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NRS 429 Topic 4 Health Promotion in Minority Populations Assignment

NRS 429 Topic 4 Health Promotion in Minority Populations Assignment

NRS 429 Topic 4 Health Promotion in Minority Populations Assignment

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Health Disparities and Nutritional Challenges

According to CDC, health disparities are preventable differences in opportunities to obtain optimal health and differences in violence, injury, and disease burden among the socially disadvantaged groups. Health disparities exist among African-Americans (CDC, 2020). In comparison to white Americans, African Americans are usually at greater risk of HIV/AIDS, diabetes, pneumonia, influenza, asthma, cancer, stroke, and heart disease. Another glaring health disparity is that African-Americans have a higher probability of dying at early ages for all cases (Sophia, 2020). For instance, the prevalence of hypertension among African-Americans is 12% and 33% among the age groups 18-34 ad 35-49, respectively, compared to the whites of the same age group. In addition, while diabetes is common among only 6% of whites, the figure rises to 10% among African-Americans.

Interdisciplinary teams play a critical role in health promotion based on different medical conditions. An interdisciplinary team comprises of different health and medical professionals with defined and related roles and responsibilities. These include registered nurses (RNs), nurse practitioners (NPs), dietician and nutritionists, and educators on different health conditions impacting individual patients, patient populations, families, and communities (Health Research & Educational Trust, 2018). An interdisciplinary team also comprises of community leaders and social workers interacting with them to understand different issues and barriers to health promotion on management of different conditions like injury prevention among the elderly, diabetes and substance use disorders and abuse (van Rhyn & Barwick, 2019). The interdisciplinary team will also have physicians, especially general physicians who can be at disposal to assess a host of medical conditions for better interventions. The team will also comprise of therapists; physical and occupational therapists with the aim of developing effective and evidence-based practice interventions to prevent injury among the elderly under the program.

Cancer presents another illness where health disparity occurs. From the American Cancer Society, African-Americans present with the shortest survival and highest rates of death for most cancers (Miles et al., 2018). In addition, from the National Kidney Foundation statistics, African-Americans have a three times possibility of suffering from kidney failure as compared to other groups, with the population making up for over thirty percent of all the individuals that receive dialysis for kidney complications in the USA. This group also has nutritional challenges that further complicate their health. The African-Americans, both in urban and rural areas, have higher possibilities of experiencing food insecurity resulting from a combination of various factors such as inequitable resource distribution leading to limited access to food (Sophia, 2020). Financial barriers also mean that this group of people cannot consistently buy healthy and nutritious foods.

Barriers to Health among African-Americans

Various factors contribute to health barriers among the African-American population, including socio-political factors, education, socioeconomics, and culture. Barriers to health among African-Americans have taken years to reach where they are today; socio-political factors have contributed to an extent (Grant 2019). For instance, marginalization by the political leadership over the years have left African-Americans to have face barrier to health life. The discrimination faced by this group has all led to poor health.

Education is also a barrier; compared to their white counterparts, African Americans are less likely to get a high-quality education, leading to greater challenges of accessing high-quality life and adopting a healthy lifestyle. African-Americans have also been shown to be among the poorest groups of minorities living in the USA (Grant, 2019). Low socioeconomic ability means that they are less likely to access quality care, eat healthy foods, and lead healthy lifestyles. Finally, culture has also acted as a barrier to health among African Americans. The African-Americans have some traditional beliefs that bar them from accessing health. For instance, some believe that chronic diseases such as HIV/AIDS result from a curse; hence they do not need medical management but a spiritual one.

Common Health Promotion Activities among African-Americans

Health promotion activities are essential for better and improved individual and community health. Among African Americans, there are various common health promotion activities. It has been shown that various conditions such as diabetes, cardiovascular conditions, stroke, and cancer are the top causes of mortality among this group. As such, health promotion activities such as community education drives that teach individuals the importance of physical activity and staying healthy, teaching people about healthy diet and ensuring that people follow healthcare plans (Derose et al., 2019). Communication is key to raising awareness regarding healthy behaviors through newsletters, mass media campaigns, health fairs, and public service announcements.

Approach for Care plan

Various approaches can be used to make care plans more effective depending on the unique needs of a group. One approach that can be effective among African Americans is culture-based health education. Education can be used as a primary, secondary, and tertiary health promotion approach for a care plan. Culture means a lot to African-Americans; hence a culture-specific education strategy can be the most effective to help them lead lifestyles that bar an onset of diseases, go for early screening for diseases, and engage in healthy activities to restore health after a period of the disease (Derose et al., 2019).

Cultural beliefs to Consider and a Suitable Cultural Theory

Culture is one of the things that a healthcare professional has to consider when coming up with a care plan. Some of them include the belief that surgery may cause cancer or spread it, seeking treatment from spiritual healers and home remedies,   eating healthily may mean that an individual has to leave certain foods that are part of the cultural heritage, and fearing the use of opioids to manage pain in fear that they may cause addition. Cultural theories or models are key in supporting culturally competent health promotion (Giger & Haddad, 2020). One of the most relevant theories is the Purnell model. This model is critical in understanding different cultural attributes giving the nurses a powerful tool for viewing patient attributes with their culture as the background. The reason why this theory is relevant is that it has a domain that deals specifically with culture and heritage. The implication is that a nurse can use the model to fully understand the predominant cultural practices hence tailor health promotion activities for better outcomes.

Conclusions

In conclusion, ethnic and racial minorities in the USA experience health disparities that should be addressed. African-Americans as a racial minority have been explored in this write-up with several aspects explored. Their current health status and barriers to health, among other things, have been discussed.

