[ANSWERED 2024] 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

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

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 Patterns3(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 Health7, 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 Psychology11, 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 open7(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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Health Assessment Assignment 1
Health Assessment Assignment 1
Criteria Ratings Pts

Introduction

10 to >6.0 pts

Full Marks
Identifies the necessity of culturally competent nursing care. Introduces the purpose of the paper.

6 to >0.0 pts

Partial Marks
Does not provide statements regarding the necessity of culturally competent nursing care, and/or does not introduce the purpose of the paper.

0 pts

No Marks
No explanation of the necessity of culturally competent nursing care, or attempt to explain the purpose of the paper.
10 pts

Demographic and Ethnic Assessment

20 to >12.0 pts

Full Marks
Thoroughly discusses the demographics of the area, including factors such as poverty, education, obesity and drug and alcohol use. Discusses the main ethnic group found in the demographic area.

12 to >0.0 pts

Partial Marks
Provides inadequate or minimal information regarding the demographics of the area, including factors such as poverty, education, obesity and drug and alcohol use, and/or the main ethnic group found in the demographic area is poorly identified.

0 pts

No Marks
Makes no attempt to discuss the demographics of the area, including factors such as poverty, education, obesity and drug and alcohol use, and/or fails to identify the main ethnic group found in the demographic area.
20 pts

Social Determinants of Health

20 to >12.0 pts

Full Marks
Fully discusses the social determinants of health associated with the demographic area (e.g. education, economic stability, access to healthcare, social and community context, neighborhood and community).

12 to >0.0 pts

Partial Marks
Discussion lacking information on the social determinants of health associated with the demographic area (e.g. education, economic stability, access to healthcare, social and community context, neighborhood and community).

0 pts

No Marks
Minimal or no discussion regarding social determinants of health associated with the demographic area (e.g. education, economic stability, access to healthcare, social and community context, neighborhood and community).
20 pts

Health Promotion

20 to >12.0 pts

Full Marks
Identifies and discusses one health promotion topic specific to the ethnic group identified in the demographic area.

12 to >0.0 pts

Partial Marks
Inadequate discussion regarding a health promotion topic specific to the ethnic group identified in the demographic area.

0 pts

No Marks
Inappropriate or no discussion of health promotion topic specific to the ethnic group identified in the demographic area.
20 pts

Conclusion

10 to >6.0 pts

Full Marks
Conclusion included summarizing the aspects of the paper.

6 to >0.0 pts

Partial Marks
Conclusion does not appropriately summarize the aspects of the paper.

0 pts

No Marks
No conclusion included.
10 pts

Writing Mechanics, Grammar and APA Formatting

10 to >6.0 pts

Full Marks
No errors in grammar or writing mechanics. One or less APA formatting errors.

6 to >0.0 pts

Partial Points
Only 1-2 grammatical or mechanical errors. Four or less APA formatting errors.

0 pts

No Marks
Multiple grammatical or mechanical errors. Five or more APA formatting errors.
10 pts

References

10 to >6.0 pts

Full Marks
A minimum of three scholarly references included per instruction guidelines. Appropriate citations and reference page included.

6 to >0.0 pts

Partial Marks
Less than three appropriate scholarly references included. References lacking proper citation or reference page.

0 pts

No Marks
No evidence of scholarly research.
10 pts
Total Points: 100

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:

  1. Provide an introduction of yourself to the class. Discuss your nursing background, nursing goals, hobbies and/or interests.
  2. 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:

  1. 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:

  1. Vaping, smokeless tobacco and associated cancer risks.
  2. Use of cocaine and effect to the nasal Septum.
  3. Environmental factors that may cause hearing loss.

Week Four Discussion

Weekly Assignment:

Discussion Board

Select one of the following discussion topics.

  1. Identify and discuss prevention measures to reduce breast cancer in the male or female patient.
  2. Identify and discuss how environmental factors and smoking affect the unborn fetus, infants and/or children.
Rubric
Some Rubric
Criteria Ratings Pts

Introduction

10 to >5.0 pts

Full Marks
The presentation adequately introduces presentation topic(s) and objectives.

5 to >0.0 pts

Partial Marks
The presentation fails to adequately introduce presentation topic(s) and objectives, leaving out important topic details.

0 pts

No Marks
No introduction provided.
10 pts

Presentation Objectives

30 to >15.0 pts

Full Marks
The presentation adequately covered the required presentation objectives. The presentation focused on the required objectives, and provided accurate, easy to understand information and material.

