NR 305 Week 6 Discussion Providing Culturally Competent Nursing Care
Chamberlain University NR 305 Week 6 Discussion Providing Culturally Competent Nursing Care– Step-By-Step Guide
This guide will demonstrate how to complete the Chamberlain University NR 305 Week 6 Discussion Providing Culturally Competent Nursing Care assignment based on general principles of academic writing. Here, we will show you the A, B, Cs of completing an academic paper, irrespective of the instructions. After guiding you through what to do, the guide will leave one or two sample essays at the end to highlight the various sections discussed below.
How to Research and Prepare for NR 305 Week 6 Discussion Providing Culturally Competent Nursing Care
Whether one passes or fails an academic assignment such as the Chamberlain University NR 305 Week 6 Discussion Providing Culturally Competent Nursing Care depends on the preparation done beforehand. The first thing to do once you receive an assignment is to quickly skim through the requirements. Once that is done, start going through the instructions one by one to clearly understand what the instructor wants. The most important thing here is to understand the required format—whether it is APA, MLA, Chicago, etc.
After understanding the requirements of the paper, the next phase is to gather relevant materials. The first place to start the research process is the weekly resources. Go through the resources provided in the instructions to determine which ones fit the assignment. After reviewing the provided resources, use the university library to search for additional resources. After gathering sufficient and necessary resources, you are now ready to start drafting your paper.
How to Write the Introduction for NR 305 Week 6 Discussion Providing Culturally Competent Nursing Care
The introduction for the Chamberlain University NR 305 Week 6 Discussion Providing Culturally Competent Nursing Care is where you tell the instructor what your paper will encompass. In three to four statements, highlight the important points that will form the basis of your paper. Here, you can include statistics to show the importance of the topic you will be discussing. At the end of the introduction, write a clear purpose statement outlining what exactly will be contained in the paper. This statement will start with “The purpose of this paper…” and then proceed to outline the various sections of the instructions.
How to Write the Body for NR 305 Week 6 Discussion Providing Culturally Competent Nursing Care
After the introduction, move into the main part of the NR 305 Week 6 Discussion Providing Culturally Competent Nursing Care assignment, which is the body. Given that the paper you will be writing is not experimental, the way you organize the headings and subheadings of your paper is critically important. In some cases, you might have to use more subheadings to properly organize the assignment. The organization will depend on the rubric provided. Carefully examine the rubric, as it will contain all the detailed requirements of the assignment. Sometimes, the rubric will have information that the normal instructions lack.
Another important factor to consider at this point is how to do citations. In-text citations are fundamental as they support the arguments and points you make in the paper. At this point, the resources gathered at the beginning will come in handy. Integrating the ideas of the authors with your own will ensure that you produce a comprehensive paper. Also, follow the given citation format. In most cases, APA 7 is the preferred format for nursing assignments.
How to Write the Conclusion for NR 305 Week 6 Discussion Providing Culturally Competent Nursing Care
After completing the main sections, write the conclusion of your paper. The conclusion is a summary of the main points you made in your paper. However, you need to rewrite the points and not simply copy and paste them. By restating the points from each subheading, you will provide a nuanced overview of the assignment to the reader.
How to Format the References List for NR 305 Week 6 Discussion Providing Culturally Competent Nursing Care
The very last part of your paper involves listing the sources used in your paper. These sources should be listed in alphabetical order and double-spaced. Additionally, use a hanging indent for each source that appears in this list. Lastly, only the sources cited within the body of the paper should appear here.
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This week’s graded topics relate to the following Course Outcomes (COs).
CO 1 – Utilize prior knowledge of theories and principles of nursing and related disciplines to explain expected client behaviors, while differentiating between normal findings, variations, and abnormalities. (PO 1)
CO 2 – Recognize the influence that developmental stages have on physical, psychosocial, cultural, and spiritual functioning. (PO 1)
CO 3 – Utilize effective communication when performing a health assessment. (PO 3)
Discussion
This week you have your choice of three discussion topics! Select the one that most interests you and answer the corresponding questions completely.
Remember to reference both the book or lesson, and an outside scholarly source.
Option #1:
You are the nurse assessing an Orthodox Jewish client with peptic ulcer. The client is strictly religious and refuses to eat the food provided at the health care facility.
Describe how you would further assess and provide care for this client.
What steps could you take to increase your cultural competence, if you were not familiar with this faith?
Option #2:
You are the nurse caring for a client with Crohn’s disease. The client believes he is being punished by God. The client is spiritually distressed and cannot come to terms with the illness.
How would you respond to this client?
What are some identified risk factors for spiritual distress, and recommended interventions?
Option #3:
Describe a time in your clinical nursing practice when you have cared for a client of cultural, religious, or spiritual practices different from your own.
What were some of the challenges you faced caring for this client?
What steps did you take (or could you have taken) to ensure the patient received culturally/spiritually competent care?
I am going to tie together the first and third option.
