NR 394 Transcultural Nursing Full Course

Transcultural Nursing

Week 1 Discussion

Models of Transcultural Nursing

CO1: Identify theories, concepts, and beliefs
related to transcultural nursing. (PO1)

Chapter 1 of Andrews and Boyle (2016) discusses
Leininger’s Sunrise Model of transcultural nursing. However, other models are
described and are important to acknowledge, as well.

Research the wonderful scholarly resources
available to you in the Chamberlain Library. Select a Transcultural Nursing
Model/Theory.

Briefly explain the model/theory in your own
words so your classmates will understand the general premises of the
model/theory.

Then, explain how you would be able to apply the
model in your practice setting.

 

Transcultural Nursing

Week 2 Discussion

Transcultural Nursing Skills Self-Assessment

CO2: Describe cultural differences related to
drugs.

CO4: Perform a culturally competent nursing
assessment. (PO7)

Nurses complete assessments on individuals on a
daily basis. Self-assessments are in order before considering our abilities to
provide culturally competent nursing care.

Complete Transcultural Nursing Skills
Self-Assessment Form (Links to an external site.)Links to an external site.

Note the number of No answers in your
self-assessment. Share one or two of your No answers with your classmates, and
describe how you will convert the No to a Yes over the next few weeks.

What interventions are needed to turn each No
into a Yes response?

 

Transcultural Nursing

Week 3 Discussion

Healthcare Needs of a Specific Minority Group

CO2: Communicate effectively with culturally
diverse individuals, families, and organizations. (PO3)

CO4: Perform a culturally competent nursing
assessment. (PO7)

Each of our communities is comprised of groups
that we consider minorities.

Name and describe the healthcare needs of a
minority group in your community/city.

Describe the characteristics of the group and
opportunities you see for improving the health of the group.

How can you use your enhanced communication
skills to share your concerns with the “powers that be” in your
community to improve their healthcare status?

 

Transcultural Nursing

Week 4 Discussion

Common Illnesses and the Use of CAM

CO1: Identify theories, concepts, and beliefs
related to transcultural nursing. (PO1)

We encounter patients after they have explored
various avenues of self-help. At times, these avenues involve the use of
complementary and alternative medicine (CAM). Our readings this week are very
helpful.

Select a common (or not so common) illness or
condition that affects a specific ethnic group.

Identify two (2) CAM therapies that patients are
likely to try before seeking (or in addition to) allopathic, osteopathic, or
ayurvedic medical intervention for the illness or condition.

Discuss the effectiveness of each therapy you
identified.

Note: Do not discuss an illness or condition
about which a classmate has already posted. The diversity will lead to a more
robust discussion. There are many examples you may discuss, including
sickle-cell disease in African Americans, constipation in the elderly people,
or the use of Reiki for mental and emotional healing by Japanese people. Think
of others from your practice settings or prelicensure experiences.

 

Transcultural Nursing

Week 5 Discussion

Transcultural Perspectives Across Lifespan

CO2: Communicate effectively with culturally
diverse individuals, families, and organizations. (PO3)

CO Perform a culturally competent nursing
assessment. (PO7)

This week select and read one of the chapters of
particular interest to you listed in Assignments under Readings;

discuss what information you should obtain to
develop and implement culturally appropriate plans of care for an individual of
this group; andshare a brief case study or exemplar as a way to share your
formation.

Examples:

Childbearing: A young Hasidic mom just emigrated
from Israel to the United States. She is at term and comes to your Mother/Baby
Unit for delivery.

Children: Oman is 5 years old. His family
members are refugees from Syria. At the local community center a routine blood
sugar test indicated his results were very high. He now needs hospitalized for
control.

Adult: Luca moved to the United States after
earning her BSN in Manila, Philippines. She works three jobs so that she can
send money home to her family. She needs a treatment for breast cancer, but
taking time off from any of the jobs will create a hardship on her local and
extended family at home.

Older Adult: KC is 72 years old and came to the
United States many years ago from Ghana. He is divorced, his children do not
live in the area, and you often see him at the senior citizen’s center where
you volunteer. He has uncontrolled hypertension.

