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Week 1 discussion

Models of Transcultural Nursing

The Course Outcome covered this week is CO1.

CO1: Identify theories, concepts, and beliefs related to transcultural nursing. (PO1)

Chapter 1 of Andrews and Boyle (2016) discusses Leininger’s Sunrise Model of transcultural nursing. However, other models are described and are important to acknowledge, as well. An outstanding resource may be found at the Transcultural Nursing Society’s (TCNS) website.

Locate the website for TCNS (http://www.tcns.org (Links to an external site.)Links to an external site.). Click on the Theories tab.

Besides the Leininger and Purnell models, describe one model.

Explain how you may use the model in your practice setting.

Week 2 discussion

Transcultural Nursing Skills Self-Assessment

The Course Outcomes covered this week are CO2 and CO4.

CO2: Describe cultural differences related to drugs.

CO4: Perform a culturally competent nursing assessment. (PO7)

Nurses complete assessments on individuals on a daily basis. Self-assessments are in order before considering our abilities to provide culturally competent nursing care.

Complete Transcultural Nursing Skills Self-Assessment Form (Links to an external site.)Links to an external site.

Note the number of No answers in your self-assessment. Share one or two of your No answers with your classmates, and describe how you will convert the No to a Yes over the next few weeks.

What interventions are needed to turn each No into a Yes response?

Week 3 discussion

Healthcare Needs of a Specific Minority Group

The Course Outcomes covered this week are below.

CO2: Communicate effectively with culturally diverse individuals, families, and organizations. (PO3)

CO4: Perform a culturally competent nursing assessment. (PO7)

Each of our communities is comprised of groups that we consider minorities.

Name and describe the healthcare needs of a minority group in your community/city.

Describe the characteristics of the group and opportunities you see for improving the health of the group.

How can you use your enhanced communication skills to share your concerns with the “powers that be” in your community to improve their healthcare status?

Week 4 discussion

Common Illnesses and the Use of CAM

The Course Outcome covered this week is CO1.

CO1: Identify theories, concepts, and beliefs related to transcultural nursing. (PO1)

We encounter patients after they have explored various avenues of self-help. At times, these avenues involve the use of complementary and alternative medicine (CAM). Our readings this week are very helpful.

Select a common (or not so common) illness or condition that affects a specific ethnic group.

Identify two (2) CAM therapies that patients are likely to try before seeking (or in addition to) allopathic, osteopathic, or ayurvedic medical intervention for the illness or condition.

Discuss the effectiveness of each therapy you identified.

Note: Do not discuss an illness or condition about which a classmate has already posted. The diversity will lead to a more robust discussion. There are many examples you may discuss, including sickle-cell disease in African Americans, constipation in the elderly people, or the use of Reiki for mental and emotional healing by Japanese people. Think of others from your practice settings or prelicensure experiences.

Week 5 discussion

Transcultural Perspectives Across Lifespan

The Course Outcomes covered this week are below.

CO2: Communicate effectively with culturally diverse individuals, families, and organizations. (PO3)

CO Perform a culturally competent nursing assessment. (PO7)

This week

select and read one of the chapters of particular interest to you listed in Assignments under Readings;

discuss what information you should obtain to develop and implement culturally appropriate plans of care for an individual of this group; and

share a brief case study or exemplar as a way to share your formation.

Examples:

Childbearing: A young Hasidic mom just emigrated from Israel to the United States. She is at term and comes to your Mother/Baby Unit for delivery.

Children: Oman is 5 years old. His family members are refugees from Syria. At the local community center a routine blood sugar test indicated his results were very high. He now needs hospitalized for control.

Adult: Luca moved to the United States after earning her BSN in Manila, Philippines. She works three jobs so that she can send money home to her family. She needs a treatment for breast cancer, but taking time off from any of the jobs will create a hardship on her local and extended family at home.

Older Adult: KC is 72 years old and came to the United States many years ago from Ghana. He is divorced, his children do not live in the area, and you often see him at the senior citizen’s center where you volunteer. He has uncontrolled hypertension.

Mental Health: Arkady was born in the former Soviet Union. He has battled depression most of his adult life and has been hospitalized again in the mental health facility 30 miles from his family for a suicide attempt. Although he has health insurance, the benefits for his diagnosis are about to expire.

Week 6 discussion

Standards of Practice

The Course Outcome covered this week is CO3.

CO3: Describe standards of practice for culturally competent nursing care. (PO6)

The basis for our lesson this week came from the Standards of Practice for Culturally Competent Nursing Care Executive Summary, Transcultural Nursing Society: https://www.tcns.org/standards (Links to an external site.)Links to an external site..

Assume your nursing leader has decided that the department needs to better incorporate these Standards of Practice for Culturally Competent Nursing Care into the nursing care delivery model at your organization. There are 12 Standards.

Download and read the Executive Summary, and select one of the 12 standards as the basis for the discussion. Think about the standards as they relate to culturally sensitive care.

Explain how your department or organization currently gives credence to this standard.

If it does not, from your newfound knowledge, offer suggestions of how the standard can be incorporated into patient care in your department or organization.

