space limitations, this
chapter deals not with the objective culture—arts, literature,
humanities, and so on—but rather with the subjective cul-
ture. Many Americans are not aware of the subjective culture
because they identify differences as individual personality
traits and disregard political and social origins of culture.
Many view culture as something that belongs only to for-
eigners or disadvantaged groups. However, when Americans
travel abroad, their host country inhabitants many times
stereotypically identify them as Americans because of their
values, beliefs, attitudes, behaviors, speech patterns, and
mannerisms. Some feel that Americans are “fun lovers” and
that, for some Americans, violence is a way of life. However,
“the right to bear arms” is guaranteed by the Constitution.
Most likely, the United States is not any more violent than,
or even as violent as, many other societies, but American
media coverage may be better than other countries, thereby
giving the impression that the United States is more violent
than it actually is. Accordingly, these stereotypes are not
always accurate or desirable.
Western academic and health-care organizations
stress structure, systematization, and formalization when
studying complex phenomena such as culture and eth-
nicity. Given the complexity of individuals, the Purnell
Model for Cultural Competence provides a comprehen-
sive, systematic, and concise framework for learning and
understanding culture. The empirical framework of the
model can assist health-care providers, managers, and
administrators in all health disciplines to provide holis-
tic, culturally competent therapeutic interventions;
health promotion and wellness; illness, disease, and
injury prevention; health maintenance and restoration;
and health teaching across educational and practice
settings.
The purposes of this model are to
1. Provide a framework for all health-care providers
to learn concepts and characteristics of culture.
2. Define circumstances that affect a person’s cul-
tural worldview in the context of historical per-
spectives.
3. Provide a model that links the most central rela-
tionships of culture.
4. Interrelate characteristics of culture to promote
congruence and to facilitate the delivery of con-
sciously sensitive and competent h.
Culture is one of the organizing concepts upon which nursing is base.docx
Culture is one of the organizing concepts upon which nursing is based and defined. As healthcare providers, nurses must implement their knowledge of cultural, ethnic, and social diversity to develop a culturally sensitive nursing practice. This enables nurses to be more effective in initiating nursing assessments and serving as a patient advocate.
Background:
Leininger (2014) defines culture as a set of values, beliefs, and traditions that are led by a specific group of people and handed down from generation to generation. Culture is learned, shared, values transmitted, a way of life, and practices of a particular group that guides day-to-day thinking, decisions, and actions.
Technological advances have transformed our social world into what Marshall McLuhan termed a global village. In other words, we need to think of the entire world when we talk about our social environment. Computers, satellites, and communication technology have brought the world closer together and made cross-cultural encounters an everyday occurrence.
Cultural competence is the ability to provide holistically effective care to patients who come from different cultures. In nursing, there is a requirement to be sensitive to communication, both verbally and non-verbally. It is an evolving process that depends on self-awareness, knowledge, attitude, and development and application of skills. Nurses should never make assumptions about their patient’s beliefs; for example, stating that all Jehovah’s Witnesses will refuse blood transfusions is a generalization.
Being culturally insensitive can lead to stereotyping, discrimination, racism, and prejudice. Some cultures do not call elders by their first names. Nurses should always ask how the patient wants to be addressed. Some cultures would not allow a male nurse to examine a female patient so the team should be aware of this cultural issue. People may have different beliefs about medical care and treatment in the United States, and the nurse needs to offer respect and gain knowledge of the patient’s situation.
In the healthcare systems of today, healthcare providers are diverse. Nurses have much to offer from their own culture. Culture is universal and dynamic. It is taught to other members of the health care team as a matter of sharing. Distinctions between culture, ethnicity, race, and religion may be confusing. Think of it this way, you are a member of the subculture of the student, you are also a member of an ethnic group, (e.g. Portuguese-American from the Azores), a racial group (white, African American), and a religion (Roman Catholic, Jewish), each with its own set of beliefs and values. So, your culture is a blend of all of those characteristics (Treas & Wilkinson, 2014).
Scholarly Paper:
There is one scholarly paper due in this course. It is recommended that students prepare for this paper each week.
Select a culture that you wish to investigate.
Research the health belie.