NRS 429 Topic 4 Health Promotion in Minority Populations Assignment

Assessment Description

Select an ethnic minority group that is represented in the United States (American Indian/Alaskan Native, Asian American, Black/African American, Hispanic/Latino, Native Hawaiian, or Pacific Islander). Using health information available from Healthy People, the CDC, and other relevant government websites, analyze the health status for this group.

In a paper of 1,000-1,250 words, compare and contrast the health status of your selected minority group to the national average. Include the following in the NRS 429 Topic 4 Health Promotion in Minority Populations Assignment:

  1. NRS 429 Topic 4 Health Promotion in Minority Populations Assignment
  2. What are the health disparities that exist for this group? What are the nutritional challenges for this group?
  3. Discuss the barriers to health for this group resulting from culture, socioeconomics, education, and sociopolitical factors.
  4. What health promotion activities are often practiced by this group?
  5. Describe at least one approach using the three levels of health promotion prevention (primary, secondary, and tertiary) that is likely to be the most effective in a care plan given the unique needs of the minority group you have selected. Provide an explanation of why it might be the most effective choice.
  6. What cultural beliefs or practices must be considered when creating a care plan? What cultural theory or model would be best to support culturally competent health promotion for this population? Why?

Cite at least three peer-reviewed or scholarly sources to complete this assignment. Sources should be published within the last 5 years and appropriate for the assignment criteria and public health content.

Prepare this NRS 429 Topic 4 Health Promotion in Minority Populations Assignment  according to the guidelines found in the APA Style Guide, located in the Student Success Center.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite. A link to the LopesWrite technical support articles is located in Course Resources if you need assistance

CDC – Minority Health

Explore the resources available on the Minority Health page of the Centers for Disease Control and Prevention (CDC) website. These materi

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CDC – Racial and Ethnic Approaches to Community Health (REACH)

Explore the resources available on the Racial and Ethnic Approaches to Community Health (REACH) page of the Centers for Disease Control a

… 


SAMHSA – Racial and Ethnic Minority Populations

Explore the resources available on the Racial and Ethnic Minority Populations page of the Substance Abuse and Mental Health Services Admi

… 


US Department of Health and Human Services

Explore the resources available on the Minority Health page of the U.S. Department of Health and Human Services website. These materials

… 


Healthy People 2030

Explore the Healthy People 2030 website.


Health Promotion: Health and Wellness Across the Continuum

Read Chapter 3 in Health Promotion: Health and Wellness Across the Continuum.

NRS 429 Topic 4 Health Promotion in Minority Populations Assignment

The major minority ethnic/racial populations in the United States (U.S) include African Americans, Asians, American Indians/Alaska Natives, Pacific Islanders, and Hispanics. The minority groups face many cultural, socioeconomic, and sociopolitical barriers in accessing health care resulting in poor health status (Stanley et al., 2020). Consequently, the barriers cause major health disparities in these communities, which cause high morbidity and mortality rates. In this regard, this paper will discuss the health status of American Indians/Alaska Natives, including their health status, health disparities, healthcare barriers, and health promotion activities they practice.

American Indians/Alaska Natives

American Indians/Alaska Natives (AI/AN) are a minority population in the US consisting of individuals with origins from the people originating from North, Central, and South America, who keep up with the tribal or community affiliation. According to the U.S Office of Minority Health (OMH), approximately 5.7 million persons in 2019 were identified as only AI/AN or mixed with another ethnicity. AI/ANs constitute 1.7% of the overall U.S. population. Of this population, 27.5% (1.6 million) were below 18 years (OMH, 2021). The AI/AN tribes recognized federally receive health and education assistance through the Indian Health Service (IHS), a government agency. The IHS manages an all-inclusive health service delivery system for about 2.6 million AI/ANs. The AI/ANs living in urban areas generally have limited access to healthcare. Studies on AI/ANs living in urban areas have established a pattern of poor health and few health care options.

Health Status of AI/ANs

AI/ANs generally have a poor health status evidenced by a lower quality of life, a lower life expectancy, and a higher prevalence of many chronic illnesses. The 2020 life expectancies at birth for AI/ANs were 78.4 years, 81.1 years for females, and 75.8 years for males (OMH, 2021). The expectancy is lower than that of non-Hispanic whites, 80.6 years, 82.7 years for females, and 78.4 years for males. The prevalent diseases and common causes of mortality include diabetes, heart disease, unintentional injuries, cancer, and stroke. In addition, they have a high occurrence and risk factors for mental health disorders, suicide, substance use, teenage pregnancy, obesity, sudden infant death syndrome (SIDS), liver disease, and hepatitis (OMH, 2021). They also have a high TB rate, seven-fold higher than Whites. Race/ethnicity influences health for AI/ANs as they face issues that bar them from receiving quality health care. The issues include geographic isolation, cultural barriers, low income, and inadequate sewage disposal.

Health Disparities and Nutritional Challenges

AI/ANs have most of the debilitating health disparities in the U.S. According to the National Vital Statistics Reports, accidents contributed to 11.6% of total mortalities in 2017 among AI/ANs compared to 6.0% of total mortalities in the general US population (Heron, 2019). Besides, diabetes caused 5.8%, and chronic liver disease/cirrhosis led to 5.5% of AI/ANs mortalities. Depression is a major disparity among AI/ANs. AI/ANs are 2.5 fold highly likely than non-Hispanic Whites to develop severe psychological distress. Furthermore, alcohol consumption causes AI/AN accident mortality, which is the third common cause of mortality, while cirrhosis/chronic liver disease is the fifth leading (Heron, 2019). Suicide is also a significant health disparity for AI/ANs with mental health and social elements. The suicide mortality rate for AI/ANs is 16.9/100,000, while for Whites is 13.1/100,000.

