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Transcultural Nursing Model
Trans-cultural Nursing Model
This study provides a comprehensive description of the trans-cultural nursing model. The paper further describes the elements and characteristics of the Watson Caring Model. The concepts of the model, as well as, the merits and demerits are covered. The Watson Caring Model is based on the philosophy of Jean Watson a West Virginia born educationist in nursing.
Assumptions of the Watson Caring Model
The caring model is based on several assumptions that enhance its alternative name the theory of human caring. The model was developed back in 1979 and focuses on integrating humanistic techniques in delivery of nursing care. The model inherently describes the role of a nurse as multidimensional. The first assumption of the model is that interpersonal caring is the only effective approach in nursing service delivery. Through the enhancement of an interpersonal caring process, different human needs can be satisfied simultaneously.…
Alligood, M.R., & Tomey, A. (2006). Nursing theory: utilization & application (3rd ed.). St. Louis, Mo.: Mosby Elsevier.
Chesnay, M. (2005). Caring for the vulnerable: perspectives in nursing theory, practice, and research. Sudbury, Mass.: Jones and Bartlett.
Parker, M.E. (2005). Nursing theories and nursing practice (2nd ed.). Philadelphia: F.A. Davis
Transcultural nursing is important today because of the diversity of patients and wide range of cultures that they embody that nurses must provide holistic and individualized care for. Nurses that are culturally sensitive can better ensure that quality of care is given to patients and that patient satisfaction is high. This is the essence of the article by Maier-Lorentz & Madeline (2008), which states because there are so many different ethnicities receiving healthcare from facilities, nurses must be aware of the cultural qualities and expectations that these patients have so as to be better prepared to provide treatment to them that is sensitive, respectful and effective.
For a registered nurse, transcultural nursing can be particularly helpful because RNs have to provide a high level of professionalism and attentiveness to individual needs along with performing diagnoses, tests, and conducting treatments. RNs often serve as the face of healthcare and the quality…
Slumdog and Transcultural Nursing
An Analysis of Slumdog Millionaire and Transcultural Nursing
A number of themes are introduced within the first few minutes of Danny Boyle's 2008 Slumdog Millionaire thanks in due part to his quick-cut method of editing. What the viewer sees is an Indian culture permeated by and in conflict with both itself and Western ideals. The first contrast the film illustrates is between the distinctly American game show "Who Wants to be a Millionaire," here hosted by a flamboyant north-Indian with fair features particularly suited to India's television market, and the behind-the-scenes activity of Mumbai police, who suspect the contestant of the show, Jamal Malik, of cheating his way to a 20 million rupee grand prize. The police operate in violation of Western ideals of human rights (they torture Jamal in hopes of gaining a confession) but in an apparently acceptable procedure on a local or native…
Ebert, R. (2008). Slumdog Millionaire. Chicago Sun-Times. Retrieved from http://rogerebert.suntimes.com/apps/pbcs.dll/article?AID=/20081111/REVIEWS/811110297
Farah, J., McColl, M.A. (2008). Exploring prayer as a spiritual modality. Canadian Journal of Occupational Therapy 75(1): 5-13.
Mast, G. (2006). A Short History of the Movies. NY: Pearson Longman.
Sengupta, M. (2010). A million dollar exit from the anarchic slum-world: Slumdog
Tucker-Culturally Sensitive Health Care Provider Inventory -- Patient Form (T-CSHCPI-PF) is simply an inventory for the culturally diverse patients to assess provider cultural sensitivity in the health care procedure. The T-CSHCPI-PF is like a narrative in the sense that it evaluates provider cultural sensitivity like described by the culturally diverse patients.
In health care, cultural competence refers to the set of behaviors, outlook, and guidelines, which produces as well as illustrates the comprehension, acknowledgement, and respect for cultural similarities and distinctions within, and amidst various groups. Cultural sensitivity refers to the services which are significant to the requirements and anticipations of a particular patient. Herman et al. gives a detailed discussion on the distinctions and applications of these phrases. It has been maintained that cultural sensitivity and competence of providers are positively related to patient contentment, health results, and treatment adherence. The scarcity of empirical proof of these relations is…
AmericanCollegeofPhysicians. (2004). Racial and ethnic disparities in health care. Ann Intern Med, 226-232. Retrieved from: http://annals.org/article.aspx?articleid=717703
Campinha-Bacote, J. (2011). Delivering Patient-Centered Care in the Midst of a Cultural Conflict: The Role of Cultural Competence. The Online Journal of Issues in Nursng. Retrieved from: http://www.nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/TableofContents/Vol-16-2011/No2-May-2011/Delivering-Patient-Centered-Care-in-the-Midst-of-a-Cultural-Conflict.html
Douglas, M., Pierce, J., Rosenkoetter, M., Pacquiao, D., Callister, L., Pollara, M., . . . Purnell, L. (2011). Standards of Practice for Culturally Competent Nursing Care. Journal of Transcultural Nursing, 317. Retrieved from: http://www.nursing.pitt.edu/academics/ce/docs/powerpoint/nursing_now/Rich_reading.pdf
Global Health. (n.d.). Retrieved from Healthypeople.gov: http://www.healthypeople.gov/2020/topics-objectives/topic/global-health
Concept Synthesis on Personal Nursing Philosophy
My interest in nursing peaked at an early age when I attended Clara Barton High School for health professions in Brooklyn NY and graduated in 1991. I first worked as a nurse's aide and home health aide for about two years and found this position to be quite rewarding. I subsequently moved to North Carolina where I took the CNA course in 1995 and began working as a CNA at various nursing homes and hospitals in the regional area. My experience as a CNA certainly helped me in my journey and provided the foundation for the later developments in my career.
Later I moved to Las Vegas in 1997 where I got married in 1998. After forming this union I went back to school for my BSN in 2002 while working as a CNA. I finished my BSN from Nevada…
Andrews, H., & Roy, C. (1991). The Adaptive Model. Norwalk: Appleton and Lange.
Denler, H., Wolters, C., & Benzon, M. (2013). Social Cognitive Theory. Retrieved from Education: http://www.education.com/reference/article/social-cognitive-theory/
Farlex. (2011). The Medical Dictionary. Retrieved from Farlex: http://medical-dictionary.thefreedictionary.com/adaptation+model
Nursing Theory. (2011). Sister Callista Roy. Retrieved from Nursing Theory: http://nursing-theory.org/nursing-theorists/Sister-Callista-Roy.php
Nursing Timeline Week 2 • Create a 700- 1,050-word timeline paper historical development nursing science, starting Florence Nightingale continuing present. • Format timeline, word count assignment requirements met
Historical development of nursing timeline
The foundation of modern nursing. Before, nursing was largely the profession of disreputable people and not exclusively female. Based on her experiences during the Crimean War, Florence Nightingale strove to make it a respectable profession with uniform, professional standards. Her approach reduced the death toll in hospitals by 2/3rds during the Crimean War (Florence Nightingale, 2012, Biography: 1). She established the Nightingale Training School and wrote her foundational Notes on Nursing (Florence Nightingale, 2012, Biography: 2-3). Nightingale's canons of nursing compromised everything from an emphasis on proper sanitation to how the nurse should socially interact with the patient.
1880: Famed Civil War nurse Clara Barton founds the American ed Cross.
1909. Hildegard Peplau is born. Heavily influenced…
Betty Neuman's Systems Theory, 2012, Current Nursing. Retrieved:
Clara Barton. (2012). The Civil War. Retrieved: http://www.civilwarhome.com/bartonbio.htm
Doctor of Philosophy. (2012). School of Nursing. Retrieved:
It is important to understand nursing theory for a couple of reasons. The first is that nursing theory forms the basis for how the nursing role has evolved in health care today. There is a saying that in order to understand where one is going, it is necessary to understand where one has been. For this reason alone, it is important to understand how nursing theory has evolved over time, and how nurses today see their roles, and how those roles fit within the greater context of the health care system. If we look at seminal works like Jacox (1974) we can get a pretty good picture of how nursing was viewed up until the modern age, but then we need to see how the profession has evolved in the information age as well. The sorts of philosophical debates about what nursing is and what it should be form the…
Nursing History, Theories and Conceptual Model
The three trends in nursing practice that become evident to me from viewing the Nuring Timeline of Historical Events are: first, the rise of formal education and training for nurses—especially in the latter half of the 20th century when more and more doctors were leaving primary care for special practice and APRNs were being trained to fill the gap in primary care (O’Brien, 2003). Second, there is the rise of advocacy in terms of improving the quality of care provided to patients. This resulted in a push for the application of more evidence-based practice (EBP). In my own perspective on Nursing Practice, I view this focus on EBP as one of the most important developments in the history of nursing, as it ensures that patients are receiving care that is based on scientific and empirical proof rather than just on whatever one feels might…
For the past several decades, nursing theory has evolved with considerable considerations towards transcultural care. The concept of culture was derived from anthropology and the concept of care was derived from nursing. When one understands the derivative of nursing knowledge and the basis for cultural sensitivity, one may tailor and provide the best nursing care for diverse groups. Each group may have specific needs that may help or hinder healthcare delivery. Hence, if one fully understands the meanings, patterns, and processes, one can explain and predict health and well-being. Although many nursing theories exist, a closer evaluation will be given to Cultural Care Diversity & Universality and Purnell Model for Cultural Competence.