Mental Health: Arkady was born in the former
Soviet Union. He has battled depression most of his adult life and has been
hospitalized again in the mental health facility 30 miles from his family for a
suicide attempt. Although he has health insurance, the benefits for his
diagnosis are about to expire.

 

Transcultural Nursing

Week 6 Discussion

Standards of Practice

CO3: Describe standards of practice for
culturally competent nursing care. (PO6)

The basis for our lesson this week came from the
Standards of Practice for Culturally Competent Nursing Care Executive Summary,
Transcultural Nursing Society: https://www.tcns.org/standards (Links to an
external site.)Links to an external site..

Assume your nursing leader has decided that the
department needs to better incorporate these Standards of Practice for
Culturally Competent Nursing Care into the nursing care delivery model at your
organization. There are 12 Standards.

Download and read the Executive Summary, and
select one of the 12 standards as the basis for the discussion. Think about the
standards as they relate to culturally sensitive care.

Explain how your department or organization
currently gives credence to this standard.

If it does not, from your newfound knowledge,
offer suggestions of how the standard can be incorporated into patient care in
your department or organization.

Note: Make sure you choose a standard that
another student has not selected. Keep in mind that each of us does not work in
an acute care setting, so examples from other practice settings will add to a
more robust discussion.

 

 

Transcultural Nursing

Week 7 Discussion

Diversity in the Healthcare Workforce

CO2: Communicate effectively with culturally
diverse individuals, families, and organizations. (PO3)

As nurses, we work with providers and healthcare
team members whose native language is not English. In fact, some of you may
have interviewed a non-native English speaker for your Course Project. This
diversity may lead to challenges with communication and the nurse being
“caught in the middle.”

Reflect on your newfound knowledge of
transcultural nursing.

Share an example of miscommunication that
occurred as a result of this diversity and whether an adverse outcome resulted.

Describe how the miscommunication could have
been and will be prevented in the future.

 

Transcultural Nursing

Week 8 Discussion

Global Nursing Opportunities

CO5: Discuss the implications of global nursing
for healthcare delivery systems. (PO7)

Reflect on the TCN Self-Assessment you completed
during Week 2, and determine if your score changed.

Perform an Internet search, and locate one
Global Nursing Opportunity sponsored by a professional organization that
utilizes nurses as either paid employees or volunteers. Name the organization,
and include a working link. In your own words, share the organization’s
mission.

Share two contributions you could make to the
organization (patients served) based on your current experiences and future
career aspirations based on your learning from this course.

Identify personal opportunities for improvement
in providing culturally competent care.

 

Transcultural Nursing

Week 3 Course Project, Transcultural
Assessment Milestone 1 Individual’s Profile

Course Project, Transcultural Assessment
Milestone 1: Individual’s Profile (graded, 100 points)

The purpose of the Course Project is to give the
student the opportunity to apply concepts in transcultural nursing by
performing a transcultural nursing assessment.

The purpose of Milestone 1 is to identify an
adult who is not a relative who is willing to participate in the transcultural
assessment and to secure the instructor’s approval for the assessment. Note:
The actual assessment does not occur until Milestone 3. It is not a purpose for
this assignment.

Course Outcomes

CO1: Identify theories, concepts, and beliefs
related to transcultural nursing. (PO1)

CO2: Communicate effectively with culturally
diverse individuals, families, and organizations. (PO3)

CO4: Perform a culturally competent nursing
assessment. (PO7)

Points

The entire project is worth 600 points.
Milestone 1 is worth 100 points of this total.

Due Dates

You are to submit your completed Milestone 1 by Sunday, 11:59 p.m. MT, at the
end of Week 3.

Requirements and Guidelines

Review the Course Outcomes for this assignment,
which are listed above.

Review the guidelines for Milestones 1, 2, and
3, paying particular attention to Milestone 1 for this assignment. The
guidelines for all of the Milestones are located in Modules on the left-hand
navigation menu. Also, read the Course Project Overview page in Introduction
& Resources for more details and helpful tips.

