...Heritage Assessment NRS-429V | Culture and Cultural Competency in Health Promotion John Thomas 3/24/13 The Heritage Assessment tool is primarily used as a device to evaluate health maintenance, health protection, and health restoration of a person’s cultural beliefs and values (Spector, 2006). This assessment helps aid in providing quality patient care in that it helps to meet and respect the needs of different types of people and their respective backgrounds (Spector, 2002). This particular paper serves to compare and contrast the ethnicities of Indian, Caucasian, and Arabic families using health maintenance, health protection, and health restoration as evaluation markers. The purpose was to identify and isolate different groups of people and their unique health practices and traditions that were based off their heritage or background. An assessment of these ethnicities led to several discoveries that I believe could truly improve our methods of health care. Cultural awareness is an essential part of life, especially in this country that is considered to be the melting pot of the world. Cultural awareness can be defined as understanding and appreciation the difference between oneself and people of other backgrounds and cultural beliefs (Shen, 2004). Cultural competence is a term used to refer to awareness and skill acquired to be able to care for people of different ethnicities and cultures (Purnell, 2002). The heritage assessment tool serves as a questionnaire of sorts...
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...nursing profession, cultural competence is an area of great need across all settings from educators, to students, bedside nurses, nurse managers, and nursing leadership. Cultural competence for a given entity, be it an educational institution or healthcare facility, is best measured by an appraisal of that entity, with respect to the cultural diversity of its staff and customers, along with its policies, procedures and actual practices. The focus of this paper is the evaluation of the cultural competence of a local long term care / skilled nursing facility (LTC/SNF) located in Harker Heights, Texas. The inability to access numerical or percentage totals of the demographics of either the staff or residents directly resulted in observational assessments by this writer as the basis for this evaluation. The observations took place during the clinical experiences of students from the local public school district’s CNA course. Based on the various readings associated with the nursing 531 course, a definition of cultural competence includes several components. One of the most easily understood and incorporated is Campinha-Bacote's model of cultural competence. This model consists of five concepts, namely: cultural desire, cultural awareness, cultural knowledge, cultural skill, and cultural encounter (Montenery, Jones, Perry, Ross, & Zoucha, 2013). This writer’s understanding of this model is detailed in the following paragraphs. The first concept, cultural desire, requires a diversity...
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...racial and ethnic minorities face unique health challenges and suffer from poorer health outcomes (Dorsey, 2011). The importance of adequately reporting and collecting relevant SES parameters, including race and ethnicity is evident. However, the question of how to properly categorize, measure, and report some of these parameters has been in the center of discussion for some time. In accordance with the Affordable Care Act, The department of Health and Human Services (HHS) came up with the new data standards for the collection of race, ethnicity, sex, primary language, and disability status. It is required by law that these standards be used in all the national population health surveys (Dorsey, 2011). The new standards have been in use since November 2011, and their stated purpose is to “understand the causes of health disparities, design effective responses, and evaluate progress in decreasing health disparities” (Dorsey, 2011). With the deepening social disparities and the effect they have on the nation’s health, it is essential to have a well-established system of documentation. It is also important for the researchers to select and appropriately measure all the indicators relevant for their study. HHS’s new data standards include fourteen racial and five ethnic categories, with the option to include more than one category within each group. When used as proxy for more accurate SES indicators such as education or income, race/ethnicity do not give the realistic picture of the...
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...psychiatric services than white patients and often are detained compulsory under the Mental Health Act (1983), (Davies et al 1996) this was confirmed by the Department of Health who also found out that not only were black people more likely to experience compulsory admission rates to hospital, but had greater involvement in legal and forensic settings, and higher rates of transfer to medium and high security facilities than their white counterparts (Department of Health,...
