...Transcultural Nursing Theory Applied Vulnerable Populations I "Nowhere are the divisions of race, ethnicity and culture more sharply drawn that in the health of the people in the United States. Despite recent progress in overall national health, there are continuing disparities in the incidence of illness and death among African Americans, Latino/Hispanic Americans, Native Americans, Asian Americans, Alaskan Natives and Pacific Islanders as compared with the US population as a whole." --National Center for Cultural Competence Population addressed Population addressed In 1950, U.S.-born whites made up about 90 percent of the U.S. population. By 2000, this number declined to about 75 percent, and by 2050 non-Hispanic whites will be in the numerical minority (U.S. Census Bureau 2001, 2002). This rapid diversification requires healthcare organizations to pay closer attention to cross-cultural issues if they are to meet the healthcare needs of the nation and continue to maintain a high standard of care. Looking at the Country as a whole the current area of discussion for this paper is the area of Western North Carolina and the population of Asheville, which is a melting pot of cultures which the combination they create is unique to no other. According to the 2006 U.S. Census Bureau statistics for Asheville, N.C. the current demographics break down as follows: Asheville [City] Population (current estimate), 70,400. Buncombe County Population (2006), 222,174, county in...
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...Journal of Transcultural Nursing http://tcn.sagepub.com/ Standards of Practice for Culturally Competent Nursing Care : 2011 Update Marilyn K. Douglas, Joan Uhl Pierce, Marlene Rosenkoetter, Dula Pacquiao, Lynn Clark Callister, Marianne Hattar-Pollara, Jana Lauderdale, Jeri Milstead, Deena Nardi and Larry Purnell J Transcult Nurs 2011 22: 317 DOI: 10.1177/1043659611412965 The online version of this article can be found at: http://tcn.sagepub.com/content/22/4/317 Published by: http://www.sagepublications.com On behalf of: Transcultural Nursing Society Additional services and information for Journal of Transcultural Nursing can be found at: Email Alerts: http://tcn.sagepub.com/cgi/alerts Subscriptions: http://tcn.sagepub.com/subscriptions Reprints: http://www.sagepub.com/journalsReprints.nav Permissions: http://www.sagepub.com/journalsPermissions.nav Citations: http://tcn.sagepub.com/content/22/4/317.refs.html >> Version of Record - Sep 26, 2011 What is This? Downloaded from tcn.sagepub.com by Marty Douglas on September 27, 2011 412965 ouglas et al.Journal of Transcultural Nursing TCN22410.1177/1043659611412965D Commentary Journal of ranscultural Nursing T 22(4) 317–333 © The Author(s) 2011 Reprints and permission: sagepub.com/journalsPermissions.nav DOI: 10.1177/1043659611412965 http://tcn.sagepub.com Standards of Practice for Culturally Competent Nursing Care: 2011 Update Marilyn K. Douglas, DNSc, RN, FAAN1, Joan...
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...ability, and nearly 20% of adults in the U.S. are living with physical or mental disability.The oxford dictionary disability describes a disability as a physical or mental condition that limits a person's movements, senses, or activities. It can divided into physical or cognitive disability and then divided even further. A study conducted by Dinsmore allowed patients to reveal their concerns about their hospital care. As a result of this survey, a focused piece of research was commissioned to assess the levels of service being delivered to hospital patients with learning disabilities.Hahn conducted a study with advanced practice nurses and the interventions they use for older adults for preventive intervention model for adults aging with developmental disabilities. Healthcare organizations are expected to meet the needs of this diverse population and sensitive to patients with healthbased challenges and disabilities (Hahn 2014) . In the study conducted by Dinsmore and Higgins, the group for the study was recruited from a charity organization for people with disabilities. They wanted to help the conductors of the study with the project. The participants interviewed had to have a disability and had to have some type of experience being in a hospital setting.Thirteen interviews with this group were conducted and members of these people’s families were also interviewed and they provided a different vantage point for the disabled family member’s hospital stay...
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...My wish is to pursue a DNP and PhD in nursing to continue my interest in nursing research and use the knowledge to improve evidence based practices around the nation for patients in need of health care. Since the beginning of my freshman year, I have been actively involved in conducting research through an undergraduate research program called ReBUILDetroit at the University of Detroit Mercy. This program is funded by the NIH to offer underrepresented students an opportunity to conduct biomedical research in their field of interest with intentions to pursue a PhD. Using my scientific and leadership knowledge, I want to change the world. As a compassionate nurse scientist, my research will create powerful influences in our society and change the perception of nursing in the medical field and improving the...
