Course Project, Transcultural Assessment Milestone 1: Individual’s Profile (graded, 100 points)

Updated 9/2018

Purpose

The purpose of the Course Project is to give the student the opportunity to apply concepts in transcultural nursing by performing a transcultural nursing assessment.

The purpose of Milestone 1 is to identify an adult who is not a relative who is willing to participate in the transcultural assessment and to secure the instructor’s approval for the assessment. Note: The actual assessment does not occur until Milestone 3. It is not a purpose for this assignment.

Course Outcomes

CO1: Identify theories, concepts, and beliefs related to transcultural nursing. (PO1)

CO2: Communicate effectively with culturally diverse individuals, families, and organizations. (PO3)

CO4: Perform a culturally competent nursing assessment. (PO7)

Points

The entire project is worth 600 points. Milestone 1 is worth 100 points of this total.

Due Dates

You are to submit your completed NR394 Milestone 1 by Sunday, 11:59 p.m. MT, at the end of Week 3.

Requirements and Guidelines

1. Review the Course Outcomes for this assignment, which are listed above.

2. Review the guidelines for Milestones 1, 2, and 3, paying particular attention to Milestone 1 for this assignment. The guidelines for all of the Milestones are located in Modules on the left-hand navigation menu. Also, read the Course Project Overview page in Introduction & Resources for more details and helpful tips.

3. Identify a potential individual who has been living in a culture other than the one of origin for at least 2 years. This individual must be born outside the United States. The individual can be a patient, friend, or colleague, such as a physician, or acquaintance, but cannot be a relative. The individual must be living in your community and must be currently receiving or have previously received healthcare services in your community. The individual’s race, ethnicity, language, religion, and culturally based beliefs about healthcare and illness should be quite different from yours. The individual must speak your language. An interpreter is not permitted for the actual assessment, which occurs in Milestone 3 (Week 6).
Note: This is the same individual for whom you will develop verbal assessment questions in Milestone 2 and whom you will ask those questions in Milestone 3 and then reflect on your learning about the Course Project and the assessment.

4. Individuals can come from a variety of settings. Recent immigrants, migrant workers, exchange students, international students, long-term care residents, refugees, coworkers, physicians, patients, employees at local ethnic businesses, religious venues, community centers, and individuals who have recently moved to your community are some suggestions. The individual does not need to be a healthcare worker but must have received healthcare services in the country of origin as well as since arriving in the United States. Work with your instructor prior to submitting Milestone 1. Approval must be provided by your instructor before submitting Milestone 1 (this assignment).

5. Speak with the individual, and obtain permission to conduct an assessment later in the course. Clearly explain that statements made in the assessment will be recorded (written) and submitted to the instructor only. It is not intended for public distribution. Anonymity will be maintained by using first and last initials only. Do not use names in any of your documents.

6. Download the NR394_Individual_Profile_Template (Links to an external site.). Although you are not performing the official assessment until Milestone 3, it will be necessary to obtain some general information about your individual to complete Milestone 1. This information may come from the individual or Internet sources.

7. Fill in information about the potential individual using the template. You are expected to write clearly and use proper grammar and spelling and eliminate typos.

8. Submit the completed template by the end of Week 3 at 11:59 p.m. MT.

Example: KC was born in Hwidiem, Ghana, a small village in Africa, where he did not graduate from high school. He is 72 years old. He immigrated to the United States at age 28 and has lived in Grove City near Columbus, Ohio since then. Hwidiem is considered the provincial capital (fill in information about the community or city as you can find). He was married but divorced after a traumatic brain injury. Since then, he has had many part-time jobs and studies his Bible faithfully. Grove City is a town in Ohio (fill in information about the city or community). Currently, he receives healthcare for his hypertension control. I met him 3 years ago at a senior citizens’ center where I volunteer.

**Academic Integrity Reminder**

College of Nursing values honesty and integrity. All students should be aware of the Academic Integrity policy and follow it in all discussions and assignments.

