Loreli Dickey-Cropley Summary

As I listened to the Riverbend scenario I thought of my own cultural competence and how at one time I knew very little of the Hmong culture. Working in a city where Asians make up only 3% of the population, this is a population I knew little about. I have learned that most Hmong are from the mountainous region of Laos, and are granted preferred refugee status by the U.S. (Cobb, 2010). From 2000 to 2010 the number of Hmong grew 40%, there are currently 260,073 Hmong people living primarily in California, Minnesota, and Wisconsin. Even though the Hmong people seem to be prospering after thirty years in the U.S., there are still challenges with communication, understanding of cultural beliefs, and use of traditional medical practices (United States Census Bureau, 2013)

The practice stage as it relates to my PICO and evidence based change project, can support my PICO question. The PICO question for this evidence based project is the following: For African Americans with prediabetes, will implementation of a culturally sensitive educational program increase healthy lifestyle behaviors? During this stage I have created a question that can be answered in answerable terms.

“Hispanic Americans are now the largest and fastest growing minority in the United States, with an estimated growth from 30 million in 1998 and 97 million by 2050. In 2000, approximately 2 million of the 30 million Hispanic Americans were diagnosed with diabetes. “(Cohen et al.2005) Even though Hispanic Americans, especially Mexican Americans, have a higher tendency to have diabetes due to genetic factors, the main cause of this chronic disease is the socioeconomic inequities that affect this population in the United States. The U.S.-Mexico border has caught the attention of researchers through the years not only because the prevalent population, Mexican American, has high rates of poverty and unemployment, but also because the prevalence of diabetes in the Arizona-Sonora border is twice that of the rest of the country. (Staten et al. 2005) Creating culturally tailored chronic disease prevention programs is important to target this specific community that has distinct needs.

This entry will discuss the DNP student peer-reviewed presentation at the Haitian American Nurses Association (H.A.N.A) monthly meeting on March 18, 2017. The DNP student had the opportunity to speak to members who were non-health professionals, nursing students, nurses, ARNP’s and DNP’s. The DNP student had the chance to prepare for this presentation with her mentor Dr. Marie Etienne. Preparation was done via a conference call. H.AN.A’s meeting was from 7:00PM to 10:00 PM.

cultural backgrounds of patients under their care. ! What this student considers to be one of the most important issues to remember is that

Multiethnic health in Australian health care systems manifest the fundamental values of multiculturalism work inside the framework of health care, with certifying that the training of health professional has a strong and specific emphasis on building cultural competence and effectiveness, that is, the ability to work competently and effectively in a culturally diverse workplace and in encounters with people from different cultural backgrounds to ensure the delivery of best level of healthcare.( Australian Government. The people of Australia. Australia’s Multicultural Policy; 2011.) Cultural competence, (National Health and Medical Research Council. Cultural Competency in health: a guide for policy, partnerships and participation. Canberra:

The growing cultural changes in the United States provide opportunities and challenges in healthcare for providers, systems, and policy makers. There is a growing consensus amongst healthcare workers that it is necessary to produce and provide culturally competent services. Cultural competence is defined as “the ability of providers and organizations to effectively deliver health care services that meet the social, cultural, and linguistic needs of patients” (Seeleman et al, 2015). A major topic of discussion amongst health professionals at industry conferences is the improvement of health outcomes and quality of care- specifically the contribution of culturally competent cares towards the elimination of racial and ethnic health disparities. More and more Plans to move the health care system towards the goal of cultural competence is being realized due to the health implications of being stagnant (Seeleman et al, 2015).

Healthcare is on a downhill spiral while going through the journey as a med student. I hope to help bring to the attention of others how serious the situation across the world with healthcare is. Many do not have the means of good insurance, or the opportunity to receive the proper medical attention. This concern has inspired me to become a travel nurse. In being a travel nurse I not only get to see the differences across the world. Also, to help bring better healthcare opportunities for those who do not have the means to come across better medical attention. In correlation to the issue in the documentary where the hospital was understaffed, travel nurses help to alleviate the understaffing of medical personal.

Cultural competence is vital in the nursing profession, one any given day the nurse is working with patients from multiple different cultures. It is crucial that the nurse give the patient cultural competent cares, which allow the patient to receive the best quality care that he or she needs. Cultural competence is defined as the “awareness and understanding of unique characteristics of a group’s social and cultural attributes, health beliefs, and values, but also encompasses interventions that reflect this awareness” (Cope, 2015, p. 305). It is vital to incorporate the beliefs and specific care of the patient’s culture into the patient’s care plan in order for the person to have the best quality care. As a nurse, there are going to be many

When making an argument, it is important to make proper claims. In the book, “The Craft of Research” Wayne C. Booth, Gregory G. Colomb, and Joseph M. Williams mention two specific types of claims: conceptual claims, and practical claims. A practical claim has to do with assessing and solving a physical problem. Conceptual claims on the other hand, have to do with understanding that there is a problem, rather than convincing them to go out and fix it.

Lopez, Sandra A. "Culture as an influencing factor in adolescent grief and bereavement." The Prevention Researcher 18.3 (2011). Print. Sandra Lopez, a clinical social work professor at the University of Houston Graduate College of social work, explains how disregarding the culture of a person who is mourning the loss of a loved one can be offensive. She gave the example of Michael Sanchez who was at grief because of the loss of his grandfather. Sandra Lopez tried her best to help him using guidelines to help people of different cultures deal with grief so she does not do anything that will offend their customs. Michael Sanchez who lives in the United States with his family and other relatives was able to remain in the United States because

This contextual project work is consisting of 10 concepts from the module entitled ‘’ Research and Nursing Research’’ block 3. Each one of the concepts will be described in terms of its meaning, will be critically analyzed for its real life application and will be followed by some reference of the current research evidence. Real life application will explore a possible relationship of the concept with personal, social or professional life.

Culture competency is defined as one has the knowledge, the abilities and the skill to deliver care congruent with the patient’s cultural beliefs and practices (Purnell, 2013). As a nurse or a health care provider, increasing ones consciousness of culture diversity improves the possibilities for health care practitioners to provide competent care (Purnell, 2013). Nurses and all health care providers should be aware of other cultures to provide the best care that they can for that individual. Developing a relationship with diverse cultural groups involves good interpersonal skills and the application of knowledge and techniques learned from the physical, biological, and social sciences as well as the humanities (Purnell, 2013). I am choosing to select the Indian culture for my first assignment.

This chapter reviews aims and objectives of the study and details the methodology used. The research question is explored in detail which this study aims to answer. Modified ground theory forms the basis of the methodology in this study. In depth interview was conducted to get complete insight into the traits and characteristics of leaders in rural and remote heaths service areas. Words of the participants are quoted for interpretation by the readers and better understanding of the subject. The data are further analysed using the standard ground theory methods.

The term Research Methodology refers to a set of procedures, methods & techniques that are put together by the researchers to obtain a solution to the problems they confront during the collection of data. The researchers look for the most crucial data which is inevitable for the research. Generally there are three kinds of approaches or research methods namely Qualitative, Quantitative and Mixed. These methods are used to gather data and resolve issues that emerge during the process of data gathering. The researcher can bring forward his findings either in the form of quantitative or qualitative or mixed research methodologies only when the data is collected based on the preliminary data gathering process and the secondary data gathering process.