15 to >0.0 pts

Partial Points
The presentation did not adequately covered the required presentation objectives. The presentation failed to focus on the required objectives, and/or provide accurate, easy to understand information and material.

0 pts

No Marks
The presentation failed to address identified objectives.
30 pts

Professional Presentation Skills

30 to >15.0 pts

Full Marks
The presentation utilized effective professional presentation skills. The presentation included a maximum of 5-6 bullets per Power Point slide, and used one professional Power Point template throughout the presentation. The Power Point template color scheme and font size was clear and easy to read.

15 to >0.0 pts

Partial Points
The presentation failed to fully utilize effective professional presentation skills in one or more areas. The presentation included more than a maximum of 5-6 bullets per Power Point slide, and/or used more than one professional Power Point template throughout the presentation. The Power Point template color scheme and/or font size was not clear and/or easy to read.

0 pts

No Marks
The presentation failed to use professional presentation skills.
30 pts

Professional Communication Skills

20 to >10.0 pts

Full Marks
The presentation demonstrated effective communication skills. Power Point bullet points were used to guide the presentation. Speaker narrative notes included adequate information to accurately present the objectives. Audio voice over provided with each power point slide. The presenter used professional language with no slang or colloquialisms

10 to >0.0 pts

Partial Points
The presentation inadequately demonstrated effective communication skills. Power Point bullet points were not used to guide the presentation, and/or speaker narrative notes did not include adequate information to accurately present the objectives. The presenter failed to use professional language with no slang or colloquialisms.

0 pts

No Marks
Professional communication skills were not reflected in the presentation.
20 pts

Conclusion

10 to >8.0 pts

Full Marks
Conclusion of the presentation provided an accurate summary of presented material.

8 to >5.0 pts

Partial Points
Conclusion of the presentation did not provide a fully accurate summary of presented material.

5 to >0.0 pts

Partial Marks

0 pts

No Marks
No conclusion was included in the presentation.
10 pts
Total Points: 100

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.

Rubric
Final Physical Assessment Rubric
Final Physical Assessment Rubric
Criteria Ratings Pts

Initial Procedure Steps/General Inspection

4 pts

Met
4 Points 2.25 Completes all of Criteria in assessment area. Utilizing appropriate technique.

2 pts

Partially Met
2.0 Points 1.0 Missing less than 50% of initial procedure steps

0.75 pts

Not Met
0.75 Points 0 Missing more than 50% of the initial procedure steps.
4 pts

Head, Face, Neck

5 pts

Met
5 Points 2.75 Completes all of Criteria in assessment area. Utilizing appropriate technique.

2.5 pts

Partially Met
2.5 Points 1.25 Missing less than 50% of initial procedure steps

1 pts

Not Met
1.0 Points 0 Missing more than 50% of the initial procedure steps.
5 pts

Upper/Lower Extremities

4 pts

Met
4 Points 2.25 Completes all of Criteria in assessment area. Utilizing appropriate technique.

2 pts

Partially Met
2.0 Points 1.0 Missing less than 50% of initial procedure steps

0.75 pts

Not Met
0.75 Points 0 Missing more than 50% of the initial procedure steps.
4 pts

Chest, Breast, Precordium

5 pts

Met
5 Points 2.75 Completes all of Criteria in assessment area. Utilizing appropriate technique.

2.5 pts

Partially Met
2.5 Points 1.25 Missing less than 50% of initial procedure steps

1 pts

Not Met
1.0 Points 0 Missing more than 50% of the initial procedure steps.
5 pts

Lungs and Back

5 pts

Met
5 Points 2.75 Completes all of Criteria in assessment area. Utilizing appropriate technique.

2.5 pts

Partially Met
2.5 Points 1.25 Missing less than 50% of initial procedure steps

1 pts

Not Met
1.0 Points 0 Missing more than 50% of the initial procedure steps.
5 pts

Abdominal/Genitalia

4 pts

Met
4 Points 2.25 Completes all of Criteria in assessment area. Utilizing appropriate technique.

2 pts

Partially Met
2.0 Points 1.0 Missing less than 50% of initial procedure steps

0.75 pts

Not Met
0.75 Points 0 Missing more than 50% of the initial procedure steps.
4 pts

Neurologic System

3 pts

Met
3 Points 1.75 Completes all of Criteria in assessment area. Utilizing appropriate technique.

1.5 pts

Partially Met
1.5 Points 0.75 Missing less than 50% of initial procedure steps

0.5 pts

Not Met
0.5 Points 0 Missing more than 50% of the initial procedure steps.
3 pts
Total Points: 30

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