An important aspect of the professional nurse’s role is the ability to provide culturally competent nursing care.
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An important aspect of the professional nurse’s role is the ability to provide culturally competent nursing care. Reflect on the demographics of the area in which you live and cultures that are represented. In this assignment provide a 3-4-page APA formatted paper discussing the demographics of the area in which you live.
Identify cultural assessment considerations for the ethnic groups in the area, and any social determinants of health associated with the ethnic groups. Identify and discuss one health promotion topic specific to the ethnic groups in your area. The paper must include at least three scholarly references, including a minimum of one peer-reviewed journal, as well as meeting turn-it in program requirements.
Expert Answer and Explanation
Cultural and Ethnic Assessment
The American population is ever expanding in terms of racial and ethnic represenation compared with initial structure that was predominantly Caucasian. Statistics from the US Census Bureau (USCB), for example, estimate the Hispanic population to be over 60 million, which is close to 20% (USCB, 2023). The growth of what was initially considered minority population groups has led to increased demand for the provision of culturally competent care. Culturally competent care entails the delivery of care with consideration of the patient’s cultural beliefs, values, and practices.
Research indicates a positive correlation between culturally sensitive care delivered by culturally competent staff with positive patient outcomes (Nair & Adetayo, 2019). High levels of cultural competence lead to increased patient satisfaction, better adherence to treatment interventions, and most importantly, a reduction in racial and ethnic disparities that have plagued the US healthcare system for a long time (Nair & Adetayo, 2019).
The purpose of this paper is to provide a demographic analysis of the population residing in the State of Texas, identifying the cultural assessment considerations for the ethnic groups in the state, the social determinants that affect the health outcomes of the ethnic groups, and lastly, a health promotion intervention based on the needs of the population living in the state.
Demographic and Ethnic Assessment
As of July 2023, the population of the entire State of Texas was 30,503,301, making it the second most populous state and also the second largest in terms of land mass after the State of California (USCB, 2023). The population in the State of Texas is predominantly White, with 77.4% representation, followed by Blacks with 13.4% representation. Hispanics make up the largest ethnic group, with a representation of 40.2%, followed by Caucasians alone with 39.8%. Asians alone have a representation of 5.7%, with the remaining ethnic minority groups having less than 5% cumulatively (USCB, 2023).
The majority of the population is between 18 and 65 years old, with the female gender representing 50% of the population. Persons below 18 years make up 24.8%, while those who are 65 years and above are slightly over 13% of the population (USCB, 2023). In terms of education, over 85.2% of the residents living in Texas have a high school diploma or higher, with 32.3% having at least a bachelor’s degree.
The median income of Texas is $73,035, where those living below the federal poverty level being 14.0% of the entire population. 18.9% of persons under 65 years have no health insurance cover, making it a significant challenge in terms of access to affordable healthcare (USCB, 2023). It is estimated that over 34% of the residents living in Texans are obese compared to 31%, which is currently the prevalence rate of obesity in the US (Hudson & Simiyu, 2022).
Over 12% of the residents living in Texas aged 12 years or older used some form of illicit drugs in the past year (SAMHSA, 2019). Additionally, statistics indicate that in 2020, 13.2% of adults living in Texas smoked, while the annual average prevalence of past-month alcohol use in the state was quoted at 9.4% (SAMHSA, 2019). The statistics present several health-related challenges that the state faces, which should be addressed with targeted interventions.
Social Determinants of Health
Social determinants of health are factors surrounding an individual or the conditions in which they were born, live, or work, which affects their health outcomes (Islam), 2019). From the demographic assessment of the state, one of the definitive social determinants of health is access to affordable healthcare. Data from the US Census Bureau revealed that over 18% of the residents have no health insurance coverage (USCB, 2023). Uninsured adults are less likely to receive different forms of healthcare services, including preventive services for chronic conditions such as diabetes and cancer, leading to poor outcomes.
Another determinant is economic stability. Persons living below the poverty level or those from low-income households are less likely to afford basic necessities such as nutritious foods, proper shelter, and quality healthcare, which affects their overall health outcomes. Similarly, low-income households often live in neighborhoods with dilapidated structures, or have high exposure to pollutants, or safety and security risks, which also translate to poor health outcomes. From the statistics presented, 14% of the residents in Texas live below the federal poverty level (USCB, 2023).
