The Course Outcomes covered this week are below.

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

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

This week

• select and read one of the chapters of particular interest to you listed in Assignments under Readings;
• discuss what information you should obtain to develop and implement culturally appropriate plans of care for an individual of this group; and
• share a brief case study or exemplar as a way to share your formation.

Examples:

Childbearing: A young Hasidic mom just emigrated from Israel to the United States. She is at term and comes to your Mother/Baby Unit for delivery.

Children: Oman is 5 years old. His family members are refugees from Syria. At the local community center a routine blood sugar test indicated his results were very high. He now needs hospitalized for control.

Adult: Luca moved to the United States after earning her BSN in Manila, Philippines. She works three jobs so that she can send money home to her family. She needs a treatment for breast cancer, but taking time off from any of the jobs will create a hardship on her local and extended family at home.

Older Adult: KC is 72 years old and came to the United States many years ago from Ghana. He is divorced, his children do not live in the area, and you often see him at the senior citizen’s center where you volunteer. He has uncontrolled hypertension.

Mental Health: Arkady was born in the former Soviet Union. He has battled depression most of his adult life and has been hospitalized again in the mental health facility 30 miles from his family for a suicide attempt. Although he has health insurance, the benefits for his diagnosis are about to expire.

Use of Resources to Promote Translation of Evidence into Practice

For this Discussion, you are asked to evaluate the use of a health information system and other resources in your practicum setting. What are the implications of resource use in terms of planning for and implementing your proposed evidence-based change?

To prepare:

• Consider the benefits and limitations of the use of a      health information system within your practicum setting. What impact do      you think this might have for your proposed evidence-based change? Draw      upon at least one relevant example of a current or previous change      initiative at your setting as you assess this. (If your setting does not      have a health information system, you can still discuss the benefits and      limitations of not having a health information system as it relates to      this change.)
• What other resources (e.g., financial, staffing,      materials) are important to consider as well? Why?
• Be prepared to support your Discussion postings with      evidence from the literature and specific examples related to your      practicum setting.

By tomorrow Wednesday 4/3/19  2pm write a minimum of 550 words essay in APA format with at least 3 references (see list or required readings below). Include the level one headers as numbered below:

Post a cohesive response that addresses the following:

1) Within your practicum setting, what are the benefits and limitations of using a health information system? How might this impact planning for and implementing your proposed change?

2) Describe three potential resource considerations that could facilitate or inhibit your proposed change and explain your rationale.

Required Readings

White, K. M., & Dudley-Brown, S.(2016). Translation of evidence into nursing and health care practice. (2nd edition)  New York, NY: Springer Publishing Company.

• Review Chapter 9, “Project Planning      and the Work of Translation”

Coleman, C. (2015). Stimulating a Culture of Improvement: Introducing an Integrated Quality Tool for Organizational Self-Assessment. Clinical Journal of Oncology Nursing, 19(3), 261-264. doi:10.1188/15.CJON.261-264.

Holup, A. A., Gassoumis, Z. D., Wilber, K. H., & Hyer, K. (2016). Community Discharge of Nursing Home Residents: The Role of Facility Characteristics. Health Services Research, 51(2), 645-666. doi:10.1111/1475-6773.12340.

Kondo, K., Damberg, C., Mendelson, A., Motu’apuaka, M., Freeman, M., O’Neil, M., & … Damberg, C. L. (2016). Implementation Processes and Pay for Performance in Healthcare: A Systematic Review. JGIM: Journal Of General Internal Medicine, 3161-69. doi:10.1007/s11606-015-3567-0