...This practice based learning is a case study that involves discrimination towards a patient who is part of the traveling community. This practice based learning is a case study that involves discrimination towards a patient who is part of the traveling population within our society. My group colleagues and I decided to use the same methods of collecting information as in the previous case studies. I feel very frustrated because there is a lot of ignorance within our society, lack of information and understanding of people who disregard others because of were they come from. Firstly I make reference to the NMC’s guidance on anti-discrimination practice; As a qualified nurse I am personally accountable for my practice, and when caring for my patients I must; 1.1 Respect the patient as an individual 1.2 Protect and support the health needs of individuals 1.4 I have a duty of care to patients, who are entitled to receive safe and competent care. 2.3 As a registered nurse I am personally accountable for ensuring that I promote and protect the interests and dignity of patients and clients, irrespective of gender, age, race, ability, sexuality, economic status, lifestyle, culture and religious or political beliefs. 2.4 I must promote the interest of patients. This includes helping individuals and groups gain access to health and social care, information and support relevant to their needs. The NHS is accountable for all acts and omissions that relate to equality and human...
Words: 4035 - Pages: 17
...Introduction Community or public health nursing is a concept intended to shift the focus of the traditional nurse role to a global scope. Nursing practice is based in the art and science of identifying individual patient responses to illness and decreasing patient suffering when possible. Public health nursing expands beyond the individual to explore causative health related factors both negative and positive within the community, while developing processes to alleviate suffering while promoting wellness. Group Definition of Community/Public Health Based on the definition offered by Radzyminski (2007), this group collectively redefines community or public health nursing as a collaborative community based, socially responsible and resource conscientious approach to the delivery of wellness within a specific population by a Registered Nurse. The Texas Department of Health’s (April 12, 2011) echoes this concept in their vision statement embracing illness prevention and public health promotion. The focus on the greater-good of the population, as described by Sidorov and Romney (2011, p. 17), does not discount the individual. Indeed, public health promotion and protection may actually advance patient self-care. With a strong community health system, the individual is better able to work within that system to improve their own health status, self-intervene early with many a health exacerbation, and rely on efficient and effective healthcare options (Sidorov & Romney...
Words: 821 - Pages: 4
...heritage assessment tool, used alone, was not very useful in assessing health practices and needs. However, it was helpful in identifying similarities in generations. The tool asks very basic questions but it does not gain specific information about what people do, how they deal with sickness, how they live their lives, and whether or not they base their personal practices on their family history. If health providers are only using this tool to develop specific information about health practices, they will not find it useful without additional cultural information. It is very important for health care providers to be aware and knowledgeable of the various heritage practices and be able to work with these families to identify and address specific health concerns. Some of the information gained through a heritage assessment tool teaches us that some families pass along traditions through their familial line more than others. This only means that some families value traditional practices, while others may modify the traditional practices to make it unique to their own family. Creating a more detailed heritage assessment on families, in addition to using the tool, is very important to gain vital information about how different people maintain, promote, and improve their health. Todd McKee stated, “Efforts to eliminate health disparities arising from cultural differences should focus on building patient-clinician trust relationships, understanding the cultural contexts of health behaviors...
Words: 1487 - Pages: 6
...cultural background? What are the health beliefs of this person, what are their illness beliefs and practices? These questions are answered differently depending upon the person and their heritage. As healthcare providers it is important to have a broad knowledge base in regards to different cultures and people’s practices to deliver effective health care. In 2006, the population of the United States surpassed 300 million. The largest and fastest growing populations are the Hispanics followed by blacks, then Asians. With the ever-growing diverse population, it stands to rationale the importance of learning cultural aspects of health and illness. Cultural beliefs effect health decisions. Health care providers face the challenge of delivering effective care to diverse populations in a respectful manner that takes into consideration the values and preferences of their culture. Cultural care is a concept that encompasses the patient’s cultural needs, beliefs, and health care practices (Edelman & Mandle, 2010). This paper will examine different cultural health traditions and the effectiveness of applying a heritage assessment in evaluating the needs of the client. Applying a Heritage Assessment According to Merriam-Webster, heritage is defined as “valued objects and qualities such as cultural traditions, unspoiled countryside, and historic buildings that have been passed down from previous generations” (“Heritage”, n.d.). One way for health care providers to measure the importance...