The AI/ANs experience significant nutrition-related chronic illnesses, such as diabetes, obesity, cancer, and heart disease. They have higher obesity rates than nearly all ethnic groups (Carron, 2020). Poverty, in addition to a history of sponsored food programs, have contributed to diets high in calories and with poor nutritional value. Warne and Wescott (2019) explain that lack of access to traditional AI/ANs food systems and limited financial opportunities on most AI/ANs reservations are major social determinants that put the population at high risk for obesity. Furthermore, AI/ANs face challenges of limited access to grocery stores supplying healthy foods resulting in a high intake of unhealthy foods.

ALSO READ: NRS 429 Topic 3 Family Assessment Part II

Barriers to Health from Culture, Socioeconomics, Education, and Sociopolitical Factors

AI/ANs culture creates barriers in accessing health care due to language barriers, making it challenging for providers to offer appropriate preventative interventions. They practice traditional healing, which lowers their health-seeking behaviors. Socioeconomic status and level of education are predictors of health status (Mangla & Agarwal, 2021). AI/ANs have a high population that has not completed high school. Besides, approximately 19% of the population has incomes lower than the federal poverty level (Carron, 2020). The low socioeconomic and poverty status has contributed to poor health-seeking behaviors and low insurance coverage rates, limiting healthcare access. Sociopolitical factors further limit access to health for AI/ANs. From the late 19th century, federal governments enacted various policies to wipe out the native culture and identity. The policies caused the banning of the native language and religious practices, confiscation of land, and ban of traditional healers, which led to a profound mistrust in the community (Mangla & Agarwal, 2021). As a result, AI/ANs have mistrust in accessing care from providers from other communities, limiting their access to healthcare.

Health Promotion Activities Practiced By AI/ANs

Health promotion activities practiced by AI/ANs include traditional healing practices using allopathic medicine and native herbal remedies to improve health and wellbeing. Spiritual treatments are vital for health promotion and healing in the AI/ANs community. Natives in Arizona run every day to greet the dawn, promoting physical health and spiritual wellbeing. Besides, they use stories and legends to reinforce positive behaviors and the implications of failing to uphold the laws of nature. AI/ANs use manipulative therapies, herbs, ceremonies, and prayer in different combinations to prevent and treat diseases.

Health Promotion Approach

The primary level of health promotion attempts to remove the possibility of getting a disease. It is likely to be most effective in a care plan for AI/ANs, considering the population’s high prevalence of chronic illnesses and mental health disorders. Through primary health promotion, individuals can be provided health education directed on preventing chronic diseases such as diabetes and heart disease (Peckham et al., 2017). For instance, it can target excessive alcohol consumption, inadequate exercise, and unhealthy dietary patterns, thus reducing the chances of liver disease, obesity, diabetes, and accidents. Primary prevention is the most effective choice since it can help change the community’s behaviors, thus lowering their chance of developing diseases caused by unhealthy behaviors.

Cultural Beliefs/Practices to Consider When Creating a Care Plan

Providers must understand the differences in cultural beliefs and practices among various ethnic groups when developing a care plan. Health providers should consider the differences present in the belief of individuals from the AI/AN community. Even though many AI/AN tribes have adopted Christianity, their culture remains deep-rooted in their traditions (Mangla & Agarwal, 2021). Therefore, they should be considered to ensure the provision of culturally appropriate care. The nurses creating the care plan for an AI/AN individual or community should obtain information on their health practices, cultural beliefs, dietary customs, and cultural rituals.

The Purnell Model for Cultural Competence would be ideal for fostering culturally competent health promotion for AI/ANs. The Purnell Model enables providers to collect patient information and conduct health promotion activities focusing on 12 cultural domains (Purnell, 2019). The cultural domains are: high-risk behaviors, health care practices, nutrition, pregnancy, family roles and organization, heritage, communication, spirituality, workforce issues, biocultural ecology, health care professionals, and death rituals (Purnell, 2019). Consequently, the Purnell Model can establish unhealthy behaviors among AI/ANs and plan health promotion activities for the population.

Conclusion

AI/ANs AI have a poor health status evidenced by a lower quality of life, a lower life expectancy, and a higher prevalence of illnesses such as diabetes, obesity, liver disease/hepatitis, and mental disorders. They face substantial health disparities in various areas, including metabolic and mental disorders. Health disparities are apparent in accidents, diabetes, chronic liver diseases, and mental disorders. Besides, their lower socioeconomic and educational status is connected with worse health outcomes. Primary prevention is the most effective for this population to modify behaviors that cause chronic illnesses.

 


 

References

Adakai, M., Sandoval-Rosario, M., Xu, F., Aseret-Manygoats, T., Allison, M., Greenlund, K. J., & Barbour, K. E. (2018). Health disparities among American Indians/Alaska Natives—Arizona, 2017. Morbidity and Mortality Weekly Report67(47), 1314. http://dx.doi.org/10.15585/mmwr.mm6747a4

Carron, R. (2020). Health disparities in American Indians/Alaska Natives: Implications for nurse practitioners. The Nurse Practitioner45(6), 26-32.

Heron, M. (2019). Deaths: leading causes for 2017 [USA]. National vital statistics reports: from the Centers for Disease Control and Prevention, National Center for Health Statistics, National Vital Statistics System68(6), 1-77.

Mangla, A., & Agarwal, N. (2021). Clinical Practice Issues In American Indians and Alaska Natives. In StatPearls [Internet]. StatPearls Publishing.