Another determinant is the level of education. Higher education levels often translate to higher levels of health literacy, thus better adherence to interventions and engagement in health-seeking behaviors. Texas has a high level of health literacy which translates to better health outcomes for its residents. Cultural factors such as dietary habits can also be termed as a significant social determinant of health.
Different cultures living in Texas have different dietary habits, which could translate to the prevalence of certain conditions, such as obesity. Cultural beliefs and practices also correlate with certain behaviors, such as tobacco and alcohol use (Lee et al., 2020). There are other determinants, such as neighborhood, which determines aspects such as access to illicit drugs and substances, access to culturally competent care, and access to basic amenities, to list a few.
Health Promotion
The current rate of uninsured population in the State of Texas is 18.9%, which is higher compared to the national average of 9.6% (USCB, 2023). This shows that the state is currently lagging in terms of coverage. One way to increase the rate of coverage is by expanding educational interventions on the need to have health insurance, targeting vulnerable population groups.
By making the population aware of the need to have health coverage, then there is a high likelihood that there will be a reduction in the number of people without health insurance in the state. An increase in the rates of those who are insured will lead to better affordability and access to healthcare services, meaning better health outcomes for the residents.
Conclusion
This paper describes the population composition of the State of Texas, including racial and ethnic representation. The paper highlights how the different cultural interplays affect the health outcomes of the residents and describes how the demographics and social determinants explain the health outcomes of the residents. Some of the challenges that are common in the state include a high percentage of the uninsured population, high rates of obesity, and illicit drug and substance use, to list a few. One proposed health promotion intervention is to implement an educational intervention to encourage more people to enroll in some form of health insurance to reduce their cost of accessing healthcare services.
References
Hudson, J., & Simiyu, W. W. N. (2022). Accessibility of walking and biking as forms of exercise in Harris County, Texas, USA. Journal of Education and Recreation Patterns, 3(2), 77-89. https://doi.org/10.53016/jerp.v3i2.55
Islam M. M. (2019). Social determinants of health and related inequalities: confusion and implications. Frontiers in Public Health, 7, 11. https://doi.org/10.3389/fpubh.2019.00011
Lee, C., Gao, M., & Ryff, C. D. (2020). Conscientiousness and Smoking: Do cultural context and gender matter?. Frontiers in Psychology, 11, 1593. https://doi.org/10.3389/fpsyg.2020.01593
Nair, L., & Adetayo, O. A. (2019). Cultural competence and ethnic diversity in healthcare. Plastic and Reconstructive Surgery. Global open, 7(5), e2219. https://doi.org/10.1097/GOX.0000000000002219
Substance Abuse and Mental Health Services Administration [SAMHSA]. (2019). Behavioral Health Barometer. https://store.samhsa.gov/sites/default/files/d7/priv/texas-bh-barometervolume5-sma19-baro-17-us.pdf
United States Census Bureau. (2023). Quick Facts-Texas. https://www.census.gov/quickfacts/fact/table/TX/PST045223
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Criteria | Ratings | Pts | |||
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This criterion is linked to a Learning OutcomeIntroduction |
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10 pts
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This criterion is linked to a Learning OutcomeDemographic and Ethnic Assessment |
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20 pts
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This criterion is linked to a Learning OutcomeSocial Determinants of Health |
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20 pts
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This criterion is linked to a Learning OutcomeHealth Promotion |
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20 pts
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This criterion is linked to a Learning OutcomeConclusion |
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10 pts
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This criterion is linked to a Learning OutcomeWriting Mechanics, Grammar and APA Formatting |
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10 pts
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This criterion is linked to a Learning OutcomeReferences |
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10 pts
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Total Points: 100
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Other Assignments Related to this Class:
Week One Discussion
Weekly Assignment:
Discussion Board
Discussion Board: How do various religious, cultural, and spiritual beliefs affect the patient’s perception of (1) how he or she will relate the symptoms to the caregiver and (2) the care the patient receives? How will this influence the diagnosis?
Instructions:
- Provide an introduction of yourself to the class. Discuss your nursing background, nursing goals, hobbies and/or interests.
- Address all elements of the weekly discussion board topic. Follow discussion board rubric guidelines.
Week Two Discussion
Discussion Board
Discuss the impact of economic factors and living situations on patient food choices. Identify how different factors may positively or negatively influence a patient’s nutritional status.
Instructions:
- Address all elements of the weekly discussion board topic. Follow discussion board rubric guidelines.