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...Heritage Assessment Tool Stacey Howard Grand Canyon University 4/20/2014 Heritage Assessment Tool The Heritage Assessment Tool is useful in determining how connected an individual is to their specific culture which enables the culturally competent practitioner to identify health traditions, evaluate needs, and create appropriate plans for health maintenance, protection and/or restoration of the patient. Heritage and culture are interchangeable words that represent the concept of learned or inherited thought processes, ideas, and traditions that have been passed down from parentage, nationality and/or ethnicity. It is important for the practitioner to understand the beliefs of their patient to better facilitate treatment compliance and enhance rapport with the patient and family. As noted by Edelman, Kudzman & Mandle (2014), culture has an impact on a person’s health, healing, perceptions of wellness versus disease and attitude towards health practitioners. Many times important revelations regarding the patient’s health practices, traditions, and perceptions are gleaned not from the patient answering direct assessment question but from their relaxed conversation, ramblings, and casual remarks. The patient will not feel comfortable to converse with a practitioner they don’t trust or have a rapport. It is through cultural sensitivity, competence and appropriate assessment that practitioners are able to develop the trust and rapport needed to assist them...
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...Running head: Transcultural Nursing Assessment Transcultural Nursing Assessment Deborah Hill St. Francis University Abstract Giger and Davidhizar’s Transcultural Assessment Model is a valuable and functional assessment tool that evaluates the different cultural variables and how those variables effect health, illness and behaviors (Giger, 2013). This philosophy considers the uniqueness of each individual, understanding that the individual is unique, a product of their culture, religion, environment socioeconomic status and diversity. Giger and Dividhizar propose that, as health care providers, we need an acute awareness of the ethnicity and culture of each individual, having the knowledge and understanding to care for them as their culture, religion, values and belief system necessitates (Giger & Davidhizar, 2002). This model of nursing assessment focuses on six factors, or phenomena, that address important areas of cultural influence which impact our ability to provide diverse clients with the most effective and efficient care. The six phenomena are communication; space; social organization; time; environmental control; and biological variations. This assignment involves the use of the Transcultural Nursing Assessment model in the care of Ms. B, an 82 year old, African American female. Introduction America has been called the melting pot of the world. The term indicates that America is a county made up of immigrant cultures, religions and various ethnic...
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...Family Centered Health Promotion: Heritage Assessment Tool Janice Ward NRS-429V May 31, 2015 Family Centered Health Promotion: Heritage Assessment Tool A critical skill in nursing is to assess multicultural patients in the USA today. The culturally competent nurse is able to evaluate the needs of clients and families through the use of a Heritage Assessment Tool. The successful completion of a Heritage Assessment Tool will provide the basis for understanding traditional health and illness beliefs and practices. The incorporation of the patient’s The Journal of Transcultural Nursing states as it’s 6th standard of practice for transcultural nursing the following: Nurses shall recognize the effect of health care policies, delivery systems, and resources on their patient populations and shall empower and advocate for their patients as indicated. Nurses shall advocate for the inclusion of their patient’s cultural beliefs and practices in all dimensions of their health care. (Lauderdale, Milstead, Nardi, Purnell, Douglas, Pierce, Rosenkoeter, Pacquiao, Callister, Hattar-Pollara, 2011) In order for the nurse to support their patient in receiving the best of health care it is imperative the nurse understand their patient’s heritage. “Health care organizations should ensure that patients receive from all staff members effective, understandable, and respectful care that is provided in a manner compatible with their cultural health beliefs and practices...
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...Multicultural Assessment Norma Garcia Grand Canyon University Family Centered Health Promotion NRS-429V Serina Madden February 25, 2015 Multicultural Assessment The author of this paper is a student at Grand Canyon University who is currently taking Family Centered Health Promotion. The topic discussed in class this week was, Culture and Cultural Competency in Health Promotion. The corresponding assignment to this course was to perform a heritage assessment; three families of the community were interviewed. The Heritage Assessment tool consist of 29 questions about families background, religious and ethnicity practices and current living status. The Interviews where performed via telephone calls. Veronica Navarro is a Hispanic female who migrated to the United States of America (USA) at the age of 12. Her parents and grandparents are Mexicans. She grew up with her six siblings and extended family living with her as a child. She was raised as Catholic and as an adult became a Christian. Veronica is married to a Hispanic male; they practice Christianity at home by praying, and celebrating religious holidays. They also participate in ethnic activities such as dancing, singing, Holiday celebrations and festivals. Veronica and her family currently live in a multicultural neighborhood. Veronicas native language is Spanish; she speaks both English and Spanish equally (V. Navarro, personal communication, February 20, 2015). Sarah Redmond is a single White female raised and...