Cultural Competence & Influence
Cultural competence is deemed as essential component in providing healthcare today. Healthcare professionals in healthcare organizations are addressing multicultural diversity and ethnic disparities in health (Wilson, 2004). To better serve…
Kim-Godwin, Y.S., Clarke, P.N. And Barton, L. (2001), A model for the delivery of culturally competent community care. Journal of Advanced Nursing, 35: 918 -- 925. doi: 10.1046/j.1365-2648.2001.01929.x
Maier-Lorentz, M. (2008). Transcultural nursing: its importance in nursing practice. Journal of Cultural Diversity, 15(1), 37-43.
Nelson, J. (2006). Madeleine Leininger's Culture Care Theory: The Theory of Culture Care Diversity and Universality. International Journal For Human Caring, 10(4), 50.
SNJourney. (2007). Purnell's model of cultural competence. Retrieved from http://www.snjourney.com/ClinicalInfo/Select%20Topics/Transcultural/PurnellModel2.pdf
Nursing Theorist: Sr. oy Adaptation Model
The oy Adaptation model for Nursing had its beginning when Sister Callista oy happened to get admitted in the Masters Program of pediatric nursing in the University of California, Los Angeles, in the year 1964. At that time, Sr. Callista was familiar with the idea of 'adaptation' in nursing, and it must be mentioned that Sr. Callista's adviser at that time was Dorothy E. Johnson, who believed firmly in the need to define nursing as a means of focusing the development of knowledge, for the practice of nursing. When Sr. Callista oy started working with children in the pediatric ward of the hospital, she was quite impressed with the basic resiliency of the small children who had been admitted into the wards for treatment. This was why when the first seminar in pediatric nursing was called for; Sr. Callista oy proposed that the basic…
"Callista Roy's Adaptation Model" Retrieved From
http://www.geocities.com/ninquiry2002/callistaroy Accessed 28 October, 2005
'Case Study" Retrieved From
http://www.geocities.com/ninquiry2002/casestudy.html Accessed 28 October, 2005
Also, nurses can ignore patient advice as far as medical procedures are concerned because they obviously don't have the medical expertise to being advice on such matters (Street 2005). It is important that patient's are able to lend their discretion because every decision made by a medical staff member in their regard effects their life and ultimately their life as a whole (Street, 2005). A healthy relationship between patient and nurse yields positive outcomes and allowing patients to participate in their own care leads to a better relationship (Andrews 2008). Nurses need to keep in mind the balance that exists between letting patients participate and voice their opinions about their care and not allowing patients to dictate the entirety of their stay in the care facility.
Explain why patients do not wish to be actively involved in their care, and how nurses can help with this situation
Patients do not…
Andrews M.M. And Boyle J. (2008). Transcultural Concepts in Nursing. England:
Lippincott Williams & Wilkins.
Street L.R., Gordon S.H., Ward M.M., Krupat E., & Kravitz L.R. (2005). Patient
Participation in Medical Consultations: Why Some Patients Are More Involved
What area(s) of the cultural assessment would you focus on?
Jarvis urges the use of cultural assessment in conjunction with other types of assessment including family and community assessments. An understanding of culture can inform strengths and weaknesses that can be applied to the development of a treatment plan. During the assessment in this case, I would focus on language, lifestyles, and values. Values might include the patient's value of money, relationships, time, health, education, beauty, and spirituality. I would ask about family background and history to ascertain relational issues. Her communication styles would be important to understand. Cultural values related to food and food beliefs could be influencing the client. Furthermore, the client's culture might impact her attitudes towards the healing process.
b. Discuss the rationale for selecting this.
It is important to know if the client's financial condition is precluding her from seeking care. With regards to…
Boyle JS, Andrews MM (1989): Transcultural Concepts in Nursing Care. Glenview, IL, Scott, Foresman/Little, Brown College Division, 1989
Jarvis, C. (2000). Physical Examination. Saunders.
Cultural Competency in Nursing
The basic knowledge in nursing or medical studies needs substantial facilitation in order to be effective and appropriate towards addressing the needs and preferences of the patients. Watson notes the need to integrate humanistic aspect into the career or nursing profession. He also believes on the need for the establishment of the caring relationship between the patients and nurses thus demonstration of unconditional acceptance of the patients in any condition. Nurses should integrate holistic and positive treatment with the aim of promoting health through knowledge and interventions thus elimination of interruptions during treatments or 'caring moments'. Modern patients have diverse problems and issues because of the cultural differences, races, and ethnicity thus the need to enhance the operations of the nurses. There is need to ensure that the nurses obtain cultural competencies with the aim of enhancing their ability to address diverse issues and problems faced…
Anderson, N.L.R., Calvillo, E.R., & Fongwa, M.N. (2007). Community-based approaches to strengthen cultural competency in nursing education and practice. Journal of Transcultural Nursing, 18(1), 49S-59S.
Beach, M.C. (2005). Cultural competency: A systematic review of health care provider educational interventions. Cultural Competency, 43(4), 356-373.
Campinha-Bacote, J. (2002). The process of cultural competence in the delivery of healthcare services: A model of care. The Journal of Transcultural Nursing, 13(3), 181-185.
Rosswurm and Larrabee, (1999). A Model for Change to Evidence-Based
His assistance and support was both scientifically sound and, more importantly, spiritually supportive and extremely respectful of and responsive to my philosophical beliefs and my personal psychological orientation and inclination.
Based substantially on his valuable input, I made the decision to transfer my father to hospice. The hospice doctor also demonstrated carative nursing in his sensitive response to my sister's concerns that placing our father in hospice and directing that medical intervention efforts be withheld was tantamount to just allowing him to die prematurely. He explained to her the clinical significant objective scientific basis upon which it was clear that even the most aggressive medical intervention would be unable to prolong his life for more than a few weeks and that the relative value of those extra three weeks from his perspective were just not worth the amount of discomfort and confusion just to slightly prolong the same inevitable end…
Delaune, S. And Ladner, P. (2002), Fundamental of Nursing, Standard and Practice. New York: Thomson.
Fawcett, J. (2005). Analysis and Evaluation of Conceptual Models of Nursing, St. Louis,
Finfgeld-Connett, D. "Meta-synthesis of caring in nursing." Journal of Clinical Nursing,
(Feldman & Geenbeg, 2005, p. 67) Staffing coodinatos, often nuse leades must seek to give pioity to educational needs as a eason fo adjusting and/o making schedules fo staff, including offeing incentives to staff not cuently seeking educational goals fo assisting in this pioity egadless of the implementation of a tuition eimbusement pogam. (Feldman & Geenbeg, 2005, p. 233)
Nuse Leades as Academic Theoists
The fact that many nuse leades seve as the fundamental souces fo new and emeging nusing paadigms and theoies cannot be ignoed in this eview. The theoies associated with nusing ae as divese as nuses themselves and seve seveal puposes. With egad to nuse ecuitment and the ole that nusing theoy and paadigm plays in it, nuse leades seve to espouse theoy though mentoship and taining that helps individuals see thei futue intinsic ole in nusing. To explain this ole a bief discussion of nusing theoy…
references and Affirmative Action in Making Admissions Decisions at a Predominantly White University. Journal of Instructional Psychology, 31(4), 269.
Burgener, S.C., & Moore S.J. (May-June, 2002) The role of advanced practice nurses in community settings. Nursing Economics 20 (3) 102-108.
Cimini, M.H., & Muhl, C.J. (1995). Twin Cities Nurses Reach Accord. Monthly Labor Review, 118(8), 74.
Cleary, B. & Rice, R. (Eds.). (2005). Nursing Workforce Development: Strategic State Initiatives. New York: Springer.
Daly, J., Speedy, S., Jackson, D., Lambert., V.A., & Lambert, C.E. (Eds.). (2005). Professional Nursing: Concepts, Issues, and Challenges. New York: Springer.
diverse population nurses must attend to, the concept of 'transcultural' nursing is important to understand. Instead of viewing health as a universal concept, transcultural nursing attempts to understand the conceptual building blocks of the nursing profession as cultural products that are socially-constructed. It strives to understand the similarities and differences between different health attitudes and practices (Leininger 1991). First developed by Madeline Leininger, transcultural nursing is founded upon the idea that the "health care providers need to be flexible in the design of programs, policies, and services to meet the needs and concerns of the culturally diverse population, groups that are likely to be encountered" (Transcultural nursing, 2012, Current Nursing).