Transcultural nursing
The demographic profile of the countries suggests that countries are rapidly becoming heterogeneous, multicultural societies. So it is imperative that nurses develop an understanding about culture and its relevance to competent care. Transcultural nursing represents and reflects the need for respect and acknowledgement of the wholeness of all human beings.
It is essential to remember that regardless of race ethnicity or cultural heritage, every human being is culturally unique. Professional nursing care is culturally sensitive, culturally appropriate and culturally competent
Running head culture and cultural concepts1 culture and cultu
Running head culture and cultural concepts1 culture and cultu
Trans Cultural Nursing Concepts and Assessment by Azhar.pptx
Describe concept of trans-cultural nursing.
Explain key concepts related to trans-cultural nursing.
Identify the components of cultural assessment
Integrate concepts of trans-cultural nursing care throughout the life span.
Identify nursing frameworks and theories applicable to trans-cultural nursing.
Examine culturally related issues across the life span.
Explore the role of family and cultural practices related to the developmental stages.
1- When it comes to helping people who are having problems, how do y.docx
1- When it comes to helping people who are having problems, how do you view your own abilities? Are you comfortable with setting goals and giving directions to others?
2- People vary regarding their need to be helped. Some want a lot of assistance, and others like to be independent. Are you prepared to adapt your leadership to be helpful to those who need it? Discuss.
.
1-Managing Interpersonal Relationships DiscussionManaging inte.docx
1-
Managing Interpersonal Relationships Discussion
Managing interpersonal relationships: What are the Layers of Self Disclosure? Which layers do you think are appropriate to discuss on your “first date?”
2-
Group Leadership Discussion
Think about the last time you needed to work in a small group. What was it you were supposed to do, a project, an activity, plan an event, solve a problem, etc.? Was the end result of your working together productive or unproductive? Why do you think this was so? Were you the leader of the group? If not, could you tell who the group leader was? How? Did the direction the group took in terms of completing the task align with how you thought the task should be completed? Why or why not?
.
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Running head CULTURAL SENSITVITY1CULTURAL SENSITVITY2.docx
Running head: CULTURAL SENSITVITY1
CULTURAL SENSITVITY2
Cultural Sensitivity
Name
Institution
Cultural Sensitivity
Introduction
Cultural sensitivity refers to the awareness as well as the sensitivity to culture and other practices. Cultural sensitivity can encompass examining different cultures and how they should be accurately approached in the health care. It also includes how to communicate according to within the health care setting. Cultural sensitivity is important area because it can impact the way people work in the health care facilities. It also encompasses valuing differences so as harassment and discrimination, either intended or not, do not happen. Culture is a fundamental and complex concept with consist of broad aspects of people in the health care setting (Campinha-Bacote, 2003). It includes the concepts of sexual orientation, gender, faith, age, disability, race, ethnicity, profession and socioeconomic status. Cultural sensitivity stems from this understanding in that; it is must encompass interpersonal skill as well as the knowledge that will allow the providers of health care, appreciate, understand, and work with individuals from different cultures other than theirs. It also consists of acceptance and awareness of the people’s cultural differences, knowledge, self-awareness of the cultures of the patient and adapting to the skills. Many cultural groups, including lesbian and gay people, individuals with disabilities, lower socio-economic groups and ethnic minorities, for example, African-Americans (Campinha-Bacote, 2003). Cultural sensitivity is considered one of the reasons peoples do not access quality health care services because people are not aware as well as understand the effects attached to one’s culture and how it may be perceived by others. An individual's culture should not appear to be dominant in the place of work.
Healthcare Disparities and How they Relate to Cultural Sensitivity in the Healthcare Setting
Health care disparities, by definition, refer to the differences in health as well as healthcare between population groups. It typically involves a higher burden of illness, mortality experienced in the health care setting, disabilities, and injury by one population group about another. Moreover, it refers to the differences between groups in the health care facilities regarding provision of care services, its access, and quality given. This issue are related to the people’s cultural sensitivity in that the issue surrounds this concept are based on socioeconomic status, gender, sexual orientation, age, and disability status. Similarly, cultural insensitivity arises from disparities that in return causes care limit as well as continued improvement in overall quality of cares (Campinha-Bacote, 2003). Health care disparities can be exacerbated by looking at some things that comprise specific health conditions, provider biases, differences in access to care, poor patient-provider comm ...
