Assignment 4: Health screening for hypertension

Read chapter 11 of the class textbook and review the attached PowerPoint presentation. Once done work on the following exercises;

Write a summary on the role of the family in the care and health of patients.
Include a discussion of the dynamics of family and culture related to health beliefs and community health.
Identify a few cultures that have male heads of family who make decisions for all family members.
Write a paragraph on how to establish health screening for hypertension in a community center such as a church or park district.
What are the primary planning issues to consider while planning the health screening? How can you ensure that the screening was effective?
Search for a website that advertises for a health fair or health intervention in a community site. Write a one-paragraph summary.
As stated in the syllabus present your assignment in an APA format word document, Arial 12 font attached to the forum in the discussion tab of the blackboard titled “Week 11 discussion questions” for grading and in Turnitin to verify originality. If you don’t post your assignment in any of the required forums you will not get the points. A minimum of 2 evidence-based references besides the class textbook must be used. You must post two replies to any of your peers sustained with the proper references and make sure the references are properly quoted in your assignment. A minimum of 900 words is required. Please make sure to follow the instructions as given.

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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.

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.

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.

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.

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.

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.

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.

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

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

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

Cultural Issues in Community Nursing Practice #4

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

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.