Food for thought items: 

From your reading assignments have you noticed any similarities among the cultures that you have read about, are there any distinct differences that would have you make an adjustment in your plan of nursing care? 

Please review the criteria for your culturally diverse client interview.  Do you have any special preparations? Are there any sensitivity issues you may want to be aware of during this process? 

The actual discussion topic included: 

In the evaluation of your current workplace or neighborhood. Have you noticed any additional population shifts?  It seems that this topic as been explored already by several students. If this is the case, please continue to highlight noticeable changes with each other

May 2012, Alice Randall wrote an article for The New York Times on the cultural factors that encouraged black women to maintain a weight above what is considered healthy. Randall explained—from her observations and her personal experience as a black woman—that many African-American communities and cultures consider women who are overweight to be more beautiful and desirable than women at a healthier weight. As she put it, “Many black women are fat because we want to be” (Randall, 2012).

Randall’s statements sparked a great deal of controversy and debate; however, they emphasize an underlying reality in the healthcare field: different populations, cultures, and groups have diverse beliefs and practices that impact their health. Nurses and healthcare professionals should be aware of this reality and adapt their health assessment techniques and recommendations to accommodate diversity.

In this Discussion, you will consider different socioeconomic, spiritual, lifestyle, and other cultural factors that should be taken into considerations when building a health history for patients with diverse backgrounds. Your Instructor will assign a case study to you for this Discussion

To prepare:

• Reflect on your experiences as a nurse and on the information provided in this week’s Learning Resources on diversity issues in health assessments.
• By Day 1 of this week, you will be assigned a case study by your Instructor. Note: Please see the “Course Announcements” section of the classroom for your case study assignment.
• Reflect on the specific socioeconomic, spiritual, lifestyle, and other cultural factors related to the health of the patient assigned to you.
• Consider how you would build a health history for the patient. What questions would you ask, and how would you frame them to be sensitive to the patient’s background, lifestyle, and culture? Develop five targeted questions you would ask the patient to build his or her health history and to assess his or her health risks.
• Think about the challenges associated with communicating with patients from a variety of specific populations. What strategies can you as a nurse employ to be sensitive to different cultural factors while gathering the pertinent information?
• CASE STUDY 1
•  John Green, 33 year-old Caucasian male, presents to the office to establish as a new patient. John’s natal sex is female but he identifies as a male. He transitioned from female to male 2 years ago. He has made a full transition with family and socially last year. He just moved back home and is unemployed at this time. He has been obtaining testosterone from the internet to give to himself. He has not had any health care since he decided to change other than getting his suppression medications through Telehealth 3 months ago. His past medical history includes smoking 2 packages of cigarettes per day for the last 10 years, smokes 3-6 marijuana joints every weekend (has an active green card), and does suffer from depression episodes. He is HIV positive for the last 3 years but remains virally suppressed at his last blood draw 6 months ago. He has been feeling very weak over the last few weeks which prompted him to move back home with his parents. He takes Biktarvy once daily that comes in the mail for free, tolerates it well, and 100 mg Testosterone IM every 7 days. His PMH is non-contributory. No past medical history. He has never been married. No significant family history. He is worried since moving back home and unemployed he will be a burden on his family, and he thinks his health may be declining. 

I was really surprised by my results from the essential self-assessment the 2nd time around. I made sure not to look at the 1st one before I completed it. My score was initially 36 and now is 46. I had significantly more excellent than the very good column than before. Two areas that I have learned a great deal in. I have a better understanding of the use of CIS systems to document interventions related to achieving nurse sensitive outcomes. I also recognize the role that information technology plays in improving patient care outcomes and creating a safe care environment.

Understanding the difference between a CIS system and an EHR is important to understand how each work. Knowing now that a CIS system focuses on management of clinical data and information that allows practitioners and patients to use the date. CIS systems provide the infrastructure to bring all applications together.  The goal of an EHR system is to improve quality and safety of patient care by benefits of improved accuracy and completeness of patient health information.   

“Information technology is the process of searching, organizing and managing data supported by the use of computers” (Hebda et al., 2018). With the use of science to support the use of technology in healthcare, our patients can have safer and better outcomes in care.

As I continue my nursing career, I will use the knowledge I have learned to help provide the best care to my patients. I currently use the CIS system at my current position. But now understanding its use better, I plan to help educate my patients on the ability for them to create an account to manage their health. By receiving recent lab results, vital signs, and physician notes on after care summaries, patients can take better control of their health. They can also use the system to make future Dr. appointments and chat with the practitioners. Using information technology has been something my hospital continues to grow on. I will use information technology more to identify areas in our practice that can benefit from updating our nursing practice. Using our charting system, I can identify areas that nursing practice may be lacking such as IV start success rates. “Technology aids the nurse in the collections, analysis and application of data for decision making” (Chamberlain Lesson 8, 2023) By researching, analyzing, and applying what I’ve learned, I can help our nursing staff enhance performance in delivering of safe patient care.

Resources:

Chamberlian University. (2023, September).
Week 8 Lesson: Informatics as a specialty [Lecture Notes].

Week 8: Lesson: Informatics as a Specialty: RN Information Systems in Healthcare-Wells-Kersbergen (instructure.com)

Hebda, T., Hunter, K., & Czar, P. (2018). Handbook of Informatics for Nurses & Healthcare Professionals (6th ed.). Pearson Learning Solutions.

https://ambassadored.vitalsource.com/books/9781323903148

MY NUMBER ASSIGNED WAS 1 WHICH IS: Level of Consciousness – Stuporous, Obtunded, Coma, Lethargy, etc. 

Initial post:Each student will be assigned a number randomly.  Whatever your number is, select the corresponding topic below, then post a minimum of 5 bullet points about the topic.Your bullet points should address key components of the topic, such as what, how, who, & why.  This information should not be basic things you learned in Med/Surg, but rather advanced critical care based. Think about this as a group effort to create a study guide. Use ONLY your textbook, but do not cut & paste from the book.Then create, find, or borrow a test style question about your topic & post at the bottom of your bullet points. The format needs to be multiple choice or select all that apply. Think NCLEX style. Each week include a paragraph with the results from one of your weekly interviews.Discussion post assignments are worth 20 points each as follows: 

• 5 points for the quality of your bullet points.
• 5 points for the quality of your question.
• 5 points for answering the question of a peer as your response.
• 5 points for the quality of your rationale.
  • Quality is defined as thorough and thoughtful while demonstrating professional level knowledge of the topic.

Review the terms Stratified Sampling, Cluster Sampling, Random Sampling, and Systematic Sampling from “The Visual Learner: Statistics,” located in the Topic 2 Resources.

For this question you are divided into groups based on your last name. Identify your given sampling method using the first letter of your last name.

• A-F – Stratified Sampling
• G-L – Cluster Sampling
• M-R – Random Sampling
• S-Z – Systematic Sampling

Use the assigned sampling method to answer the following question:

Imagine that you are conducting a patient satisfaction survey at your health care facility. How would the assigned sampling method be applied in this case? What are the strengths and weakness of the assigned sampling method in this scenario?

Initial discussion question posts should be a minimum of 200 words and include at least two references cited using APA format. Responses to peers or faculty should be 100-150 words and include one reference. Refer to “HLT-362V Discussion Question Rubric” and “HLT-362V Participation Rubric,” located in Class Resources, to understand the expectations for initial discussion question posts and participation posts, respectively.