Read Theory and Practice of Counseling and Psychotherapy, pages.docx
Read:
Theory and Practice of Counseling and Psychotherapy
, pages 43-45; and
Addressing Diverse Populations in Intensive Outpatient Treatment
I have attached additional reading material, I need this by Thursday,
Serving Special Populations
After completing the reading for this unit, what do you think is the greatest obstacle facing special populations in addiction treatment? What will you do as a counselor to ensure that all of your clients receive the best treatment possible?
Your paper is to be in APA format, 1-2 pages, and include sources. Please see
paper guidelines
for explanation of requirements.
Addressing Diverse Populations in Intensive Outpatient Treatment
1. Introduction
1. Introduction
Culture is important in substance abuse treatment because clients' experiences of culture precede and influence their clinical experience. Treatment setting, coping styles, social supports, stigma attached to substance use disorders, even whether an individual seeks help--all are influenced by a client's culture. Culture needs to be understood as a broad concept that refers to a shared set of beliefs, norms, and values among any group of people, whether based on ethnicity or on a shared affiliation and identity.
Retrieved from,
Substance Abuse: Clinical Issues in Intensive Outpatient Treatment
, Center for Substance Abuse Treatment (2006).
2. What It Means To Be a Culturally Competent Clinician
It is agreed widely in the health care field that an individual's culture is a critical factor to be considered in treatment. The Surgeon General's report, Mental Health: Culture, Race, and Ethnicity, states, "Substantive data from consumer and family self-reports, ethnic match, and ethnic-specific services outcome studies suggest that tailoring services to the specific needs of these [ethnic] groups will improve utilization and outcomes” (U.S. Department of Health and Human Services 2001, p. 36). The Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV) (American Psychiatric Association 1994) calls on clinicians to understand how their relationship with the client is affected by cultural differences and sets up a framework for reviewing the effects of culture on each client.
Because verbal communication and the therapeutic alliance are distinguishing features of treatment for both substance use and mental disorders, the issue of culture is significant for treatment in both fields. The therapeutic alliance should be informed by the clinician's understanding of the client's cultural identity, social supports, self-esteem, and reluctance about treatment resulting from social stigma. A common theme in culturally competent care is that the treatment provider--not the person seeking treatment--is responsible for ensuring that treatment is effective for diverse clients.
Meeting the needs of diverse clients involves two components: (1) understanding how to work with persons from different cultures and (2) understandi.
Running head CULTURAL INCOMPETENCE IN NURSING .docx
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 ...
4 DQ 1The best way to gather cultural information from the p.docx
4 DQ 1
The best way to gather cultural information from the patient is to ask them. We can ask the family members as well. Also, we can research information through the Internet, journals or articles. There are factors that a nurse should educated themselves on to have better care for their patients when it comes to cultural competency. Language barriers can be an obstacle when it comes to cultural care for a patient. A translator can be used to help understand the patient. Many cultures have traditional rules when it comes to who is superior in their family. For example, some parts of the Islamic culture, the husband is in charge of speaking and decides for the wife who is a patient. The wife cannot be alone in a room with another male nurse. As Nurses, we should learn the different traditional rules of cultures and their religion as well. Health care workers must have respect along with no judgment of what race or cultures display as their traditions. It also depends on where you live as some cities or towns or more diverse than others. For example, in New York, it is very diverse. There are very large amount of different translators to assist in any language barriers. Cultural competence is an important component of excellence in health care delivery and can contribute to the elimination of racial and ethnic health disparities (Minority Nurse, 2018). We can demonstrate cultural competency in nursing practice through several ways. One of them is using a interpreter if required. Secondly, there are cultural competency certificates they can obtain. Thirdly, staff can be trained to improve the competency culturally. Fourthly, we can research information about a culture along with asking the patient and family members. The important part is accepting the culture and wanting to learn about it. Being judgmental or disrespectful will not create a healthy nursing practice.
Respond to the above post by supporting Using 200-300 APA format with references
.
(1) citation reference 150 words CultureHmong CultureC.docx
(1) citation reference 150 words
Culture
Hmong Culture
Considerations
In beginning the interview, a consideration to remember is that eye contact is considered rude to Hmong People and that tone of voice and body language are very important; taking too loudly, placing too much emphasis on words, or talking excessively with hands and arm movements can result in noncompliance (Carteret, 2012). As this patient is young and assumed to be mainstream with Western culture, she will likely be understanding and forgiving of eye contact, tone, and body language but interactions with older family members will require care.
