ASSIGNMENT: NURS 6512 DIVERSITY AND HEALTH ASSESSMENTS AND PEER RESPONSES

ASSIGNMENT: NURS 6512 DIVERSITY AND HEALTH ASSESSMENTS AND PEER RESPONSES

ASSIGNMENT: NURS 6512 DIVERSITY AND HEALTH ASSESSMENTS AND PEER RESPONSES

Response

Hello Kimberley! Thank you so much for your insightful response to case study 1. It is true that socioeconomic factors refer to one’s status in the socioeconomic state. John Green experiences a range of socioeconomic issues that affect his access to healthcare services. One of them is her sexual identity. She is also currently unemployed, which makes it difficult for her to access the healthcare she needs. Income is a crucial determinant of not only healthcare access but also affordability. Housing status is another socioeconomic determinant for her health (Majid et al., 2020). The case study shows that she currently lives with her family and is afraid that she is a burden to them. I agree with your observation about the effect of these factors on her health and health outcomes.

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I agree with your identified issues that you need to be sensitive when interacting with John. It is true that sexual orientation issues are sensitive in the modern world since individuals such as John may experience social isolation or stigma based on their identity. Seeking information about HIV/AIDS and her current treatment regime and experience with the disease may also be a challenge. Therefore, it is important that nurses embrace effective strategies to ensure sensitivity when dealing with cultural factors when obtaining patient’s information. It is true that nurses should be competent in the delivery of culturally appropriate care. Cultural competence increases nurses’ awareness about the diverse cultural values, beliefs, and practices in their roles and their incorporation into the decisions made in the treatment process. I also agree with you that nurses should be competent therapeutic communicators (Sharifi et al., 2019; Studies, 2021). This helps establish trust with patients and promote relationship that is based on honesty

References

Majid, Z., Welch, C., Davies, J., & Jackson, T. (2020). Global frailty: The role of ethnicity, migration and socioeconomic factors. Maturitas, 139, 33–41. https://doi.org/10.1016/j.maturitas.2020.05.010

Sharifi, N., Adib-Hajbaghery, M., & Najafi, M. (2019). Cultural competence in nursing: A concept analysis. International Journal of Nursing Studies, 99, 103386. https://doi.org/10.1016/j.ijnurstu.2019.103386

Studies, B. J. of N. (2021). Therapeutic Communication Strategies in Nursing Process of Angry, Anxious, and Fearful Schizophrenic Patients | British Journal of Nursing Studies. https://al-kindipublisher.com/index.php/bjns/article/view/2623

Response to Eunice

Hello Eunice! Thank you so much for your insightful post on case study 1. I am surprised and at the same time, agree with your assertion that John’s problem has a spiritual cause. Spirituality is evident in John’s case since he has a strong belief that he is a female despite his biological orientation. The belief makes him manifest to the external world as a female. I also agree with you that socioeconomic factors influence John’s health. Socioeconomic factors are issues that influence one’s ability to access and utilize their fundamental needs such as health. Often, populations experience barriers such as unemployment, low income, and social disadvantages due to ethnicity that limit their access to healthcare services (Majid et al., 2020). The effect of these factors is evident in John’s case study. John is  currently unemployed. She also lives with her parents. She is worried that she may be a burden to her family. The above socioeconomic factors affect her access and affordability of care as seen from her depending on free Biktarvy.

I agree with your identified sensitive issues that you will consider when talking with John. It would be appropriate for nurses to be sensitive when talking about issues related to gender. Gender identity issues are of social importance since they act as social determinants of health in modern communities. I also agree with your assertion that one should be sensitive when seeking information about her HIV status and her experiences in the society. Chronic conditions such as HIV and depression act as a source of significant disease burden among the affected families and individuals. They also predispose patients to social isolation, stigma and inequalities in accessing the services they need. As a result, providers should be cautious when seeking such information since patients may misinterpret them (Studies, 2021). The targeted questions you provided are relevant. However, I would add more that focus on barriers to accessing healthcare, social determinants of health, and the coping strategies that John uses to overcome her challenges.

References

Majid, Z., Welch, C., Davies, J., & Jackson, T. (2020). Global frailty: The role of ethnicity, migration and socioeconomic factors. Maturitas, 139, 33–41. https://doi.org/10.1016/j.maturitas.2020.05.010

Studies, B. J. of N. (2021). Therapeutic Communication Strategies in Nursing Process of Angry, Anxious, and Fearful Schizophrenic Patients | British Journal of Nursing Studies. https://al-kindipublisher.com/index.php/bjns/article/view/2623

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DIVERSITY AND HEALTH ASSESSMENTS

May 2012, Alice Randall wrote an article for The New York Times on the cultural factors that encouraged black women to maintain a weight above what is considered healthy. Randall explained—from her observations and her personal experience as a black woman—that many African-American communities and cultures consider women who are overweight to be more beautiful and desirable than women at a healthier weight. As she put it, “Many black women are fat because we want to be” (Randall, 2012).

