Culture, Family, and Community

Chapter 11: Culture, Family, and Community

 

Copyright © 2016 Wolters Kluwer Health | Lippincott Williams & Wilkins

 

 

Copyright © 2016 Wolters Kluwer • All Rights Reserved

 

1

Community-Based Settings #1

An understanding of culture and cultural concepts contributes to the nurse’s knowledge and facilitates culturally competent nursing care in community-based settings.

 

Nurses are moving from acute care to community-based settings.

 

 

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2

Community-Based Settings #2

Concepts such as partnership, collaboration, empowerment, and facilitation now form the basis for community-based nursing practice with individuals, families, and aggregates in the community.

 

An aggregate is a collection of people who can be thought of as a whole simply because they happen to be in the same place at the same time.

 

 

 

 

 

 

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3

Community-Based Settings #3

Community-based collaborative action research (CBCAR) is an approach for nurses to partner with communities to address health issues.

 

Care that is not congruent with the client’s value system is likely to increase the cost of care because it compromises quality and inhibits access to services.

 

 

 

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4

Overview of Culturally Competent Nursing Care in Community Settings

The use of cultural knowledge in community-based nursing practice begins with a careful assessment of clients and families in their own environments.

Cultural data are discussed with the client and family to develop mutually shared goals.

Nurses must take into account the diverse cultural factors that will motivate clients to make successful changes in lifestyle and behavioral modifications.

 

 

 

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5

A Transcultural Framework

Cultural/social/ecological approach:

Nursing focus is on the community as client.

A cultural/social/ecological framework facilitates a view of the community as a complex collective yet allows for diversity within the whole.

Assists the nurse to identify values and cultural norms of a community.

 

 

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6

Question #1

Is the following statement true or false?

 

The goal of practicing in a culturally sensitive manner is to provide care that the client, family, and health care providers are in agreement with.

 

 

 

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7

Answer to Question #1

True

Rationale: The use of cultural knowledge in community-based nursing practice begins with a careful assessment of clients and families in their own environments. Cultural data that have implications for nursing care are selected from clients, families, and the environment during the assessment phase and are discussed with the client and family to develop mutually shared goals.

 

 

 

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8

Cultural Issues in Community Nursing Practice #1

Cultural influences on individuals/families:

Family roles, communication, decision making

Health beliefs/practices, alternative therapies

Patterns of daily living

Social networks

 

 

 

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9

Cultural Issues in Community Nursing Practice #2

Cultural influences on individuals/families (cont.):

Identification with a cultural group, language

Nutritional practices

Religious preferences

Culturally appropriate behavior styles

 

 

 

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Cultural Issues in Community Nursing Practice #3

Cultural factors within communities:

Influence of demographics on health care; the United States is more diverse; morbidity/mortality rates

Subcultures in the United States and diversity within them

Refugee and immigrant populations, asylees

Dinka community

 

 

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11

Cultural Issues in Community Nursing Practice #4

 

 

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12

Cultural Issues in Community Nursing Practice #5

Cultural factors within communities (cont.):

Maintenance of traditional cultural values and practices, assimilation, acculturation, integration

Access to health and nursing care for diverse cultural groups :

Economic status

Discriminatory factors

Geographic location

 

 

 

 

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Question #2

Is the following statement true or false?

 

Assimilation and acculturation can be defined as the process by which individuals shed their traditional culture and lifestyle and embrace and adapt to their new culture—something all successful immigrants and refugees experience.

 

 

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14

Answer to Question #2

False

Rationale: The terms assimilation and acculturation refer to ways in which immigrants and refugees adapt and change over time. These terms may imply giving up one’s traditional culture for the dominant culture. Integration, incorporating some aspects of the new culture while maintaining cultural traditions and values, may better describe a successful immigrant or refugee experience.

 

 

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15

Assessment of Culturally Diverse Communities #1

The community nursing assessment often focuses on a broad goal, such as improvement in the health status of a group of people.

 

 

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16

Assessment of Culturally Diverse Communities #2

Basic Principles of Cultural Assessments:

1. All cultures must be viewed in the context in which they have developed.

2. The meaning and purpose of the behavior must be interpreted within the context of the specific culture.

3. There is such a phenomenon as intracultural variation.

 

 

 

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17

Assessment of Culturally Diverse Communities #3

Cultural competence in health maintenance and health promotion:

Cultural competence in community settings begins with anticipatory planning.

Cultural sensitivity, the ability to be aware of the needs and emotions of others, is essential to meeting health needs that exist within diverse cultural groups.

 

 

 

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18

Assessment of Culturally Diverse Communities #4

Cultural competence in health maintenance and health promotion (cont.):

Requires knowledge about:

Family systems

Coping behaviors

Lifestyle practices

 

 

 

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Assessment of Culturally Diverse Communities #5

Cultural competence in primary, secondary, and tertiary preventive programs:

The major aim of community-based preventive programs is to reduce the risk for the population at large, rather than to prevent illnesses in specific individuals.

In their daily practice, community nurses are often involved in activities related to all three levels of prevention.

 

 

 

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20

Assessment of Culturally Diverse Communities #6

Cultural Competence in primary, secondary, and tertiary preventive programs (cont.):

Primary—prevent the occurrence of an illness, disease, or health risk

Secondary—early diagnosis and appropriate treatment of a condition or disease

Tertiary—rehabilitation and the prevention of recurrences or complications

 

 

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21

Question #3

The community health nurse should target certain high-risk behaviors for change during pregnancy, such as smoking, using drugs, consuming alcohol, and maintaining poor nutritional habits. Which of the following levels of prevention does this demonstrate?