Gender of the nurse might play a role in some assessments, it is important to ask if a male nurse has permission to touch the abdomen or auscultate the lungs, heart, or abdomen. Questions pertaining to sex should be private and held with a nurse who is the same gender as the patient, it is of note that questions or examinations regarding sexual health can be misinterpreted as judgment of promiscuity, resulting in refusal, so sex must be addressed with much explanation and rationale without judgment (Carteret, 2012). As infection can be related to sex or sexual contact, this should be addressed with this patient.
The patient’s language preference for the interview is also important. The patient is a young adult and in college, however, her preference might be Hmong, or the language typically spoken at home. Another consideration is, does the patient want anyone else present for her interview/assessment? Hmong People have a family structure that is patriarchal, meaning, the father generally very involved in decision making and can, ultimately have the final say on a topic or treatment; the mother is caregiver and may wish to be present to help take care of the patient. Hmong Elders also play a large role in decision making, with a Grandfather that might want to talk directly with the doctor and make decisions over the wishes of the patient or patient’s father (Carteret, 2012).
Hmong Culture has roots in animism, which is the belief that objects, places, animals, people, etc. all have spirits and bodies that maintain a natural balance (Duffy, J., Harmon, R., Ranard, D.A., Thao, B., & Yang, K. (2004). The fever in this patient could be related to an imbalance in her spirit, an inhabitation by another sprit that is making her ill, disapproval of recent behavior by dead ancestors, or a curse (Carteret, 2012). The family might elect to have a religious healer, or Shaman visit to perform holistic medicine on the patient, some of this medicine might cause burns or pinch marks with coining or skin pinching being common practices for illness (Khuu, Yee, & Zhou, 2017). An understanding of Western medicine might not be present, the patient or family may ask for dosages of antibiotics for infection or acetaminophen of fever to be increase or decrease based on how they feel; it is important to explain that medications are dosed on scientifi.
One World Many Cultures For Health Commu
A presentation about intercultural encounters within the healthcare relationship. This presentation was give, specifically, to allied health professional students.
19The Purnell Model forCultural CompetenceChapter 2.docx
19
The Purnell Model for
Cultural Competence
Chapter 2
LARRY D. PURNELL
This chapter presents the Purnell Model for Cultural
Competence, its organizing framework, and the assump-
tions upon which the model is based. In addition, American
cultural values, practices, and beliefs are presented to assist
non–native American health-care providers to understand
American ways. The American references are meant to
describe, not prescribe or predict, behaviors and practices.
Although the authors recognize that Canada and Mexico are
part of North America, American, as used in this chapter,
refers to the dominant middle-class values of citizens of the
mainland United States. Owing to space limitations, this
chapter deals not with the objective culture—arts, literature,
humanities, and so on—but rather with the subjective cul-
ture. Many Americans are not aware of the subjective culture
because they identify differences as individual personality
traits and disregard political and social origins of culture.
Many view culture as something that belongs only to for-
eigners or disadvantaged groups. However, when Americans
travel abroad, their host country inhabitants many times
stereotypically identify them as Americans because of their
values, beliefs, attitudes, behaviors, speech patterns, and
mannerisms. Some feel that Americans are “fun lovers” and
that, for some Americans, violence is a way of life. However,
“the right to bear arms” is guaranteed by the Constitution.
Most likely, the United States is not any more violent than,
or even as violent as, many other societies, but American
media coverage may be better than other countries, thereby
giving the impression that the United States is more violent
than it actually is. Accordingly, these stereotypes are not
always accurate or desirable.
Western academic and health-care organizations
stress structure, systematization, and formalization when
studying complex phenomena such as culture and eth-
nicity. Given the complexity of individuals, the Purnell
Model for Cultural Competence provides a comprehen-
sive, systematic, and concise framework for learning and
understanding culture. The empirical framework of the
model can assist health-care providers, managers, and
administrators in all health disciplines to provide holis-
tic, culturally competent therapeutic interventions;
health promotion and wellness; illness, disease, and
injury prevention; health maintenance and restoration;
and health teaching across educational and practice
settings.
