Culture in the Context of the Nursing Assessment
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Culture in the Context of the Nursing Assessment
Submit your initial discussion (using the form provided in Word—copy as a pdf provided below) by 2359 Wednesday of the week in which Week 3 material is covered; submit two replies by Saturday night at 2359.
Because the nursing assessment often provides the context for the initial interactions nurses have with new patients, showing cultural sensitivity is extremely important! It sets the stage for all your interactions with the patient and family. In the quest to understand other cultures, the best starting place is to follow the advice of Socrates: Know thyself. (See Chapter 11 in your textbook).
This is an exercise for your reflection, and an opportunity to interact with other students by identifying and stating what the “unspoken rules” are in various cultures of which you are a part, and having the opportunity to discuss those of others.
The need for an assignment like this was brought to my attention when, in my campus Holistic Health Assessment class, American students were heard to say sadly in the cultural discussion, “I don’t really have a culture. I’m just a plain American and I’m not really a part of any cultural group.” (This happened many times!) Most minority students and those who are from another country originally, understand that they are a part of a valued culture with rich traditions– they have a strong cultural identity. They can readily identify beliefs/traditions regarding diet, illness, death, pregnancy, how respect for others is demonstrated, etc. When my American-born students express their absence of culture, I often ask a foreign student (who is well aware of his/her own culture), to reveal some group characteristics of the American culture to the ones who think they possess no culture. Most foreign students are very kind as they describe some prominent elements of American culture which they encountered as they became acquainted with it, and
they enlighten the class by saying something like this: “For one thing, you Americans are obsessed with TIME! Everything has to be done on time, you try to arrive early for appointments and are always rushing around!” They often point out that Americans need a larger circumference for their personal space than many others. On the downside, they say that they have seen that many Americans, especially those have not been exposed to cultures other than their own, tend to be ethnocentric—they feel that the way they do things is the RIGHT way, and those differing from them are not just culturally different, but…not as advanced. (This, however, may be true of those in any culture who have never lived in close proximity to others who differ from them.)
Although some cultural practices are often engaged in with pride, people may not realize that certain thoughts or actions have a cultural basis at all—though others would see it instantly. As
you can see, actions and thoughts that are linked with culture are not necessarily right or wrong, but they do influence how people behave, how they react, and what they feel to be “normal.”
INITIAL POST:
PART A: Using the form provided, list three cultures of which you are a member. In this context, so that you have several to discuss, “culture” may include any group to which you belong–your ethnicity or country of origin (or region of the country you live in), religion, philosophy, socioeconomic class, educational level, leisure activity groups and hobbies, and more. (For it to be a culture, it can’t be something you do in isolation, like stamp-collecting or gaming, done alone. For this exercise it must be something done in groups, and it must have some cultural mores/customs that you learn as you become a part of it.)
PART B:You will list who socialized you into that culture and taught you to be a part of it. Every culture has unspoken rules which outsiders are often unaware of. In this assignment you will identify the unspoken rules in your culture/s. (Anthropologists ARE beginning to explain these, but what does everyone that is a part of your cultures know to do, that others
looking “in” might not understand?)
Examples:
For instance, all of us in this class are from the profession and culture of nursing. One of the “unspoken” rules is that every patient gets the best care we are capable of giving under the circumstances. The banker or CEO in room 123 gets the same interest/care from us as the prisoner chained to the bed, with the guard present, in room 124. I was socialized into that culture by nursing school and by my coworkers at one of best hospitals at which I have ever had the privilege of working. By their attitudes, my coworkers made me want to be a better nurse, and the culture of that entire hospital was, and is, one that fostered growth in its nurses. (I hope you work in such a place! If you don’t, start doing something to improve the culture of your workplace, and foster a welcoming professionalism among your peers and the students you work with.)
Another culture to which I belong is the Faculty of Nursing at UTA. A couple of the unspoken rules are: Remain calm and professional when dealing with difficult situations,
always try to see the bigger picture, and never wear jeans on campus . I have been an
avid birdwatcher (a “birder” as we say), since I was 14. An unspoken rule is that when encountering other birders who are looking at a bird through their binoculars, you do NOT speak loudly or move fast and scare off the bird they are focused upon. The ones watching the bird will quietly tell you what they see, so you can see it too. They will describe which tree, which limb the bird is on, and try to help you focus on it.
