...Family Centered Health Promotion: Heritage Assessment Tool Janice Ward NRS-429V May 31, 2015 Family Centered Health Promotion: Heritage Assessment Tool A critical skill in nursing is to assess multicultural patients in the USA today. The culturally competent nurse is able to evaluate the needs of clients and families through the use of a Heritage Assessment Tool. The successful completion of a Heritage Assessment Tool will provide the basis for understanding traditional health and illness beliefs and practices. The incorporation of the patient’s The Journal of Transcultural Nursing states as it’s 6th standard of practice for transcultural nursing the following: Nurses shall recognize the effect of health care policies, delivery systems, and resources on their patient populations and shall empower and advocate for their patients as indicated. Nurses shall advocate for the inclusion of their patient’s cultural beliefs and practices in all dimensions of their health care. (Lauderdale, Milstead, Nardi, Purnell, Douglas, Pierce, Rosenkoeter, Pacquiao, Callister, Hattar-Pollara, 2011) In order for the nurse to support their patient in receiving the best of health care it is imperative the nurse understand their patient’s heritage. “Health care organizations should ensure that patients receive from all staff members effective, understandable, and respectful care that is provided in a manner compatible with their cultural health beliefs and practices...
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...Running head: Health Promotion Health Promotion Tina Butler Grand Canyon University Family-Centered Health Promotion NRS-429V Kimberly Stout July 28, 2012 Health Promotion The responsibility to increase quality and years of healthy living can be challenging, each individual as well as the United States Health Care Delivery System plays an important role in improving our Nations health. “Health promotion is defined as helping people to discover the interactions between their core passion and optimal health, enhancing their motivation to strive for better health, by making positive behavior and lifestyle changes (P.O'Donnell, 2011).” Health promotions are utilized to improve and maintain a balance of emotional, social, physical and spiritual health thru education and counseling, for individuals, their families and the community as a whole. Health care is delivered in a complicated environment. The nurse spends the majority of time with patients and their families, advocating in the acute care, long-term care setting, as well as the community. Nurses must be well educated on theories and models to assure that the appropriate theories and models are being utilized, for example, Newman’s Health Care System model relating to the Total Person Approach. “To ensure high quality care, our care as nurses should be centered on our patients, meaning we should focus on our patient’s needs and preferences not what complements our needs (F.Cipriano, 2012)”. We as nurses must...
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...Health Promotion Plan Marie St. Fort NSG4075 Holistic Professional Nursing Kathryn Sagess, PhD, PNP-ARNP Nova Southeastern University Thesis Statement and Introduction Despite the many services Delray Beach offers to residents, there are still major health concerns. This major concerns call for an effective health promotion plan to address the lack of adequate assistance to low-income pregnant women and their families. This plan will allow one to make a great impact in healthcare, attests to the art of nursing even as a student, the whole multidisciplinary team and the most important of aspect of healthcare; the patients that are being served. This paper will offer insight into the community, including a thorough assessment of low income pregnant women and their families’ lack of access to adequate care in Delray Beach Florida. In addition, this paper will highlight a health promotion plan for improving quality of life and health of low income, underinsured Delray Beach residents by discussing state and local programs. Also, discussing the community stakeholders as well as the financial and political implications of the health promotion project is a pivotal point. By addressing the barriers in creating the health promotion in the community, the community health nurse can serve as a patient advocate and present a plan an alternate plan and any possible interventions in case of unforeseen, confounding issues that may arise. The Aggregate Being poor and having to take...
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...Family • Definition: Family is a set of relationships that the patient identifies as family or as a network of individuals who influence one another’s lives, whether or not there are actual biological or legal ties (Potter & Perry, 2013). • Scope: The emphasis in nursing today is on providing family-centered care. Wherever nurses practice, they will work with families and observe family dynamics across the lifespan (Giddens, 2013). • Attributes: o Nuclear Family – consists of husband and wife (and perhaps one or more children). o Extended Family – includes relatives (aunts, uncles, grandparents, and cousins) in addition to the nuclear family. o Single-Parent Family – is formed when one parent leaves the nuclear family because of death, divorce, or desertion or when a single person decides to have or adopt a child. o Blended Family – is formed when parents bring unrelated children from prior adoptive or foster parenting relationships into a new, joint living situation. o Alternative Family – include multi-adult households, “skip generation” families (grandparents caring for grandchildren), communal groups with children, “non-families” (adults living alone), cohabitating partners, and homosexual couples. (Potter & Perry, 2013) • Context to Nursing: As we enter the professional world of nursing, we must obtain and use the skills, knowledge, and attitudes necessary for different concepts of nursing. The concept we chose to present on for...