The purposes of this model are to
1. Provide a framework for all health-care providers
to learn concepts and characteristics of culture.
2. Define circumstances that affect a person’s cul-
tural worldview in the context of historical per-
spectives.
3. Provide a model that links the most central rela-
tionships of culture.
4. Interrelate characteristics of culture to promote
congruence and to facilitate the delivery of con-
sciously sensitive and competent h.
Culture is one of the organizing concepts upon which nursing is base.docx
Culture is one of the organizing concepts upon which nursing is based and defined. As healthcare providers, nurses must implement their knowledge of cultural, ethnic, and social diversity to develop a culturally sensitive nursing practice. This enables nurses to be more effective in initiating nursing assessments and serving as a patient advocate.
Background:
Leininger (2014) defines culture as a set of values, beliefs, and traditions that are led by a specific group of people and handed down from generation to generation. Culture is learned, shared, values transmitted, a way of life, and practices of a particular group that guides day-to-day thinking, decisions, and actions.
Technological advances have transformed our social world into what Marshall McLuhan termed a global village. In other words, we need to think of the entire world when we talk about our social environment. Computers, satellites, and communication technology have brought the world closer together and made cross-cultural encounters an everyday occurrence.
Cultural competence is the ability to provide holistically effective care to patients who come from different cultures. In nursing, there is a requirement to be sensitive to communication, both verbally and non-verbally. It is an evolving process that depends on self-awareness, knowledge, attitude, and development and application of skills. Nurses should never make assumptions about their patient’s beliefs; for example, stating that all Jehovah’s Witnesses will refuse blood transfusions is a generalization.
Being culturally insensitive can lead to stereotyping, discrimination, racism, and prejudice. Some cultures do not call elders by their first names. Nurses should always ask how the patient wants to be addressed. Some cultures would not allow a male nurse to examine a female patient so the team should be aware of this cultural issue. People may have different beliefs about medical care and treatment in the United States, and the nurse needs to offer respect and gain knowledge of the patient’s situation.
In the healthcare systems of today, healthcare providers are diverse. Nurses have much to offer from their own culture. Culture is universal and dynamic. It is taught to other members of the health care team as a matter of sharing. Distinctions between culture, ethnicity, race, and religion may be confusing. Think of it this way, you are a member of the subculture of the student, you are also a member of an ethnic group, (e.g. Portuguese-American from the Azores), a racial group (white, African American), and a religion (Roman Catholic, Jewish), each with its own set of beliefs and values. So, your culture is a blend of all of those characteristics (Treas & Wilkinson, 2014).
Scholarly Paper:
There is one scholarly paper due in this course. It is recommended that students prepare for this paper each week.
Select a culture that you wish to investigate.
Research the health belie.
Transcultural nursing
The demographic profile of the countries suggests that countries are rapidly becoming heterogeneous, multicultural societies. So it is imperative that nurses develop an understanding about culture and its relevance to competent care. Transcultural nursing represents and reflects the need for respect and acknowledgement of the wholeness of all human beings.
It is essential to remember that regardless of race ethnicity or cultural heritage, every human being is culturally unique. Professional nursing care is culturally sensitive, culturally appropriate and culturally competent
Running head culture and cultural concepts1 culture and cultu
Running head culture and cultural concepts1 culture and cultu
Trans Cultural Nursing Concepts and Assessment by Azhar.pptx
Describe concept of trans-cultural nursing.
Explain key concepts related to trans-cultural nursing.
Identify the components of cultural assessment
Integrate concepts of trans-cultural nursing care throughout the life span.
Identify nursing frameworks and theories applicable to trans-cultural nursing.
Examine culturally related issues across the life span.
Explore the role of family and cultural practices related to the developmental stages.
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Why is Transformational Leadership theory of leadership most accurately explains effective leadership in your opinion? Does the peer-reviewed literature agree with your opinion? If so, how? If not, why not?
Transformational Leadership
Some people have an extraordinary ability to inspire others and bring forth loyalty. A person who has such a personality is said to have charisma. The German sociologist Max Weber explains in his Theory of Social and Economic Organization: “The term ‘charisma’ applies to a certain quality that causes one to be set apart from ordinary people and to be treated as endowed with superhuman, or at least exceptional, powers or qualities. In this sense, charisma is a gift or power of leadership.”21
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Ravitch, S. M., & Carl, N. M. (2016). Qualitative research: Bridging the conceptual, theoretical, and methodological. Thousand Oaks, CA: Sage Publications.