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...prevalent; the demographic profile continues to grow and change (Gordon, 2013). In order provide effective and efficient health services; health care organizations need to develop cultural and linguistic competence (Gordon, 2013). The aim for health care organizations is to achieve cultural competence as evidenced by every patient regardless of race, ethnicity, culture or language receiving the highest-quality care (Betancourt, Green, Carrillo, & Park, 2005). Betancourt, Green, Carillo, and Ananeh-Firempong II (2003) defined a cultural competent health care organization as one that recognizes and integrates the importance of culture, cultural differences, cultural knowledge and services to meet the distinctive needs of the culture. This cultural competence encompasses integration and interaction of beliefs, behaviors, disease prevalence and incidence and treatment outcomes for diverse patient populations (Betancourt et al., 2003). In the case study: Diversity Conflicts in the NICU the manager has identified practices in the NICU that are not representative of a culturally competent organization. While reflecting on the diverse population that her staff comprises of the manager debates changing her hiring practices to avoid the amount of growing conflicts. Gordon (2013) discusses how health care organizations have an obligation to develop policies and practices that will assist in recruiting, retaining, and managing the various cultures represented in the workforce to offer both...
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...uses, attributes and how it will relate to a certain field. The goal of this paper is to convey the conceptual meaning of rurality as it relates to oral health and its impact on advanced practice nursing. Purpose The purpose if this concept analysis is to present a theoretical understanding of oral health among rural populations. Despite important links between oral health and general health, oral diseases are common and public health and prevention efforts aimed to improving oral health have lagged prevention efforts. Research shows that the key to improving oral health is through preventative care and early treatments. However, many individuals within rural communities do not have access to preventive programs and early treatment; whether it is due to financial burden, uninsured, distance to treatment, lower rates of water fluoridation or poor access to care providers. People who have the least access to preventive services and dental treatment have greater rates of oral diseases (“Oral Health”, 2013). Evidence In 2000, the United States Surgeon General’s report on “Oral Health in America” defined oral health broadly, emphasizing that oral health is “integral to general health; oral health means more than healthy teeth and that you cannot be healthy without oral health.” The World Health Organization defines oral health as “a state of being free from mouth and facial pain, oral and throat cancer, oral infection and sores, periodontal (gum) disease, tooth decay, tooth loss...
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...sought to find an appropriate model to predict the risk of unplanned heart failure readmissions. The primary outcome from chart reviews also included death of heart failure patients within 30 days of discharge. The study looked at Centers for Medicaid and Medicare Services (CMS) models and the LACE+ index, to mention two of many that looked at prediction ability. The LACE+ index is a model that looks at length of stay, acuity, the Charlson comorbidity score and age, to predict readmissions. They found that no one model was appropriate in predicting the 30-day readmission rates, although using a combination of the models was an improvement to that predictor. The authors are all physicians, PhDs, or have a Master’s degree- helping to establish credibility. The authors also make a statement as to the funding of the project and that they (the authors) were solely responsible for all data collection, design and submission approval writing for the project, also lending credibility to the study. The references used for this study were appropriate in age, of the 28; 13 were within the last five years. Statistical data was gathered by experts and calculations made through third party experts, lending validity to the study. This article does not use the words ‘Evidence-Based Practice’ (EBP), but the CMC model is an EBP model, and many of the newer references make note to EBP. Although this was an interesting article, I may not use this in my final project. I...
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...A COMPARATIVE STUDY OF THE PHILIPPINES AND U.S.A. B.S. NURSING CURRICULUM In Partial Fulfilment of The Final requirements for the Subject CURRICULUM DEVELOPMENT ________________________________________ Prepared and Submitted by: ROTSEN J. JAMBONGANA, RN CHARMAINE S. DACLES, RN ANA TESSA SOLIGUEN, RN STEPHANIE VARELA, RN TRACY SARMIENTO, RN MICHELLE CAñA, RN PEARL DOLALAS, RN ________________________________________ Respectfully Submitted to: MRS. MERLE SALVANI, MN Professor MASTER IN NURSING University of St. La Salle March 2011 Abstract At the undergraduate level, individual college and university administrations and faculties sometimes mandate core curricula, especially in the liberal arts. But because of increasing specialization and depth in the student's major field of study, a typical core curriculum in higher education mandates a far smaller proportion of a student's course work than a high school or elementary school core curriculum prescribes. In the United States, most control over education rests with the various state governments. Each state has different laws and objectives for education, but the states generally permit schools and colleges to operate with considerable independence and autonomy. As a result, American educational institutions can vary widely in the type and quality of their programs. To maintain consistent standards of education, the U.S. Department of Education officially recognizes private accrediting agencies...