Nurses must be culturally astute and adapt their practices to patient's cultural needs as well as to physical needs. This concept has been somewhat controversial within the nursing profession given that Western medicine's emphasis on preserving life and optimizing treatment…
Adult obesity facts. (2013).CDC. Retrieved: http://www.cdc.gov/obesity/data/adult.html
Dorothea Orem's self-care deficit theory. (2012). Nursing Theories. Retrieved:
Milligan, F. (2008) Child obesity 2: recommended strategies and interventions. Nursing Times;
healthcare practices and history of nursing in the Jewish culture.
There are several healthcare practices within the Jewish culture. According to the rabbinic lore, no aging process existed until the time that Abraham was born. No disease also existed until the time when Jacob came to existence.
The connections of Jews to the healing process at patients as well as physician level is noted to be ancient with a deep root in history and theology (MyJewishLearning.com, 2011).In most religions, the idea of medical treatment was largely an anathema. In most traditional religions, disease, deformity and accident were regarded as parts of God's creation that those of human beings. Anything to do with medical treatment was largely considered to be a process of meddling with the Creator's (God's) work and will. Judaism however, views the concept of medical treatment in appositive light. It views medical treatment as an obligation on the…
Gesundheit, B., Hada, E (2005).Maimonides (1138-1204): Rabbi, Physician and Philosopher*. IMAJ 2005;7:547-553
Illievitz, AB (1935).Maimonides the Physician. Can Med Assoc J. 1935 April; 32(4): 440-442.
Leininger MM (1997) Overview and Reflection of the Theory of Culture Care and the Ethnonursing Method. Journal of Transcultural Nursing, 8:2, 32.52.
Leininger MM (1991) Culture Care Diversity and Universality: A Theory of Nursing. National League for Nursing Press, New York.
Professional Development Plan
Attaining a Master’s degree in Nursing requires a great deal of focus and coordinated effort. It also requires that the student’s personal and professional goals be aligned, as the Master’s degree in Nursing is really the ultimate expression of this alignment: a student whose personal values and aims do not reflect the professional aims represented by the Master’s in Nursing is a student who is likely to be pulled in two different directions at once. Unless the ultimate aims converge, divergence will result—and that is why it is so important that a nursing student reflect upon how his or her personal and professional goals correlate. This paper will serve as a professional development plan: it will give some background on my personal history, my professional accomplishments, my future aspirations, while also identifying my academic interests and my goals for my Walden educational experience.
Personal and Professional Goals…
Mrs. Margaret Foley's Culturally Congruent, Personalized Nursing Care Plan
Case Scenario Overview
Mrs. Margaret Foley (Maggie) is a 46-year-old Aboriginal female has had an emergency open cholecystectomy. Although the case does not specifically indicate why the laparoscopic surgery was changed to an open procedure, this is common whenever the surgeon has trouble accessing the gallbladder for any reason such as a patient's smaller frame. Furthermore, this has several implications for the length of her stay and her care plan. There are also factors that indicate that Maggie will benefit from a nursing care plan that is attunded to her cultural needs due to the fact that multiple previous misunderstandings were mentioned in her case history. For instance, the case indicates that Maggie "felt uncomfortable" with the medical jargon used which was essentially incomprehensible to her and likely led her to not follow the care plan that was recommended for her.…
The nursing practice is a profession that is based on conceptual and theoretical models that help in guiding patient safety and quality initiatives. The use of conceptual and theoretical models is an important part in nursing practice that is applied across the various disciplines in this profession. As a clinical nurse specialist, nursing conceptual and theoretical models play a crucial role in achieving the specific goal of identifying, recognizing, treating, and monitoring illnesses or diseases. The process of using nursing conceptual and theoretical models involves developing practice-specific concepts relating to the specific professional practice and creating a personal philosophy and practice guideline. The practice-specific concepts should incorporate the four basic metaparadigms of nursing theory and be supported by research and concepts.
Overview of My Professional Practice and Four Metaparadigms
A clinical nurse specialist is a nurse professional or practitioner who provides a crucial link with regards to detecting,…
"Cultural Diversity in Nursing Practice." (n.d.). American Nurses Association. Retrieved April
18, 2015, from http://www.nursingworld.org/MainMenuCategories/Policy-Advocacy/Positions-and-Resolutions/ANAPositionStatements/Position-Statements-Alphabetically/prtetcldv14444.html
Lyon, B.L. & Davidson, S.B. (2004). Statement on Clinical Nurse Specialist Practice and Education. Retrieved April 18, 2015, from http://www.nacns.org/docs/NACNS-Statement.pdf
Masters, K. (2014). Framework for Professional Nursing Practice. In Role development in professional nursing practice (3rd ed., Chapter 2, pp.47-87). Retrieved from http://samples.jbpub.com/9781449691509/81982_CH02_Pass1.pdf
Technology is crucial for healthcare delivery. Healthcare technologies range from those directly related to medical care interventions, namely medical technologies, and technologies that support and enhance care delivery and administration. It is the latter sector that healthcare leader and hospital administrator Jane Doe Francis became interested in after attending a seminar in 2008 on emerging technologies. The seminar inspired Francis to explore the different types of healthcare information technologies, informatics, and options for making administration more efficient, more effective, and error-free. Digital medical records became Francis's passion, and she has spoken about the importance of creating technology standards for American healthcare institutions. Consistency and reliability, as well as confidentiality and privacy, are key concerns for Francis and her colleagues in hospital administration. Currently, Francis is involved with a massive push toward cloud-based medical technologies that go beyond the electronic medical records database to include connectivity with medical technologies themselves…
Carr, D.F. (2015). UPMC: New leaders, same big health tech ambitions. Information Week. Retrieved online: http://www.informationweek.com/healthcare/leadership/upmc-new-leaders-same-big-health-tech-ambitions/d/d-id/1318430
Francis, J.D. (2015). Interview.
Leung, S. (2015). Mass. Business leaders bet on health care tech. The Boston Globe. 4 Feb 2015. Retrieved online: http://www.bostonglobe.com/business/2015/02/03/leung/PKOkXUsTSyG3tKGRwvZXnK/story.html
Theoretical Foundations of Nursing:
Nursing can be described as a science and practice that enlarges adaptive capabilities and improves the transformation of an individual and the environment. This profession focuses on promoting health, improving the quality of life, and facilitating dying with dignity. The nursing profession has certain theoretical foundations that govern the nurses in promoting adaptation for individuals and groups. These theoretical foundations include theories, theory integration, reflection, research and practice, and assimilation.
Grand Nursing Theory:
There are several grand nursing theories that were developed by various theorists including the Science of Unitary Human Beings by Martha ogers, Sister Callista oy's Adaptation Model, and Systems Model by Betty Neuman. Sister Callista oy's Adaptation Model is based on the consideration of the human being as an open system. She argues that the system reacts to environmental stimuli via cognator and regulator coping techniques for individuals. On the other hand, the…
American Sentinel (2012). 5 Steps for Nurses to Stay Updated with Health Care Changes.
Retrieved September 4, 2013, from http://www.nursetogether.com/5-steps-for-nurses-to-stay-updated-with-health-care-changes
Andershed, B. & Olsson, K. (2009). Review of Research Related to Kristen Swanson's Middle-range Theory of Caring. Scandinavian Journal of Caring Sciences, 23, 598-610.
"Application of Theory in Nursing Process." (2012, January 28). Nursing Theories: A
Nursing Concept Analysis: Caring
Caring is a concept central to nursing theory. Indeed, an esteemed constellation of nurses throughout history, including Nightingale, Watson, Henderson, and Benner, have integrated the concept of care into their theory and praxis. Caring has been considered a foundational element of nursing such that "compassion and therapeutic relationships" are viewed as essential "underpinnings" of nursing (Skillings, 2008). As with most disciplines, the complexities that accompany professional practice in contemporary settings can pose unanticipated challenges. The ethic of caring that is fundamental to nursing endures an onslaught of competing priorities, barriers to compassionate practice, and adaptations inherent to modern healthcare institutions (Skillings, 2008).
Most behaviors that the nursing discipline considers caring are readily recognized, such as "attentive listening, comforting, honest, patient, responsibility, providing information to the patient can make an informed decision, touch, sensitivity, respect, calling the patient by name" (Vance, 2003). Categorically, many nurse practitioners…
Brenner, P. (1984). From novice to expert: Excellence and power in clinical nursing practice. Menlo Park, CA: Addison-Wesley Publishing Company.