Words: 1102 - Pages: 5
...Heritage Assessment Paper Grand Canyon University Family-Centered Health Promotion NRS 429 V Jen Costello October 6, 2013 Heritage Assessment Paper Because of the multicultural population dynamic existing in our country today as well as the increasing diversity of culture expected in the future, nurses need a streamlined means to determine both patients and families’ cultural history as well as current relative cultural practices to better meet the needs of the population they serve. The utilization of the health assessment tool serves to be an efficient means in which to accomplish this endeavor. This paper will explore and compare the cultural influences and views of three families of various cultural backgrounds to include their cultural beliefs of health maintenance, health protection, and health restoration. Additionally, this paper will also distinguish as well as evaluate their common health traditions and evaluate family traditions. Heritage Assessment Tool It is important that nurses have a framework to comprehensively and systematically assess a patent as well as a families’ heritage and cultural background in order to better understand the values, beliefs and attitudes they embrace toward health care. At the same time it is equally important that the nurse understand the specific considerations, approaches, and manners in which health care should be...
Words: 1654 - Pages: 7
...Environmental Health The environment has a symbiotic relationship to the health of individuals, families and communities. The environment must be healthy in order for achievement of optimal health (Stanhope and Lancaster, 2014). Nurses have a responsibility to understand the health environmental risks, including how and what, should be included in assessment, planning and implementing interventions to reduce or eliminate the environmental risk. In addition, nurses must be able to communicate the environmental health risks, provide needed education and advocate for public policies to mitigate the risk to health (Stanhope and Lancaster, 2014). This paper will explore the nurse’s role in environmental nursing through the review of environmental principles, explaining differences between an environmental exposure history and an environmental health exam and the four phases of a chemical exposure. Finally, author will discuss the differences between community-based and community-oriented nursing and explain the how population-based approaches are applicable to the hospital setting. Environmental Principles According to Stanhope and Lancaster (2014), nurses must know how to assess for environmental health risks in order to help the individuals, families and communities they care for. In 1995, The National Academy of Science’s Institute of Medicine (IOM) published a report calling for all nurses to have a basic understanding of environmental health principles including...
Words: 2546 - Pages: 11
...well-educated nurses and quality health care. As a leading supporter of academic institutions that educate advanced practice registered nurses (APRNs), AACN is keenly aware of the direct link between graduate-prepared nurses and both patient safety and positive outcomes. Within the APRN community, Clinical Nurse Specialists (CNSs) play a unique role in the delivery of high quality nursing care. These clinicians are experts in evidence-based nursing and practice in a range of specialty areas, such as oncology, pediatrics, geriatrics, psychiatric/mental health, adult health, acute/critical care, and community health among others. In addition to direct patient care, CNSs also engage in teaching, mentoring, consulting, research, management and systems improvement. Able to adapt their practice across settings, these clinicians greatly influence outcomes by providing expert consultation to all care providers and by implementing improvements in health care delivery systems. AACN supports the full definition of the Clinical Nurse Specialist outlined in the American Nurses Association’s 2004 publication titled Nursing: Scope & Standards of Practice. (See Attachment A). Further, the growing body of research on CNS outcomes shows a strong correlation between CNS interventions and safe, cost-effective patient care. CNS practice has been directly linked to reducing hospital costs and lengths of stay, reduced frequency of emergency room visits, improved pain management practices, increased patient satisfaction...
Words: 3039 - Pages: 13
...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...