Peckham, S., Hann, A., Kendall, S., & Gillam, S. (2017). Health promotion and disease prevention in general practice and primary care: a scoping study. Primary health care research & development18(6), 529-540. https://doi.org/10.1017/S1463423617000494

Purnell, L. (2019). Update: The Purnell theory and model for culturally competent health care. Journal of Transcultural Nursing30(2), 98-105. https://doi.org/10.1177/1043659618817587

Stanley, L. R., Swaim, R. C., Kaholokula, J. K. A., Kelly, K. J., Belcourt, A., & Allen, J. (2020). The imperative for research to promote health equity in indigenous communities. Prevention Science21(1), 13-21. https://doi.org/10.1007/s11121-017-0850-9

The Office of Minority Health. (2021, May 21). American Indian/Alaska native – The Office of Minority Health. Not Found. https://minorityhealth.hhs.gov/omh/browse.aspx?lvl=3&lvlid=62

Warne, D., & Wescott, S. (2019). Social determinants of American Indian nutritional health. Current developments in nutrition3(Supplement_2), 12-18. https://doi.org/10.1093/cdn/nzz054

Health Promotion in Minority Populations – Rubric

Identification and Description of Selected Minority Group

Criteria Description

Identification and Description of Selected Minority Group

5. Excellent

20 points

A detailed description of ethnic minority group is partially presented. Health status for this group is thoroughly discussed. Explanation of how race and ethnicity influence health for this group is clearly presented. A well-developed comparison for how the ethnic minority group compares to the national average is presented.

4. Good

17.8 points

Description of ethnic minority group is partially presented. Health status for this group is discussed. Explanation of how race and ethnicity influence health for this group is presented. A comparison for how the ethnic minority group compares to the national average is presented.

3. Satisfactory

15.8 points

Summary of ethnic minority group is partially presented. Health status for this group is generally discussed. Explanation of how race and ethnicity influence health this group is generally presented. It is unclear how the health status of this ethnic minority group compares to the national average. A general comparison for how the ethnic minority group compares to the national average is presented.

2. Less than Satisfactory

15 points

Description of ethnic minority group is partially presented. Health status for this group is vague. It is unclear how race and ethnicity influence health for this group.

1. Unsatisfactory

0 points

Description and health status for ethnic minority group is not presented.

Health Disparities and Nutritional Challenges for Minority Group

Criteria Description

Health Disparities and Nutritional Challenges for Minority Group

5. Excellent

30 points

A thorough discussion of the health disparities and nutritional challenges for this group is clearly presented. All relevant findings related to the ethnic minority group have been included. A well-developed comparison for how the ethnic minority group compares to the national average is presented.

4. Good

26.7 points

A discussion of the health disparities and nutritional challenges for this group is presented. The significant findings related to the ethnic minority group have been included. A comparison for how the ethnic minority group compares to the national average is presented. Some detail is needed for clarity.

3. Satisfactory

23.7 points

A discussion of the health disparities and nutritional challenges for this group is generally presented. Most significant findings related to the ethnic minority group have been included. A general comparison for how the ethnic minority group compares to the national average is presented. Some support is needed to support statements.

2. Less than Satisfactory

22.5 points

A summary of the health disparities and nutritional challenges for this group is presented. Significant details have been omitted. Summary lacks evidence to support statements.

1. Unsatisfactory

0 points

Health disparities and nutritional challenges for this group are not presented.

Barriers to Health for Minority Group

Criteria Description

Barriers to Health for Minority Group

5. Excellent

30 points

Barriers to health for this ethnic minority group resulting from culture, socioeconomics, education, and sociopolitical factors are thoroughly discussed. A well-developed comparison for how the ethnic minority group compares to the national average is presented. Compelling and accurate evidence is provided to support statements.

4. Good

26.7 points

Barriers to health for this ethnic minority group resulting from culture, socioeconomics, education, and sociopolitical factors are discussed. A comparison for how the ethnic minority group compares to the national average is presented. Minor evidence is needed to support statements.

3. Satisfactory

23.7 points

Barriers to health for ethnic minority group are summarized. The summary includes barriers resulting from culture, socioeconomics, education, and sociopolitical factors. There are some inaccuracies. A general comparison for how the ethnic minority group compares to the national average is presented. Some evidence is needed to support statements.

2. Less than Satisfactory

22.5 points

Barriers to health for ethnic minority group are partially presented. The summary is not consistent with the assignment criteria. There are significant inaccuracies. Summary lacks evidence to support statements.

1. Unsatisfactory

0 points

Barriers to health for ethnic minority group are not presented.

Health Promotion Activities Practiced by Minority Group

Criteria Description

Health Promotion Activities Practiced by Minority Group

5. Excellent

20 points

Health promotion activities practiced by minority groups are accurately identified and described in detail. A well-developed comparison for how the ethnic minority group compares to the national average is presented. Compelling and accurate evidence is provided to support statements.

4. Good

17.8 points

Health promotion activities practiced by minority groups are described. A comparison for how the ethnic minority group compares to the national average is presented. Minor evidence is needed to support statements.

3. Satisfactory

15.8 points

Health promotion activities practiced by minority groups are generally described. There are minor inaccuracies. A general comparison for how the ethnic minority group compares to the national average is presented. Some evidence is needed to support statements.

2. Less than Satisfactory

15 points

Health promotion activities practiced by minority groups are partially summarized. There are significant inaccuracies. Summary lacks evidence to support statements.

1. Unsatisfactory

0 points

Health promotion activities practiced by minority groups are not presented.

Three Levels of Health Promotion Prevention

Criteria Description

Three Levels of Health Promotion Prevention

5. Excellent

30 points

A care plan, with at least one approach using the three levels of health promotion prevention, is thoroughly described. A well-supported explanation of how this plan meets the unique needs of the ethnic minority group selected, and why it is the most effective choice, is presented. The discussion demonstrates a clear understanding of the three levels of health promotion prevention and their application to a unique group.

4. Good

26.7 points

A care plan, with at least one approach using the three levels of health promotion prevention, is described. An explanation of how this plan meets the unique needs of the ethnic minority group selected, and why it is the most effective choice, is presented. Minor support or rationale is needed.