Identify a potential individual who has been
living in a culture other than the one of origin for at least 2 years. This
individual must be born outside the United States. The individual can be a
patient, friend, or colleague, such as a physician, or acquaintance, but cannot
be a relative. The individual must be living in your community and must be
currently receiving or have previously received healthcare services in your
community. The individual’s race, ethnicity, language, religion, and culturally
based beliefs about healthcare and illness should be quite different from
yours. The individual must speak your language. An interpreter is not permitted
for the actual assessment, which occurs in Milestone 3 (Week 6).

Note: This is the same individual for whom you
will develop verbal assessment questions in Milestone 2 and whom you will ask
those questions in Milestone 3 and then reflect on your learning about the
Course Project and the assessment.

Individuals can come from a variety of settings.
Recent immigrants, migrant workers, exchange students, international students,
long-term care residents, refugees, coworkers, physicians, patients, employees
at local ethnic businesses, religious venues, community centers, and
individuals who have recently moved to your community are some suggestions. The
individual does not need to be a healthcare worker but must have received
healthcare services in the country of origin as well as since arriving in the
United States. Work with your instructor prior to submitting Milestone 1.
Approval must be provided by your instructor before submitting Milestone 1
(this assignment).

Speak with the individual, and obtain permission
to conduct an assessment later in the course. Clearly explain that statements
made in the assessment will be recorded (written) and submitted to the
instructor only. It is not intended for public distribution. Anonymity will be
maintained by using first and last initials only. Do not use names in any of
your documents.

Download the _Individual_Profile_Template (Links
to an external site.)Links to an external site.. Although you are not
performing the official assessment until Milestone 3, it will be necessary to
obtain some general information about your individual to complete Milestone 1.
This information may come from the individual or Internet sources.

Fill in information about the potential
individual using the template. You are expected to write clearly and use proper
grammar and spelling and eliminate typos.

Submit the completed template by the end of Week
3 at 11:59 p.m. MT.

Example: KC was born in Hwidiem, Ghana, a small
village in Africa, where he did not graduate from high school. He is 72 years
old. He immigrated to the United States at age 28 and has lived in Grove City
near Columbus, Ohio since then. Hwidiem is considered the provincial capital
(fill in information about the community or city as you can find). He was
married but divorced after a traumatic brain injury. Since then, he has had
many part-time jobs and studies his Bible faithfully. Grove City is a town in
Ohio (fill in information about the city or community). Currently, he receives
healthcare for his hypertension control. I met him 3 years ago at a senior
citizens’ center where I volunteer.

Course Project, Milestone 1: Transcultural
Assessment, Individual’s Profile,

Template

This is a template on which you will record
information for this assignment. Do not rely only on this template to determine
everything you must include!Please read theCourse Project Milestone 1:
Transcultural Assessment, Individual’s Profileguidelines, grading criteria,and
grading rubric on the assignment page in order to learn details of what to
report on this template.

Completing this templatedoes not include or
constitute your formal Transcultural Assessment, and Course Project
Reflections, (Milestone 3).The purpose of this assignment is to identify (and
describe) an adult who is not a relative and who is willing to be interviewed
and to secure your instructor’s approval of the individual for your Course
Project.

After receiving the approval from your
instructor about an individual to use for your CourseProject, type your answers
to the following questions using complete sentences and correct grammar, spelling,
and syntax. Note that the template is expandable.You may need more pages to
include the information that is requested in the guidelines for this
assignment.

Once you have completed the template, click Save
as and save the file with Assignment name and your last name e.g.,_Milestone1_Smith).
Submit to assignment page by 11:59 p.m. MT at the end of Week 3.