Note: Make sure you choose a standard that another student has not selected. Keep in mind that each of us does not work in an acute care setting, so examples from other practice settings will add to a more robust discussion.

Week 7 discussion

Diversity in the Healthcare Workforce

The Course Outcome covered this week is CO2.

CO2: Communicate effectively with culturally diverse individuals, families, and organizations. (PO3)

As nurses, we work with providers and healthcare team members whose native language is not English. In fact, some of you may have interviewed a non-native English speaker for your Course Project. This diversity may lead to challenges with communication and the nurse being “caught in the middle.”

Reflect on your newfound knowledge of transcultural nursing.

Share an example of miscommunication that occurred as a result of this diversity and whether an adverse outcome resulted.

Describe how the miscommunication could have been and will be prevented in the future.

Week 8 discussion

Global Nursing Opportunities

The Course Outcome covered this week is CO5.

CO5: Discuss the implications of global nursing for healthcare delivery systems. (PO7)

Reflect on the TCN Self-Assessment you completed during Week 2, and determine if your score changed.

Perform an Internet search, and locate one Global Nursing Opportunity sponsored by a professional organization that utilizes nurses as either paid employees or volunteers. Name the organization, and include a working link. In your own words, share the organization’s mission.

Share two contributions you could make to the organization (patients served) based on your current experiences and future career aspirations based on your learning from this course.

Identify personal opportunities for improvement in providing culturally competent care.

Week 3 Course Project, Transcultural Assessment Milestone 1-Individual’s Profile

Course Project, Transcultural Assessment Milestone 1: Individual’s Profile (graded, 100 points)

Updated 7/2018

Purpose

The purpose of the Course Project is to give the student the opportunity to apply concepts in transcultural nursing by performing a transcultural nursing assessment.

The purpose of Milestone 1 is to identify an adult who is not a relative who is willing to participate in the transcultural assessment and to secure the instructor’s approval for the assessment. Note: The actual assessment does not occur until Milestone 3. It is not a purpose for this assignment.

Course Outcomes

CO1: Identify theories, concepts, and beliefs related to transcultural nursing. (PO1)

CO2: Communicate effectively with culturally diverse individuals, families, and organizations. (PO3)

CO4: Perform a culturally competent nursing assessment. (PO7)

Points

The entire project is worth 600 points. Milestone 1 is worth 100 points of this total.

Due Dates

You are to submit your completed NR394 Milestone 1 by Sunday, 11:59 p.m. MT, at the end of Week 3.

Requirements and Guidelines

Review the Course Outcomes for this assignment, which are listed above.

Review the guidelines for Milestones 1, 2, and 3, paying particular attention to Milestone 1 for this assignment. The guidelines for all of the Milestones are located in Modules on the left-hand navigation menu. Also, read the Course Project Overview page in Introduction & Resources for more details and helpful tips.

Identify a potential individual who has been living in a culture other than the one of origin for at least 2 years. This individual must be born outside the United States. The individual can be a patient, friend, or colleague, such as a physician, or acquaintance, but cannot be a relative. The individual must be living in your community and must be currently receiving or have previously received healthcare services in your community. The individual’s race, ethnicity, language, religion, and culturally based beliefs about healthcare and illness should be quite different from yours. The individual must speak your language. An interpreter is not permitted for the actual assessment, which occurs in Milestone 3 (Week 6).

Note: This is the same individual for whom you will develop verbal assessment questions in Milestone 2 and whom you will ask those questions in Milestone 3 and then reflect on your learning about the Course Project and the assessment.

Individuals can come from a variety of settings. Recent immigrants, migrant workers, exchange students, international students, long-term care residents, refugees, coworkers, physicians, patients, employees at local ethnic businesses, religious venues, community centers, and individuals who have recently moved to your community are some suggestions. The individual does not need to be a healthcare worker but must have received healthcare services in the country of origin as well as since arriving in the United States. Work with your instructor prior to submitting Milestone 1. Approval must be provided by your instructor before submitting Milestone 1 (this assignment).

Speak with the individual, and obtain permission to conduct an assessment later in the course. Clearly explain that statements made in the assessment will be recorded (written) and submitted to the instructor only. It is not intended for public distribution. Anonymity will be maintained by using first and last initials only. Do not use names in any of your documents.

Download the NR394_Individual_Profile_Template (Links to an external site.)Links to an external site.. Although you are not performing the official assessment until Milestone 3, it will be necessary to obtain some general information about your individual to complete Milestone 1. This information may come from the individual or Internet sources.

Fill in information about the potential individual using the template. You are expected to write clearly and use proper grammar and spelling and eliminate typos.

Submit the completed template by the end of Week 3 at 11:59 p.m. MT.

Example: KC was born in Hwidiem, Ghana, a small village in Africa, where he did not graduate from high school. He is 72 years old. He immigrated to the United States at age 28 and has lived in Grove City near Columbus, Ohio since then. Hwidiem is considered the provincial capital (fill in information about the community or city as you can find). He was married but divorced after a traumatic brain injury. Since then, he has had many part-time jobs and studies his Bible faithfully. Grove City is a town in Ohio (fill in information about the city or community). Currently, he receives healthcare for his hypertension control. I met him 3 years ago at a senior citizens’ center where I volunteer.