Dewar, B. & Cook, G. (2013). Developing compassion through a relationship centered appreciative leadership programme. Nurse Education Today, 14(9), 1258-1264.
Fry, N.A. (1993). Beyond professional caring: teaching nursing students the art of Christian caring. Paper delivered at the Faith and Learning Seminar at Union College in Lincoln, Nebraska in June of 1993. Retrieved from http://ict.aiias.edu/vol_10/10cc_167-185.htm
Leininger, M.M. (1991). Culture care, diversity and universality: A theory of nursing. New York, NY: National League of Nursing Press, p. 35.
Future of Nursing Education in the Kingdom of Saudi Arabia
The primary objective of this book is to provide the reader with evidence-based nursing education and practice principles. The goal of this work is to help nursing educators and nurse practitioners develop evidence-based nursing education standards and curriculum while providing nurses with effective examples of patient-centered care that is both high quality and cost effective. Patients and family members in Saudi Arabia have needs and expectations that nurses should seek to meet and fulfill. To that end, this book aims to support nurses and nurse educators.
The cultural values of the Kingdom of Saudi Arabia are also an important component of this work, as it is the culture of this country that supports and advances the aims of the nursing profession. This is seen in every aspect of the nursing profession -- from the earliest days of the first nursing…
Aldossary, A., While, A., Barriball, L. (2008). Health care and nursing in Saudi Arabia.
International Nursing Review, 55(1): 125-128.
Al-Hashem, A. (2016). Health education in Saudi Arabia. Sultan Qaboos University
Medical Journal, 16(3): e286-e292.
The conceptual framework that I feel best helps to explain ethics, morals and laws is that found in the Aristotelian framework, which stipulates that ethics describe the theoretical beliefs and standards that are held individually or in a society, morality describes the behavior or activity of an individual or society, and laws refer to what is prohibited or what one has the right to do in society according to the government (Kristjansson, 2014; Chowdhury, 2016). Building on this framework in the modern era is the utilitarian framework which holds that a community should pursue the common good—i.e., the greatest good for the greatest amount of people. In the nursing environment, this type of conceptual framework can help nurses to better understand their roles in the health care organization and how to ensure that the greatest level of quality care is being achieved.
The utilitarian ethical framework can be…
Kean University Bachelor of Science in Nursing (BSN) program.
My experience in the healthcare field has shaped my idea of exactly the career I wish to pursue. Indeed, my goal and my dream today is to achieve a BSN from your excellent university. Why do I wish to obtain a BSN? I am fully cognizant of the role of a Registered Nurse plays in a hospital setting because I had the privilege and the honor of working side by side with professional nurses in an emergency ward for two years. I saw firsthand the skills the RNs and LPNs and the physicians demonstrated as they provided excellent care for the sick and injured patients we received.
When it comes to the daily work that nurses do in a hospital emergency environment, I have been very impressed by their compassion, their attitude towards work and patients, and their ethical approach to…
A largely insular community since their initial settlement in the United States, the Amish community presents unique challenges for healthcare workers. The Amish eschew modern technology, including many of the tools and techniques used in modern medicine. In fact, the Amish community also forbids higher education (Adams & Leverland, 1986). Misconceptions and misunderstandings about the Amish further complicate healthcare decisions and relationships between healthcare providers and Amish patients. For example, it is commonly assumed that the Amish “lack the preventive practices of immunizations and prenatal care,” (Adams & Leverland, 1986, p. 58). While the rates of immunizations are relatively low among the Amish, the Amish church does not forbid immunization (Adams & Leverland, 1986). The Amish also have a keen interest in disease prevention, health education, and lifestyle choices that prevent health problems (Talpos, 2016). Although Amish attitudes towards health, wellness, and the healthcare system may be at odds with…
Circle of Life Framework in Breast Health Education
Article Critique Analysis: Use of the Talking Circle for Comanche omen's Breast Health Education, by E. Haozous, V. Eschiti, and J. Lauderdale
The journal article, "Use of the Talking Circle for Comanche omen's Breast Health Education" by E. Haozous et. al. (2010), promotion of education on breast health was explored using a specific and unique tradition as the framework of the study. This tradition, called the Circle of Life (COL), is an "intertribal cancer prevention program focused on breast health education" and is specifically implemented among American Indian (AI) women (378). Using the COL as framework, the authors aimed to achieve "cultural congruency" in exploring, discovering, and identifying the different dimensions concerning breast health education and promotion effectiveness in the context of AI women's culture -- specifically, Comanche women (378). Harmonized understanding of the Comanche community, female and health cultures led to…
Haozous, E., V. Eschiti, and J. Lauderdale. (2010). "Use of Talking Circle for Comanche Women's Breast Health Education." Journal of Transcultural Nursing, Vol. 21, No. 377.
Madeleine Leininger's place of birth was Sutton, Nebraska. She earned her Ph.D. in social and cultural anthropology in 1965, from Washington University, Seattle. In her initial years of working, she was a nurse. This was where she gained insight on how important it is to care. Frequent appreciative statements from care patients inspired her to center her attention on care; she realized that 'caring' is a fundamental part of nursing. In the 50s, she worked in a guidance home for children. Madeline discovered that the recurrent habits among children seemed to have been inspired by culture. She stated that nurses had no knowledge about care and culture, and this led to their ignorance on the numerous components needed in caring for patients to support healing, wellness and compliance. This knowledge led to the introduction of transcultural nursing; a phenomenon and construct based on nursing care, in the 50s.…
Gil Wayne. (2014). Madeleine Leininger's Transcultural Nursing Theory. Nurseslabs.
Kathleen Sitzman MS, & Dr. Lisa Wright Eichelberger. (n.d.). Madeleine Leininger's Culture Care: Diversity and Universality Theory. In Kathleen Sitzman MS, & Dr. Lisa Wright Eichelberger;, Understanding the work of Nurse THeorists (pp. 93-102). Jones and Bartlett Publishers.
Melanie Mcewen, & Evelyn M. Wills. (2011). Theoretical Basis for Nursing. Wolters Kluwer.
So the nurse has to understand, when giving directions as to medications or other therapies, what that culture's definition of "three times a day" or "first thing in the morning," etc. means to them. And explanations of which directions are flexible and which are not are critical -- and might be life or death. They may nod their heads but have their own ideas about what change the dressing "frequently" means.
Time also has to do with tradition. Many countries are oriented to the past and value the "old" ways. China and England come to mind. A nurse may find that these cultures may not be so acceptable of "new" technologies or "cutting-edge" procedures.
Environmental Control deals with an individual's beliefs about illness and disease and their health prevention practices and ideas. It also has to do with their values and whether or not they feel at the mercy of…
AAN. (n.d.). Giger & Davidhizar transcultural assessment model. Retrieved June 13, 2009, from American academy of nursing (AAN): http://www.aannet.org/files/public/Giger_template.pdf
Giger, J.N., & Davidhizar, R.E. (2004). Transcultural nursing: assessment & intervention. Philadelphia: Elsevier Health Sciences.
Hart, A.N., Davidhizar, R., & Davidhizar, R. (2005, June 1). Pain management: Delivering culturally appropriate care. Retrieved June 13, 2009, from Mediwire.com: Mom m.d. (from healthcare traveller): http://mommd.mediwire.com/main/Default.aspx?P=Content&ArticleID=165063
cultural diversity issues and its impact on nursing professionals' practice. It assesses a client hailing from a different culture, and employs information derived from the assessment determining and reflecting on health practices and beliefs of the client's culture. Lastly, nurses' role in the care of patients hailing from diverse backgrounds care is analyzed, and a conclusion is drawn.
Client Interview Data
Client's health beliefs in relation to cultural diversity
The client comes from a family-focused background, in which she plays the role of chief household organizer and attends to her family and their needs. She believes one ought to lead a life of a good and virtuous individual, and support one's family, particularly in times of need. In her opinion, sickness must be tended to, for preserving life. She believes in healthcare professionals and services they offer, for leading a healthy life. She is comfortable having healthcare professionals take care…
American Nurses Association. (1998). Discrimination and Racism in Health Care. Silver Spring, MD: American Nurses Association.
Anderson, L. (2012, October 10). Cultural Competence in the Nursing Practice. Retrieved from Nurse Together: http://www.nursetogether.com/cultural-competence-nursing-practice
Coe, S. (2013, January 15). Cultural Competency in the Nursing Profession. Retrieved from Nurse Together: http://www.nursetogether.com/cultural-competency-nursing-profession
Graue, M., Dunning, T., Hausken, M. F., & Rokne, B. (2013). Challenges in managing elderly people with diabetes in primary care settings in Norway. Scand J Prim Health Care, 31(4), 241-247.