Epilogue, “Revisiting Critically, Reflexivity, Collaboration, and Rigor” (pp. 383–392)
Chapter 10, “Crafting Qualitative Research Proposals” (pp. 299–342)
Rubin, H. J., & Rubin, I. S. (2012). Qualitative interviewing: The art of hearing data (3rd ed.). Thousand Oaks, CA: Sage Publications.
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Lewis, C. (2016). A qualitative doctoral candidate experience [Video file]. Baltimore, MD: Author.
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Review the readings from the Ravitch and Carl and Rubin and Rubin and consider reflecting on your experiences in qualitative research throughout this course.
Review the media programs related to The Qualitative Dissertation Experience: A Doctoral Candidate Experience and consider the experience of other doctoral candidates through this qualitative research process.
Explain what social change means to you as a Walden doctoral candidate. What experiences from the course most influenced your understanding?
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PLEASE USE REQUIRED READINGS AND CITATIONS. THANK YOU
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[email protected]
ANALYSIS
VITALITYRELATIVE COSTS
LIVING BUSINESS RELATIVE OF LIFE
Best=1, Worst=378Best=1, Worst=403
STRENGTHS & WEAKNESSES
U.S.=100%
SHORT TERM
FORECAST RISKS
LONG TERM
RISK EXPOSURE
2019-2024
BUSINESS CYCLE STATUS
MOODY’S RATING
ECONOMIC DRIVERS
Highest=1
Lowest=403
EMPLOYMENT GROWTH RANK
Best=1, Worst=410
2018-2020 2018-2023
QUALITY
MOODY’S ANALYTICS / Précis® U.S. Metro / December 2019
RETIREE
HAVEN
TOURIST
DESTINATION
MEDICAL
CENTER
2013 2014 2015 2016 2017 2018 INDICATORS 2019 2020 2021 2022 2023 2024
3.4 3.4 3.4 3.3 3.4 3.4 Gross metro product (C12$ bil) 3.5 3.6 3.7 3.8 3.9 4.0
-3.1 0.4 -0.7 -3.0 2.3 0.5 % change 2.4 2.5 2.5 3.7 2.9 2.7
32.2 32.0 32.8 33.3 33.2 33.4 Total employment (ths) 34.0 34.4 34.4 34.7 35.0 35.2
-3.1 -0.4 2.4 1.4 -0.1 0.6 % change 1.7 1.3 -0.0 0.8 0.9 0.6
9.7 8.5 7.6 6.8 5.9 5.2 Unemployment rate (%) 4.9 5.2 5.8 6.1 6.1 6.2
2.1 3.7 5.1 2.7 5.5 5.3 Personal income growth (%) 5.9 6.7 6.5 8.0 7.2 6.6
38.8 39.1 39.3 41.5 43.5 45.6 Median household income ($ ths) 48.1 50.3 51.8 53.8 55.9 57.9
138.8 138.8 140.3 142.9 145.5 147.9 Population (ths) 150.1 152.4 154.4 156.5 158.6 160.7
-0.2 0.0 1.1 1.8 1.9 1.7 % change 1.5 1.5 1.4 1.3 1.3 1.3
1.1 1.4 3.0 4.0 4.1 3.9 Net migration (ths) 3.7 3.8 3.6 3.7 3.7 3.8
201 233 354 371 433 884 Single-family permits (#) 720 794 1,061 1,408 1,476 1,439
0 0 24 145 113 0 Multifamily permits (#) 59 35 29 26 25 24
141.9 144.4 159.6 173.3 191.7 213.7 FHFA house price (1995Q1=100) 225.1 221.0 220.4 219.8 221.7 228.6
Recent Performance. Homosassa Springs
is bringing up the rear in Florida. Job growth has
slowed, dipping below the national average. HOM
is the only area in Florida where payroll employ-
ment is significantly below its prerecession peak.