Week 4 Course Project, Transcultural Assessment, Milestone 2 Guide and Questions

Course Project, Transcultural Assessment, Milestone 2: Guide and Questions (graded, 200 points)

Updated 7/2018

Purpose

The purpose of the Course Project is to give the student the opportunity to apply concepts in transcultural nursing by performing a transcultural nursing assessment. The purpose of Milestone 2 is to develop an assessment guide utilizing open-ended questions that will encourage participation by the individual.

Course Outcomes

The completion of the Course Project enables the student to meet the following Course Outcomes.

CO1: Identify theories, concepts, and beliefs related to transcultural nursing. (PO1)

CO2: Communicate effectively with culturally diverse individuals, families, and organizations. (PO3)

CO4: Perform a culturally competent nursing assessment. (PO3)

Points

The entire project is worth 600 points. Milestone 3 is worth 200 points of this total.

Due Dates

You are to submit your completed NR394 Milestone 2 by Sunday, 11:59 p.m. MT, at the end of Week 4.

Requirements and Guidelines

Review the Course Outcomes for this assignment, which are listed above.

Review the best practices in Introduction & Resources and Course Project Overview in Canvas.

Research your individual’s cultural background prior to developing questions. Think about the impact the culture of origin has on the individual’s physical health; that is, what illnesses and conditions are prevalent in this culture? What are commonly held beliefs about health in the individual’s culture of origin that could influence the individual’s perception of healthcare and health practices in the current culture/community?

Refer to Appendix A in your text and select five (5) categories upon which you will concentrate for your assessment guide and questions. Thoroughly review each of the categories, and think about your individual.

Develop an assessment guide and questions with specific initial and follow-up questions. Include questions that reflect a thorough understanding of the categories (Appendix A) that you selected about the influence culture may have on the individual’s health and well-being.

Review the Differences Between Closed and Open-Ended Questions document (Links to an external site.)Links to an external site.. Use the suggestions as you formulate/propose your initial and follow-up questions.

Download the Milestone 2 assessment template (Links to an external site.)Links to an external site. embedded in these guidelines.

Fill in information using the template. This does not require APA formatting; however, you are expected to write clearly and use proper grammar and spelling. The template is expandable to accommodate your typing.

Submit the completed template to the Milestone 2 assignment page by Sunday of Week 4 at 11:59 p.m. MT.

Prior to submission of Milestone 3, revise the Assessment Guide and Questions based on instructor feedback.

Note: Do not schedule the assessment to occur until after midnight on Friday of Week 5 to allow your instructor time to grade this Milestone unless you have obtained special permission from your instructor. Do not perform the assessment until after midnight on Friday of Week 5 for the same reason. If the individual’s schedule requires that you conduct the assessment before this day and time, consult your instructor regarding early submission of Milestone 2 (Assessment Guide and Questions) to ensure that you receive comments and incorporate revisions/suggestions in your assessment. Make sure you obtain your instructor’s permission before proceeding.

Week 6 Course Project, Milestone 3 Transcultural Assessment and Course Project Reflections

Purpose

The purpose of the Course Project is to give the student the opportunity to apply concepts in transcultural nursing by conducting a transcultural nursing assessment and reflection on completion of the Course Project. The purpose of Milestone 3 is to perform an assessment and reflect on learning related to the Course Project (3 Milestones). You will complete a template reflecting on concepts of transcultural nursing related to the assessment and reflect on learning.

Course Outcomes

The completion of the Course Project enables the student to meet the following Course Outcomes.

CO1: Identify theories, concepts, and beliefs related to transcultural nursing. (PO1)

CO2: Communicate effectively with culturally diverse individuals, families, and organizations. (PO3)

Points

The entire project is worth 600 points. Milestone 3 is worth 300 points of this total.

Due Dates

You are to submit your completed NR394 Milestone 3 by Sunday, 11:59 p.m. MT, at the end of Week 6.

Requirements and Guidelines

Review the Course Outcomes for this assignment, which are listed above.

Schedule a time to meet with the individual to conduct a face-to-face assessment. You may not conduct the assessment by phone call, e-mail, or by asking the individual to fill in the template. You must be able to understand your individual. An interpreter is not allowed.

Do not perform the assessment prior to Week 6 in order to receive feedback from your instructor regarding Milestone 2. This will allow you time to make adjustments in your questions if needed. If the individual’s schedule requires that you perform the assessment prior to Week 6, consult with your instructor regarding early submission of Milestone 2 to ensure that you receive timely feedback before the assessment occurs.

Perform the assessment in a professional manner using the preapproved questions (Milestone 2).

Once you have completed the Assessment and Reflections template (Links to an external site.)Links to an external site., click Save as, and save the file with assignment name and your last name (e.g., NR394_Milestone3_Smith). Submit to assignment page by 11:59 p.m. MT at the end of Week 6 by 11:59 p.m. MT.

Contact your instructor if you have any questions.

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