3. Satisfactory

23.7 points

A care plan, with at least one approach using the three levels of health promotion prevention, is summarized. A general explanation of how this plan meets the unique needs of the ethnic minority group selected, and why it is the most effective choice, is presented. Some support or rationale is needed.

2. Less than Satisfactory

22.5 points

A care plan, with at least one approach using the three levels of health promotion prevention, is partially presented. It is unclear how this plan meets the unique needs of the ethnic minority group selected. There are inaccuracies.

1. Unsatisfactory

0 points

A care plan, with at least one approach using the three levels of health promotion prevention, is not presented.

Cultural Competent Health Promotion for Ethnic Minority Population

Criteria Description

Cultural Competent Health Promotion for Ethnic Minority Population

5. Excellent

30 points

Cultural beliefs and practices to be considered are thoroughly discussed. A relevant cultural theory or model is proposed. Overall, the content strongly supports a culturally competent health promotion for this population. Strong evidence and rational are provided for support. The discussion demonstrates aptitude for understanding cultural competence and developing culturally competent health promotions.

4. Good

26.7 points

Cultural beliefs and practices to be considered are discussed. A relevant cultural theory or model is proposed. Overall, the content generally supports a culturally competent health promotion for this population. Some evidence or rationale is needed.

3. Satisfactory

23.7 points

Cultural beliefs and practices to be considered are summarized. A relevant cultural theory or model is proposed. Overall, the content generally supports a culturally competent health promotion for this population. There are some inaccuracies. More evidence or rationale is needed.

2. Less than Satisfactory

22.5 points

Cultural beliefs and practices to be considered are presented but are incomplete or inaccurate. The cultural theory or model proposed is partially presented; or, the model is not relevant. Overall, the content does not support a culturally competent health promotion for this population. There are significant inaccuracies.

1. Unsatisfactory

0 points

Cultural beliefs, practices, and relevant cultural theory significant to supporting a culturally competent health promotion for this population are not presented.

Thesis, Position, or Purpose

Criteria Description

Communicates reason for writing and demonstrates awareness of audience.

5. Excellent

10 points

The thesis, position, or purpose is clearly communicated throughout and clearly directed to a specific audience.

4. Good

8.9 points

The thesis, position, or purpose is adequately presented. An awareness of the appropriate audience is demonstrated.

3. Satisfactory

7.9 points

The thesis, position, or purpose is discernable in most aspects but is occasionally weak or unclear. There is limited awareness of the appropriate audience.

2. Less than Satisfactory

7.5 points

The thesis, position, or purpose is unfocused or confused. There is very little awareness of the intended audience.

1. Unsatisfactory

0 points

The thesis, position, or purpose is not discernible. No awareness of the appropriate audience is evident.

Development, Structure, and Conclusion

Criteria Description

Advances position or purpose throughout writing; conclusion aligns to and evolves from development.

5. Excellent

10 points

The thesis, position, or purpose is logically advanced throughout. The progression of ideas is coherent and unified. A clear and logical conclusion aligns to the development of the purpose.

4. Good

8.9 points

The thesis, position, or purpose is advanced in most aspects. Ideas clearly build on each other. Conclusion aligns to the development of the purpose.

3. Satisfactory

7.9 points

Limited advancement of thesis, position, or purpose is discernable. There are inconsistencies in organization or the relationship of ideas. Conclusion is simplistic and not fully aligned to the development of the purpose.

2. Less than Satisfactory

7.5 points

Writing lacks logical progression of the thesis, position, or purpose. Some organization is attempted, but ideas are disconnected. Conclusion is unclear and not supported by the overall development of the purpose.

1. Unsatisfactory

0 points

No advancement of the thesis, position, or purpose is evident. Connections between paragraphs are missing or inappropriate. No conclusion is offered.

Evidence

Criteria Description

Selects and integrates evidence to support and advance position/purpose; considers other perspectives.

5. Excellent

10 points

Specific and appropriate evidence is included. Relevant perspectives of others are clearly considered.

4. Good

8.9 points

Relevant evidence that includes other perspectives is used.

3. Satisfactory

7.9 points

Evidence is used but is insufficient or of limited relevance. Simplistic explanation or integration of other perspectives is present.

2. Less than Satisfactory

7.5 points

Evidence is limited or irrelevant. The interpretation of other perspectives is superficial or incorrect.

1. Unsatisfactory

0 points

Evidence to support the thesis, position, or purpose is absent. The writing relies entirely on the perspective of the writer.

Mechanics of Writing

Criteria Description

Includes spelling, capitalization, punctuation, grammar, language use, sentence structure, etc.

5. Excellent

4 points

No mechanical errors are present. Appropriate language choice and sentence structure are used throughout.

4. Good

3.56 points

Few mechanical errors are present. Suitable language choice and sentence structure are used.

3. Satisfactory

3.16 points

Occasional mechanical errors are present. Language choice is generally appropriate. Varied sentence structure is attempted.

2. Less than Satisfactory

3 points

Frequent and repetitive mechanical errors are present. Inconsistencies in language choice or sentence structure are recurrent.

1. Unsatisfactory

0 points

Errors in grammar or syntax are pervasive and impede meaning. Incorrect language choice or sentence structure errors are found throughout.

Format/Documentation

Criteria Description

Uses appropriate style, such as APA, MLA, etc., for college, subject, and level; documents sources using citations, footnotes, references, bibliography, etc., appropriate to assignment and discipline.

5. Excellent

6 points

No errors in formatting or documentation are present.

4. Good

5.34 points

Appropriate format and documentation are used with only minor errors.

3. Satisfactory

4.74 points

Appropriate format and documentation are used, although there are some obvious errors.