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...Heritage and Health November 10, 2012 Heritage and Health Three families one each being of Caucasian, Hispanic and Thai cultures have been explored using the Health Assessment Tool. This paper compares health traditions of these families of different cultures and discusses how understanding an individual’s culture leads to better relationships which allow health maintenance and promotion to be more effective. Let us start by defining key terms essential to this paper. Culture is the values and beliefs specific to a group or population and is an element of ethnicity. Ethnicity is “a reference to a collective identity, a sense of uniqueness within the larger society and a distinction from non- members” (Edelman, 2010). Values and beliefs influence our behavior and our actions and by knowing what influences a culture and recognizing an individual’s particular culture will help guide health maintenance and promotion. The National Alliance for Hispanics Health stated in 2004 that the longer a generation is in this country the further away they get from their own culture (CDC's Health Community Program). Therefore, by using the Heritage Assessment Tool a nurse is able to understand where a person’s heritage begins and how the person identifies with their heritage. As an example, this tool can help identify if a client belongs to a religious institution, in which, they may want to have access for support. If they...
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...Heritage Assessment Analysis Nurses are given the responsibility of caring for a diverse population of people in the United States. A nurse who is entrusted with the care of clients and their families must recognize the value and importance of providing culturally appropriate care (Giger & Davidhizar, 2004). Variations of ethnicity, religion, values and beliefs also make it imperative for nurses to understand that the experience of human diversity is very personal. “The immutable dimensions of diversity; ethnicity, race, gender, and sexual orientation, are socially determined to be important and their role in everyday interactions is reinforced through culture” (Dreachslin, Gilbert, & Malone, 2012, p. 324). For these and many other reasons, the consideration of each patient in a holistic manner and separate from the nurse’s own belief and cultural system will greatly enhance the patient’s ability to form a relationship with the nurse and enhance healthcare delivery. This paper will attempt to compare the health traditions between Mexican, Chinese and American cultures in relation to health maintenance, health protection and health restoration. Although there are many variations within culture, awareness of the historical and social issues are essential for the nurse to be sensitive. In the Mexican culture it is important to recognize that the female generally takes the lead role in health care decisions (Eddenberger, Grassley, & Restrepo, 2006). The assessment of cultural...
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...Heritage and Cultural Assessment Gathering information about a patient’s culture is an essential part of the nursing assessment. The importance of a comprehensive cultural assessment cannot be underestimated. Race, ethnicity, and cultural values influence a patient’s view of health and potential treatments. My first experiences with culture were relatively benign. I grew up in small-town Iowa where there was one African-American family and a smattering of families of Asian or Indian descent. The latter lived in town because their parent or parents were physicians at the local Veterans Administration (VA) Hospital. I lived in a vacuum with family living nearby, and all of my friends were Caucasian and Christian or Catholic. My maternal grandparents were born and raised in different states – my grandfather was from eastern Tennessee and my grandmother from Louisiana, near New Orleans. My maternal grandfather migrated to Louisiana to work as a longshoreman where he met my grandmother who was raised in a Catholic orphanage. My grandmother’s roots can be traced backwards from Cajun Louisiana to Acadia (Nova Scotia) to 16th century France. My grandmother did not believe in doctors; but relied on folk medicine treatments. Brunvand (1996), states that “in the Cajun culture of southwestern Louisiana, for example, the principle folk practitioners are called ‘traiteurs,’ a term commonly applied to three different types of people.” These people included magic-religious healers, those...