Cultures that students have listed in the past include: the military, homeschooling, religious affiliation, athletic associations, political action groups, support groups for medical conditions—these have a big impact on the way you live and your approach your life. One student, identifying herself as a “Redneck from the South” listed what she felt were rules in her area—“You always offer guests sweet tea, have a garden–and share the produce with your neighbors– and go to church weekly,” she reported. No doubt her neighbors would have defined it differently, but remember, EVERY SINGLE PERSON
interprets cultural rules and lives them out “in their own skin.” Next, list another social group, perhaps a church or some charitable organization and an unspoken rule—this would not be a doctrinal understanding but something you “get a feel for” once you have become a part of this group. Don’t list anything you would be uncomfortable discussing with your classmates! You will fill out the form below (which is also under the discussion link,) minus these instructions to make it shorter for you to upload, then copy and paste it to the discussion board.
REPLIES:
The second part of this assignment consists of your replies to 2 colleagues with a substantive remark. What is a substantive remark? Here are our definitions for this class: citing an experience you have had or seen/heard of, a reference, or a link.
Please be polite and professional here—list something you don’t mind others knowing about you. If someone lists a culture you don’t appreciate, comment on someone else’s posting instead. Keep it positive! This is a forum for introducing cultures which you understand from the inside, to the class members who will not know them as you do.
This exercise will give you insight into cultural mores/customs you may encounter in your work with diverse patients. We hope that you come away from your RN-BSN classes with a new respect, enjoyment, and willingness to work with those of other cultures. Make it a goal to learn what the unspoken rules are in other cultures and even the variations of those in your own culture! (The form shown below is for your information—the form in Word format is under this week’s lesson in the Modules section of Canvas)
Week 3 discussion form
This completed form will be copied and pasted to the discussion board. Name
PART A: Cultures of which I am a member
Culture (don’t select nursing–we are all nurses!)
Unspoken rule in this culture (1-2 sentences are all that is needed here). 1. Ethnic culture (or other major culture you know well)
(Boxes will expand as you add words) 2. Social group 3. Recreational group 4. (Optional— other group).
Part B: Who socialized you into each culture you listed? 1.
2.
3.
4.
What culture/s have you been a part of, and are not now? (Name at least one, and more if you can.)
1.
2.
3.
You will fill out this form, copy and paste it to the discussion board, and reply to 2 colleagues with a substantive remark, citing an experience you have had or seen/heard of, a reference, or a link.
See Rubric below:
Rubric:
Levels of Achievement Criteria
Missing or poorly done
Novice
Competent
Proficient
Name of cultures Posted by Wednesday Weight 75.00%
0 %
Missing or after due date
50 % Answers 1 question, or work is substandard
75 % Answers 2 questions in a cursory or unclear
manner or has poor construction.
100 % Answers at least 2 questions in a thorough and grammatical manner.
Replies Posted by Saturday at 2359 Replies are substantive and consist of an experience, a comparison, a reference or a link.
Weight 25.00%
0 %
Missing or after due date
50%
1 reply
75 %
2 replies, cursory in fashion.
100 %
2 or more replies, done in a professional and grammatical manner, consisting of an experience, a comparison, a reference or a link.
RUBRIC
Excellent Quality
95-100%
Introduction 45-41 points
The background and significance of the problem and a clear statement of the research purpose is provided. The search history is mentioned.
Literature Support
91-84 points
The background and significance of the problem and a clear statement of the research purpose is provided. The search history is mentioned.
Methodology
58-53 points
Content is well-organized with headings for each slide and bulleted lists to group related material as needed. Use of font, color, graphics, effects, etc. to enhance readability and presentation content is excellent. Length requirements of 10 slides/pages or less is met.
Average Score
50-85%
40-38 points
More depth/detail for the background and significance is needed, or the research detail is not clear. No search history information is provided.
83-76 points
Review of relevant theoretical literature is evident, but there is little integration of studies into concepts related to problem. Review is partially focused and organized. Supporting and opposing research are included. Summary of information presented is included. Conclusion may not contain a biblical integration.
52-49 points
Content is somewhat organized, but no structure is apparent. The use of font, color, graphics, effects, etc. is occasionally detracting to the presentation content. Length requirements may not be met.
Poor Quality
0-45%
37-1 points
The background and/or significance are missing. No search history information is provided.
75-1 points
Review of relevant theoretical literature is evident, but there is no integration of studies into concepts related to problem. Review is partially focused and organized. Supporting and opposing research are not included in the summary of information presented. Conclusion does not contain a biblical integration.
48-1 points
There is no clear or logical organizational structure. No logical sequence is apparent. The use of font, color, graphics, effects etc. is often detracting to the presentation content. Length requirements may not be met
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