NR 391 DISCUSSIONS – WEEKS 1, 2, 3 PAPERS

NR 391 DISCUSSIONS – WEEKS 1, 2, 3 PAPERS

NR391

NR 391 DeVry Week 1 Discussion Latest

Models of Transcultural Nursing (graded)

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. Besides Leininger’s model, what others are available? Describe one model and how you might apply it to your practice setting. An excellent resource may be found at the Transcultural Nursing Society’s website (http://www.tcns.org) Click on the Theories tab.

NR 391 DeVry Week 2 Discussion Latest

Transcultural Nursing Skills Self-Assessment (graded)

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

1. Complete the Transcultural Nursing Skills Self-Assessment Form located in Doc Sharing.

2. Note the number of “no” answers in your self-assessment.

3. 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.

4. What interventions are needed to turn each “no” into a “yes” response?

NR 391 DISCUSSIONS – WEEKS 1, 2, 3 PAPERS Week 3 Discussion Latest

Healthcare Needs of a Specific Minority Group (graded)

Describe the healthcare needs of a minority group in your city or town.

• Briefly describe the characteristics of the minority group.
• What opportunities do you see for improving the health of this group?
• How would you communicate their healthcare needs to people of authority? Use titles instead of names to identify these individuals.
• What is the role of the BSN-prepared nurse in enhancing communication skills related to cultural needs of this minority population?

NR 391 DeVry Week 4 Discussion Latest

Common Illnesses and the Use of CAM (graded)

Our patients come to us after exploring various avenues of self-help. At times, these avenues involve the use of complementary and alternative medicine (CAM) therapies. Select a common (or not so common) illness/ or condition that affects a specific ethnic group/ or cultural group or vulnerable population.

1. Name the condition/ or illness and the group/ or population.

2. 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.

3. Discuss the effectiveness of each therapy you identified.

4. Describe how you would answer an individual who asks you for your professional advice about the use of these CAM therapies.

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.

NR 391 DeVry Week 5 Discussion Latest

Transcultural Perspectives Across Lifespan (graded)

Select and read ONE of the chapters of particular interest to you listed in Assignments under Required Readings. Discuss what information you should obtain to develop and implement culturally appropriate care plans for an individual of this group. A brief case study or exemplar may be one way to present your information. For example, how would you provide culturally- appropriate care for an elderly female who is Muslim and presents to the Emergency Department with chest pain?

NR 391 DeVry Week 6 Discussion Latest

Standards of Practice (graded)

The basis for our lesson this week came from the Standards of Practice for Culturally Competent Nursing Care Executive Summary, Transcultural Nursing Society: http://www.tcns.org/TCNStandardsofPractice.html.

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.

Read the Executive Summary.

Select one of the 12 Standards in the Summary.

Does your department or /organization currently give credence to this standard? If so, how? Think about the standards as they relate to culturally sensitive care. If not, offer suggestions of how the standard can be incorporated into patient care or your organization as a whole.

Note: There are 12 standards, so make sure you choose a standard that another student has not described. We all have different takes on a standard so the standard should be specific for the patient population or organization. The typical number of students in a class means that we should only read about a particular standard twice. And, keep in mind that each of us does not work in an acute care setting, so examples from other practice settings will add to our discussion.

NR 391 DeVry Week 7 Discussion Latest

Workforce Diversity (graded)

As nurses, we often work with physicians or other 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.

1. Share an example of miscommunication that has occurred as a result of this disparity.

2. Reflect on your new-found knowledge of transcultural nursing, and describe how this miscommunication could have been prevented.

NR 391 DeVry Week 8 Discussion Latest

Professional Insight (graded)

Reflect on the Transcultural Nursing Self-Assessment that you completed during Week 2. Not all of us will have the opportunity to participate in an international nursing experience for even a few weeks, let alone as a career. However, if assuming you had the opportunity to practice this type of nursing, consider how you would answer the following questions. Make sure you address all components below:

1. What contributions would you be able to make that would be considered unique?

2. What experiences and wisdom would you bring to the care of your patients?

3. What challenges might there be for you and/or your family for participation in such an opportunity?

NR 391 DISCUSSIONS – WEEKS 1, 2, 3 PAPERS

ADDITIONAL INFORMATION 

Leininger’s sunrise model of transcultural nursing

Introduction

Transcultural nursing is a model of nursing that recognizes cultural differences in patient care. It describes a framework for patient care, which includes both cultural preservation and cultural maintenance, as well as accommodation or negotiation. The sunrise model of transcultural nursing was created by Adrienne Leininger (1936-2018) who was the first African American female to earn a PhD in nursing from the University of Wisconsin-Madison. She was also the first African American woman to serve as an Associate Professor at Harvard Medical School where she taught until her retirement in 1999. As with most models, this one has its critics but nonetheless remains an essential tool for understanding how transcultural care is best delivered by nurses working across cultures.

Leininger’s sunrise model of transcultural nursing

Leininger’s sunrise model of transcultural nursing

Cultural preservation

Cultural maintenance

Cultural care accommodation or negotiation, and finally, cultural repatterning or re-adaptation

Cultural preservation

Cultural preservation is the process of maintaining the cultural identity of a group. It is important to preserve the culture because it is a part of who they are.

This can be done through language and customs, but also through traditions, rituals and religious practices that have been passed down through generations.

Cultural maintenance

Cultural maintenance is the first stage of transcultural nursing. It is a process of preserving the culture of the patient, maintaining his or her traditional values and beliefs. This phase serves to maintain the cultural identity of patients who are experiencing distress in their lives due to social changes brought about by globalization and mass media consumption.

The goal for cultural maintenance is not only to help patients preserve their own specific cultures, but also to promote better health outcomes for all people worldwide by promoting positive attitudes toward health care systems as well as making them aware of how they can benefit from receiving treatment at foreign hospitals or clinics (Zaffron et al., 2010).

Cultural care accommodation or negotiation

The nurse can negotiate with the patient and family to identify the cultural care accommodation or negotiation that best meets their needs. This approach allows for more flexibility in decision making, as well as an opportunity for the nurse to use their own cultural beliefs and practices to help them.

Cultural repatterning or re-adaptation

• The patient has been unable to live in their own culture.

• The patient has been living in a new culture for a long time.

• The patient is struggling to adapt to their new culture.

• The patient is struggling to adapt to their old culture and/or the current level of health care delivery systemization, which could be different from what they were accustomed to before moving abroad or returning home from abroad after many years away from home due to retirement or forced migration (e.g., refugees).

Leininger’s sunrise model of transcultural nursing.

Transcultural nursing is the practice of caring for people from different cultures. It includes transcultural health care, which refers to the delivery of health services within a framework that values cultural differences in order to meet the needs and preferences of all patients (Leininger & Wilson-Paredes). The sunrise model of transcultural nursing describes four levels or stages through which nurses work towards achieving this goal:

• Level 1—Cultural Identification

• Level 2—Cultural Adaptation

• Level 3—Culturally Informed Interventions

• Level 4—Culturally Sensitive Care

Conclusion

The sunrise model of transcultural nursing is a concept that can help nursing students understand the process of transculturation. It also provides an approach to hospital and health care professionals who work with cultures other than their own as well as those who are native or ethnically mixed. The first step in Leininger’s sunrise model is cultural preservation, which means learning about another culture’s traditions and history. Next comes cultural maintenance, where the nurse carefully records patient information in order to maintain that person’s identity without changing it too much so as not cause confusion among family members or other healthcare workers on future visits when they return from outside travel plans; finally there comes cultural care accommodation or negotiation where nurses attempt to accommodate culturally appropriate standards while also providing quality care based on individual needs.”