Primary

Secondary

Tertiary

Assessment

 

 

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22

Answer to Question #3

A. Primary

Rationale: A program of primary prevention would focus on preventing infant morbidity and mortality and other health problems in mothers and their infants.

Early prenatal care may enhance pregnancy outcome and maternal health by assessing risk, providing health advice, and managing chronic and pregnancy-related health conditions.

 

 

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23

The post Culture, Family, and Community appeared first on Infinite Essays.

In your own words, discuss what it meant by the qualitative research approach to knowledge generation.

  1. In your own words, discuss what it meant by the qualitative research approach to knowledge generation.
  2. What are the characteristics of qualitative research studies?
  3. Locate a nursing related journal article that used a qualitative research approach.  Using what you know about qualitative research, answer the following questions:
  4. What was the problem area and research question?
  5. What were the study’s concepts, independent variables, dependent variables, and operational definitions (if any)?
  6. How did the author overcome the limitations of doing a qualitative study?
  7. Did the author question any collective subjective beliefs? If so, what were they?
  8. Did the qualitative study incorporate “human concern” for the client with effective nursing practice?  Explain, providing examples from the study.

350 words

apa

USA based article

The post In your own words, discuss what it meant by the qualitative research approach to knowledge generation. appeared first on Infinite Essays.

How the governmental policy process informs the development, implementation, and assessment of policy within the realm of health care.

Benchmark – Informing Policy  

The purpose of this assignment is to examine the process of putting a new policy into place.

Write a 1,250 word paper according to the instructions provided below.

Review news stories and articles regarding a recent (within the last year) health-related policy ( not the Affordable Care Act).

Introduce this policy in your paper and discuss the following:

1. How the governmental policy process informs the development, implementation, and assessment of policy within the realm of health care.

2. The impact of your chosen policy on health care consumers, organizations, and systems.

3. The impact of your chosen policy on health care providers.

Now imagine you are adapting this policy to the health care organization at which you work (or where you wish to work). Describe the organization and discuss the following:

1. The stakeholders involved in policy formation and their impact on health care policy formation and structures.

2. The response you expect from those stakeholders.

3. The specific impact this governmental policy will make (positive, negative, indifferent) and why?

Incorporate two or three peer-reviewed scholarly resources in your paper.

Prepare this assignment according to the guidelines found in the APA Style Guide

 

Benchmark

 

Informing Policy

 

 

 

The purpose of this assignment is to examine the process of putting a new policy into place.

 

Write a 1,250

 

word paper according to the instructions provided below.

 

Review news stories and articles

 

regarding a recent (within the last year) health

rela

ted policy

 

(

not

 

the Affordable

Care Act).

 

Introduce this policy in your paper

 

and discuss

 

the following:

 

1.

 

How the governmental policy process informs the development, implementation, and assessment of policy

within the realm of health care.

 

2.

 

The impact of yo

ur chosen policy on health care consumers, organizations, and systems.

 

3.

 

The impact of your chosen policy on health care providers.

 

Now imagine you are adapting this policy to the health care organization at which you work (or where you wish to

work). Descri

be the organization and discuss the following:

 

1.

 

The stakeholders involved in policy formation and their impact on health care policy formation and structures.

 

2.

 

The response you expect from those stakeholders.

 

3.

 

The specific impact this governmental policy will

 

make (positive, negative, indifferent) and why?

 

Incorporate two or three peer

reviewed scholarly resources in your paper.

 

Prepare this assignment according to the guidelines found in the APA Style Guide

 

 

Benchmark – Informing Policy

 

The purpose of this assignment is to examine the process of putting a new policy into place.

Write a 1,250 word paper according to the instructions provided below.

Review news stories and articles regarding a recent (within the last year) health-related policy (not the Affordable

Care Act).

Introduce this policy in your paper and discuss the following:

1. How the governmental policy process informs the development, implementation, and assessment of policy

within the realm of health care.

2. The impact of your chosen policy on health care consumers, organizations, and systems.

3. The impact of your chosen policy on health care providers.

Now imagine you are adapting this policy to the health care organization at which you work (or where you wish to

work). Describe the organization and discuss the following:

1. The stakeholders involved in policy formation and their impact on health care policy formation and structures.

2. The response you expect from those stakeholders.

3. The specific impact this governmental policy will make (positive, negative, indifferent) and why?

Incorporate two or three peer-reviewed scholarly resources in your paper.

Prepare this assignment according to the guidelines found in the APA Style Guide

The post How the governmental policy process informs the development, implementation, and assessment of policy within the realm of health care. appeared first on Infinite Essays.

Discipline: Other : Occupational safety and health

Topic: Safety design review process

Type of paper: Essay (any type)

Discipline: Other : Occupational safety and health

Format or citation style: APA

 

Compose an essay in which you summarize the fundamentals of the safety design review process, systems safety, and prevention by design. In your essay, you should address the following issues:

Describe the safety design review process.

Explain the role and importance of safety in a safety management system.

Discuss how these concepts inter-relate with the safety management systems approach.

The essay must be a minimum of two pages, and it should use standard essay format with an introduction, body, and a conclusion.

You must use a minimum of two scholarly sources. Any information from these sources should be cited and referenced in APA format, and your paper should be formatted in accordance to APA guidelines.

The post Discipline: Other : Occupational safety and health appeared first on Infinite Essays.