Randall’s statements sparked a great deal of controversy and debate; however, they emphasize an underlying reality in the healthcare field: different populations, cultures, and groups have diverse beliefs and practices that impact their health. Nurses and healthcare professionals should be aware of this reality and adapt their health assessment techniques and recommendations to accommodate diversity.

In this Discussion, you will consider different socioeconomic, spiritual, lifestyle, and other cultural factors that should be taken into considerations when building a health history for patients with diverse backgrounds. Your Instructor will assign a case study to you for this Discussion.

RESOURCES

 

Be sure to review the Learning Resources before completing this activity.
Click the weekly resources link to access the resources.

WEEKLY RESOURCES

LEARNING RESOURCES

Required Readings

• Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2019). Seidel’s guide to physical examination: An interprofessional approach (9th ed.). St. Louis, MO: Elsevier Mosby.
  • Chapter 2, “Cultural Competency”
    This chapter highlights the importance of cultural awareness when conducting health assessments. The authors explore the impact of culture on health beliefs and practices.
• Dains, J. E., Baumann, L. C., & Scheibel, P. (2019). Advanced health assessment and clinical diagnosis in primary care (6th ed.). St. Louis, MO: Elsevier Mosby.
  Credit Line: Advanced Health Assessment and Clinical Diagnosis in Primary Care, 6th Edition by Dains, J.E., Baumann, L. C., & Scheibel, P. Copyright 2019 by Mosby. Reprinted by permission of Mosby via the Copyright Clearance Center.
  • Chapter 2, “Evidenced-Based Clinical Practice Guidelines”
• Centers for Disease Control and Prevention. (2020, October 21). Cultural competence in health and human servicesLinks to an external site.. Retrieved from https://npin.cdc.gov/pages/cultural-competence
  This website discusses cultural competence as defined by the Centers for Disease Control and Prevention (CDC). Understanding the difference between cultural competence, awareness, and sensitivity can be obtained on this website.
• United States Department of Human & Health Services. Office of Minority Health. (n.d.). A physician’s practical guide to culturally competent careLinks to an external site.. Retrieved June 10, 2019, from https://cccm.thinkculturalhealth.hhs.gov/
  From the Office of Minority Health, this website offers CME and CEU credit and equips healthcare professionals with awareness, knowledge, and skills to better treat the increasingly diverse U.S. population they serve.
• Coleman, D. E. (2019). Evidence based nursing practice: The challenges of health care and cultural diversityLinks to an external site.. Journal of Hospital Librarianship, 19(4), 330–338. https://doi.org/10.1080/15323269.2019.1661734
• Young, S., & Guo, K. L. (2016). Cultural diversity trainingLinks to an external site.. The Health Care Manager, 35(2), 94–102. https://doi.org/10.1097/hcm.0000000000000100

Required Media

Module 2 Introduction
Dr. Tara Harris reviews the overall expectations for Module 2. Consider how you will manage your time as you review your media and Learning Resources for your Discussion, Case Study Lab Assignment, and your DCE Assignment (3m).

 

Functional Assessments and Cultural and Diversity Awareness in Health Assessment – Week 2 (10m)

 

• Walden University. (n.d.). Instructor feedbackLinks to an external site.. https://cdn-media.waldenu.edu/2dett4d/Walden/WWOW/1001/pulse_check/instructor_feedback/index.html#/

To prepare:

• Reflect on your experiences as a nurse and on the information provided in this week’s Learning Resources on diversity issues in health assessments.
• By Day 1 of this week, you will be assigned a case study by your Instructor. Note: Please see the “Course Announcements” section of the classroom for your case study assignment.
• Reflect on the specific socioeconomic, spiritual, lifestyle, and other cultural factors related to the health of the patient assigned to you.
• Consider how you would build a health history for the patient. What questions would you ask, and how would you frame them to be sensitive to the patient’s background, lifestyle, and culture? Develop five targeted questions you would ask the patient to build his or her health history and to assess his or her health risks.
• Think about the challenges associated with communicating with patients from a variety of specific populations. What strategies can you as a nurse employ to be sensitive to different cultural factors while gathering the pertinent information?

BY DAY 3 OF WEEK 2

Post an explanation of the specific socioeconomic, spiritual, lifestyle, and other cultural factors associated with the patient you were assigned. Explain the issues that you would need to be sensitive to when interacting with the patient, and why. Provide at least five targeted questions you would ask the patient to build his or her health history and to assess his or her health risks.

Note: For this Discussion, you are required to complete your initial post before you will be able to view and respond to your colleagues’ postings. Begin by clicking on the Reply button to complete your initial post. Remember, once you click on Post Reply, you cannot delete or edit your own posts and you cannot post anonymously. Please check your post carefully before clicking on Post Reply!   