National Council of State Boards of Nursing, "NCLEX, http://www.ncsbn.org/research_stats/nclex.asp (17 September 2005);
National Sample Survey of egistered Nurses, 1992 and 2000.
M. Sison, "Exodus of Nurses Grows, Health System Feels Effect," CyberDyaryo, 8 May 2002, www.cyberdyaryo.com/features/f2002_0508_04.htm (17 September 2005);
C. Prystay, "U.S. Solution Is Philippine Dilemma -- As ecruiters Snap Up More Nurses, Hospitals in Manila Are Scrambling," Wall Street Journal, 18 July 2002.
J. Buchan, "International ecruitment of Nurses: United Kingdom Case Study," July 2002, http://www.rcn.org.uk/publications/pdf/irn-case-study-booklet.pdf (17 September 2005)
M.N. Fongwa, "International Health Care Perspectives: The Cameroon Example," Journal of Transcultural Nursing 13, no. 4 (2002): 325-330
U.S. Agency for International Development, "The Health Sector Human esource Crisis in Africa: An Issues Paper," February 2003, www.aed.org/publications/H_IssuesPaper.pdf (17 September 2005)
E. Spratley et al., the egistered Nurse Population, March 2000: Findings from the National Sample Survey of egistered Nurses (ockville, Md.: BHPr, September 2001); and Buchan et al., International Nurse…
National Center for Health Workforce Analysis, Bureau of Health Professions, Health Resources and Services Administration, "Projected Supply, Demand, and Shortage of Registered Nurses: 2000-2020," 2002, bhpr.hrsa.gov/healthworkforce (17 September 2005);
J. Buchan, T. Parkin, and J. Sochalski, International Nurse Mobility: Trends and Policy Implications (Geneva: World Health Organization, 2003);
Division of Nursing, BHPr, National Sample Survey of Registered Nurses, 1980-2000.
U.S. General Accounting Office, Information on Foreign Nurses Working in the United States under Temporary Work Visas (Washington: GPO, 1989).
Culture and Health Disparities - Filipinos
PESONAL SOCIAL STATUS: In researching this project, I found a study prepared by the Canadian Nurses Association (2005). It reviewed the social determinants of health and how one's social status impacts their or their family health outcomes. The focus of this piece was on issues such as poverty, economic inequality, social isolation and social support systems and their impact on the health of minorities, many of the same categories and characteristics mentioned in the Journal of Transcultural Nursing (Andrews et al., 2010). While their study was more on a broad base of Canadian conditions, their findings seem to reflect the circumstances of many first and second generation Filipinos. First and later generations of Filipinos who move to new cultures do act differently, but for the most part there remain many family connections and networks that cannot be overlooked.
My social status is mostly a…
Andrews, M. et al. (2010). Theoretical Basis for Transcultural Care. Section II. Foundations of Transcultural Nursing and Health Care. Journal of Transcultural Nursing. Vol. 21. DOI: 10.1177/1043659610374321.
Canadian Nursing Association (2005). Social Determinants of Health and Nursing: A summary of Issues. Canadian Nursing Association. Viewable at http://www.cna-aiic.ca/CNA/documents/pdf/publications/BG8_Social_Determinants_e.pdf.
Castillo, M.V. (nd). Caring in the Diaspora: Filipino Immigrants, Health Care, Healing, and Religion. Religious Healing in Boston. Viewable at http://www.hds.harvard.edu/cswr/resources/print/rhb/reports/13.Castillo.pdf .
McBride, M. (nd). Health and Health Care of Filipino Elders. Stanford Geriatric Education Center. Viewable at http://www.stanford.edu/group/ethnoger/filipino.html .
This PowerPoint compares culture chooses a patient I interview. Please feel free write a report style bold headings, I research put a PowerPoint speaker slides. I add information interview I slides. I 5 days I complete interview.
Hispanic: Cultural health beliefs
"Currently, the nation's 53 million Hispanics comprise 17% of the total U.S. population" (Awakened giant, 2012, Pew Center). According to the Office of Management and Budget (OMB) a Hispanic or Latino person is someone "of Cuban, Mexican, Puerto ican, South or Central American, or other Spanish culture or origin, regardless of race" (Hispanic or Latino populations, 2012, CDC). Hispanics are the fastest-growing U.S. ethnic demographic. "The U.S. Hispanic population for July 1, 2050 is estimated to reach 132.8 million, constituting approximately 30% of the U.S. population by that date" (Hispanic or Latino populations, 2012, CDC). Hispanics are also one of the youngest demographics so the population…
An awakened giant: The Hispanic electorate is likely to double by 2030. (2012). Pew Center.
Bouie, Jamelle. (2010). Skinny people shop at Whole Foods. Think Progress. Retrieved:
Healthy food cannot be imposed from the top down, or students will see junk food as 'forbidden fruit.' Students must be solicited for their input in creating new cafeteria menus. They can work to formulate substitutions for traditional fundraisers like on-premises vending machines and selling candy bars. Staging a 'recipe contest' for different healthy recipes city-wide, with rewards for the school of the winner, might be one way to show students that eating healthier is a struggle they must engage in, alongside adults. Students must be encouraged to engage in healthy eating and weight loss strategies to facilitate their own health or they will use junk food and circumventing PE classes as a means of rebellion.
Source: Bruce, Emily. (2010) Dorothea Orem's Theory of Self-Care. PowerPoint. Retrieved February 12, 2010 at www.nipissingu.ca/faculty/arohap/.../DorotheaOremTheory.pp
Increase data about students: Parents naturally fear that keeping track of students' BMI and screening children for diabetes…
Madeleine Leineger's Cultural Care Theory
Theories are made of interrelated ideas that systematically give a systematic view about a certain phenomenon (an event or fact that is observable) that can, then, be predicted, and explained. Theories entail definitions, concepts, propositionspropositions, and models. Theories are created on the basis of assumptions. There are two ways in which theories are derived; inductive and deductive reasoning. The theory of nursing is meant to describe, explainexplain, and predict the nursing phenomenon.
It should give the bases of the nursing practice a strong foundation, thereby assisting in further creation of knowledge and show the future direction that for nursing should take. Theory is of great significance as it guides us in our decisions of what we already know as well as what we ought to know. Theory describes the nursing practice, hence giving us the foundation of nursing. The merits of a definite theory body…
Current Nursing. (2012, January 28). Application of Theory in Nursing Process. Retrieved from Current Nursing: http://currentnursing.com/nursing_theory/application_nursing_theories.html
McFarland, M., & Eipperle, M. (2008). Culture Care Theory: a proposed practice theory guide for nurse practitioners in primary care settings. Contemp Nurse, 28(1-2), 48-63.
Raudonis, B., & Acton, G. (1997). Theory-based nursing practice. J Adv Nurs, 26(1), 138-45.
Wayne, G. (2014, August 26). Madeleine Leininger's Transcultural Nursing Theory. Retrieved from Nurse Labs: http://nurseslabs.com/madeleine-leininger-transcultural-nursing-theory/
Culture Care Universality and Diversity
Leininger conceptualized the theory of care was developed in the 1950s and provided a way to bridge a culture and nursing care. "Leininger theory of Culture Care Diversity and Universality" (Garmon 2011 p 1) is derived from the understanding the fields of culture and anthropology and is credited for her contribution to the nursing theory by establishing the transcultural concept in the nursing care. Typically, culture care is a holistic method of understanding, interpreting, explaining, and predicting care for the nursing practice. According to Leininger, culturally congruent care had been missing in the nursing practice and knowledge. Thus, a creative process of reformulation and integration of cultural practice is very critical for the development of nursing practice and knowledge. Leininger holds that a cultural care provides the most important and broadest means to explain, study and predict the nursing care practice. To discover patterns, and…
Department of Commerce (2010). U.S. Census 2010. U.S. Department of Commerce.
Fitzpatrick, J.J & Kazer, M. (2011). Encyclopedia of Nursing Research, Third Edition. Springer Publishing Company.
Garmon B. S. (2011). Leininger's Theory of Culture Care Diversity and Universality. In J. Fitzpatrick, Encyclopedia of nursing research. New York, NY: Springer Publishing Company.
