How does the community health nurse recognize bias, stereotypes, and implicit bias within the community?

It may be difficult for nurses to accept that they might be biased against any of their patients, however, it happens, and accepting it and then continually reassessing how they feel and how their approach works are the best approach to correcting implicit bias. A latent human tendency is an implicit bias that therefore interferes with best nursing practices. Recognizing an inherent bias implies recognizing that one might have certain emotions towards a particular population, the presence of an individual or community, or mannerisms that need to be discussed and dealt with in order to provide the best possible treatment.

How should the nurse address these concepts to ensure health promotion activities are culturally competent?

The following are some of the ways the nurses can address the concepts of bias, stereotypes, and implicit bias to ensure that health promotion activities are culturally competent;

1. Noticing their assumptions-Anything from language differences to work status to regional inflections may lead individuals to conclude that a patient has certain attributes, attitudes, or values with which one might not agree. When trying to describe therapies to a patient, when listening to their wishes, or when working with an extended and active family, it is important to notice the assumptions that might be made.
2. Knowing the patients- A good way to learn more about them is to speak with your patients. Understanding cultural differences will also assist one to become mindful of and begin to resolve any implicit bias.
3. Talking about implicit bias in the work setting also opens the conversation, removes the taboo, and paves the way for better patient care and outcomes.
4. Nurses should also understand the assumptions that trigger in them- A patient’s race, accent, clothing style, or appearance can spark an instant judgment in nurses, therefore, understanding this aspect will help recognize the bias.

Propose strategies that you can employ to reduce cultural dissonance and bias to deliver culturally competent care.

The following are some of the strategies that can be employed to eliminate cultural dissonance and bias to deliver culturally competent care;

1. Acknowledgment- With acknowledgment comes to the acceptance of responsibility and accountability to make a difference. By facilitating reactions to promote supportive attitudes, such as empathy, nurses and other healthcare professionals must shift to suppress implicit bias.
2. Advocacy- Nurses’ advocacy will help patients in the face of implicit bias to receive the individualized care they need. To serve the needs of patients, nurses must advocate for patients with tact, compassion, and professionalism, and connect and interact with other members of the healthcare team.
3. Education- To raise awareness, acknowledge the presence of implicit bias, and reduce its prevalence, enhanced knowledge is essential. For healthcare professionals and nurses, education may be applied in standardized curricula.
4. Personal awareness- This is the process of inward reflection to accept biases and ideals that can contribute to implicit bias. An internal compass that is used to direct everyday interactions needs gaining personal knowledge. In the face of the constant challenge of implicit bias, this compass will help nurses distinguish acceptable and inappropriate attitudes and actions and remain on the right path.

Using 200-300 APA format with references in supporting the discussion.  Propose strategies that you can employ to reduce cultural dissonance and bias to deliver culturally competent care. Include an evidence-based article that address the cultural issue

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2 postsRe: Topic 1 DQ 1

Patient education is a significant responsibility for all nurses. A patient should be educated from the moment of admission to the date of discharge. There are always opportunities for nurses to teach patients and enforce teaching. According to Whitney, the first process of being health educator and teaching is patient assessment (2018). Patient assessment is necessary because each patient has different learning style, education level, values, and belief system. Nurses are also responsible to assess for any barriers in learning. Some of these barriers include culture, health disparities, environment, language, literary, and physiological barriers (Whitney, 2018). Patients need to be educated to make informed decisions, manage their health, prevent illness, and promote health. Nurses collaborate with an interdisciplinary team to develop a teaching plan tailored to a patient.

Nurse educator may collaborate with an interdisciplinary team to develop a tailored individual care plan. It is important for nurses to find out what is important to their patient and what motivated them to make the teaching more effective (Smith & Zsohar, 2013). This will be different for every patient because each patient has a different motivator and readiness to learn. Nurses should utilize the teach back method to demonstrate effective teaching. When developing educational programs in health promotion it is important for nurses to focus on a specific target group that share the same values and goals. It is important to determine the literacy level and any other barriers to learning. Providing various resources such as video, written, and audio material is essential for teaching and evaluating the patient’s knowledge in teaching.

Behavioral objectives should be utilized in a patient’s care plan when the patient is willing to learn and change. Before a nurse can utilize the behavioral objective, they need to determine the patient’s readiness to change and create on objective for the patient’s stage (Whitney, 2018). There are six stages of change. Nurses play a crucial role in patient education and are key players in improving patient health and wellness.

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In the realm of marketing, a successful branding strategy is one of the most important contributors to organizational success. A solid branding strategy can help add visibility and credibility to a company’s products.

Similarly, nurse-scholars can build a personal brand to add visibility and credibility to their work. You can begin building your brand by developing and maintaining an academic portfolio. Such an activity can help share the results of your efforts and contribute to your success. This Module’s Discussion asks you to consider and share strategies for building your portfolio.