Title: Milestone 1

Your Name__________________________Individual’s
Initials______________________

1.
Describe the individual and culture of origin: Profession or career, age,
country of birth, culture of origin,and community/city of origin.Be specific.
(25 points)

2.
Name and state the number of years the individual has resided in yourcommunity.
Please verify that the individual has been living in a culture other than the
one of origin for at least the past two years.Provide a description of the
current community (your community) where the individual resides. Be specific.
(20 points)

3.
Describe your relationship with the individual, such as friend, colleague,
classmate, employee at local restaurant, healthcare worker, migrant worker,
etc.Be specific. (10 points)

4.
Explains reasons why you selected this individual that speak to the
individual’s culture of origin and experiences with the previoushealthcare
system. Describe the healthcare services that the interviewee has received in
the currentcommunity. Be specific.(40 points)

 

Transcultural Nursing

Week 4 Course Project,
Transcultural Assessment, Milestone 2 Guide and Questions

Purpose

The purpose of the Course Project is to give the
student the opportunity to apply concepts in transcultural nursing by
performing a transcultural nursing assessment. The purpose of Milestone 2 is to
develop an assessment guide utilizing open-ended questions that will encourage
participation by the individual.

Course Outcomes

The completion of the Course Project enables the
student to meet the following Course Outcomes.

CO1: Identify theories, concepts, and beliefs
related to transcultural nursing. (PO1)

CO2: Communicate effectively with culturally
diverse individuals, families, and organizations. (PO3)

CO4: Perform a culturally competent nursing
assessment. (PO3)

The entire project is worth 600 points.
Milestone 2 is worth 200 points of this total.

You are to submit your completed Milestone 2 by Sunday, 11:59 p.m. MT, at the
end of Week 4.

Requirements and Guidelines

Review the Course Outcomes for this assignment,
which are listed above.

Review the best practices in Introduction &
Resources and Course Project Overview in Canvas.

Research your individual’s cultural background
prior to developing questions. Think about the impact the culture of origin has
on the individual’s physical health; that is, what illnesses and conditions are
prevalent in this culture? What are commonly held beliefs about health in the
individual’s culture of origin that could influence the individual’s perception
of healthcare and health practices in the current culture/community?

Refer to Appendix A in your text and select five
(5) categories upon which you will concentrate for your assessment guide and
questions. Thoroughly review each of the categories, and think about your
individual.

Develop an assessment guide and questions with
specific initial and follow-up questions. Include questions that reflect a
thorough understanding of the categories (Appendix A) that you selected about
the influence culture may have on the individual’s health and well-being.

Review the Differences Between Closed and
Open-Ended Questions document (Links to an external site.)Links to an external
site.. Use the suggestions as you formulate/propose your initial and follow-up
questions.

Download the Milestone 2 assessment template
(Links to an external site.)Links to an external site. embedded in these
guidelines.

Fill in information using the template. This
does not require APA formatting; however, you are expected to write clearly and
use proper grammar and spelling. The template is expandable to accommodate your
typing.

Submit the completed template to the Milestone 2
assignment page by Sunday of Week 4 at 11:59 p.m. MT.

Prior to submission of Milestone 3, revise the
Assessment Guide and Questions based on instructor feedback.

Note: Do not schedule the assessment to occur
until after midnight on Friday of Week 5 to allow your instructor time to grade
this Milestone unless you have obtained special permission from your
instructor. Do not perform the assessment until after midnight on Friday of
Week 5 for the same reason. If the individual’s schedule requires that you
conduct the assessment before this day and time, consult your instructor
regarding early submission of Milestone 2 (Assessment Guide and Questions) to
ensure that you receive comments and incorporate revisions/suggestions in your
assessment. Make sure you obtain your instructor’s permission before
proceeding.

Course Project Milestone 2:

Transcultural Assessment Guide and Questions
Template

This is a template to record your information
for this assignment. Do not rely only on this template to determine everything
you must include! Please read Milestone 2: Transcultural Assessment Guide and
Questions guidelines, grading criteria, and grading rubric on the assignment
page in order to learn details of what to include on this template.

Review _Differences Between Closed and
Open-Ended Questions prior to completing this template.The link to this file is
located inthe Guidelines for this assignment. Go to Modules, Introduction &
Resources then Course Project Overview for best practices. Refer to Appendix A
in your text and select five categories upon which you will concentrate your
assessment guide and questions.