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...Nursing Professionalism: Improving Education of Nurses on the topic of Breastfeeding NUR 3100 Professor Garcia Abstract Without breastfeeding, an infant looses valuable health and nutritional benefits. The mother also has the potential to develop serious complication derived from labor. Through adequate education nurses, become more competent in encouraging and educating new mothers to breastfeed. The purpose of this paper is to explore and define the themes, roles and philosophy of Aurora University’s School of Nursing. These themes, roles and philosophies are important because they give nurses’ knowledge for which to base their professional careers on. With this base nurses are better prepared to educate the community of women on breastfeeding. Nursing Professionalism: Improving Education of Nurses on the topic of Breastfeeding In the professional nursing field nurses are expected to carry out the philosophies, themes, and roles of the nursing field. Aurora University’s School of Nursing outlines the importance of the themes, roles and philosophy so their students can one day provide patients with exemplary care. Without fully understanding the themes and roles of nurses, students will not be able to provide competent care. The roles of a nurse can be applied in many areas. One area in particular is in educating women about breastfeeding. In order for nurses to fully educate new mothers about breastfeeding, nurses must first have adequate education themselves...
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...just about 50,000 cases every year, in that, during 2008–2009, there were 36,097 reported cases of Clostridium difficile (Health Protection Agency, 2009). Almost the same rate is listed for Germany, highlighting a clear need for decisive action. This research examines the main causes if HCAIs, and discusses the relationship between compliance with hand hygiene guidelines and stress among nursing professionals in one German hospital (Knoll, Lautenschlaeger, & Borneff-Lipp, 2010). This paper explores the factors associated with hand hygiene compliance of nurses during routine clinical practice. The purpose of this research was to clarify whether external factors such as ward capacity, or level of nursing intensity had an influence on nursing staff compliance with hand hygiene guidelines. The research questions in this study are; does hand hygiene between healthcare workers decrease healthcare associated infections (HCAIs)? Does exterior factors influence on nurses compliance with hand hygiene guidelines? The hypothesis of this study is; workload factors like maximum ward capacity, severity of patient cases, have an influence on nurse’s compliance with proper hand hygiene guidelines. Study Variables A total of nine variants were used in this paper. Records from the descriptive interviews were used as dependent variables. The ward-specific workloads considered on one side as the rate of used ward capacity, and on the other as the degree of nursing intensity which were...
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...Associate degree in Nursing and the Bachelors degree in nursing ultimately lead to a nursing profession in the health care industry, there are many differences between them. The fast growing complexity of health care and broadening clinical knowledge have forced nurses to have the educational preparation to meet its complex demand. Unlike the Associate degree program (ADN), the Baccalaureate program (BSN), prepares professional nurses whose practice is based upon science in order to restore and maintain health. Both the ADN and the BSN degrees lead to a profession as a registered nurse upon successfully passing the NCLEX board of licensure exam. However there are major differences that set both degrees apart in the Health care industry There are major differences between the ADN and BSN degrees. One of the differences is the length of time required to complete both programs. The Associate degree requires two years of course work to complete whereas the Bachelors degree normally requires four years of course work. In some instances it but could be less especially in cases where the prospective student already has a bachelors degree in another field or an associate degree in nursing from a community college. In comparing the competencies of both the ADN and BSN degrees both programs produce competent graduates even though the BSN offers courses that are not offered in the ADN program. Some examples of the courses include: leadership and management, nursing theories including...
