Discussion Post Module 8: Cultural Considerations When Caring for Children of Diverse Backgrounds

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Discussion Question:

Almost half the children living in the U. S. live in poverty (Kersey-Matusiak, 2019). Social determinants of childhood health often lead to adverse health outcomes in children and across the life span.

Conduct a literature search to locate a journal article related to children living in poverty, maltreated children, LGBTQ children, or immigrant children. What are health risks disproportionately higher for the child population you selected? What supports could you offer the family through local or national organizations to address your selected population’s health risks? What factors influence your motivation to provide culturally sensitive care to your chosen population?

Grading Rubric: 

Content includes additional or novel points beyond the intent of the prompt. References are sufficient, scholarly in nature, and are formatted correctly in APA format.

Discussion Post Module 7: Cultural Considerations When Caring for Veterans and People Diagnosed as Obese

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Discussion Question:

Review the Case Example on page 260 in Chapter 12 in your text. Using the skills you have already gained from previous courses, what would you say to the nurse who told Mrs. L, “I am sure that delaying your lunch until we get you settled won’t hurt you a bit?” How can the nurse who made these statements improve her biases: “Isn’t it sad that all she can seem to focus on is her lunch? She needs to be on a strict diet.”

Select one of the articles found under Additional Resources and examine how the information presented may impact your nursing practice and help you understand the stigma associated with obesity. Study:

Patty reports all of the earlier findings to the others at the nurses’ station and adds, sarcastically, “Oh, and by the way, she weighs 600 pounds.” “So,” she adds, “I think I am going to need a little help.” Shortly after, the patient arrives and Kathy, the nurse assigned to care for the patient, and two other nurses approach the stretcher. One nurse whispers, “Well, I guess we’ve got our work cut out for us.” None of the others reply, but exchange glances of affirmation. After assessing the situation, Kathy states, “I am not exactly sure how we’re going to do this, I know we can’t transfer her with the transfer board that we usually use; we’ll have to call for the lift.” Mrs. L.’s stretcher is placed against the wall in the corridor until the lift arrives. While we are waiting Kathy begins, “I’ll check your vital signs and begin your nursing history.” Mrs. L. remarks, “I thought that I was to receive my lunch tray when I arrived on the floor, I am starting to feel a little shaky.” One nurse remarked, “I am sure that delaying your lunch until we get you settled won’t hurt you a bit.” Mrs. L. remained quiet and withdrawn throughout the remainder of the shift. After taking Mrs. L. to her room and providing her lunch, the nurses met in the conference room to do their charting. One nurse expressed concern about how they would manage the care of Mrs. L. Another announced that she would assist in every way she could, but that her bad back prevented her from assisting with lifting or positioning Mrs. L. Another nurse expressed frustration with people who allowed themselves to get that heavy: “Isn’t it sad that all she can seem to focus on is her lunch? She needs to be on a strict diet.” She’s going to have to work on developing some will power while she’s here. I really hope they put her on a strict diet.” “I’ll make sure she doesn’t have any extra food brought in from the outside,” another nurse offered. The charge nurse stated that she believed that everyone should take turns in being assigned to take care of Mrs. L. because with the amount of lift ing and moving required, her diabetes, wound care, and need for nutritional management, “it just wouldn’t be fair for anyone to be stuck taking care of her all the time.”

Kersey-Matusiak, G. (2018). Delivering culturally competent nursing care: Working with diverse and vulnerable populations (2nd ed.). Springer. ISBN: 9780826137272

ADDITIONAL RESOURCES: 

Amnesty International. (n.d.). Key facts about refugees and asylum seekers rights. Budiman, A., Tamir, C., Mora, L., & Noe-Bustamante, L. (2020, August 20). Facts on U.S. immigrants, 2018. Pew Research Centers Hispanic Trends Project. 

Center on Budget and Policy Priorities. (2020, July 16). Research Note: Number of People in Families with Below-Poverty. Pew Research Center. (2020). U.S. Hispanic population surpass 60 million in 2019, but growth has slowed. 

Pew Research Center. (2016). Hispanic trends: Overall number of U.S. unauthorized immigrants holds steady since 2009. Refugees International. (n.d.). Refugees International. 

Tolbert, J., & Damico, A. (2020, November 13). Key Facts about the Uninsured Population. Kaiser Family Foundation. 

Supplier Management Approaches

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In your discussion post, assess key supplier-management approaches. What are their strengths and weaknesses? What approach do you think the institution you selected uses? How does your selected institution benefit from the approach, and, if it does not benefit from their approach, why not. Apply at least two supplier-management approaches or models to your institution, and explain the benefits and drawbacks particular to your selected institution.

Organizational Culture

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Prior to beginning work on this discussion forum, read Chapters 13 and 14 in the course textbook, and the weekly lecture.

Understanding and assessing your organization’s culture can mean the difference between success and failure in today’s fast changing business environment.

In your discussion post, answer the following questions:

  • What is organizational culture and how are cultural values reflected in organizations?
  • What impact does organizational culture have on total quality management (TQM) practices and principles?
  • Can an organization change its organizational culture to promote TQM practices and principles?
  • Is it easy to change organizational culture?
  • What are common barriers to change?
  • What are some questions that organizations must ask and steps they must take in change management process?

Also address the following in your post:

Imagine you were asked to describe your organization What 10 words would you use to describe your company? What is really important? What does your organization reward and recognize? How would you assess your organization’s culture?

Finally, what is a learning organization? Select an organization of your choice, and explain why you think they are or are not an effective learning organization.