Culture is one of the organizing concepts upon which nursing is based and defined. As healthcare providers, nurses must implement their knowledge of cultural, ethnic, and social diversity to develop a culturally sensitive nursing practice. This enables nurses to be more effective in initiating nursing assessments and serving as a patient advocate.

Background:
       Leininger (2014) defines culture as a set of values, beliefs, and traditions that are led by a specific group of people and handed down from generation to generation. Culture is learned, shared, values transmitted, a way of life, and practices of a particular group that guides day-to-day thinking, decisions, and actions.

       Technological advances have transformed our social world into what Marshall McLuhan termed a global village. In other words, we need to think of the entire world when we talk about our social environment. Computers, satellites, and communication technology have brought the world closer together and made cross-cultural encounters an everyday occurrence.

       Cultural competence is the ability to provide holistically effective care to patients who come from different cultures. In nursing, there is a requirement to be sensitive to communication, both verbally and non-verbally. It is an evolving process that depends on self-awareness, knowledge, attitude, and development and application of skills. Nurses should never make assumptions about their patient’s beliefs; for example, stating that all Jehovah’s Witnesses will refuse blood transfusions is a generalization.

       Being culturally insensitive can lead to stereotyping, discrimination, racism, and prejudice. Some cultures do not call elders by their first names. Nurses should always ask how the patient wants to be addressed. Some cultures would not allow a male nurse to examine a female patient so the team should be aware of this cultural issue. People may have different beliefs about medical care and treatment in the United States, and the nurse needs to offer respect and gain knowledge of the patient’s situation.

       In the healthcare systems of today, healthcare providers are diverse. Nurses have much to offer from their own culture. Culture is universal and dynamic. It is taught to other members of the health care team as a matter of sharing. Distinctions between culture, ethnicity, race, and religion may be confusing. Think of it this way, you are a member of the subculture of the student, you are also a member of an ethnic group, (e.g. Portuguese-American from the Azores), a racial group (white, African American), and a religion (Roman Catholic, Jewish), each with its own set of beliefs and values. So, your culture is a blend of all of those characteristics (Treas & Wilkinson, 2014).

Scholarly Paper:

There is one scholarly paper due in this course. It is recommended that students prepare for this paper each week.

1. Select a culture that you wish to investigate.
2. Research the health beliefs and practices of the culture selected.
3. Use the questions from the Guidelines for Cultural and Social Diversity and Ethnicity in Canvas to formulate a scholarly paper about the culture that a nurse could use as a reference to provide culturally sensitive care to a member of the ethnic group.
4. Discuss how you would implement the use of this reference.

GUIDELINES FOR CULTURAL AND SOCIAL DIVERSITY AND ETHNICITY Fall 2018-1.docx

Length of paper 8-10 pages or whatever it takes to concisely discuss your ideas excluding title page, references, and appendices.

TURNITIN is enabled and it is the student’s responsibility to check the Turnitin score after submitting the paper. If the score is greater than 20% the student must revise the paper to bring the score down below 20%.

Follow APA format and style guidelines in APA manual 6th ed.  i.e. Title page with “Running head:”, shortened title, and pagination; all in-text citations MUST have a reference and all references MUST have in-text citations; Direct quotes from sources other than classic articles (Nightingale,etc.) should be minimal.  All references must be peer-reviewed from literature searches and have a publication date within the last 5 years. Dictionaries and Drug Reference books can be used for information gathering only but are NOT appropriate references.  Most “.com” and “.net” websites are not reliable sources. Newspaper articles and news media are not reliable sources and therefore not acceptable references for the purposes of this paper.

 Please follow the instruction

Zero plagiarism

4 references

Although experiential therapy and narrative  therapy are both used in family therapy, these therapeutic approaches have many differences in theory and application. As you assess families and develop treatment plans, you must consider these differences and their potential impact on clients. For this Assignment, you compare Experiential and Narrative Family Therapy.

Learning Objectives

Students will:

• Compare experiential family therapy to narrative family therapy
• Justify recommendations for family therapy

To prepare:

• Review this week’s Learning Resources and reflect on the insights they provide on experiential and family therapies.

The Assignment

In a 2- to 3-page paper, address the following: 

• Summarize the key points of both experiential family therapy and narrative family therapy. 
• Compare experiential family therapy to narrative family therapy, noting the strengths and weakness of each.
• Provide a description of a family that you think experiential family therapy would be appropriate, explain why, and justify your response using the Learning Resources. 