Leininger, M. (1988). Leininger's Theory of Nursing: Cultural Care Diversity and Universality. Nurs Sci Q.1 (4): 152-160
EDUCING ISKY BEHAVIO FO African-American TEENS
An Intervention for educing isky Behavior Among African-American Female Adolescents: Provider Cultural Competency Training
The Office of Minority Health in the U.S. Department of Health and Human Services (2013) quotes Dr. Martin Luther King, Jr. As a way to introduce the topic of updating and enhancing the National CLAS (Culturally and Linguistically Appropriate Services) Standards. The quote is "Of all forms of inequality, injustice in health care is the most shocking and inhumane" (p. 14). Long recognized as a significant problem in the United States, health inequity along social, economic, racial, and ethnic boundaries has become a central focus of health care policy in this country. Although health care providers have little control over the historical determinants of discrimination in the U.S. they can work towards eliminating health disparities that exist through cultural competency. In addition to the ethical and moral rationale for attaining…
Aronowitz, T. & Agbeshie, E. (2012). Nature of communication: Voices of 11- to 14-year-old African-American girls and their mothers in regard to talking about sex. Issues in Comprehensive Pediatric Nursing, 35(2), 75-89.
Aronowitz, T. & Eche, I. (2013). Parenting strategies African-American mothers employ to decrease sexual risk behaviors in their early adolescent daughters. Public Health Nursing, 30(4), 279-87.
CDC. (2012). HIV and AIDS among African-American youth. Retrieved 2 Feb. 2014 from: .
CDC. (2013). HIV among African-Americans: Fast facts. Retrieved 2 Feb. 2014 from: .
Healthcare Service Delivery
Interpersonal communication in delivery of health communication
Interpersonal communication is the form of communication that exists between two people and it is the type of communication that is deemed universal in many measures. Interpersonal communication involves the daily exchange which could be informal or formal in nature depending on the purpose and surrounding, it can take the form of facial expression, sounds, gestures, written words, spoken words and postures (MBA Knowledge base, 2011).
Interpersonal communication, involves dissemination and reception of objective message or information between two or more people/groups with an aim of getting the desired effect on the receiving individual or groups (Ally & Bacon, 1999). Some professional however contend that for a communication to qualify to be considered interpersonal communication then the two parties involved must be at close proximity and must be familiar with each other or share something in common. The health sector…
Ally & Bacon, 1999. Interpersonal Communication: Definition of Interpersonal Communication.
Retrieved March 30, 2014 from http://www.abacon.com/commstudies/interpersonal/indefinition.html
Education Resources Information Center, (2008). International Journal of Language & Communication Disorders. Retrieved March 30, 2014 from http://www.eric.ed.gov/ERICWebPortal/search/detailmini.jsp?_nfpb=true&_&ERICExtSearch_SearchValue_0=EJ818590&ERICExtSearch_SearchType_0=no&accno=EJ818590
Health Promotion at EACH, (2014). Planning: Needs assessment: what issue should your program address? Retrieved March 30, 2014 from http://www.each.com.au/health-promotion/health-promotion-at-each/what-is-health-promotion/planning/
Standards of Care/Mental Health/Cultural Competence
EMEGING STANDADS OF CAE/MENTAL HEALTH/CULTUAL
Sometime in 1999, the Surgeon General released Mental Health: A eport of the Surgeon General. Inside this report, it acknowledged that not every Americans, particularly minorities, are getting the equal mental health treatment, a discovery that provoked the Surgeon General to give out a supplemental report on differences in mental health care for individuals of color (Donini-Lenhoff, 2006). The addition, which was available in 2001, sends out one obvious message: culture does actually count. Cultural competency is considered to be one the vital ingredients in closing the differences hole in health care. It is looked as the way patients and doctors are able to come together and then talk about health issues without cultural differences stopping the conversation, nonetheless improving it. Fairly simply, health care services that are deferential of and receptive to the health beliefs, practices and cultural and…
Choi, H.M. (2006). ETHNIC DIFFERENCES IN ADOLESCENTS' MENTAL DISTRESS, SOCIAL STRESS, AND RESOURCES. Adolescence, 41(126), 263-83.
Donini-Lenhoff, F. (2006). HEALTH: Cultural competence in the health professions; insuring a juniform standard of care. The Hispanic Outlook in Higher Education, 65(45), 45.
Furler, J. & . (2012). Mental health: Cultural competence. Australian Family Physician, 39(5), 206-8.
Sawrikar, P. & . (2013). The relationship between mental health, cultural identity and cultural values in non-english speaking background (NESB) australian adolescents. Behaviour Change, 21(3), 97-113.
Ethics and Culture
Ethical and Cultural Competency
Vanaki, Z., Memarian, A. (2009). Professional ethics: beyond the clinical competency. Journal of Professional Nursing, 25 (5), 285 -- 291
The author found that the professional ethics are the core determinants to perform a better duty at the workplace. The behavior of a person at work place helps in making relationship and bonds with the team members, responsibilities, the patients, the staff and helps in better understanding of workplace strategies that are termed as professional ethics. The researchers found that the personality of a person depends a lot on the expression of compassion, love, care and attention. The survey was done on the nurses working in the hospital where they explained that despite the cultural differences, if they make a bond or a relationship of care with the patients. That helps a lot in maintaining the confidence of the patient and…
Siegel, C., Haugland, G., Rose, L.R., Reid, L., Hopper, K. (2011). Components of Cultural Competence in Three Mental Health Programs. Psychiatric services, 62 (6).
Vanaki, Z., Memarian, A. (2009). Professional ethics: beyond the clinical competency.
Journal of Professional Nursing, 25 (5), 285 -- 291
Stakeholder Education Plan
The Hispanic population is one of the largest populations in the United States with more than 50 million people. Elderly Hispanic residents and Mexican Americans who are predisposed to various health conditions including diabetes account for a significant portion of this Hispanic population in the United States. One of the major issues facing elderly Hispanic patients aged 50-75 years when seeking for healthcare services is communication problems since they are not proficient in English. This project seeks to examine whether the use of professional interpreters enhance medication adherence as compared to using family members as interpreters. The implementation of this project requires the involvement of various stakeholders who control resources and are necessary in the implementation process. The administrative stakeholders required for implementation of this project is the hospital management while the clinical stakeholders include healthcare providers, nurses, patients, and professional interpreter. The necessary financial stakeholders include…
Hello, Please 3 cultures compare paper. Please include Spanish, American, Indian Cultures Heritage Assessment access Heritage Assessment Tool.
A questionnaire design that is used to assess a person's culture, religion, and ethnic so as to understand the person in relation to illnesses, diseases and their general health is what is referred to as the Heritage Assessment Tool Cohn et al., 2010
( ADDIN EN.CITE )
As unique as ones fingerprint is, so is their heritage in some cultures. Everyone has their own unique heritage and this heritage is very different from the heritage of another culture, a person's heritage is what determines their religious, cultural and ethnic background. It is also what deals with the person's mental, physical and their spiritual beliefs and this will be used when maintaining the person's health, protecting and restoring their health. It is important to note that in the healthcare field knowledge…
Cohn, W.F., Ropka, M.E., Pelletier, S.L., Barrett, J.R., Kinzie, M.B., Harrison, M.B., . . . Knaus, W.A. (2010). Health Heritage, a Web-Based Tool for the Collection and Assessment of Family Health History: Initial User Experience and Analytic Validity. [Article]. Public Health Genomics, 13(7/8), 477-491. doi: 10.1159/000294415
Kasten, W.C. (1992). Bridging the Horizon: American Indian Beliefs and Whole Language Learning. Anthropology & Education Quarterly, 23(2), 108-119.
Miller, J. (2000). Keeping With the Transcultural Nursing Society Mission. [Article]. Journal of Transcultural Nursing, 11(3), 230.
Roland, F., Johnson, I., Bruce, E., & Khuon, K.-N. (2007). Living with Heritage: Site Monitoring and Heritage Values in Greater Angkor and the Angkor World Heritage Site, Cambodia. World Archaeology, 39(3), 385-405.
Australia, indigenous people recognize themselves as belonging to Aboriginal or Torres Strait Islander or by descent, and also identified as the same by the society. A resistance has been observed in them to access hospitals for healthcare. Therefore, healthcare professionals need to plan, implement and maintain appropriate policies for their treatment. Also, cross-cultural awareness training should be given to paediatric hospital staff. (Munns & Shields, 2013, p. 22)
How would you support ianna and her family in this situation?
The poor health status of Aboriginal and Torres Strait Islander Australians is well documented, and has been the subject of official policy and program attention for many years. The mainstream health system has responded to increased funding and clear portfolio responsibility, with increasing attention to the burden of illness that Aboriginal people experience and the need for effective health care (Dwyer et al., 2014). I would thus make arrangement for proper…
Ansuya. (2012). Transcultural Nursing: Cultural Competence in Nurses. International Journal of Nursing Education, Volume 4(1), pp. 5-7.
Durey, A, Wynaden, D, Thompson, SC, Davidson, PM, Bessarab, D & Katzenellenbogen, JM. (2012). Owning Solutions: A Collaborative Model to Improve Quality in Hospital Care for Aboriginal Australians. Nursing Inquiry, Volume 19(2), pp. 144-152.