By submitting this assignment, I pledge on my honor that all content contained is my own original work except as quoted and cited appropriately. I have not received any unauthorized assistance on this assignment.

Please see the grading criteria and rubrics on this page.

Note: Please use your browser’s File setting to save or print this page.

Rubric

NR394 Milestone_1 – May 2019

NR394 Milestone_1 – May 2019

Criteria

Ratings

Pts

This criterion is linked to a Learning OutcomeDescription of individual and culture/community of origin

Provides first and last initials of individual; states profession and/or career choice of individual; describes specifically the country/community/city of birth and culture of origin of individual.

25.0 pts

Provides both the first and last initial of individual, age, profession or career choice; country of birth and thoroughly describes culture/community/city of origin.

22.0 pts

Provides first and last initial of individual age; gives general descriptions of profession or career choice; clearly describes culture/community/city of origin.

20.0 pts

Provides first and last initials of individual. Mentions specific culture/community/city but details are incomplete; fails to mention profession or career choice.

9.0 pts

Mentions individual by name instead of initials, which breaks confidentiality. Vaguely describes culture/community/city of origin and profession or career choice.

0.0 pts

Does not provide initials of individual; fails to mention profession or career choice; does not describe specific culture of origin.

25.0 pts

This criterion is linked to a Learning OutcomeTime in current community, and community

States the number of years individual has resided in your community. Provides a description of the individual’s current community.

20.0 pts

Indicates the number of years individual has resided in your community. Provides a detailed description of that community.

18.0 pts

Indicates the number of years individual has resided in the community. Provides a general description of that community.

16.0 pts

Indicates the number of years the individual has resided in this community. Provides a brief description of that community.

8.0 pts

Includes the number of years individual has resided in the community. Provides a vague description of that community.

0.0 pts

Does not include number of years individual has resided in the United States. Does not provide a description of that community

20.0 pts

This criterion is linked to a Learning OutcomeRelationship with individual

Describes how nurse is acquainted with individual.

10.0 pts

Thoroughly identifies the relationship of nurse to the individual, with details of how long each has known the other and the circumstances under which they met.

9.0 pts

Clearly identifies the relationship of nurse to individual but fails to describe the length of the relationship and circumstances under which they met.

8.0 pts

Generally identifies relationship of nurse to individual, but does not provide details of the length of the relationship or the circumstances under which each met.

4.0 pts

Vaguely identifies relationship of nurse to individual, but does not provide details of the length of the relationship or the circumstances under which each met.

0.0 pts

Does not identify relationship of nurse to individual.

10.0 pts

This criterion is linked to a Learning OutcomeExplains reasons individual was selected, and individual’s interaction with previous and current community’s healthcare system.

Explains details of why individual was selected that speak to individual’s culture and experiences with previous and current healthcare systems.

40.0 pts

Explains at least four reasons why the individual was selected that speak to the individual’s culture of origin and experiences with the previous and current healthcare system.

31.0 pts

Explains three reasons why the individual was selected that mention the individual’s culture and experiences with previous and current the healthcare systems.

28.0 pts

Explains two reasons why the individual was selected but does not include those that speak to the individual’s culture of origin or experiences with previous and current healthcare systems.

13.0 pts

Explains only one reason why the individual was selected but does not include those that speak to the individual’s culture of origin or experiences with the previous or current healthcare systems.

0.0 pts

Does not explain reasons individual was selected, or gives reasons that do not include the individual’s culture of origin or experiences with the previous or current healthcare systems.

40.0 pts

This criterion is linked to a Learning OutcomeMechanics

Mechanics and formatting with minimal errors of the following: correct grammar and spelling using complete sentences

5.0 pts

Excellent mechanics and formatting used with minimal errors of the following: – correct grammar and spelling using complete sentences

4.0 pts

Good mechanics and formatting used and consideration given to the elements listed in the first column.

3.0 pts

Fair mechanics and formatting used and consideration given to the elements listed in the first column.

2.0 pts

Poor mechanics and formatting used and consideration given to the elements listed in the first column

0.0 pts

Very poor mechanics and formatting such that paper is difficult to read.