Though some of the shortfall owes to the severity of
the last downturn, the metro area has consistently
underperformed its Florida peers over the last de-
cade. The labor market is also softer than previously
believed—the Quarterly Census of Employment
and Wages indicates that survey-based estimates
overcounted employment in 2019. Private services
are underperforming, including leisure/hospitality,
but education/healthcare is expanding with vigor.
At 4.5%, the jobless rate is nearing its cycle low,
and labor market tightness has sent hourly earnings
sharply higher, with average pay closer to the Flor-
ida and U.S. averages than at any time since 2013.
Retirees. A large and expanding retiree popu-
lation will help right the ship and secure HOM’s
spot in the top quintile of areas in job growth
through 2023. Residents age 65 or older account
for a well above-average one-quarter of HOM’s
population, as retirees are drawn to the warm cli-
mate, low taxes, and high housing affordability
relative to other senior havens in the state.
Although seniors do not purchase as many
big-ticket items as other age cohorts, their pres-
ence will he.
1-2 paragraphsapa formatreferencesStep 1 - Read the In.docx
1-2 paragraphs
apa format
references
Step 1 - Read the Information Below
Organizations are cutting costs and making decisions to offer employees remote work. In this week's discussion, your boss just informed you that you will work remotely starting Friday. You are concerned you will have a difficult time building and maintaining relationships. The following are areas of concern for you:
Leader-member relationships.
Coworker relationships.
Boundary-spanning relationships extending outside the organization.
Step 2 - Post a Response
Respond to the following.
Choose one area and explain how you will maintain the relationship you identified with specific steps you will take to build the relationship.
.
1- What is Policy2- Explain each of them Public policy—Pr.docx
1- What is Policy?
2- Explain each of them: Public policy—
Private policy—
Health policy—
Social policy—
Organizational policy?
3-
Who was
F
lorence Nightingale, and what was her contribution to the Nursing Field?
4- Who was Lillian Wald?
5- Who was Margaret Sanger, and in what way she helped to the developments of Nursing Field?
6_ what is
(ICN), and what they do?
7-
What is
s (NLCA) and they do?
Jeanne Blum, RN, is a nurse on a LDRP unit. Recently, the policy and
procedures manual for Jeanne’s unit included the premature rupturing of membranes of a laboring patient
as a practice acceptable for nurses to perform. Jeanne
and some of her coworkers shared their concern over
lunch about this new responsibility.They felt uncomfortable with the possibility of cord prolapse and
other potential medical complications resulting from
this practice. Jeanne gathered data from her state and
many others states and noted that her hospital was
not in compliance with her professional organization
practice standards. Jeanne shared this information with her coworkers. She volunteered to contact the
state board of nursing on their behalf to request a
declaratory statement on the nurse’s role in the initiation of premature rupturing of uterine membranes.
Her state board’s clinical practice committee
reviewed her request for a declaratory statement and
gathered information from other states. A formal
declaratory statement was drafted by the board and
made it available on its Web site. A letter from the
board was sent to Jeanne’s institution, informing it of
the declaratory statement, which stated that the task
nurses were requested to perform was beyond their
scope of practice based on the Nurse Practice Act.
8-Which stage of the policy model does this scenario
represent?
250 words
3 references APA
.
1-2 paragraphsapa formatreferencesIn Chapter 6 The En.docx
1-2 paragraphs
apa format
references
In Chapter 6: The Environment – Part I, Hite and Seitz (2016) note that pollution and global warming were an important concern of the first world conference on the environment that was held in Sweden in 1972. Principle 6 of that declaration stated that we must stop the release of pollutants and heat that cannot be effectively processed by our environment (Declaration of the United Nations Conference on the Human Environment. 1972. Chapter 11. p. 2.
).
Thinking about the different types of pollutants and heat that can be effectively processed by our environment, which are the most critical to address? Identify three pollutants you consider to be the most critical to address and explain why you believe they are most important.
.
1- What is Policy2- Explain each of them Public policy— Pr.docx
1- What is Policy?
2- Explain each of them: Public policy— Private policy— Health policy— Social policy— Organizational policy?
3-
Who was
F
lorence Nightingale, and what was her contribution to the Nursing Field?
4- Who was Lillian Wald?
5- Who was Margaret Sanger, and in what way she helped to the developments of Nursing Field?6_ what is
(ICN), and what they do?
7-
What is
s (NLCA) and they do?