Dwyer, J, Willis, E & Kelly, J. (2014). Hospitals Caring for Rural Aboriginal Patients: Holding Response and Denial. Australian Health Review, Volume 38(5), pp. 546-551.
Kelly, J & Willis, E. (2014). Travelling to the City for Hospital Care: Access Factors in Country Aboriginal Patient Journeys. Australian Journal of Rural Health, Volume 22(3), pp. 109-113.
Among the most important aspects to the health promotion plan will be the benefits associated with a care manager, who can ensure that all six core elements of CCM are implemented fully. If this is accomplished, there should be a significant reduction in health disparities for patient and caregiver outcomes across generations.
AHQ. (2012). National Healthcare Disparities eport, 2011. No. 12-0006. ockville, MD: Agency for Healthcare esearch and Quality. etrieved 16 Apr. 2014 from http://www.ahrq.gov/research/findings/nhqrdr/nhdr11/nhdr11.pdf.
Braveman, P.A., Kumanyika, S., Fielding, J., Laveist, T., Borrell, L.N., Manderscheid, . et al. (2011). Health disparities and health equity: The issue is justice. American Journal of Public Health, 101(Suppl. 1), S149-55.
Brodaty, H. & Donkin, M. (2009). Family caregivers of people with dementia. Dialogues in Clinical Neuroscience, 11, 217-28.
Castro, A. & uiz, E. (2009). The effects of nurse practitioner cultural competence on Latina patient satisfaction. Journal of the American Academy of Nurse…
AHRQ. (2012). National Healthcare Disparities Report, 2011. No. 12-0006. Rockville, MD: Agency for Healthcare Research and Quality. Retrieved 16 Apr. 2014 from http://www.ahrq.gov/research/findings/nhqrdr/nhdr11/nhdr11.pdf .
Braveman, P.A., Kumanyika, S., Fielding, J., Laveist, T., Borrell, L.N., Manderscheid, R. et al. (2011). Health disparities and health equity: The issue is justice. American Journal of Public Health, 101(Suppl. 1), S149-55.
Brodaty, H. & Donkin, M. (2009). Family caregivers of people with dementia. Dialogues in Clinical Neuroscience, 11, 217-28.
Castro, A. & Ruiz, E. (2009). The effects of nurse practitioner cultural competence on Latina patient satisfaction. Journal of the American Academy of Nurse Practitioners, 21(5), 278-86.
Cognitive Stimulation Therapy for Early Stages of Dementia
With an aging population, issues related to cognitive abilities and impairment, including dementia, are increasing in relevance to public health officials. Being able to delay the negative results of dementia can contribute to increased quality of life for a number of aging individuals and their families. At present, many health care professionals view dementia as a condition that will deteriorate over time and do not view it as something that can be effectively stalled or reversed (Hodges & Graham, 1999). Many of the programs available for individuals dealing with cognitive deterioration or dementia are designed to provide for their safety and contentedness, but do not focus much on improving or maintaining cognitive abilities. Furthermore, the emphasis of many day programs is on providing a safe place for individuals so that their caregivers can have the much-needed respite in their care routines. Caregivers…
Banks, M.R., & Banks, W.A. (2002). The effects of animal-assisted therapy on loneliness in an elderly population in long-term care facilities. The Journals of Gerontology: Series A, 57(7), M428-M432.
Barker, S. & Dawson, K.S. (1998). The effects of animal-assisted therapy on anxiety ratings of hospitalized psychiatric patients. Psychiatric Services, 49, 797-801.
Breuil, V., De Rotrou, J., Forette, F., et al. (1994). Cognitive stimulation of patients with dementia: preliminary results. International Journal of Geriatric Psychiatry, 9, 211-217.
Cochran, S.D., Mays, V.M., Bown, D., Gage, S., Bybee, D., Roberts, S.J, Goldstein, R.S., Robinson, A., Rankow, E.J., & White, J. (2001). Cancer-related risk indicators and preventative screening behaviours among lesbian and bisexual women. American Journal of Public Health, 91(4), 591-597.
Personal Social Status
Social status can be defined as the reference, prestige, or honor ascribed to an individual's personality or position in society. It could be attained by virtue of family or racial background; or through innate ability or life achievements. Some other factors that determine one's social status include gender, occupation, religion, lifestyle, and education.
While culture is usually defined as a way of life of a group of people within a geographical setting, however, there also exists an individual level of culture known as personal culture. Personal culture is usually an expression of one’s personal beliefs or philosophy and perspective on life issues generally. It is usually a reflection of an individual’s upbringing; which is made up of culture, lifestyle and belief system the person is exposed to. Others are gender, history, education, residency location, and disability (“Social Categories”).
It is common for one's culture to be predominantly…
It provides health-related advice on its website that all readers can benefit from, not simply those who use its services. As well as reaching out to the wider population of patients, it honors those within its fold who serve the organization with nights such as its "Celebrating Our Talent" ceremony designed to honor organizational members who have shown excellence in their duties (Boyd 2012).
The climate at the organization stresses valuing employees as well as clients, and serving the needs of its employees is included in the organization's statements of its critical functions. This acknowledges the need for caregivers to be cared for as well as patients. There is also a commitment to technological change to facilitate care: the organization was praised in 2003 for completely reconfiguring the way in which it kept track of patient data, switching to an entirely online system, to comply with changes in regulation and…
Boyd, Tracey. (2012). VNSNY home care agency praises nursing talent. VNSNY. Retrieved:
Mission and vision. (2013). VNSNY. Retrieved:
Cultural Diversity in Rural Settings for Nurses
On a continuum of cultural awareness to cultural relativity, how do you view yourself and your interactions with others?
As a nurse practitioner, it is easy to see the patient simply as a patient, as a sick person needing treatment, rather than a well person who perceives his or her body as only temporarily ill, but sees his or her person as permanently a part of a family and culture outside of the hospital. As Small and Dennis (2003) counsel, the increase in immigration has resulted in greater diversity of both patients and practitioners within the United States, rather than in traditional urban locations. Thus Small and Dennis remind the nurse that it is not simply enough to treat the patient, but the patient must also understand his or her illness in culturally comprehensible terms. A nurse must be able to communicate to…
Dennis, Betty Pierce & Ernestine B. Small. (Jan-Feb, 2003) "Incorporating cultural diversity in nursing care: an action plan" The ABNF Journal.
"New Position Statement Originated by: Council on Cultural Diversity in Nursing Practice, Congress of Nursing." (1996) Adopted by: ANA Board of Directors.
As a result of this impact, religious or spiritual organizations adopt various health beliefs that govern the well-being of their members. For instance, spirituality helps religious individuals to demonstrate less destructive behaviors like smoking, minimum stress, and improved satisfaction in life. An example of such organizations is Jews for Jesus, which has an estimated number of nearly 125,000 members across the globe. The organization is founded on three major core values i.e. being under God's Word and authority, honoring the Messiah, and relying on the Holy Spirit.
The other major tenet of this spiritual organization is that it focuses on Jewish evangelism, which is a Jewish mission that involves sharing Christ with the unsaved ("Core Values," 2011). One of the health beliefs of this organization is that physical health is needed for the spiritual well-being of an individual and to carry out the activities of spreading the message of Messiahship…
"Core Values." (2011, June 29). Jews for Jesus. Retrieved January 12, 2013, from http://www.jewsforjesus.org/about/who-we-are/corevalues
"What is Complementary and Alternative Medicine?" (2012, September 18). National Center for Complementary and Alternative Medicine (NCCAM). Retrieved from National Health Institutes -- U.S. Department of Health & Human Services website: http://nccam.nih.gov/health/whatiscam
Non-Profit Business Plan for Care on the Horizon
Imagine a community of elderly people of diverse backgrounds and ethnicities. Now imagine that each and every one of them must provide for themselves and their health care by leaving their homes and making a difficult trek to the local health care facility, where they will have to wait in line, sometimes for hours, before they can be quickly seen and just as quickly dispatched back home. What an exhausting way to live -- especially in one's old age, when retirement is supposed to be a more pleasant and less fatiguing way of life.
Such communities exist all over the nation but especially in NY. In many cases, there is no one who can properly look after such people, at least not in the traditional sense, where home care is a natural and effective remedy to such situations. Fortunately, our organization has…
Kemper, P. (1992). The use of formal and informal home care by the disabled elderly.
Health Services Research, 27(4): 421-451.
Kornowski, R. et al. (1995). Intensive home-care surveillance prevents hospitalization and improves morbidity rates among elderly patients with severe congestive heart failure. American Heart Journal, 129(4): 762-766.