5.0 pts

This criterion is linked to a Learning OutcomeTemplate Use

0.0 pts

0 points deducted

Correct template used.

0.0 pts

10 points (10%) deduction Incorrect template used or NO template used results in a loss of 10 points (10%).

0.0 pts

• Review the Resources and consider the importance of critically appraising research evidence.
• Reflect on the four peer-reviewed articles you selected in Module 2 and analyzed in Module 3.
• Review and download the Critical Appraisal Tool Worksheet Template provided in the Resources.

(Evidence-Based Project)

Part 4A: Critical Appraisal of Research

Conduct a critical appraisal of the four peer-reviewed articles you selected and analyzed by completing the Evaluation Table within the Critical Appraisal Tool Worksheet Template.

Part 4B: Critical Appraisal of Research

Based on your appraisal, in a 1-2-page critical appraisal, suggest a best practice that emerges from the research you reviewed. Briefly explain the best practice, justifying your proposal with APA citations of the research.

You have been invited to assemble a task force to design a medication assistance program. You need to submit a proposal, regarding who you would invite, to the CEO. Consider the perspectives of prescribers, discharge planners, financial navigators, patients, suppliers, book keepers, subsidizers, lawmakers, etc…. If you were to seek the input of 5-7 stakeholders, who would you invite to the planning table, and why? Consider the need for a group facilitator. Who would that person be, and why?

Submit your group’s presentation as if you were making it for the CEO of a local hospital. It will be in a powerpoint presentation (10 slides, 1 title page, 1 reference page, 8 pages of information listed above).

Assignment: Analysis of a Pertinent Healthcare Issue

The Quadruple Aim provides broad categories of goals to pursue to maintain and improve healthcare. Within each goal are many issues that, if addressed successfully, may have a positive impact on outcomes. For example, healthcare leaders are being tasked to shift from an emphasis on disease management often provided in an acute care setting to health promotion and disease prevention delivered in primary care settings. Efforts in this area can have significant positive impacts by reducing the need for primary healthcare and by reducing the stress on the healthcare system.

Changes in the industry only serve to stress what has always been true; namely, that the healthcare field has always faced significant challenges, and that goals to improve healthcare will always involve multiple stakeholders. This should not seem surprising given the circumstances. Indeed, when a growing population needs care, there are factors involved such as the demands of providing that care and the rising costs associated with healthcare. Generally, it is not surprising that the field of healthcare is an industry facing multifaceted issues that evolve over time.

In this module’s Discussion, you reviewed some healthcare issues/stressors and selected one for further review. For this Assignment, you will consider in more detail the healthcare issue/stressor you selected. You will also review research that addresses the issue/stressor and write a white paper to your organization’s leadership that addresses the issue/stressor you selected.

To Prepare:

• Review the national healthcare issues/stressors presented in the Resources and reflect on the national healthcare issue/stressor you selected for study.
• Reflect on the feedback you received from your colleagues on your Discussion post for the national healthcare issue/stressor you selected.
• Identify and review two additional scholarly resources (not included in the Resources for this module) that focus on change strategies implemented by healthcare organizations to address your selected national healthcare issue/stressor.

The Assignment (3-4 Pages):

Analysis of a Pertinent Healthcare Issue

Develop a 3- to 4-page paper, written to your organization’s leadership team, addressing your selected national healthcare issue/stressor and how it is impacting your work setting. Be sure to address the following:

• Describe the national healthcare issue/stressor you selected and its impact on your organization. Use organizational data to quantify the impact (if necessary, seek assistance from leadership or appropriate stakeholders in your organization).
• Provide a brief summary of the two articles you reviewed from outside resources on the national healthcare issue/stressor. Explain how the healthcare issue/stressor is being addressed in other organizations.
• Summarize the strategies used to address the organizational impact of national healthcare issues/stressors presented in the scholarly resources you selected. Explain how they may impact your organization both positively and negatively. Be specific and provide examples.

Looking Ahead

The paper you develop in Module 1 will be revisited and revised in Module 2. Review the Assignment instructions for Module 2 to prepare for your revised paper.