Sample Answer for NR 305 Week 6 Discussion Providing Culturally Competent Nursing Care
I am blessed to work and live in a culturally diverse neighborhood. I was raised in Skokie, IL. I work in Evanston, IL. Both are very celebratory of cultural diversity and are neighbors. In Skokie, IL we have a cultural fest each summer (skipped this year due to Covid19). During this fest, each culture has an opportunity to display what defines them such as art, artifacts, books, dolls, or performance arts like dance which defines them (Weber & Kelley, 2018). As a nurse, I can work with patients of all different cultural backgrounds and learn to celebrate them or help relate to them.
I work in hospice or end of life care as part of my unit’s specialties. During Covid19, we are forced to follow special guidelines and I would like to discuss a difficulty that I experienced.
I had an Orthodox Jewish patient who was a coroner’s case recently. He passed overnight. We have a policy to allow visitors for 30 minutes only. We need a release form filled out to release the body from the hospital to another party – which was not yet signed. We have four hours total to remove the body from the unit and Jewish patients are usually never removed by anyone other than a Jewish funeral home. I had to advocate for this patient’s rights to Coroner’s office which was incredibly difficult to allow them to have the Jewish funeral home remove the body. They decided after much argument that I could fax the ENTIRE chart to them, which was not yet printed, and they would make a determination from there. I had no secretary. I had to print the chart myself and fax everything while the printer was barely working, the fax machine was not allowing me to fax such a big file at first either!
I barely made it to have the family come sign the form in the middle of the night, have the Jewish funeral home on guard to come as soon as I knew it was allowed, and get all my documentation done.
Time crunch extraordinaire.
I made it happen. With zero help and five other patients because it was important to this patient and his family.
If we rewind to prior to the patient’s death, the patient had been in ICU for brain bleed post fall. The patient’s family allowed their family rabbi to make some decisions for them which helped determine to go ahead and transition to hospice level of care. Often Orthodox Jewish patients involve a Rabbi even more-so than the medical team (Gabbay, et al, 2017). This has been witnessed several times on my unit. Pre-Covid19 I would often see a Rabbi in the room with patient’s making decisions for them. Family also would be incredibly involved and bring in Kosher foods as although the hospital offers a Kosher diet, their food was more appropriately Kosher.
We have an opportunity to respect and learn from people and their cultures all the time.
References
Gabbay, E., McCarthy, M., and Fins, J. (2017). The care of the ultra-orthodox Jewish patient. Journal of Religion & Health 56(2): pp. 545-560. http://dx.doi.org.chamberlainuniversity.idm.oclc.org/10.1007/s10943-017-0356-6
Weber, J.R. & Kelley, J.H. (2018). Health assessment in nursing (6th ed.). Philadelphia, PA: Wolters Kluwer.
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Sample Answer 2 for NR 305 Week 6 Discussion Providing Culturally Competent Nursing Care
The hospital in which I work, is a satellite hospital of the Cleveland Clinic. It was built in 1949, and was originally run by a convent. When it was transferred to the Cleveland Clinic, part of the agreement was to continue the Catholic values and symbols throughout the hospital. There is a statue of Mary in front of the building, photographs of the last three Popes in the hallway, and crucifixes hung in random offices. If you’re there early enough in the morning, you will hear a morning prayer over the PA system. One of the more controversial practices of the hospital is that they are not allowed to prescribe birth control in the OB/GYN office, and the pharmacy is not allowed to dispense these medications. On a personal level, it kind of blows my mind that a hospital is so connected to religion. That said, I think that for a lot of the patients who choose our hospital, it is a comfort, and luxury to be encompassed by their faith.
I do not consider myself religious. I was brought up with a Christian faith, and spent some time and a lot of Sundays with a Mormon family, but never found my niche’. When I was diagnosed with IBC two years ago, which has up to a 50% mortality rate, faith did not soothe me. I read stories of people a lot more religious than myself that died, and it just made me feel worse. Friends and family offered to pray for me, and I let them, but I didn’t think it was actually going to do anything.
The convent is still on the property of my hospital, and there are Sisters who frequently visit my office as patients. They don’t usually wear their habits, but they wear their crosses, and carry prayer books. For the most part, they don’t force their religion or beliefs on myself or others. Rather, they assume that we believe. I try never to be disingenuous with them, so I generally avoid the topic of religion altogether. Occasionally, out of genuine curiosity, I will ask them about the origin of certain Catholic holidays or practices, and they are happy to share with me. They know that I am not Catholic, and I suspect they know that I don’t go to church.
When in the presence of a patient who is outwardly religious, I will listen attentively and offer what I can in terms of support and resources. Pastoral care has been said to help patients with their emotions and spiritual distress, and also can act as a mediator between patient and caregivers. (Lobb et al., 2018) Our hospital also has a prayer board and chapel. If the patient is able to walk/travel to the chapel area, I will suggest it. Sometimes just surrounding one’s self with the familiar can be soothing. If I feel that the patient really needs something more from me, I have been known to tell them I will say a prayer for them. I actually do make a point of saying a few words to an empty room to make good on my promise. I believe in the power of positive thinking. That is, if the patient thinks that my prayer is going to help them, then even if I don’t believe, it will help.