Type your answers to the following questions
using complete sentences and correct grammar, spelling, and syntax. Note
thistemplate is expandable. You may need more pages to include the information
that is requested in the guidelines for this assignment.

Once you have filled in the template, click Save
Asand save the assignment name and your last name. For example, “_Milestone2_Template_Smith”.
Submit to the Milestone 2 assignment page by 11:59 p.m. MT Sunday at the end of
Week 4.

Note: This template is expandable to accommodate
your typing.

Title: Milestone 2

Your Name:
__________________________Individual’s Initials______________

Individual’s Culture of
Origin_________________Age_____________Career/Profession_________________

1.
State the proposed date of the assessment which should not occur until after
Friday of Week 5. Describe the location of the assessment and how
privacy/confidentiality will be maintained.Be specific.(20 points)

2.
Describe the process you will use for documenting your assessment and what
steps you will take to ensure its accuracy. For example, do you plan to take
notes and then ask the subject for verification, or do you plan to record the
assessment in audio or video and then transcribe it?Be specific.(14 points)

3.
Identify five (5) categories from Appendix A in your text from which you would
like to develop primary (and follow-up) questions for your assessment. The
categories from which you may choose include:


Biocultural Variations and Cultural Aspects of the Incidence of Disease


Communication


Cultural Affiliations


Cultural Sanctions & Restrictions


Developmental Considerations


Economics


Educational Background


Health-Related beliefs and Practices


Kinship and Social Networks


Nutrition


Religion and Spirituality


Values Orientation

Type the names of the five categories you have
chosen in the table below in the column marked “Categories.”

4.
Develop one open-ended primary question for each of the five categories. Please
note that the questions should be in your own words and designed to elicit
meaningful responses. Use the table to type each question next to its
corresponding category. (60 points)

5.
Develop two open-ended follow-up questions for each primary question. Type
these next to the corresponding primary questions.Formulate questions that your
individual will understand. Avoid “medical/nursing jargon.”(40 points)

6.
Indicate reasons for asking specific questions that relate to culture of origin
and healthcare experiences. (50 points)

 

Categories Primary Question Related to Category Follow-up Questions for each primary question Indicate reasons for asking questions that are related to
culture of origin and healthcare experiences in local community. In other
words, why are you asking the questions? How will knowing the answers inform
your care of future patients for whom you may provide care?
Example
Name Category X:

Educational Background

Open question: Tell me how your
education in Cuba prepared you for your move to the US.

Closed question: Did you finish high
school?

 

Note: Only list Open Questions below. The Closed Question above
is for example purposes only.

1.
Open question: Share
with me how you learned English as a second language.

2.
Closed question: Do
you speak a foreign language?

Knowing the individual’s educational background will assist me
with determining his ability to read and write. This will be helpful for my
patient teaching.

Value placed on education is important to know as it may indicate
potential compliance with a plan of care and acceptance of responsibility for
one’s health.

1.
Open question: Help
me understand the differences between public and private education in Cuba.

2.
Closed question: Is
college paid for by the government?

 

Note: Only list Open Questions below. The Closed Question above
is for example purposes only.

Name Category 1

Category________

 

1.
2.
Name Category 2

Category________

 

1.
2.
Name Category 3

Category_________

 

1.
2.
Name Category 4

Category_________

 

1.
2.
Name Category 5

Category_________

 

1.
2.

 

Transcultural Nursing

Week 6 Course Project,
Milestone 3 Transcultural Assessment and Course Project Reflections

Purpose

The purpose of the Course Project is to give the
student the opportunity to apply concepts in transcultural nursing by
conducting a transcultural nursing assessment and reflection on completion of
the Course Project. The purpose of Milestone 3 is to perform an assessment and
reflect on learning related to the Course Project (3 Milestones). You will
complete a template reflecting on concepts of transcultural nursing related to
the assessment and reflect on learning.

Course Outcomes

The completion of the Course Project enables the
student to meet the following Course Outcomes.