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...Nursing in 3D: Diversity, Disparities, and Social Determinants The Social Determinants of Health: It’s Time to Consider the Causes of the Causes Paula Braveman, MD, MPHa Laura Gottlieb, MD, MPHb ABSTRACT During the past two decades, the public health community’s attention has been drawn increasingly to the social determinants of health (SDH)—the factors apart from medical care that can be influenced by social policies and shape health in powerful ways. We use “medical care” rather than “health care” to refer to clinical services, to avoid potential confusion between “health” and “health care.” The World Health Organization’s Commission on the Social Determinants of Health has defined SDH as “the conditions in which people are born, grow, live, work and age” and “the fundamental drivers of these conditions.” The term “social determinants” often evokes factors such as health-related features of neighborhoods (e.g., walkability, recreational areas, and accessibility of healthful foods), which can influence health-related behaviors. Evidence has accumulated, however, pointing to socioeconomic factors such as income, wealth, and education as the fundamental causes of a wide range of health outcomes. This article broadly reviews some of the knowledge accumulated to date that highlights the importance of social—and particularly socioeconomic— factors in shaping health, and plausible pathways and biological mechanisms that may explain their effects. We also discuss...
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...Health Care Economics and the Uninsured School of Nursing Health Care Economics and the Uninsured The United States health care system is a large and complex structure organized to deliver health care services to the country’s residents (Maurer, 2013). The system is not systematically organized, but is the result of the interrelationships between numerous influences such as culture, consumers, epidemiology, health professionals, governmental policy, technology, and economics (Maurer, 2013). Due to the various, and, often conflicting, interests on the U.S. health care system, large disparities exist in the delivery of health care to consumers. In fact, according to Maurer (2013), “the consumer is the most vulnerable component and is the most likely to be hurt by ineffective functioning of the system” (p. 63). Because of the ineffectiveness of the current system for so many Americans and the disparities that exist among consumers, the American Nurses Association [ANA] (2008) described the current U.S. health care system as “in a state of crisis” (Executive Summary, para. 1). For many Americans, the major obstacle preventing them from receiving quality and reliable health care is a lack of health insurance (Agency for Healthcare Research and Quality [AHRQ], 2012; Maurer, 2013; Kaiser Commission on Medicaid and the Uninsured [KCM&U], 2012). More specifically, the way our health care system is financed, a piecemeal approach of...
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...Running head: HEALTH PROMOTION IN NURSING CARE HEALTH PROMOTION IN NURSING CARE Donna Pisarski Grand Canyon University Family-Centered Health Promotion NRS-429V Ms. Renita Holmes September 21, 2012 Health Promotion in Nursing Care This paper will discuss health promotion and what health care changes are occurring. Through the expanding role in nursing this paper discusses what those roles will entail and the use of primary, secondary, and tertiary care when developing a patient centered care plan. The health care field has been traditionally based around a concept of healing the ill, finding cures, and eradicating disease through immunizations, health being viewed as the absence of disease. Today’s medicine is changing to a new process, a process of promoting health and wellbeing through disease prevention, the teachings of healthy eating and being physically fit. A push to get people involved with and take responsibility for their own health is known as “health promotion”. President Obama signed the Affordable Care Act on March 23,2010, by doing this the whole climate of health care change. A call out for all health care professionals to practice to the full extent of their education and competencies, to streamline health care towards a patient centered system, and deliver a more primary care approach (Institute of Medicine, 2011, pp. 86-87). The goal by doing this is to improve health and wellness, quality of life, and in-turn reduce health care expenditure in...
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...Culture and Diversity in Nursing Amanda M. Jones Trinity Valley Community College Associate Degree Nursing Level II January 16, 2015 Culture and Diversity in Nursing Cultural Assessment With there being such a plethora of cultures in the world, there are so many different beliefs and practices involving health and wellness, that almost everyone has a different definition of health, and different views on disease and illness in general. My definition of health involves many different aspects, but most importantly living a healthy lifestyle overall; being free from illness, and doing everything possible to stay that way. Eating a well-balanced diet, exercising regularly, and getting plenty of sleep along with protecting your body from the harsh outside world, and maintaining proper hygiene are the most beneficial in being healthy. In fact, I believe that the main cause of illness aside from harmful pathogens and stress is lack of proper diet, exercise, sleep, and basic hygiene. Those things are essential to maintaining health. Anytime I start to get symptoms of a cold or illness, I immediately start taking vitamin C and drinking plenty of water. I usually do not seek medical care unless I am certain that I need antibiotics, as I like to take more of a holistic approach before using medicines any time possible. The same can be said about my pain management. I have a fairly high pain tolerance, and try to avoid using pain medications. When I am in pain I usually try to...
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