Smeenk, F. et al. (1998). Effectiveness of home care programmes for patients with incurable cancer on their quality of life and time spent in hospital: systematic review. BMJ, 316: 1939.
There are a variety of different perspectives and competencies that are needed for strategies to develop a program and have the program development succeed. These perspectives should include a wide range of different opinions from all the relevant stakeholders, which should be included from the beginning of the development of the strategy. Such perspectives can be invaluable in many ways; especially in regards to the more tactical implementation aspects of turning the strategy into an actual operational form that is effective and functional. For example, even if the high level objectives are well defined, it can often be difficult to translate these into methods of practical implementation tactics that are sufficient to foster support from the community and especially the ones in which the program is meant to benefit.
In the HIV prevention program case study that was outlined, there were only a limited number of stakeholder groups…
Anderson, N., Calvillo, E., & Fongwa, M. (2007). Community-Based Approaches to Strengthen Cultural Competency in Nursing Education and Practice. Journal of Transcultural Learning, 49-59.
Campinha-Bacote, J. (2002). The Process of Cultural Competence in the Delivery of Healthcare Services: A Model of Care. Journal of Transactional Nursing, 181-184.
Dormin, C. (2010, May 22). Facts and Fiction about Sex Offenders. Retrieved from Corrections: http://www.corrections.com/news/article/24500-facts-and-fiction-about-sex-offenders
Selsky, J., & Parker, B. (2006). Cross-Sector Partnerships to Address Social Issues: Challenges to Theory and Practice. Journal of Management, 849-873.
Gypsies, otherwise known as Roma, came to the Americas with the very earliest settlers. Throughout the course of the past 500 years, the Roma, their preferred name, have held on to their traditions and practices. Historical written record says that the Portugese exported Gypsies to South America. According to legend, the Portugese did the same thing in what is now South Carolina, long before the English came to settle the area.
The long tradition of Gypsies in the United States is almost as interesting as the origination of Gypsises as a people. Gypsies originated in India over 1000 years ago, migrating to Europe in the Middle Ages. No one knows for sure how or why they began to wander the globe as they have. Today, there are more than twelve million Roma located in many countries around the world. ecause the Romani are almost never included on official census counts,…
Cheverly, MD; Gypsy Lore Society, 1994.
Patrin timeline of Romani History" http://www.geocities.com/Paris/5121/timeline.htm
Bunce, C. "Travelers are the Unhelathiest People in Britain." British Medical
Journal. 19 October 1996
Faidman, Anne. (1998) The Spirit Catches You and You Fall Down. New York: Farrar, Straus and Giroux.
The title of Anne Fadiman's book on the implications of multiculturalism in modern nursing sounds more like a religious testimony than a textual asset to the modern nursing profession. However, Faidman tells a tale of Biblical proportions, and the emotional nature of The Spirit Catches You and You Fall Down is epic in its intensity. Moreover, the title is indeed descriptive, for it encompasses in its scope not simply faith, but also functions as a description of the symptoms of epilepsy that affects the patient at the book's core. The title describes how the parents of the patient viewed the symptoms of their child, in direct contrast to the representations of the modern medical system in America, whom treated this young child of recent immigrants. (Faidman, 1998)
The main theme of Faidman's…
Faidman, Anne. (1998) The Spirit Catches You and You Fall Down. New York: Farrar, Straus and Giroux.
Hendricks, C., Byrd, L. et al. (2001). "Self-esteem matters: Racial and gender differences among rural southern adolescents." Journal of Black Nurses Association, 12(2).
Vietnamese American Culture
Cultural Phenomena of Vietnamese American Culture
The assessment of a patient can be critical to the nursing process. The culture phenomena that a nurse may face can be critical to a proper diagnosis in many cases as well as the overall quality of care. One of the most fundamental phenomena is communication, which includes language, but also includes social organizations, time, environmental control, and biological variation. These factors represent distinct phenomena that can be identified and various cultural barriers can be mitigated through training. Although each individual may be different, culture is a powerful force in one's life and can predict many individualistic tendencies.
The social organization in the Vietnamese American culture is different from the mainstream culture in several ways. One is example is that Asian-American patients in mainstream mental health systems have greater premature dropout rates, shorter duration of treatment, fewer positive outcomes,…
Fancher, T., Ton, H., Le Meyer, O., Ho, T., & Paternti, D. (2010). Discussing Depression with Vietnamese American Patients. Journal of Immigrant Minority Health, 263-266.
Hongyun, F., & Laudingham, M. (2012). Mental Health Consequences of International Migration for Vietnamese Americans and the Mediating Effects of Physical Health and Social Networks: Results From a Natural Experiment Approach. Demography, 393-424.
Smith, E., & Pham, C. (1996). Doing business in Vietnam: A cultural guide. Business Horizons', 1-47.
Mitigating isks from Dementia
Providing adequate care for an individual suffering from dementia presents many difficulties for nurses. Patients with dementia often have debilitating conditions such as Alzheimer's or similar neurologic diseases which are progressive, thereby making it challenging for them to remember, think lucidly, communicate effectively or complete activities of daily living. Furthermore, dementia can cause rapid variations in mood or even modify personality and behavior. With the tremendous number of elderly in society more and more nurses are required to care for patients with progressive dementias. It is imperative that a diagnosis be reached early in the course of the cognitive impairment and that the patient is closely monitored for coexisting morbidities. Nurses have a central role in assessment and management of individuals with progressive dementia. This essay provides some evidence-based practical strategies for managing the behavioral problems and communication difficulties often encountered in this population.…
Aud, M.A., Oliver, D., Bostick, J. And Schwarz, B. 2011. Effectiveness of Social Model Care Units for Dementia. International Nursing Research Congress 2005.
Care, N.D. 2010. Teaching and Learning. Pulse. Winter Edition.
Fletcher, S. And Zimmerman, S. 2010. Trainee and trainer reactions to a scripted dementia care training program in residential care/assisted living settings and nursing homes. Alzheimer's Care. 11(1): 61-70.
Goodman, C. 2011. The organizational culture of nursing staff providing long-term dementia care is related to quality of care. Evidence-Based Nursing. 47:1274-1282.
On communal sharing and what Snyder calls reinhabitory practice: "reinhabitation refers to the tiny number of persons who come out of the industrial societies (having collected or squandered the fruits of eight thousand years of civilization) ad then start to turn back to the land, back to place" (Lewis 162).
Snyder displays his commitment and belief in reinhabitation in Mountains and Rivers ithout End through the use of a non-epic structure (ayfaring 181).
In Snyder's poem alking the New York Bedrock the reader is shown how important daily acts and maintenance of those acts are to community persistence and survival.
Place-making consists of both daily acts of renovating, maintaining and representing the places that sustain us, and of special, celebratory one-time events such as designing a new church or moving into a new facility. It can be done with the support of others or can be an act of defiance…
Carolan, Trevor. "The Wild Mind of Gary Snyder." Shambhala Sun, May 1996.
Chinn, Peggy L. Peace and Power: Building Communities for the Future. New York:
National League for Nursing Press, 1995.
Davidson, Michael. The San Francisco Renaissance: Poetics and Community at Mid-Century. Cambridge: Cambridge UP, 1989.
..set of critical stages for normal psychologic development." (2001) Kandel relates that prior to formal studies being conducted on material deprivation: "...a few anecdotal examples of social isolation were collected by anthropologists and clinicians. From time to time children had been discovered living in an attic or a cellar, with minimal social contact, perhaps spending only a few minutes a day with a caretaker, a nurse or a parent. Children so deprived in early childhood are often later found to be speechless and lacking in social responsiveness." (Kandel, 2001) According to the National Joint Committee on Learning Disabilities in the work entitled: "Issues in Learning Disabilities: Assessment and Diagnosis": Diagnosis, assessment and treatment must be in the nature of 'differential diagnosis' in making identification between varying disorders, syndromes and other factors that impact the acquisition of the skills of listening, speaking, reading, writing reasoning or mathematical abilities." (National Joint Committee…
Kamhi, a.G. (1984) Problem Solving in Child Language Disorders. Language, Speech, and Hearing Services in School Journal. Volume 15. October 1984.
Federici, R.S. (1999) Neuropsychological Evaluation and Rehabilitation of the Post-Institutionalized Child. Presented at the Conference for Children and Residential Care, Stockholm, Sweden May 3, 1999. Neuropsychological and Family Therapy Associated.
A de Valenzuela, JA (1999) the Social Construction of Language Competence: Language Socialization in Three Bilingual Kindergarten Classrooms. University of New Mexico. Dissertation Synopsis.
Thanasoulas, Dimitrios (2001) Language and Disadvantage - Article 70 - the Weekly Column. 2001 August.