Cedar Crest College NUR 210 Cultural and Spiritual Awareness Paper

Cedar Crest College NUR 210 Cultural and Spiritual Awareness Paper ORDER NOW FOR CUSTOMIZED AND ORIGINAL ESSAY PAPERS ON Cedar Crest College NUR 210 Cultural and Spiritual Awareness Paper Reflective Journaling Guidelines and Rubric Watch the film and read the PowerPoint and answer question # 1/2. Cedar Crest College NUR 210 Cultural and Spiritual Awareness Paper Purpose: Reflective journaling is an evidence-based practice that assists students with strengthening personal knowledge of self as well as assimilating course concepts into their existing base of knowledge, skills, and attitudes. Process: Students will be provided with weekly reflective journaling prompts that address course topics, readings, and classroom exercises. Reflective journals will be submitted online to the learning management system (Canvas) via a text entry box provided on the journal submission link. Respond to the specific questions assigned each week as the primary focus of your reflection. You may also reflect on additional topics, thoughts, or experiences as desired. ——————————————– THE QUESTIONS: Question#1- In regard to the topics covered this week, what surprised, interested, or challenged you the most, and why? Question#2- In today’s lecture we watched a brief film (about 24 minutes long), that showed two very different simulated approaches to a patient encounter (a poor example, and a far better one). Reflect on the differences between the two vignettes from the film when answering the following questions: the Video: (1) How would you describe the INTENTION of the first nurse, and how did it affect the level of COMPASSION present in the encounter? (2) The image below is taken from the bottom of page 458 in your Dossey & Keegan (2016) textbook and represents the “Cultural Negotiation Model for Nursing Practice.” According to the textbook, this theory helps to bridge the practical knowledge of nursing with holistic nursing concepts. For this reflective journal entry, describe how your personal cultural heritage and personal experiences might affect the way you notice, judge, and respond to the needs of the patients you will eventually care for as a nurse. Cedar Crest College NUR 210 Cultural and Spiritual Awareness Paper ———————————————————— Exemplary 20-19 points Acceptable 18-17 points Unsatisfactory 16-0 points Evidence of deep, insightful, reflection and personal learning associated with the classroom topics, readings, and journal questions. Reflective statements incorporate material explored in that week’s specific class. Reflection responses total at least 150 words in length. Evidence of adequate reflective thought and personal learning associated with the classroom topics, readings, and journal questions. Reflection responses total at least 150 words in length. Provides minimal reflective thought, does not clearly demonstrate personal learning that occurred or did not complete weekly journal. Reflection responses total less than the required length. Total Possible Points = 20 per each journal attachment_1 NUR 210: Cultural Competency Holistic Nursing Textbook, Chapter 18 Dossey & Keegan (2016) HOLLY L. NERONE, MSN, RN Culture – Defined • The values, beliefs, customs, social structures, and patterns of human activity – and the symbolic structures that provide meaning and significance to human behavior. Definitions and Basic Concepts – Test Yourself! • The following slides are meant to help you improve your understanding of concepts related to cultural competence • Read each slide and attempt to select the correct response • Answers will be shown in RED on the slides that follow Q: A population grouping based on common social and cultural heritage is called… • Race • Culture • Ethnicity • Stereotype A: A population grouping based on common social and cultural heritage is called… • Race • Culture • Ethnicity • Stereotype Q: A social classification based on geneticbased physical characteristics is called… • Ethnicity • Race • Stereotype • Culture A: A social classification based on geneticbased physical characteristics is called… • Ethnicity • Race • Stereotype • Culture Q: Social structures and patterns that provide meaning to human behavior are called… • Culture • Stereotypes • Ethnicities • Races A: Social structures and patterns that provide meaning to human behavior are called… • Culture • Stereotypes • Ethnicities • Races Q: True or False – At the DNA (genetic) level, ALL human beings are 99.9% identical. TRUE FALSE A: True or False – At the DNA (genetic) level, ALL human beings are 99.9% identical. TRUE FALSE Q: The process of adapting to or integrating into a new culture is referred to as… Transcultural caring Stereotyping Diversity Acculturation A: The process of adapting to or integrating into a new culture is referred to as… Transcultural caring Stereotyping Diversity Acculturation • Cultural incompetence • Ethnocentrism • Stereotyping • Holistic nursing Q: A world view where people believe everybody sees (or should see) the world the way they do is called… • Cultural incompetence • Ethnocentrism • Stereotyping • Holistic nursing A: A world view where people believe everybody sees (or should see) the world the way they do is called… Q: When a person fears or hates cultural differences, that is referred to as… • Xenophobia • Cultural competence • Valuing diversity • Stereotyping A: When a person fears or hates cultural differences, that is referred to as… •Cedar Crest College NUR 210 Cultural and Spiritual Awareness Paper Xenophobia • Cultural competence • Valuing diversity • Stereotyping Q: Making assumptions about a group of people and their culture is called… • Diversity and inclusion • Stereotyping • Holistic caring • Xenophobia A: Making assumptions about a group of people and their culture is called… • Diversity and inclusion • Stereotyping • Holistic caring • Xenophobia Q: True or False – There are no regulatory standards related to cultural competency in health care. TRUE FALSE A: True or False – There are no regulatory standards related to cultural competency in health care. TRUE FALSE • Acculturation – adapting to a new culture • Ethnocentrism – believing all people see the world the way you do • Stereotyping – assumptions about a group of people • Xenophobia – fear or hatred of cultural differences Let’s Discuss Some of Those Terms! Additional Key Concepts: RACE vs. ETHNICITY Racial Groups vs. Ethnic Groups • Racial groups share identifiable physical characteristics • People of different races are 99.9% identical in their DNA • Ethnic groups primarily share cultural heritage • Members of broad ethnic groups are often very diverse Additional Influences: Nationality and Religion Cultural Competency in Health Care • Defined as: Delivery of health care with knowledge and sensitivity related to the influence of the patient’s culture • Requires development of cultural humility (overcoming ethnocentrism) • Is understood as an ongoing process, rather than a final state of knowledge • Is an essential component of the provision of holistic nursing care • Health promotion and maintenance habits • Beliefs and rituals surrounding birth and death • The ways in which illness is perceived and experienced (disease vs. illness) • Receptiveness to various approaches to treatment Why it Matters: Culture Affects Health Care Cultural Competency Regulatory Standards • National Standards for Culturally and Linguistically Appropriate Services (CLAS) in Health Care developed in the year 2000 • Recommendations apply to institutions and individual providers such as doctors and nurses • Standards updated and enhanced in 2013 to promote health equity and ongoing evaluation of needs Three Main World Views to Consider: • Magicoreligious • Holistic • Scientific • Believes the fate of people and the world depends on God or gods, or supernatural forces • Sorcery, taboo behaviors, diseasecausing spirits, loss of one’s soul – may be responsible for illness Magicoreligious • Forces of nature in harmony with natural laws • Emphasis on health versus disease • Health is a function of harmony and balanced relationships between physical, mental, emotional, spiritual domains • Some cultures seek balance through tangible means, such as the use of hot and cold or yin and yang Holistic • Biomedical paradigm Cedar Crest College NUR 210 Cultural and Spiritual Awareness Paper • Assumes a cause and effect relationship • Considers possibility of controlling disease through engineered interventions • Reduces bigger concepts into its constituent parts to better understand them • Relies on observable and measurable phenomena Scientific Communication Personal Space Phenomena Relevant to Nursing Care Time Social Organization Environmental Control Biological Variations • Expression of feelings Cultural Variations in Communication • Use of touch • Body contact • Gestures • Verbal and nonverbal communication • Language • Warmth and humor • Comfort level related to personal space around one’s body • Spatial territoriality is the need to have and control personal space • Cultural variations exist in what level of closeness is acceptable (Intimate Zone – Personal Zone – Social Zone) • Influence may also extend to objects and conditions within spaces Cultural Variations in Personal Space (‘Space Behavior’) Cultural Variations in Time Orientation • Social time = patterns and orientations related to ordering of social life • Clock time = views time as orderly, linear • Cyclic time = time related to natural events such as seasons or migration patterns • Dominant time = past, present, or future (depending on culture) • Families – vary in structure, dynamics, roles • Other groups – religious/faith communities, friends, work colleagues • Geographic locations affect the expression of social connections Cultural Variations in Social Organization Ability to control or influence nature, the environment, and personal relationships Luck or fate vs. result of one’s own behavior vs. predetermined by nature? Implications in some cultures in regard to natural vs. unnatural events Cultural Variations in Environmental Control Cultural Variations in Biological (Genetic) Influences • Strictly biological (genetic) factors • Ethnic adaptations related to location or environment (availability of certain foods or social conditions, for example) Intercultural vs. Intracultural Variations Intercultural – differences between different cultural groups Intracultural – differences within a broad cultural group Ponder the following: A broad, general understanding of different ethnic groups may be helpful as a starting point for nursing care. What are the risks and benefits of learning general information about different ethnic groups? The Good, the Bad, and the Ugly Short simulation video/film Culturally Competent Nursing Care: Practical Steps Assess the patient’s communication and translation needs Discover the patient’s explanatory models of health Identify cultural influences on everyday health practices Identify cultural influences on family and social systems Uncover additional details in the realm of demographics Jointly establish culturally appropriate outcomes Build Your Cultural Competence Improve Develop Seek out Practice Improve awareness of your world view and biases Develop basic knowledge of cultural diversity Seek out different cultural encounters Practice culturally sensitive, crosscultural interactions ACTIVITY: Recognizing implicit biases that may influence your care behaviors • Number a blank piece of paper, from 1 – 10 • Advance through the following 10 slides QUICKLY • Immediately after you advance to each new slide, notice the FIRST THOUGHT that pops into your head, and write that down • Advance right away to the next slide after you write down your ‘first thought’ • You will NOT be required to share your reactions with anybody else, so be honest! • The goal is to reveal hidden biases that may exist in our subconscious thoughts Image #1 Image #2 Image #3 Image #4 Image #5 Image #6 Image #7 Image #8 Image #9 Image #10 Review your responses. Did any of your first impressions surprise you? What did you learn about possible hidden biases? Remember to engage in your weekly reflective journal! Session Wrap-Up Remember to draft a TWEET – see instructions in the module! Have a great rest of your week (and upcoming weekend). … Get a 10 % discount on an order above $ 100 Use the following coupon code : NURSING10

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