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...head: HEALTH PROMOTION IN NURSING PRACTICE Health Promotion in Nursing Practice Grand Canyon University Family-Centered Health Promotion NRS-429V April Herrera April 14, 2012 Health Promotion in Nursing Practice To evaluate health promotion, people need to know what health promotion truly is. Health promotion has been defined by the World Health Organization as, “the process of enabling people to increase control over their health and its determinants, and thereby improve their health.”(The Bangkok Charter for health promotion in a globalized world, 2005) Health promotion is educating the community about healthy choices that they can understand and utilize. Examples of this would be to have community programs that are free, which the community could attend to learn healthy cooking and eating habits. Communities have great opportunity to promote healthy lifestyles, by starting in the school system. This allows for good healthy habits to be established early in life, which is a proactive approach to avoiding lifelong illnesses that are directly linked to unhealthy choices. School nurses have the ability to make a difference in communities with their practice, more than any other nurse in our field. They make contact not only with children but their families as well. The school nurse’s focus is to impact the youth of their community and nurture healthier adult communities in the future. The school nurse must promote health by ensuring, health related...
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...Patient Centered Care Monet J. Scott Chamberlain College of Nursing NR: 501 Theoretical Basis Advance Nursing May 2015 Concept Analysis of Patient Centered Care A concept analysis seeks to outline, distinguish, and enhance the clarity of the nursing profession as well as stimulate future research endeavors. Within the development of a concept analysis, notions and thoughts are outlined and examined through the fundamental features of that particular concept. According to Walker & Avant (2011), the seven steps to accomplishing a concept analysis includes the selection of a concept, determining the purpose of analysis, identifying all uses of the concept, defining attributes, identifying a model case of the concept, identifying antecedents and consequences, and identifying empirical references. Patient centered care is an imperative task performed by not only nurses, but the absolute interdisciplinary staff involved. It is essential to the establishment of quality care with the ultimate goal of positive patient outcomes. Several responsibilities of the nurse for patient centered care may include pain relief, listening, advocating for the patient, disease prevention, health promotion, respect for patient values and preferences, and maintaining patient dignity and identity (Lusk & Fater, 2013). Jean Watson’s theory of caring closes correlates with the concept of patient centered care in respect to the practice of nursing. This concept analysis of patient centered care...
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...Comprehensive Health Promotion Candace Tiley GCU RN-BSN Family-Centered Health Promotion May 27, 2013 NRS-429V June 08, 2013 Comprehensive Health Promotion The purpose of this paper is to discuss the three tiers of Health Promotion which include, Primary, Secondary and Tertiary and how the three levels are applied. Other aspects that will be discussed will include how health promotion is defined, its purpose, and the nurses’ role and responsibility in health promotion. Several articles were pulled that discussed the application of the three varying levels of health promotion. The global goals according to the Healthy People Website include: The attainment of quality, longer lives free of preventable disease, disability, injury, and premature death. Achieving health equity and eliminating disparities and improving the health of all groups of people. Creating social and physical environments that promote good health for all people, and promoting a quality life, healthy development and healthy behaviors across all life stages. (www.healthypeople.com) These goals encompass an individual’s Social Environment, Biologic and Genetic background, the Physical Environment in which they live and work, and the Health Services that they receive along the way. (www.healthypeople.com) The delivery of a comprehensive health promotion program is dependent upon various interdisciplinary teams working together toward a common goal. While Nurses represent the largest group...