 

Learning Resources

Note: To access this week’s required library resources, please click on the link to the Course Readings List, found in the Course Materials section of your Syllabus.

Required Readings

Marshall, E., & Broome, M. (2017). Transformational leadership in nursing: From expert clinician to influential leader (2nd ed.). New York, NY: Springer.
Chapter 2, “Understanding Contexts for Transformational Leadership: Complexity, Change, and Strategic Planning” (pp. 37–62)
Chapter 3, “Current Challenges in Complex Health Care Organizations: The Triple Aim” (pp. 63–86)

Read any TWO of the following (plus TWO additional readings on your selected issue):

Auerbach, D. I., Staiger, D. O., & Buerhaus, P. I. (2018). Growing ranks of advanced practice clinicians—Implications for the physician workforce. New England Journal of Medicine, 378(25), 2358–2360. doi:10.1056/NEJMp1801869
Note: You will access this article from the Walden Library databases.

Gerardi, T., Farmer, P., & Hoffman, B. (2018). Moving closer to the 2020 BSN-prepared workforce goal. American Journal of Nursing, 118(2), 43–45. doi:10.1097/01.NAJ.0000530244.15217.aa
Note: You will access this article from the Walden Library databases.

Jacobs, B., McGovern, J., Heinmiller, J., & Drenkard, K. (2018). Engaging employees in well-being: Moving from the Triple Aim to the Quadruple Aim. Nursing Administration Quarterly, 42(3), 231–245. doi:10.1097/NAQ.0000000000000303
Note: You will access this article from the Walden Library databases.

Norful, A. A., de Jacq, K., Carlino, R., & Poghosyan, L. (2018). Nurse practitioner–physician comanagement: A theoretical model to alleviate primary care strain. Annals of Family Medicine, 16(3), 250–256. doi:10.1370/afm.2230
Note: You will access this article from the Walden Library databases.

Palumbo, M., Rambur, B., & Hart, V. (2017). Is health care payment reform impacting nurses’ work settings, roles, and education preparation? Journal of Professional Nursing, 33(6), 400–404. doi:10.1016/j.profnurs.2016.11.005
Note: You will access this article from the Walden Library databases.

Park, B., Gold, S. B., Bazemore, A., & Liaw, W. (2018). How evolving United States payment models influence primary care and its impact on the Quadruple Aim. Journal of the American Board of Family Medicine, 31(4), 588–604. doi:10.3122/jabfm.2018.04.170388
Note: You will access this article from the Walden Library databases.

Pittman, P., & Scully-Russ, E. (2016). Workforce planning and development in times of delivery system transformation. Human Resources for Health, 14(56), 1–15. doi:10.1186/s12960-016-0154-3. Retrieved from https://human-resources-health.biomedcentral.com/track/pdf/10.1186/s12960-016-0154-3  

Poghosyan, L., Norful, A., & Laugesen, M. (2018). Removing restrictions on nurse practitioners’ scope of practice in New York state: Physicians’ and nurse practitioners’ perspectives. Journal of the American Association of Nurse Practitioners, 30(6), 354–360. doi:10.1097/JXX.0000000000000040
Note: You will access this article from the Walden Library databases.

Ricketts, T., & Fraher, E. (2013). Reconfiguring health workforce policy so that education, training, and actual delivery of care are closely connected. Health Affairs, 32(11), 1874–1880. doi:10.1377/hlthaff.2013.0531
Note: You will access this article from the Walden Library databases.

Written Assignment – What Would You Do Differently

Points/Grading Rubric:

 

Criteria

Points

Discuss what lead to errors in the video you watched for this assignment

Discuss what lead to errors in the article you read for this assignment

Reflect on how you will practice nursing differently based upon what you have learned.

Grammar, APA and Organization

Your written assignment this week is to reflect on a video and an article. In each tragic case discuss what lead to error in the system. In a paragraph or two reflect on how you might practice differently based on what you have learned in this module.

Video Example

Article Example