Words: 12731 - Pages: 51
...The role of the community and public health nurse Community and public health care nursing is a different type of nursing than that of a clinical nurse. The patients people in the community that have a specific needs, the focus is on one major population or a health care issue within a community. The role of these nurses is to provide care to populations that may not otherwise receive care, or provide education about certain conditions, and develop strategies on how to treat and prevent complications based on evidenced based practices. In order to deliver this type of care, a community or public health nurse must have an educational background that includes a strong research base regarding public and community health issues, additionally these nurses must have a pulse on the public and what resources are available to fill the needs of the public. Public health nurses must have excellent critical thinking skills, in that if presented with a disease process that is a community based illness, then they must investigate the origination, recognize that there may be multiple factors involved and diagnose and develop a plan of care to treat. A community or public health nurse is an autonomous figure in that they must treat each case as an individual case until or unless there are similar cases. in the case of individual cases, a diagnosis and treatment plan based on evidenced based practices must be put into place, taking into consideration, the patients resources and the community...
Words: 451 - Pages: 2
...Emerging Standards of Care: Cultural Competence in a Long Term Care / Skilled Nursing Facility Susan Mateo NUR/531 Tracey Lane Emerging Standards of Care: Cultural Competence in a Long Term Care / Skilled Nursing Facility Of the many challenges facing the 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...
Words: 2780 - Pages: 12
...Cultural Competency Assessment Cultural Competency Assessment Cultural competency is a combination of attitudes, behaviors, and policies that creates a system within an organization or among groups. It allows people to work together effectively in cross-cultural, diverse situations. Culture is the pattern of behaviors that includes a person’s actions, thoughts, communications, beliefs, values, language, and institutions of social, ethnic, racial, and religious groups. Competence determines whether a person can function effectively as an individual, group, or organization within the context of the cultural behaviors, beliefs, and needs of clients and the communities in which he or she resides (Sutton, 2000). America is considered the “the melting pot” because of the culturally diverse communities we live, work, and play in. Importance of Cultural Competence America is a combination of diverse race and cultures, such as White, Asian, Native American, African American, Hispanic, and many others. Although every culture has created a new way of life in the 21st Century, each group has preserved values and beliefs from his or her original culture. Human service professionals need to provide services with objective, nonjudgmental, knowledgeable, open-mindedness, and the williness to understand the needs of each client. For example, a human service professional not aware of the Native American Child Welfare Policies may remove a child from his or her tribal family, and place that...
Words: 1855 - Pages: 8
...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 and preferred...
Words: 1756 - Pages: 8
...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...
Words: 3438 - Pages: 14
...Community Health Assessment. Preventing the occurrence of genital herpes in the community can be accomplished by educating and targeting changes in sexual behaviors in high-risk populations; young adults aged 20-29 years old. Educating individuals on signs and symptoms, morbidity and mortality data, associated with the disease have increased effectiveness when individuals of high risk groups are targeted. Primary prevention strategies of genital herpes in at-risk populations of young adults can be accomplished using a family-focused practice. Sexual health is a sensitive subject best communicated by family or someone close to the individual. Family-focused practice supplies needed information to young members of the community before...
Words: 1338 - Pages: 6
...Cultural Diversity: Clients, Context, and Caring Health Promotion and Caring for Communities and Families ------------------------------------------------- Week 4: Friday October 11, 2013 Prologue Care is the essence of nursing. Care involves recognizing and transcending the barriers and challenges established by cultural differences. The nurse considers the common threads that are held by all, as well as the unique elements maintained by the client What is Culture? * Culture is a learned, patterned behavioural response acquired over time that includes implicit versus explicit beliefs, attitudes, values, customs, norms, taboos, arts, and life ways accepted by a community of individuals. Culture is primarily learned and transmitted in the family and other social organizations, is shared by the majority of the group, includes an individualized worldview, guides decision making, and facilitates self worth and self-esteem * “The learned, shared, and transmitted values, beliefs, norms and lifeways of a particular culture that guides thinking, decisions and actions in patterned ways and often intergenerationally” (Leininger, 2006 as cited in Stamler& Yiu, 2012, p. 125) * Culture is more than beliefs, practices, and values (Aboriginal Nurses Association of Canada, 2009) * Culture is learned, shared, and changes. It also encompasses all aspects of our lives. What we have learned to value represents our assumptions about how to perceive, think, and...
Words: 1528 - Pages: 7