To Prepare:

• Reflect on strategies that you can pursue in developing portfolios or portfolio elements that focus on academic achievements.
• Review one or more samples from your own research of resources focused on portfolio development.

By Day 3 of Week 8

Post an explanation of at least two strategies for including academic activities and accomplishments into your professional development goals. Then, explain how those goals may align with the University’s emphasis on social change. Be specific and provide examples.

By Day 6 of Week 8

Respond to at least two of your colleagues’ posts by offering additional ideas regarding academic achievements to include or offering alternative ways of presenting the current achievements.

APA 7 formatting at least 3 references including DOI number,  and two paragraphs each.

Discussion for reply one (Eliz)

Week 8 Main Discussion Post

Besides the day to day bustle of nursing life, it is important to have vision of future plans.  These plans, when clearly laid out, create a map to success.  Achieving the “stops” on the way along the map to success, are opportunities for growth that, when accomplished, should be added to our portfolio.  This portfolio will be used to help leverage our position among other qualified individuals and set us apart when vying for employment opportunities, as well as help us excel in our practice.

Along with advancing my education in this program, one of the ways I have contributed to my academic portfolio is by becoming certified in my area of nursing practice.  Certified nurses have shown to be a benefit to patients, their families, and employers (Certification Benefits Patients, Employers and Nurses, n.d.).  By achieving certified status, it has been shown that certified nurses make decisions with more confidence and gain more satisfaction in their profession (Certification Benefits Patients, Employers and Nurses, n.d.).  I have to agree with these statements as I have seen a tremendous benefit in my practice since achieving certification, as well as a respect from colleagues that I hadn’t been as aware of previously.

Another strategy that I plan to add to my portfolio is working with nursing education on RN competencies.  I have had the opportunity to participate in annual nursing competencies at my facility on mechanical circulatory support, since I am the content expert for the facility.  I really enjoy teaching and find that I am also able to learn more myself by coming up with new and innovative ways to present the material.  Focusing on continuing education and becoming an expert has been shown to expand professional development in nursing exponentially (Sadler, 2018).  Although teaching is not ultimately what I want to do, it is nice to have the opportunity to participate and contribute to the continuing education of my colleagues.

Walden University’s vision of social change is to change practice on a global scale (Social Change, 2020).  I believe both of these initiatives will help contribute to this mission as they will allow for the advancement of practice in nursing.  Having an advanced certification and sharing that knowledge with colleagues can only benefit patient care and increase outcomes in the long run.  I look forward to being able to continue to contribute to this change by obtaining my advanced degree and being able to expand my scope of practice as well.

References

Certification benefits patients, employers and nurses. (n.d.). American Association of Critical-Care Nurses. Retrieved October 1, 2020, from https://www.aacn.org/certification/value-of-certification-resource-center/nurse-certification-benefits-patients-employers-and-nurses#:~:text=By%20becoming%20certified%2C%20nurses%20validate,licensure%20measures%20entry%2Dlevel%20competence.

Sadler, F. (2018, September 14). 3 critical components of nursing professional development across the care continuum. RELIAS. Retrieved October 1, 2020, from https://www.relias.com/blog/3-components-of-professional-development-for-nurses

Social change. (2020). Walden University. Retrieved October 1, 2020, from https://www.waldenu.edu/about/social-change

Discussion for reply 2 ( kasmika)

I look forward to becoming my own boss in nursing entrepreneurship. A strategy for my portfolio is to gain skills and network with entrepreneurs by attending their specific training workshops. This will be a great way to a meet with those who have already mastered nursing entrepreneurship. There I can gain knowledge and also certificates in the wellness industry. Learning about new and more effective ways to accomplish things and gaining more knowledge about business subjects and concepts are all benefits of attending professional development workshops (Stambaugh & Anderson, 2017).

Another strategy to add to my portfolio would be to volunteer and community involvement. I am usually the first to sign up for community service projects because it teaches compassion and understanding for those who are in need. Additionally, community service volunteering can also be the avenue to explore areas that you express interest (Henry, 2017). I am passionate about spreading wellness in my community so volunteering with likeminded professionals would aid in teaching me successful habits.

As a registered nurse I have always set goals to achieve so that I don’t remain stagnant in my profession. From a very young age my dream has always been set on combining nursing and entrepreneurship. I was not surrounded by many nurse entrepreneurs, so I sought to change the narrative. Walden University defines positive social change as a deliberate process of creating and applying ideas, strategies, and actions to promote the worth, dignity, and development of individuals, communities, organizations, institutions, cultures, and societies (n.d.). This aligns with my goals as my perfect portfolio would portray them along with the accomplishments I’ve attained while pursuing my dreams.

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