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...Heritage Assessment Grand Canyon University: NRS-429V Common health traditions are influenced by our ethnic and religious upbringings. Nurses strive to meet the needs of their patients and be respectful of their culture. The three ethnic groups analyzed were Native American, Black African American and Hispanic. Each culture faces a unique set of circumstances regarding health promotion. Using a heritage health assessment offers insight on each person individually. Applying a heritage health assessment is useful in many ways. Nurses can gain insight on the whole person and give patients the opportunity to share what is important to them pertaining to their care. For example, after completing a heritage assessment the nurse would better understand the patient’s level family involvement, the importance of traditional ethnic values regarding health promotion and treatment. As the patient describes their heritage the nurse can gain valuable insight on select health issues pertaining to the particular culture. If a black African American is being seen for headache pain, the nurse could correlate the culture and ethnicity to a possible diagnosis of high blood pressure. Black African Americans also have a greater incidence of cancer. The nurse also recognizes that church and family are of great importance. The patient may also place value in the use of traditional home remedies. The nurse must be careful not to stereotype based on appearance alone. The needs...
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...Chapter 04: Social, Cultural, and Religious Influences on Child Health Promotion MULTIPLE CHOICE 1. Which term best describes a group of people who share a set of values, beliefs, practices, social relationships, law, politics, economics, and norms of behavior? a.|Race| b.|Culture| c.|Ethnicity| d.|Social group| ANS: B Culture is a pattern of assumptions, beliefs, and practices that unconsciously frames or guides the outlook and decisions of a group of people. A culture is composed of individuals who share a set of values, beliefs, and practices that serve as a frame of reference for individual perceptions and judgments. Race is defined as a division of mankind possessing traits that are transmissible by descent and are sufficient to characterize it as a distinct human type. Ethnicity is an affiliation of a set of persons who share a unique cultural, social, and linguistic heritage. A social group consists of systems of roles carried out in groups. Examples of primary social groups include the family and peer groups. PTS: 1 DIF: Cognitive Level: Remember REF: 44 TOP: Integrated Process: Nursing Process: Assessment MSC: Area of Client Needs: Psychosocial Integrity 2. Which term best describes the emotional attitude that one’s own ethnic group is superior to others? a.|Culture| b.|Ethnicity| c.|Superiority| d.|Ethnocentrism| ANS: D Ethnocentrism is the belief that one’s way of living and behaving is the best way. This includes the emotional attitude...
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...Advancing Effective Communication, Cultural Competence, and Patient- and Family-Centered Care A Roadmap for Hospitals Quality Safety Equity A Roadmap for Hospitals Project Staff Amy Wilson-Stronks, M.P.P., Project Director, Health Disparities, Division of Quality Measurement and Research, The Joint Commission. Paul Schyve, M.D., Senior Vice President, The Joint Commission Christina L. Cordero, Ph.D., M.P.H., Associate Project Director, Division of Standards and Survey Methods, The Joint Commission Isa Rodriguez, Project Coordinator, Division of Quality Measurement and Research, The Joint Commission Mara Youdelman, J.D., L.L.M., Senior Attorney, National Health Law Program Project Advisors Maureen Carr, M.B.A., Project Director, Division of Standards and Survey Methods, The Joint Commission Amy Panagopoulos, R.N., M.B.A., Director, Division of Standards and Survey Methods, The Joint Commission Robert Wise, M.D., Vice President, Division of Standards and Survey Methods, The Joint Commission Joint Commission Mission The mission of The Joint Commission is to continuously improve health care for the public, in collaboration with other stakeholders, by evaluating health care organizations and inspiring them to excel in providing safe and effective care of the highest quality and value. The inclusion of an organization name, product, or service in a Joint Commission publication should not be construed as an endorsement of such organization, product, or services, nor is failure...
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...status (Ball, Dain, Flynn, Solomon, & Stewart, 2015, p. 22). The advance practice nurse (APN) needs to be aware of the various health practices of many cultures and care for them with the understanding that economic, social, cultural, racial, & ethnicity all play a role in the health care practices of each. For the purpose of discussing cultural differences, I chose case number two, the pregnant lesbian presenting for an annual visit complaining of malodorous vaginal discharge....
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