Note: The College of Nursing requires that all papers submitted include a title page, introduction, summary, and references. The sample paper provided by the Walden Writing Center provides examples of those required elements (available at  http://writingcenter.waldenu.edu/57.htm). All papers submitted must use this formatting.

Part 2: Family Genogram

Develop a genogram for the client family you selected. The genogram should extend back at least three generations (parents, grandparents, and great grandparents).

1. Ideas must be fully developed for full points. 
2. Paper must be 5-7 pages in length and submitted in formal APA format. 
3. Include a strong thesis statement supported by scholarly research.
4. Include a concluding paragraph about the importance of nursing care in helping this client work toward mental health.

Psychosocial Nursing Course Project Guidelines

Discuss the characteristics of your specific mental health concern. Define the mental health condition.

• Describe the signs and symptoms. Give examples.
• What are the effects on work, family and social functioning?
• What are some of the legal and ethical concerns surrounding this condition, such as competency, consent, right to treatment and commitment?

Discuss the variety of treatment options for a patient with this mental health concern, including therapies, medication, and nursing interventions.

• Describe therapies that are commonly used.
• Discuss the medications commonly used, effects, side effects.
• Include nursing interventions that can be used.

Discuss the nurse-client relationship in caring for a person with this specific mental health condition and how it may vary from other areas of nursing.

• Include ethical concerns that may arise in caring for the patient.
• Discuss maintaining appropriate boundaries in the relationship. 
• Describe how the work of one nursing theorist can be helpful in caring for this client and designing appropriate interventions. 

Discuss your personal feelings about caring for a client with this mental health concern.

• What are your concerns? 
• How do you maintain personal safety and client safety in the case of decompensation? What are the goals for this client? 
• Are you interested in working with clients with this specific mental health concern and why? 

Psychosocial Nursing Course Project Guidelines

Discuss the characteristics of your specific mental health concern. Define the mental health condition.

• Describe the signs and symptoms. Give examples.
• What are the effects on work, family and social functioning?
• What are some of the legal and ethical concerns surrounding this condition, such as competency, consent, right to treatment and commitment?

Discuss the variety of treatment options for a patient with this mental health concern, including therapies, medication, and nursing interventions.

• Describe therapies that are commonly used.
• Discuss the medications commonly used, effects, side effects.
• Include nursing interventions that can be used.

Discuss the nurse-client relationship in caring for a person with this specific mental health condition and how it may vary from other areas of nursing.

• Include ethical concerns that may arise in caring for the patient.
• Discuss maintaining appropriate boundaries in the relationship. 
• Describe how the work of one nursing theorist can be helpful in caring for this client and designing appropriate interventions. 

Discuss your personal feelings about caring for a client with this mental health concern.

• What are your concerns? 
• How do you maintain personal safety and client safety in the case of decompensation? What are the goals for this client? 
• Are you interested in working with clients with this specific mental health concern and why? 

 Details:

In a formal paper of 1,000-1,250 words you will discuss the work of the Robert Wood Johnson Foundation Committee Initiative on the Future of Nursing and the Institute of Medicine research that led to the IOM report, “Future of Nursing: Leading Change, Advancing Health.” Identify the importance of the IOM “Future of Nursing” report related to nursing practice, nursing education and nursing workforce development. What is the role of state-based action coalitions and how do they advance goals of the Future of Nursing: Campaign for Action?

Explore the Campaign for Action webpage (you may need to research your state’s website independently if it is not active on this site): http://campaignforaction.org/states

Review your state’s progress report by locating your state and clicking on one of the six progress icons for: education, leadership, practice, interpersonal collaboration, diversity, and data. You can also download a full progress report for your state by clicking on the box located at the bottom of the webpage.

In a paper of 1,000-1,250 words:

1. Discuss the work of the Robert Wood Johnson Foundation Committee Initiative on the Future of Nursing and the Institute of Medicine research that led to the IOM report, “Future of Nursing: Leading Change, Advancing Health.”
2. Identify the importance of the IOM “Future of Nursing” report related to nursing practice, nursing education and nursing workforce development.
3. What is the role of state-based action coalitions and how do they advance goals of the Future of Nursing: Campaign for Action?

Summarize two initiatives spearheaded by your state’s action coalition. In what ways do these initiatives advance the nursing profession? What barriers to advancement currently exist in your state? How can nursing advocates in your state overcome these barriers?

A minimum of three scholarly references are required for this assignment.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

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