CO1: Identify theories, concepts, and beliefs
related to transcultural nursing. (PO1)

CO2: Communicate effectively with culturally
diverse individuals, families, and organizations. (PO3)

Points

The entire project is worth 600 points.
Milestone 3 is worth 300 points of this total.

Due Dates

You are to submit your completed Milestone 3 by Sunday, 11:59 p.m. MT, at the
end of Week 6.

Requirements and Guidelines

Review the Course Outcomes for this assignment,
which are listed above.

Schedule a time to meet with the individual to
conduct a face-to-face assessment. You may not conduct the assessment by phone
call, e-mail, or by asking the individual to fill in the template. You must be
able to understand your individual. An interpreter is not allowed.

Do not perform the assessment prior to Week 6 in
order to receive feedback from your instructor regarding Milestone 2. This will
allow you time to make adjustments in your questions if needed. If the
individual’s schedule requires that you perform the assessment prior to Week 6,
consult with your instructor regarding early submission of Milestone 2 to
ensure that you receive timely feedback before the assessment occurs.

Perform the assessment in a professional manner
using the preapproved questions (Milestone 2).

Once you have completed the Assessment and
Reflections template (Links to an external site.)Links to an external site.,
click Save as, and save the file with assignment name and your last name (e.g.,
_Milestone3_Smith). Submit to assignment page by 11:59 p.m. MT at the end of
Week 6 by 11:59 p.m. MT.

Contact your instructor if you have any
questions.

Course Project Milestone 3: Transcultural
Assessment and Course Project ReflectionsTemplate

Use this template to record your information for
this assignment. Do not modify the template.Do not rely only on this template
to determine everything you must include! Please review Milestone 3:
Transcultural Assessment and Course Project Reflections guidelines, grading
criteria, and grading rubric on the assignment page in order to learn details
of what to include on this template.

Once you have completed this template, click
Save as and save the file with Assignment name and your last name e.g., _Milestone3_Smith).
Submit to assignment page by 11:59 p.m. MT at the end of Week 6 by 11:59 p.m.
MT.

Note: This template is expandable to accommodate
your typing.

Title: Milestone 3(Fill in all the blanks in
this section)

Your Name:
__________________________Individual’s Initials______________

Date& Time of Interview
________________Place of Interview_____________________

Working phone number or Email of Individual
Assessed_________________________

Individual’s Culture of Origin_________________Age_____________Career/Profession_________________

 

Assignment Criteria Type statements into the boxes below. Use direct quotes or
paraphrasing.

NOTE: See Milestone 3 GradingRubric for details required in each
area.

Introduction of Student,Individual being Assessed and Purpose of
Assessment

 

Individual Gives Permission for Assessment;

States Understanding of Ability to Refuse Answers and Stop
Assessment

 

 

 

Questions and Answers:

 

In the left column name the category based on those selected in
Milestone 2. Your instructor needs to know to which category your questions
and the answers pertain.

 

Primary Question #1:

Fill in Category________________

Student’s Question

Individual’s Answer

Follow-up a. Student’s Question

Individual’s Answer

Follow-up b. Student’s Question

Individual’s Answer

Primary Question #2:

Fill in Category________________

Student’s Question

Individual’s Answer

Follow-up a. Student’s Question

Individual’s Answer

Follow-up b. Student’s Question

Individual’s Answer

Primary Question #3:

Fill in Category_______________

Student’s Question

Individual’s Answer

Follow-up a. Student’s Question

Individual’s Answer

Follow-up b. Student’s Question

Individual’s Answer

Primary Question #4:

Fill in Category_______________

Student’s Question

Individual’s Answer

Follow-up a. Student’s Question

Individual’s Answer

Follow-up b. Student’s Question

Individual’s Answer

Primary Question #5:

Fill in Category_______________

Student’s Question

Individual’s Answer

Follow-up a. Student’s Question

Individual’s Answer

Follow-up b. Student’s Question

Individual’s Answer

 

Course Project Reflections See grading rubric for evaluation criteria.

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