Week Three Discussion
Weekly Assignment:
Discussion Board
Identify and discuss an evidence-based clinical practice approach to health promotion for the public regarding one of the following topics:
- Vaping, smokeless tobacco and associated cancer risks.
- Use of cocaine and effect to the nasal Septum.
- Environmental factors that may cause hearing loss.
Week Four Discussion
Weekly Assignment:
Discussion Board
Select one of the following discussion topics.
- Identify and discuss prevention measures to reduce breast cancer in the male or female patient.
- Identify and discuss how environmental factors and smoking affect the unborn fetus, infants and/or children.
Assignment 2
Health Promotion Professional Presentation
You have been contacted by the local community health official to develop a presentation for the community regarding cardiovascular health and prevention. Select a cardiovascular disease (e.g. hypertension, coronary artery disease, myocardial infarction). Information will be presented in a professional power point presentation, including speaker notes for narrative detail and an audio voice over on each slide.
The power point presentation should contain a minimum of 8 slides and a maximum of 10 slides, you must also include an introduction slide, conclusion side, and properly APA formatted reference slide if needed, these do not count toward the minimum slide requirement. Please adhere to the professional presentation guidelines.
Objectives to include in the presentation:
- Disease description.
- Patient risk factors.
- Two primary prevention measures.
- Two secondary prevention measures.
- Negative consequences of the disease process.
- Lifestyle modification teaching.
Criteria | Ratings | Pts | ||||
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This criterion is linked to a Learning OutcomeIntroduction |
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10 pts
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This criterion is linked to a Learning OutcomePresentation Objectives |
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30 pts
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This criterion is linked to a Learning OutcomeProfessional Presentation Skills |
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30 pts
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This criterion is linked to a Learning OutcomeProfessional Communication Skills |
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20 pts
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This criterion is linked to a Learning OutcomeConclusion |
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10 pts
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||||
Total Points: 100
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Week Five Discussion
Weekly Assignment:
Discussion Board
Identify and discuss normal and abnormal abdominal assessment findings for the infant, child, and adult. Select one abnormal assessment finding and discuss what disease process the finding may suggest, and important patient teaching regarding the selected disease process.
Week Six Discussion
Weekly Assignment:
Discussion Board
Identify a website that would be useful in patient teaching for patients and families who are victims of problems arising from substance abuse. Discuss the benefits of using the web-site and/or internet based material as a resource in patient education.
Week Seven Discussion
Weekly Assignment:
Discussion Board
1. Identify and discuss “red flags” of abuse and neglect that may be found in the assessment of a child or adult.
2. Reflect on your professional experience with electronic health records (EHR) systems, specifically pertaining to nursing documentation. Provide a discussion of pros and cons of EHR systems.
Final Assignment
Health Assessment Evaluation
The final assignment will require students to perform a comprehensive head to toe health assessment. Students will be required to schedule an appointment time with course faculty and complete the assessment at the Health Science Center Campus. Please review the attached reference guides to help you prepare for your final head-to-toe assessment. Follow the specified assignment rubric.
Students who are no-call, no-show for their assessment checkoff, will receive a written warning and 5 points will be deducted from the total assessment assignment score (before averaging). Make up time for assessment check will be scheduled with the instructor.
Head-to-toe quick guide
Head to Toe Assessment Quick Sheet.docxDownload Head to Toe Assessment Quick Sheet.docx
This is an abbreviated study guide resource you may utilize to prepare for your final assessment.
Extended head-to-toe check-off guide
Extended Detail Checklist.docxDownload Extended Detail Checklist.docx
This guide provides additional detailed information to accompany the abbreviated quick guide.
NURS-3301 Health Assessment Final Assignment Rubric
Final Assignment Rubric – NURS-3301Download Final Assignment Rubric – NURS-3301
Criteria | Ratings | Pts | |||
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This criterion is linked to a Learning OutcomeInitial Procedure Steps/General Inspection |
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4 pts
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This criterion is linked to a Learning OutcomeHead, Face, Neck |
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5 pts
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This criterion is linked to a Learning OutcomeUpper/Lower Extremities |
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4 pts
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This criterion is linked to a Learning OutcomeChest, Breast, Precordium |
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5 pts
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This criterion is linked to a Learning OutcomeLungs and Back |
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5 pts
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This criterion is linked to a Learning OutcomeAbdominal/Genitalia |
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4 pts
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This criterion is linked to a Learning OutcomeNeurologic System |
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3 pts
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Total Points: 30
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