Jeanne Blum, RN, is a nurse on a LDRP unit. Recently, the policy and procedures manual for Jeanne’s unit included the premature rupturing of membranes of a laboring patient as a practice acceptable for nurses to perform. Jeanne and some of her coworkers shared their concern over lunch about this new responsibility.They felt uncomfortable with the possibility of cord prolapse and other potential medical complications resulting from this practice. Jeanne gathered data from her state and many others states and noted that her hospital was not in compliance with her professional organizationpractice standards. Jeanne shared this information with her coworkers. She volunteered to contact the state board of nursing on their behalf to request a declaratory statement on the nurse’s role in the initiation of premature rupturing of uterine membranes. Her state board’s clinical practice committee reviewed her request for a declaratory statement and gathered information from other states. A formal declaratory statement was drafted by the board and made it available on its Web site. A letter from the board was sent to Jeanne’s institution, informing it of the declaratory statement, which stated that the task nurses were requested to perform was beyond their scope of practice based on the Nurse Practice Act. 8-Which stage of the policy model does this scenario represent?
■
0000
.
1- What is Policy2- Explain each of them Public policy—Pr.docx
1- What is Policy?
2- Explain each of them: Public policy—
Private policy—
Health policy—
Social policy—
Organizational policy?
3-
Who was F
lorence Nightingale, and what was her contribution to the Nursing Field?
4- Who was Lillian Wald?
5- Who was Margaret Sanger, and in what way she helped to the developments of Nursing Field?
6_ what is
(ICN), and what they do?
7-
What is
s (NLCA) and they do?
Jeanne Blum, RN, is a nurse on a LDRP unit. Recently, the policy and procedures manual for Jeanne’s unit included the premature rupturing of membranes of a laboring patient as a practice acceptable for nurses to perform. Jeanne and some of her coworkers shared their concern over lunch about this new responsibility.They felt uncomfortable with the possibility of cord prolapse and other potential medical complications resulting from this practice. Jeanne gathered data from her state and many others states and noted that her hospital was not in compliance with her professional organization practice standards. Jeanne shared this information with her coworkers. She volunteered to contact the state board of nursing on their behalf to request a declaratory statement on the nurse’s role in the initiation of premature rupturing of uterine membranes. Her state board’s clinical practice committee reviewed her request for a declaratory statement and gathered information from other states. A formal declaratory statement was drafted by the board and made it available on its Web site. A letter from the board was sent to Jeanne’s institution, informing it of the declaratory statement, which stated that the task nurses were requested to perform was beyond their scope of practice based on the Nurse Practice Act.
8-Which stage of the policy model does this scenario represent?
Please use citations, and at least 2 credible references no older than 7 years.
.
1-2 Paragraphs adequately describing cloning biotechnology as thorou.docx
1-2 Paragraphs adequately describing cloning biotechnology as thoroughly as possible also answer the following question.
1. Describe the topic by listing when it came into being
2. what is the technology?
3. How does it work?
4. What are the positive/negative aspects of the topic?
5. What are the current and potential uses of the technology?
6. What is its application to modern science, technology, industry, business, and/or government.
7. How does this technology relate to modern society?
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1- Explain why some cells are pink and others are purple in Gram-stains bacteria smear.
2- Discuss how the techniques of the Five I's of microbiology would be completed if your patient infection was due to protozoa, eukaryotic microbes.
3(a)-Compare and contrast the biosynthesis of the D.N.A virus with the R.N.A virus.
b.-Research the influence of biofilms in cystic fibrosis and the effect of antibiotic treatment.
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1-Some typical agents of socialization are family, school, religion.docx
1-Some typical agents of socialization are: family, school, religion, friends, relatives, and mass media. What agents of socialization have influenced you the most? Describe their influence on your attitudes, beliefs, values, or other orientations to life. How have they made you the person that you are today?
2-
The major components of social structure are culture, social class, social status, roles, groups, and social institutions. Use social structure to explain why some Americans have such a low rate of college graduation
150 word min/references
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1-Provide a critique Kristen Swanson’s Theory of Caring, making sure to
identify benefits, consequences and feasibility
of application in clinical practice as a family nurse practitioner.
2-Provide evidence using 2 (two) scholarly articles in order to support your critique.
APA style. 250 words. 2-3 references.
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