2. Less than Satisfactory

4.5 points

Appropriate format is attempted, but some elements are missing. Frequent errors in documentation of sources are evident.

1. Unsatisfactory

0 points

Appropriate format is not used. No documentation of sources is provided.

Topic 4 DQ 1

What are the methods a nurse can use to gather cultural information from patients? How does cultural competence relate to better patient care? Discuss the ways in which a nurse demonstrates cultural competency in nursing practice.

What are the methods a nurse can use to gather cultural information from patients? How does cultural competence relate to better patient care? Discuss the ways in which a nurse demonstrates cultural competency in nursing practice.

Our populace has become assorted with a wide range of societies. As medical caretakers, we must get this and what this can mean for how we assemble data and instruct. To teach patients viably and enable them to advance their well-being, the medical caretaker should ultimately draw in with them and become accustomed to their particular necessities (Falkner, 2018). Medical caretakers are frequently the main contact line with a patient, and we should advocate for well-being fairness. Each little paying mind to race, religion, orientation, pay, sexual direction, or social conditions merits the fantastic chance to carry on with a long, sound life. Medical attendants can accomplish this by social occasion social data by knowing the inquiries to pose to decide the suitable requirements and intercessions of the populace being served. Madeleine Leininger’s way of life care hypothesis directs social ability, which guides social appraisal. A few instances of socially proper inquiries that medical caretakers can use to acquire socially delicate data are:

When do you look for treatment from others when you are sick?

How treat dread most with regards to your disorder or turning out to be sick?

What kinds of medicines are adequate for you?

How would you feel your sickness influences you in your day to day existence (Falkner, 2018)

This is the initial move towards social capability. Well-being convictions can vary by culture, and all essentially affect patients, generally speaking, well-being and what medicines and schooling they will acknowledge. It is additionally critical to survey the patients living climate and monetary status. The more well-being experts comprehend an individual/culture, the more touchy they will be to the particular requirements. Also, as the specific requirements are given consideration, the patient will acquire trust and be more adept at heeding the guidance of the medical services experts. This will prompt better constant reflection.

Social capability is only one part of giving incorporated medical care, which incorporates treating the patient in an all-encompassing way that tends to all their psychosocial and actual medical care needs (Falkner, 2018). Medical attendants are not relied upon to be specialists in each culture, yet to know about the distinctions and put their convictions and predisposition to the side to change the consideration likewise. Madeleine Leininger’s culture care hypothesis can assist medical attendants with perceiving the elements that impact a patient’s prosperity and help them utilize them to change the arrangement of care. The more a medical attendant comprehends the patient’s way of life, the more all-encompassing they can be in care conveyance.

Brian Neese sums up it well in this illustration:1 Cultural mindfulness includes self-assessment of inside and out an investigation of one’s social and expert foundation. This part starts with a knowledge of one’s social, medical services convictions and qualities. A social mindfulness appraisal apparatus can be utilized to survey an individual’s degree of social mindfulness.

Cultural information includes looking for and acquiring a database on various social and ethnic gatherings. This part is extended by getting to data presented through sources, for example, diary articles, classes, reading material, web assets, studio introductions, and college courses. Cultural expertise includes the medical attendant’s capacity to gather important social information concerning the patient’s introducing issue and precisely play out a socially explicit appraisal. The Giger and Davidhizar model deal with evaluating patients’ social, racial, and ethnic contrasts. Cultural experience is characterized as the cycle that urges attendants to straightforwardly take part in multifaceted communications with patients from socially assorted foundations. Attendants increment social capability by straightforwardly collaborating with patients from various social foundations. This is a continuous cycle; creating social skills can’t be dominated. Cultural desire alludes to the inspiration to be socially mindful and look for social experiences. This part includes the eagerness to be available to other people, acknowledge and regard social contrasts, and gain from others.

References;

Falkner, A. (n.d.). Cultural Awareness. Retrieved from Health Promotion: Health & Wellness Across the Continuum: https://lc.gcumedia.com/nrs429vn/health-promotion-health-and-wellness-across-the-continuum/v1.1/#/chapter/3

Neese, B. (2016, July 22). A Guide to Culturally Competent Nursing Care. Retrieved 2018, from https://online.alvernia.edu/culturally-competent-nursing-care/

Welcome to class

Hello class and welcome to the class and I will be your instructor for this course. This is a -week course and requires a lot of time commitment, organization, and a high level of dedication. Please use the class syllabus to guide you through all the assignments required for the course. I have also attached the classroom policies to this announcement to know your expectations for this course. Please review this document carefully and ask me any questions if you do. You could email me at any time or send me a message via the “message” icon in halo if you need to contact me. I check my email regularly, so you should get a response within 24 hours. If you have not heard from me within 24 hours and need to contact me urgently, please send a follow up text to.

I strongly encourage that you do not wait until the very last minute to complete your assignments. Your assignments in weeks 4 and 5 require early planning as you would need to present a teaching plan and interview a community health provider. I advise you look at the requirements for these assignments at the beginning of the course and plan accordingly. I have posted the YouTube link that explains all the class assignments in detail. It is required that you watch this 32-minute video as the assignments from week 3 through 5 require that you follow the instructions to the letter to succeed. Failure to complete these assignments according to instructions might lead to a zero. After watching the video, please schedule a one-on-one with me to discuss your topic for your project by the second week of class. Use this link to schedule a 15-minute session. Please, call me at the time of your appointment on my number. Please note that I will NOT call you.

Please, be advised I do NOT accept any assignments by email. If you are having technical issues with uploading an assignment, contact the technical department and inform me of the issue. If you have any issues that would prevent you from getting your assignments to me by the deadline, please inform me to request a possible extension. Note that working fulltime or overtime is no excuse for late assignments. There is a 5%-point deduction for every day your assignment is late. This only applies to approved extensions. Late assignments will not be accepted.