Read a selection of your colleagues’ responses.

BY DAY 6 OF WEEK 2

Respond on or before Day 6 on 2 different days to at least two of your colleagues who were assigned a different patient than you. Critique your colleague’s targeted questions, and explain how the patient might interpret these questions. Explain whether any of the questions would apply to your patient, and why.

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NURS_6512_Week_2_Discussion_Rubric

NURS_6512_Week_2_Discussion_Rubric

Criteria	Ratings	Pts
This criterion is linked to a Learning OutcomeMain Posting	50 to >44.0 ptsExcellent “Answers all parts of the Discussion question(s) with reflective critical analysis and synthesis of knowledge gained from the course readings for the module and current credible sources. Supported by at least three current, credible sources. Written clearly and concisely with no grammatical or spelling errors and fully adheres to current APA manual writing rules and style. 44 to >39.0 ptsGood “Responds to the Discussion question(s) and is reflective with critical analysis and synthesis of knowledge gained from the course readings for the module. At least 75% of post has exceptional depth and breadth. Supported by at least three credible sources. Written clearly and concisely with one or no grammatical or spelling errors and fully adheres to current APA manual writing rules and style. 39 to >34.0 ptsFair “Responds to some of the Discussion question(s). One or two criteria are not addressed or are superficially addressed. Is somewhat lacking reflection and critical analysis and synthesis. Somewhat represents knowledge gained from the course readings for the module. Post is cited with two credible sources. Written somewhat concisely; may contain more than two spelling or grammatical errors. Contains some APA formatting errors. 34 to >0 ptsPoor “Does not respond to the Discussion question(s) adequately. Lacks depth or superficially addresses criteria. Lacks reflection and critical analysis and synthesis. Does not represent knowledge gained from the course readings for the module. Contains only one or no credible sources. Not written clearly or concisely. Contains more than two spelling or grammatical errors. Does not adhere to current APA manual writing rules and style.	50 pts
This criterion is linked to a Learning OutcomeMain Post: Timeliness	10 to >0.0 ptsExcellent Posts main post by Day 3. 0 ptsPoor Does not post main post by Day 3.	10 pts
This criterion is linked to a Learning OutcomeFirst Response	18 to >16.0 ptsExcellent “Response exhibits synthesis, critical thinking, and application to practice settings. Provides clear, concise opinions and ideas that are supported by at least two scholarly sources. Demonstrates synthesis and understanding of Learning Objectives. Communication is professional and respectful to colleagues. Responses to faculty questions are fully answered, if posed. Response is effectively written in standard, edited English. 16 to >14.0 ptsGood “Response exhibits critical thinking and application to practice settings. Communication is professional and respectful to colleagues. Responses to faculty questions are answered, if posed. Provides clear, concise opinions and ideas that are supported by two or more credible sources. Response is effectively written in standard, edited English. 14 to >12.0 ptsFair “Response is on topic and may have some depth. Responses posted in the Discussion may lack effective professional communication. Responses to faculty questions are somewhat answered, if posed. Response may lack clear, concise opinions and ideas, and a few or no credible sources are cited. 12 to >0 ptsPoor “Response may not be on topic and lacks depth. Responses posted in the Discussion lack effective professional communication. Responses to faculty questions are missing. No credible sources are cited.	18 pts
This criterion is linked to a Learning OutcomeSecond Response	17 to >15.0 ptsExcellent “Response exhibits synthesis, critical thinking, and application to practice settings. Provides clear, concise opinions and ideas that are supported by at least two scholarly sources. Demonstrates synthesis and understanding of Learning Objectives. Communication is professional and respectful to colleagues. Responses to faculty questions are fully answered, if posed. Response is effectively written in standard, edited English. 15 to >13.0 ptsGood “Response exhibits critical thinking and application to practice settings. Communication is professional and respectful to colleagues. Responses to faculty questions are answered, if posed. Provides clear, concise opinions and ideas that are supported by two or more credible sources. Response is effectively written in standard, edited English. 13 to >11.0 ptsFair “Response is on topic and may have some depth. Responses posted in the Discussion may lack effective professional communication. Responses to faculty questions are somewhat answered, if posed. Response may lack clear, concise opinions and ideas, and a few or no credible sources are cited. 11 to >0 ptsPoor “Response may not be on topic and lacks depth. Responses posted in the Discussion lack effective professional communication. Responses to faculty questions are missing. No credible sources are cited.	17 pts
This criterion is linked to a Learning OutcomeParticipation	5 to >0.0 ptsExcellent Meets requirements for participation by posting on three different days. 0 ptsPoor Does not meet requirements for participation by posting on three different days.	5 pts
Total Points: 10