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...enables the culturally competent practitioner to identify health traditions, evaluate needs, and create appropriate plans for health maintenance, protection and/or restoration of the patient. Heritage and culture are interchangeable words that represent the concept of learned or inherited thought processes, ideas, and traditions that have been passed down from parentage, nationality and/or ethnicity. It is important for the practitioner to understand the beliefs of their patient to better facilitate treatment compliance and enhance rapport with the patient and family. As noted by Edelman, Kudzman & Mandle (2014), culture has an impact on a person’s health, healing, perceptions of wellness versus disease and attitude towards health practitioners. Many times important revelations regarding the patient’s health practices, traditions, and perceptions are gleaned not from the patient answering direct assessment question but from their relaxed conversation, ramblings, and casual remarks. The patient will not feel comfortable to converse with a practitioner they don’t trust or have a rapport. It is through cultural sensitivity, competence and appropriate assessment that practitioners are able to develop the trust and rapport needed to assist them in developing a workable plan of care that involves patient participation. Through the use of 29 questions, the Heritage Assessment Tool assisted in the evaluation of the common health traditions and needs of three individuals from different...
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...Running head: HEALTH PROMOTION IN NURSING CARE HEALTH PROMOTION IN NURSING CARE Donna Pisarski Grand Canyon University Family-Centered Health Promotion NRS-429V Ms. Renita Holmes September 21, 2012 Health Promotion in Nursing Care This paper will discuss health promotion and what health care changes are occurring. Through the expanding role in nursing this paper discusses what those roles will entail and the use of primary, secondary, and tertiary care when developing a patient centered care plan. The health care field has been traditionally based around a concept of healing the ill, finding cures, and eradicating disease through immunizations, health being viewed as the absence of disease. Today’s medicine is changing to a new process, a process of promoting health and wellbeing through disease prevention, the teachings of healthy eating and being physically fit. A push to get people involved with and take responsibility for their own health is known as “health promotion”. President Obama signed the Affordable Care Act on March 23,2010, by doing this the whole climate of health care change. A call out for all health care professionals to practice to the full extent of their education and competencies, to streamline health care towards a patient centered system, and deliver a more primary care approach (Institute of Medicine, 2011, pp. 86-87). The goal by doing this is to improve health and wellness, quality of life, and in-turn reduce health care expenditure in...
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...Running head: HEALTH PROMOTION IN NURSING PRACTICE Health Promotion In Nursing Practice Elizabeth Carhuapoma Grand Canyon University Family Centered Health Promotion NRS 429 April Herrera July 08, 2012 Health Promotion In Nursing Practice As health care evolves and changes, the roles of nurses in health promotion and prevention have expanded greatly. The goal is to prevent disease from occurring rather than taking a reactive position of treating the client once disease has already occurred. Health defined by Edelman and Mandle is a state of physical, mental, spiritual, and social functioning that allows a person to reach their individual potential for optimal health (Edelman & Mandle, n.d.). In order to reach these goals, levels of prevention have been defined and nurses take an active role in the implementation of positive changes in clients’ lifestyle. On each level of the health promotion continuum, the nurse has to keep in mind the clients’ cultural and educational background to develop mutually agreed- upon goals. “Primary care providers, including nurse practitioners and other advanced practice nurses, now attempt to involve individuals and their families in the delivery of care, teaching individuals about individual responsibilities and lifestyle choices has become an important part of their job”(Edelman & Mandle, p. 9). These positive changes improve the quality of the clients’ and families lives. The three- levels of health care promotion are primary...
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...toward the promotion of health and disease prevention, known as Healthy People 2000 and 2010. It has been beneficial in changing the focus of health care from a reactive standpoint to a proactive one, which endorses national health and prevention of disease (Edelmam & Mandle, 2010). However delivery of health care objectives is not enough. Health providers must recognize and incorporate cultural group patterns, and variations within that culture to provide optimal care that promotes wellness (Lipson & Dibble, 2008). Summarization People have diverse beliefs about health, illness, disease, birth and death, which are directed by culture. Heritage assessment is an important step towards building understanding of cultural competency, a phenomenon that recognizes diversity, both in linguistic and cultural adeptness by the health care provider. A person’s culture, beliefs, heritage, and language have a substantial impact both as a patient and a health care provider within the health care system (Spector, 2009). Although only 29 questions were supplied in the heritage assessment tool, the questions cleared a pathway for opening up dialogue about ones beliefs regarding health, illness, spirituality, and family support, which linked personal values to them. In this paper diversity was identified as a key component between the three ethnic groups compared, which were American with subgroups of Irish/German, Hispanic, and Filipino Health and Wellness is at the core of Health Tradition’s...