If you think you would be needing accommodations due to any reasons, please contact the appropriate department to request accommodations.

Plagiarism is highly prohibited. Please ensure you are citing your sources correctly using APA 7th edition. All assignments including discussion posts should be formatted in APA with the appropriate spacing, font, margin, and indents. Any papers not well formatted would be returned back to you, hence, I advise you review APA formatting style. I have attached a sample paper in APA format and will also post sample discussion responses in subsequent announcements.

Your initial discussion post should be a minimum of 200 words and response posts should be a minimum of 150 words. Be advised that I grade based on quality and not necessarily the number of words you post. A minimum of TWO references should be used for your initial post. For your response post, you do not need references as personal experiences would count as response posts. If you however cite anything from the literature for your response post, it is required that you cite your reference. You should include a minimum of THREE references for papers in this course. Please note that references should be no more than 5 years old except recommended as a resource for the class. Furthermore, for each discussion board question, you need ONE initial substantive response and TWO substantive responses to either your classmates or your instructor for a total of THREE responses. There are TWO discussion questions each week, hence, you need a total minimum of SIX discussion posts for each week. I usually post a discussion question each week. You could also respond to these as it would count towards your required SIX discussion posts for the week.

I understand this is a lot of information to cover in 5 weeks, however, the Bible says in Philippians 4:13 that we can do all things through Christ that strengthens us. Even in times like this, we are encouraged by God’s word that we have that ability in us to succeed with His strength. I pray that each and every one of you receives strength for this course and life generally as we navigate through this pandemic that is shaking our world today. Relax and enjoy the course!

Sincerely,

Rubric Criteria

Total 200 points

Criterion

1. Unsatisfactory

2. Less than Satisfactory

3. Satisfactory

4. Good

5. Excellent

Health Disparities and Nutritional Challenges for Minority Group

Health Disparities and Nutritional Challenges for Minority Group

0 points

Health disparities and nutritional challenges for this group are not presented.

22.5 points

A summary of the health disparities and nutritional challenges for this group is presented. Significant details have been omitted. Summary lacks evidence to support statements.

23.7 points

A discussion of the health disparities and nutritional challenges for this group is generally presented. Most significant findings related to the ethnic minority group have been included. A general comparison for how the ethnic minority group compares to the national average is presented. Some support is needed to support statements.

26.7 points

A discussion of the health disparities and nutritional challenges for this group is presented. The significant findings related to the ethnic minority group have been included. A comparison for how the ethnic minority group compares to the national average is presented. Some detail is needed for clarity.

30 points

A thorough discussion of the health disparities and nutritional challenges for this group is clearly presented. All relevant findings related to the ethnic minority group have been included. A well-developed comparison for how the ethnic minority group compares to the national average is presented.

Mechanics of Writing

Includes spelling, capitalization, punctuation, grammar, language use, sentence structure, etc.

0 points

Errors in grammar or syntax are pervasive and impede meaning. Incorrect language choice or sentence structure errors are found throughout.

3 points

Frequent and repetitive mechanical errors are present. Inconsistencies in language choice or sentence structure are recurrent.

3.16 points

Occasional mechanical errors are present. Language choice is generally appropriate. Varied sentence structure is attempted.

3.56 points

Few mechanical errors are present. Suitable language choice and sentence structure are used.

4 points

No mechanical errors are present. Appropriate language choice and sentence structure are used throughout.

Health Promotion Activities Practiced by Minority Group

Health Promotion Activities Practiced by Minority Group

0 points

Health promotion activities practiced by minority groups are not presented.

15 points

Health promotion activities practiced by minority groups are partially summarized. There are significant inaccuracies. Summary lacks evidence to support statements.

15.8 points

Health promotion activities practiced by minority groups are generally described. There are minor inaccuracies. A general comparison for how the ethnic minority group compares to the national average is presented. Some evidence is needed to support statements.

17.8 points

Health promotion activities practiced by minority groups are described. A comparison for how the ethnic minority group compares to the national average is presented. Minor evidence is needed to support statements.

20 points

Health promotion activities practiced by minority groups are accurately identified and described in detail. A well-developed comparison for how the ethnic minority group compares to the national average is presented. Compelling and accurate evidence is provided to support statements.

Thesis, Position, or Purpose

Communicates reason for writing and demonstrates awareness of audience.

0 points

The thesis, position, or purpose is not discernible. No awareness of the appropriate audience is evident.

7.5 points

The thesis, position, or purpose is unfocused or confused. There is very little awareness of the intended audience.

7.9 points

The thesis, position, or purpose is discernable in most aspects but is occasionally weak or unclear. There is limited awareness of the appropriate audience.

8.9 points

The thesis, position, or purpose is adequately presented. An awareness of the appropriate audience is demonstrated.

10 points

The thesis, position, or purpose is clearly communicated throughout and clearly directed to a specific audience.

Three Levels of Health Promotion Prevention

Three Levels of Health Promotion Prevention

0 points

A care plan, with at least one approach using the three levels of health promotion prevention, is not presented.

22.5 points

A care plan, with at least one approach using the three levels of health promotion prevention, is partially presented. It is unclear how this plan meets the unique needs of the ethnic minority group selected. There are inaccuracies.

23.7 points

A care plan, with at least one approach using the three levels of health promotion prevention, is summarized. A general explanation of how this plan meets the unique needs of the ethnic minority group selected, and why it is the most effective choice, is presented. Some support or rationale is needed.

26.7 points

A care plan, with at least one approach using the three levels of health promotion prevention, is described. An explanation of how this plan meets the unique needs of the ethnic minority group selected, and why it is the most effective choice, is presented. Minor support or rationale is needed.

