“Culture has a powerful effect on an organization and is recognized by many as the “glue” that holds an organization together and allows it to adapt to changing environments” (Glickman, Bagget, Krubert, Peterson, & Schulman, 2007). An environment that embraces diversity and equality will help assure the standards of nursing to include cultural competency. It is important for leadership and teams to understand the practices and behaviors of other cultures. Lack of cultural competence can be a barrier to effective communication and this can flow down to patients and the families we take care of. Patients are more diverse with the increase of global travel. All levels of the nursing workforce should reflect the diversity of the population the institution serves (Coe, 2013).  “Effective nurse leaders realize that diverse groups are more likely to consider a variety of different viewpoints; therefore, they are more likely to develop better, more creative solutions to problems”

My institution is located near one of the largest military installations in the United States. We see many patients of different cultures. I also live in Texas and we see a majority of patients that represent the Mexican culture. I would most definitely incorporate someone from the Mexican culture into my team. As a nurse leader I will need to understand the cultural differences among the staff. Having someone from the Mexican culture will help the team understand the language, health practices, beliefs and customs and this will allow for more effective communication with staff, patients and families. There are many dialects spoken in Mexico. They include Spanish, English and indigenous Indian language. Verbal communication is important and understanding that someone of Mexican cultural may stand close and use a loud voice is also important. Older adults do not maintain eye contact. Knowing that this culture may show up late to appointments, it is important to stress the reasons for being on time for health care appointments. Extended family tend to be a good resource for this population (Purnell, 2014).  This person will be able to help provide insight and education to staff. Having cultural diverse team and members will help the group learn and grow and provide safe, effective, quality care to our patients

Information

Research Topic 

Is telehealthcare a good option for nursing homes?

Thesis

The benefits of telehealthcare outweigh its shortcoming, and it is thus wise to adopt it in the delivery of care with advancement in technologies.

Homework. 

Choose one of the sources you will be utilizing in your final paper.

Using one passage from that source, provide an example of a quotation, an example of a paraphrase, and an example of a summary from that passage. Try to choose a passage of 50–100 words.

Use the same passage for your quote, paraphrase, and summary.

Clearly identify your quotation, paraphrase, and summary to avoid confusion.

Finally, include the reference list citation for the source you used.

In a separate paragraph, discuss the differences between quotations, paraphrases, and summaries. Identify when these types of methods might be more appropriate, and discuss how you think you might incorporate quotations, paraphrases, and summaries into your research paper.

This are the sources:

Dorsey, E. R., & Topol, E. J. (2016). State of telehealth. New England Journal of Medicine, 375(2), 154-161.

Greenwald, P., Stern, M. E., Clark, S., & Sharma, R. (2018). Older adults and technology: in telehealth, they may not be who you think they are. International journal of emergency medicine, 11(1), 2.

Lee, J. F., Schieltz, K. M., Suess, A. N., Wacker, D. P., Romani, P. W., Lindgren, S. D., … & Dalmau, Y. C. P. (2015). Guidelines for developing telehealth services and troubleshooting problems with telehealth technology when coaching parents to conduct functional analyses and functional communication training in their homes. Behavior analysis in practice, 8(2), 190-200.

Lunney, M., Lee, R., Tang, K., Wiebe, N., Bello, A. K., Thomas, C., … & James, M. T. (2018). Impact of Telehealth Interventions on Processes and Quality of Care for Patients With ESRD. American Journal of Kidney Diseases.

Polinski, J. M., Barker, T., Gagliano, N., Sussman, A., Brennan, T. A., & Shrank, W. H. (2016). Patients’ satisfaction with and preference for telehealth visits. Journal of general internal medicine, 31(3), 269-275.

Wade, V. A., Taylor, A. D., Kidd, M. R., & Carati, C. (2016). Transitioning a home telehealth project into a sustainable, large-scale service: a qualitative study. BMC health services research, 16(1), 183.

**** If you have different source to add, you can use it as well****

Remember not older than 2 years. Thanks