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...University March 5, 2015 NRS 429 Relative to health, cultural values form human behaviors and determine what people will do to preserve their health status, how they will care for themselves and others who get sick, and from whom and where they will find health care. While the diversity of the American people is one of our best assets in this country, it is also creating one of our greatest challenges; to provide health equity, which means to provide the highest level of health for all people (Edelman, 2013). One step in accomplishing this is for nurses to have awareness and culturally competent practices in order to function successfully in this rapidly changing multicultural society. Learning about a patient’s heritage allows the nurse to create a patient centered plan of care that meets their cultural needs which will produce the best outcome. This document contains information gathered from families of Hispanic, Indian (from India) and Black (from Turks & Caicos Islands) descent. They were given the Heritage Assessment tool (Spector, 2000) to complete which helps determine how much a person identifies with a traditional heritage. Knowing how much they identify with a culture can give you insight into understanding their health values and behaviors. In addition, they were also asked questions about their health traditions, how they promote, maintain, and restore their health. The purpose of health protection and promotion is to decrease ones exposure to disease or...
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...Leadership SMART Goal Sherri Love Chamberlain School of Nursing Christle Shavers NR 447 Collaborative Health Care Team-building Leadership Core healthcare competence According to the Institute of Medicine, patient-centered is “health care that establishes a partnership among practitioners, patients, and their families (when appropriate) to ensure that decisions respect patients’ wants, needs, and preferences and that patients have the education and support they need to make decisions and participate in their own care” (2001). There are many attributes that can be associated with patient-centered care. First, there is the requirement for education and shared knowledge; second is the requirement for the involvement of a patient’s family and friends; and third is collaboration and management of a care team. Since patient-centered care connotes healthcare that is solely focused on the needs of the patient, there is need for nurses and other health care providers to be sensitive to the spiritual dimensions of care as well as to other non-medical attributes of human nature. The patient should be respected and his needs and preferences should form the core of the decisions made by health care providers. As a requirement, and to streamline care, there is need for information to flow from the experts to the patients and to the family and be accessible to the relevant parties. Leadership SMART goal I will learn how to handle a patient’s members...
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...Grand Canyon University: NRS-429- Family Centered Health Promotion> November 13, 2013 Health promotion should become more of an issue with today’s society and different cultures. In regards to families, communities, individuals and their environments where they live and work and raise families, we as the health care professionals have quite the unique job of educating our patients. The medical profession is required to have a vast amount of knowledge to pass on to our communities. With a little creativity and drive to succeed, the nurse will be able to bring forth a more informed and educated society. Health promotion is described by the American Journal of Health Promotion as “health promotion is the art and science of helping people discover the synergies between their core passions and optimal health, enhancing their motivation to strive for optimal health, and supporting them changing their life style to move toward a state of optimal health”. The fine balance of physical, social, spiritual, emotional and intellectual need of an individual. The purpose of the nurse has become a huge part in a person’s recovery. Mainly because nurses have the ability to have direct contact with our patients in hospital settings from admission to discharge. The nurse’s role is changing on a daily basis. New and improve education and technology comes out quite often. Nowadays , our patients and families have more access to computers, google and web MD to look up information...
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...Multicultural Assessment Norma Garcia Grand Canyon University Family Centered Health Promotion NRS-429V Serina Madden February 25, 2015 Multicultural Assessment The author of this paper is a student at Grand Canyon University who is currently taking Family Centered Health Promotion. The topic discussed in class this week was, Culture and Cultural Competency in Health Promotion. The corresponding assignment to this course was to perform a heritage assessment; three families of the community were interviewed. The Heritage Assessment tool consist of 29 questions about families background, religious and ethnicity practices and current living status. The Interviews where performed via telephone calls. Veronica Navarro is a Hispanic female who migrated to the United States of America (USA) at the age of 12. Her parents and grandparents are Mexicans. She grew up with her six siblings and extended family living with her as a child. She was raised as Catholic and as an adult became a Christian. Veronica is married to a Hispanic male; they practice Christianity at home by praying, and celebrating religious holidays. They also participate in ethnic activities such as dancing, singing, Holiday celebrations and festivals. Veronica and her family currently live in a multicultural neighborhood. Veronicas native language is Spanish; she speaks both English and Spanish equally (V. Navarro, personal communication, February 20, 2015). Sarah Redmond is a single White female raised and...
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