30 points

A care plan, with at least one approach using the three levels of health promotion prevention, is thoroughly described. A well-supported explanation of how this plan meets the unique needs of the ethnic minority group selected, and why it is the most effective choice, is presented. The discussion demonstrates a clear understanding of the three levels of health promotion prevention and their application to a unique group.

Barriers to Health for Minority Group

Barriers to Health for Minority Group

0 points

Barriers to health for ethnic minority group are not presented.

22.5 points

Barriers to health for ethnic minority group are partially presented. The summary is not consistent with the assignment criteria. There are significant inaccuracies. Summary lacks evidence to support statements.

23.7 points

Barriers to health for ethnic minority group are summarized. The summary includes barriers resulting from culture, socioeconomics, education, and sociopolitical factors. There are some inaccuracies. A general comparison for how the ethnic minority group compares to the national average is presented. Some evidence is needed to support statements.

26.7 points

Barriers to health for this ethnic minority group resulting from culture, socioeconomics, education, and sociopolitical factors are discussed. A comparison for how the ethnic minority group compares to the national average is presented. Minor evidence is needed to support statements.

30 points

Barriers to health for this ethnic minority group resulting from culture, socioeconomics, education, and sociopolitical factors are thoroughly discussed. A well-developed comparison for how the ethnic minority group compares to the national average is presented. Compelling and accurate evidence is provided to support statements.

Evidence

Selects and integrates evidence to support and advance position/purpose; considers other perspectives.

0 points

Evidence to support the thesis, position, or purpose is absent. The writing relies entirely on the perspective of the writer.

7.5 points

Evidence is limited or irrelevant. The interpretation of other perspectives is superficial or incorrect.

7.9 points

Evidence is used but is insufficient or of limited relevance. Simplistic explanation or integration of other perspectives is present.

8.9 points

Relevant evidence that includes other perspectives is used.

10 points

Specific and appropriate evidence is included. Relevant perspectives of others are clearly considered.

Identification and Description of Selected Minority Group

Identification and Description of Selected Minority Group

0 points

Description and health status for ethnic minority group is not presented.

15 points

Description of ethnic minority group is partially presented. Health status for this group is vague. It is unclear how race and ethnicity influence health for this group.

15.8 points

Summary of ethnic minority group is partially presented. Health status for this group is generally discussed. Explanation of how race and ethnicity influence health this group is generally presented. It is unclear how the health status of this ethnic minority group compares to the national average. A general comparison for how the ethnic minority group compares to the national average is presented.

17.8 points

Description of ethnic minority group is partially presented. Health status for this group is discussed. Explanation of how race and ethnicity influence health for this group is presented. A comparison for how the ethnic minority group compares to the national average is presented.

20 points

A detailed description of ethnic minority group is partially presented. Health status for this group is thoroughly discussed. Explanation of how race and ethnicity influence health for this group is clearly presented. A well-developed comparison for how the ethnic minority group compares to the national average is presented.

Format/Documentation

Uses appropriate style, such as APA, MLA, etc., for college, subject, and level; documents sources using citations, footnotes, references, bibliography, etc., appropriate to assignment and discipline.

0 points

Appropriate format is not used. No documentation of sources is provided.

4.5 points

Appropriate format is attempted, but some elements are missing. Frequent errors in documentation of sources are evident.

4.74 points

Appropriate format and documentation are used, although there are some obvious errors.

5.34 points

Appropriate format and documentation are used with only minor errors.

6 points

No errors in formatting or documentation are present.

Development, Structure, and Conclusion

Advances position or purpose throughout writing; conclusion aligns to and evolves from development.

0 points

No advancement of the thesis, position, or purpose is evident. Connections between paragraphs are missing or inappropriate. No conclusion is offered.

7.5 points

Writing lacks logical progression of the thesis, position, or purpose. Some organization is attempted, but ideas are disconnected. Conclusion is unclear and not supported by the overall development of the purpose.

7.9 points

Limited advancement of thesis, position, or purpose is discernable. There are inconsistencies in organization or the relationship of ideas. Conclusion is simplistic and not fully aligned to the development of the purpose.

8.9 points

The thesis, position, or purpose is advanced in most aspects. Ideas clearly build on each other. Conclusion aligns to the development of the purpose.

10 points

The thesis, position, or purpose is logically advanced throughout. The progression of ideas is coherent and unified. A clear and logical conclusion aligns to the development of the purpose.

Cultural Competent Health Promotion for Ethnic Minority Population

Cultural Competent Health Promotion for Ethnic Minority Population

0 points

Cultural beliefs, practices, and relevant cultural theory significant to supporting a culturally competent health promotion for this population are not presented.

22.5 points

Cultural beliefs and practices to be considered are presented but are incomplete or inaccurate. The cultural theory or model proposed is partially presented; or, the model is not relevant. Overall, the content does not support a culturally competent health promotion for this population. There are significant inaccuracies.

23.7 points

Cultural beliefs and practices to be considered are summarized. A relevant cultural theory or model is proposed. Overall, the content generally supports a culturally competent health promotion for this population. There are some inaccuracies. More evidence or rationale is needed.

26.7 points

Cultural beliefs and practices to be considered are discussed. A relevant cultural theory or model is proposed. Overall, the content generally supports a culturally competent health promotion for this population. Some evidence or rationale is needed.

30 points

Cultural beliefs and practices to be considered are thoroughly discussed. A relevant cultural theory or model is proposed. Overall, the content strongly supports a culturally competent health promotion for this population. Strong evidence and rational are provided for support. The discussion demonstrates aptitude for understanding cultural competence and developing culturally competent health promotions.

Also Read: NRS 428 Community Teaching Plan Teaching Experience Paper