I found the SPIRIT assessment tool in our text particularly interesting. (Janet R. Weber Rn Edd & Kelley, 2018) This tool might have its use in my office, for a more pressing surgery or issue. I think it would be an excellent addition to an initial interview with a primary care office, lengthy hospital stay, or as a care manager in Oncology. In my experience, surgeons typically want to do what they think is best for the client, which is not wrong, but may be wrong for the patient. The “Implications For Medical Care”, and “Terminal Events Planning” portion of this tool would be most helpful in planning care for a surgical client. (Lobb et al., 2018) I think it’s important for caregivers to realize that modern society doesn’t fit into certain check boxes. A patient may be Christian, but can also spend a lot of time meditating, or dabbling in other cultures. It is important to know all beliefs that may impact their care path.
References
Janet R. Weber Rn Edd & Kelley, J. H. (2018). Health assessment in nursing (6th ed.). Lww.
Lobb, E. A., Schmidt, S., Jerzmanowska, N., Swing, A. M., & Thristiawati, S. (2018). Patient reported outcomes of pastoral care in a hospital setting. Journal of Health Care Chaplaincy, 25(4), 131–146. https://doi.org/10.1080/08854726.2018.1490059Links to an external site.
Sample Answer 3 for NR 305 Week 6 Discussion Providing Culturally Competent Nursing Care
Religion and spiritual views can alter patients views on healthcare and can ultimately affect nursing care. I’ve had my fair cases of patients with their own beliefs and certain practices. A couple times I’ve switched assignments with male nurses since the patients religion forbids them from being seen by other men other than their husband. I’ve also had plenty of cases where specific diets plays a huge role in their nutrition. No matter the case, it is vital for nurses to respect and have some knowledge in important details regarding their patients religion and culture to provide effective nursing care.
One of my patients that I’ve cared for that had religious views different from my own was a 80 year old male Muslim. As a part of the admitting questionnaire, I already asked the patient their religious views. While completing the assigned reading, I came across the HOPE questions for spiritual assessment that I feel would’ve gave me more benefit with specific questions towards my patients religious views. The questionnaire focused on asking questions regarding sources of hope, organized religion, personal spirituality and practices, and effects on medical care and end-of-life issues (Weber 2018). I distinctly remember asking regarding dietary restrictions but I failed to ask my patient any specific restrictions to his care which is included in the HOPE assessment.
While doing a physical assessment on my patient, he was a little more hesitant than others with regards to physical touch. “In Islam, physical contact between genders (non-married people and non-family members) is discouraged” (Saraha, 2016). This made my assessment very difficult especially since there were physical signs of abuse on my patients arms and he would not let me assess the rest of his body underneath his gown and his pants. When I informed my manager of the situation, she knew to have a male colleague finish my assessment. “Some patients will feel more comfortable with a provider of the same gender, or, if that isn’t possible, having a member of the same gender in the room with them during the exam” (Saraha, 2016). My patient was keenly modest when it came to me doing a full body assessment. As a nurse, I respected my patients faith but also engaged to provide appropriate quality patient care.
References:
Saraha. (2016). Culturally Competent Care of Muslim Patients: National Association of Free and Charitable Clinics. Retrieved August 09, 2020, from https://nafcclinics.org/content/culturally-competent-care-muslim-patients
Weber, J.R. & Kelley, J.H. (2018). Health assessment in nursing (6th ed.). Wolters Kluwer.
Discussion Questions (DQ)
• Initial responses to the DQ should address all components of the questions asked, include a minimum of one scholarly source, and be at least 250 words.
• Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source.
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• One or two sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words.
• I encourage you to incorporate the readings from the week (as applicable) into your responses.
Weekly Participation
• Your initial responses to the mandatory DQ do not count toward participation and are graded separately.
• In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies.
• Participation posts do not require a scholarly source/citation (unless you cite someone else’s work).
• Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week.
APA Format and Writing Quality
• Familiarize yourself with APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required).
• Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation.
• I highly recommend using the APA Publication Manual, 6th edition.
Use of Direct Quotes
• I discourage overutilization of direct quotes in DQs and assignments at the Masters’ level and deduct points accordingly.
• As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content.
• It is best to paraphrase content and cite your source.
LopesWrite Policy
• For assignments that need to be submitted to LopesWrite, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me.
• Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes.
• Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own?
• Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for tips on improving your paper and SI score.
Late Policy
• The university’s policy on late assignments is 10% penalty PER DAY LATE. This also applies to late DQ replies.
• Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances.
• If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect.
• I do not accept assignments that are two or more weeks late unless we have worked out an extension.
• As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.
Communication
• Communication is so very important. There are multiple ways to communicate with me:
o Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class.
o Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours.