...worldviews of the people they serve are more successful in engaging and activating individuals, families and communities to be an active participant in their own health care," (Sanchez, Chapa, Ybarra, & Martinez, Jr., 2012, p. 5) By integrating into care the individuals beliefs and needs, the professional can create rapport with the individual in such a way that encourages the individual to be active in their own health decisions based on the professional's medical knowledge and the individual's belief system. Culturally competent care is care that is respectful of and responsive to an individual's health beliefs, practices, and needs. This type of care is sensitive to the individual's ethnic and religious beliefs as well as cultural beliefs that have been shown to engage individuals into participating in their healthcare. The skill to deliver culturally competent care is vital for all nurses. For all nurse who work in high-acuity or high-stress healthcare system environment, culturally competent care is particularly significant to patient outcomes. Nurses need to advance their cultural competency in order to be effective in developing bonds with patients, and to assess correctly, and to develop and implement nursing interventions designed...
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...“Cultural competency has become quite the buzzword, especially in the workplace. It can loosely be defined as a public health practitioner's knowledge, awareness, and practice with other individuals and populations with diverse cultural backgrounds. The first step to becoming culturally competent is realizing that you bring your own beliefs and worldview to your profession. Acknowledging this will help you minimize the interference that these beliefs may have as you work with others (i.e., patients, clients, colleagues, community, and public). Other steps you can take as a public health professional to become more culturally competent is to listen, have patience, and practice humility when you have limited knowledge regarding something or when...
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...Emerging Standards of Care: Cultural Competence in a Long Term Care / Skilled Nursing Facility Susan Mateo NUR/531 Tracey Lane Emerging Standards of Care: Cultural Competence in a Long Term Care / Skilled Nursing Facility Of the many challenges facing the nursing profession, cultural competence is an area of great need across all settings from educators, to students, bedside nurses, nurse managers, and nursing leadership. Cultural competence for a given entity, be it an educational institution or healthcare facility, is best measured by an appraisal of that entity, with respect to the cultural diversity of its staff and customers, along with its policies, procedures and actual practices. The focus of this paper is the evaluation of the cultural competence of a local long term care / skilled nursing facility (LTC/SNF) located in Harker Heights, Texas. The inability to access numerical or percentage totals of the demographics of either the staff or residents directly resulted in observational assessments by this writer as the basis for this evaluation. The observations took place during the clinical experiences of students from the local public school district’s CNA course. Based on the various readings associated with the nursing 531 course, a definition of cultural competence includes several components. One of the most easily understood and incorporated is Campinha-Bacote's model of cultural competence. This model consists of five concepts, namely: cultural desire...
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...•The process of team building TEAM BUILDING There are a series of stages for the formation of a team, each stage different from others. At the early stage the social structure of the team is much more important. Each stage has different implication for members behaviour and team performance. An early analysis of the team development was provided by Tuckman (1965). According to Tuckman a team can be distinguish as a social entity and task entity. The three factors that influence team development in each of four phases are individual’s needs, team needs and task needs. These stages of team development are FORMING This is the first stage of a newly form team. At this stage members of the team first meet each other and predominating concerns are their own needs. People, who have never been together before, meet each other and introduce themselves. They reveal their characteristics and abilities to other team members, sometime slowly. STORMING It is also called the conflict stage. At this stage members are also concerned that on what grounds, rules and procedures the team will operate. What kind of structures the team will have. As long as discussion going on this concern usually expands. In a successful team these problems are largely resolved and mostly concern with team needs diminishes. NORMING It is also called the cohesion stage. At this stage the team defines its roles and relationship among roles. Appropriate behaviour of various members has been worked out...
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...culture, the Christian gospel is perceived as basically teaching the same thing as every other religion. This is even further by comments like “Jesus Christ, Jehovah, Allah. These are all names employed to describe an entity that is distinctly the same across the world. For centuries, blood has been needlessly shed because of the desire to segregate our faiths. This, however, should be the very concept which unites us as people, as nations, and as a world bound by faith” by Pope Francis (2015). So is Judaism, Christianity, and Islam just a different route to the same God? Powell (2006) dismisses the idea that all religions are a route/road to God, in chapter 12 stating “all roads lead to their own exclusive destination and do not even intersect”. While we might all worship the same entity: Abraham’s God the theology is very different. These attempt to create religious tolerance create confusion. If someone truly believes that we are all the same and they hold prejudice against one religious they may never open their heart to learning the truth of the Christian Gospel. 2....
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...Iran is a nation with a proud history. The Persian Empire was a power to be contended with in ages past--militarily, intellectually, culturally, economically. The Iranian people are a proud people. They are a well educated population, relative to their neighbors. Many Iranians don’t follow the naive "either you are with us or against us" paradigm. They may lean heavily to the West culturally; but, their politics will be that of a proud and independent Muslim state...no longer a state that serves as the lapdog of the US...and who could blame them. I am sure you already know of the US CIA's history of interfering in Iranian politics. Iran is the only country operating a nuclear power plant that does not belong to the 75-nation Convention on Nuclear Safety, negotiated after the 1986 nuclear disaster in Chernobyl which contaminated wide areas and forced about 160,000 Ukrainians from their homes. One problem is that Iran's nuclear regulatory authority, INRA, is not considered independent by the IAEA because it is contained within the Atomic Energy Organisation of Iran, Iran's nuclear agency, Lyman said. The nuclear program of Iran was launched in the 1950s with the help of the United States as part of the Atoms for Peace program.[1] The participation of the United States and Western European governments in Iran's nuclear program continued until the 1979 Iranian Revolution that toppled the Shah of Iran.[2] Iran's nuclear program has included several research sites, two uranium...
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...At the University of Michigan Medical School, we are committed to building a superb educational community with students of diverse talents, experiences, opinions, and backgrounds. What would you as an individual bring to our medical school community? Being Asian in the racially homogenous community of [small town], it was clear: I did not belong. When my father moved to South Korea after my 8th grade year, I was excited to spend summers there. I would finally belong. I was wrong. My excellent Korean language skills let me feign native status but my American mannerisms betrayed me. To Koreans, I was just American. At [university], a diverse community, I sought out Korean-Americans. But they questioned whether I truly understood the Asian-American experience due to my [predominantly white state] upbringing. To them, I was white. While these cultural rejections from my various communities were painful, I learned to recognize individuals as unique entities despite shared identity markers such as race. I vowed to always see the whole person; not just her external stereotypes. I have stayed true to this promise as a teacher in [New York City] and have seen the rewards in the form of fruitful relationships. I will continue to do the same with my patients. My struggles to belong taught me to work easily with a variety of people by adjusting my perspectives without sacrificing my values, and listening carefully to others. I built my own sense of belonging, which was more than my...
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...Executive Summary The article begins by questioning the place of cultural boundaries in the place of international business. However, how can we really learn and incorporate another culture into own businesses practices. The article questions our methods of learning another culture and challenges us to no just learn the “black and white” rules of another culture but to actually learn about the settle differences and apply them to our daily practices. It will take more than studying and reading about other cultures to fully understand and connect with people of other cultures. The U.S department of education held a conference to evaluate the meaning of globalization and what it meant to different people around the world. People who oppose the idea of globalization view it as a tool to impose western cultural values on different cultures around the world. Many people view globalization as a tool of “cultural imperialism”, in which America can spread their pop culture and consumer values for their own elfish needs. However, others view globalization has necessary and essential agreement between nations to effectively and efficiently spread world resources. These people believe that globalization can help stem worldwide poverty in some areas and stimulate positive growth in developing countries. From a more objective perspective, globalization is the “embodiment of the world merging into massive transactional networks and nexuses of countries in terms of trade, commerce, capital...
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...of similar as well as diverse backgrounds having different frames of references and varied preferences regarding their health and health needs. In the provision of care, nurses must acknowledge, respect and adapt the cultural needs of those patients and their significant others through identifying the differences between cultural groups that require health care providers to identify culture specific health and illness practices and caring behaviours that transcend cultural groups and appear to be universal care practices to enable the provision of care that is holistic, effective and culturally competent. The field of transcultural nursing which was pioneered by Madelein Leininger in 1975 represent a shift from the biophysiological and psychological models that dominated nursing in the 1950s as it advocates the recognition of each individual as a social being and must be handled as unique entity having cultural beliefs, norms, values and customs that influence his or her life in all ramifications including health, illness and treatment. Leininger, who was considered the leader and initiator in the field of transcultural nursing, postulated the theory of “diversity and universality of cultural care” and refined the specialty through the use of the “sunrise” model from 1955 to 1975 which marks a breakthrough in the field. The concept was further expanded in 1983 and that is where the journey for its establishment as a field in nursing starts. II. CULTURE: This is commonly...
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...The Writing Process 5/2/14 Standardized Testing These days, if a school's standardized test scores are high, people think the school's staff is effective. If a school's standardized test scores are low, they see the school's staff as ineffective. In either case, because educational quality is being measured by the wrong scale, those evaluations are apt to be in error. One of the main reasons that students' standardized test scores continue to be the most important factor in evaluating a school is deceptively simple. Most educators do not really understand why a standardized test provides a misleading estimate of a school staff's effectiveness, as well as education quality for students. Standardized test are not effective measurements of a student’s knowledge, they create negative impacts on curriculum, and they are racially, socially, and economically biased. A standardized test is any examination that's administered and scored in a predetermined, standard manner. There are two major kinds of standardized tests: aptitude tests and achievement tests. “Standardized aptitude tests predict how well students are likely to perform in some subsequent educational setting (SAT-I /ACT), both of which attempt to forecast how well high school students will perform in college. But standardized achievement-test scores are what citizens and school board members rely on when they evaluate a school's effectiveness.” (Popham) One of the most important reasons that students’ performances...
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...important to society as it would not function effectively, unless there was some kind of agreement on what is right and wrong. There seems to be a universal human acceptance on what right or wrong should be. If you look cross culturally over time it seems to suggest we all follow a certain basic rule, one that, Matthew 7:2 from The New Testament sums up quite efficiently: “ For you will be treated as you treat others. The standard you use in judging, is the standard by which you will be judged” This very widespread principle would amount to us as a society today in the 21st century as more common sense but where did morality actually come from? According to All About Science(2013), the Darwinian principles suggest, we are all a product of evolution, from a process called natural selection. Natural selection is the continuing process in which biological characteristics become either more or less common in a population. Meaning that: Individuals in a species that show a wide range of variation is because of differences within their genes. Individuals with characteristics most suited to the environment are more likely to survive and reproduce, as the genes that allow these individuals to be successful are passed to their offspring. This theory would lead you to believe that moral behaviour arose in humans as an extension of the biological altruism and empathy involved in the animal worlds care of its mates and offspring. If morality was a direct product of evolution...
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...Types of changes in an organization can be planned, unplanned, evolutionary, and frame breaking. There are a couple theories that have been fore planned to help the businesses run with a goal and direction (Nahavandi, 2012). The most successful outline for change in an organization is the strategy by Psychologist Kurt Lewin. His theory suggests that first you Unfreeze the current administration. Becoming aware of the current failures and unprofitable markets. Second The Changing Implementation which concerns Implementing the changes in the Organizations whether its Human Resource directed or new programs to be installed for the Information Department (IT). The changing directive also requires constant positive criticism and critical thinking awareness on active participation creativity while the innovation is being processed. The third is the Freezing of the Change into place within the business by supporting the nature of the behavior of the company and the way its running. Supporting and funding the programs needed to access constructive results in the employment, social, technological, culturally, and environmentally virtues of a successful marketable product or service (Nahavandi, 2012). VISIONS FOR ORGANIATIONS TO SUCCEED The other Plan Change Management Theory that works well is the Planned Change which is another change module taking off the Kurt Lewins “Unfreezing Theory”. Planned Change is a six...
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...Problems with IQ and Psychometric Assessment When diagnosing a child’s learning difficulties the IQ test and other forms of Psychometric Assessment continue to be used across the UK and elsewhere as an indication of a child's ‘intelligence’ and continue to be a key factor in special school placement. Colin Newton Inclusive Educational Psychologist Co Founder Inclusive Solutions December 2009 We have to provide an IQ score so that the CAHMS team can allocate their resources. They keep asking us.... (Principal Educational Psychologist - 2008- Unnamed UK Local Authority) How sad that what follows still needs to be written in 2008! Perhaps we all need a little reminder... The story so far... Intelligence testing began in earnest in France, when in 1904 psychologist Alfred Binet was commissioned by the French government to find a method to differentiate between children who were ‘intellectually normal and those who were inferior’. The purpose was to put the latter into special schools where they would receive more individual attention. In this way the disruption they caused in the education of intellectually normal children could be avoided. Sound a familiar argument? Such thinking was a natural development from Darwinism and the Eugenics movement that dates back to Sir Francis Galton in 1869 that famous scientific polymath who promoted the idea that for society to prosper the ‘weakest’ should not be allowed...
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...generate meanings and the critical implications thereof Representations have an uneasy relationship with reality Are we looking for accurate representations of reality? NO Language is a culturally specific system of differentiation How can I convey something that is not culturally informed? REPRESENTATIONS RE-PRESENT REALITY E.g. a drawing of a tree Every representation is the result of a decision-making process Editorial decisions shift meanings one way or another CONSIDER THE IMPLICATION OF FRAMING DEVICES – leaving something out CONSIDER SOCIAL IMPLICATIONS OF THIS DECISIONS-MAKING PROCESS E.g. family We form ideas about people/places about which we know little E.g. Tourism Australia adds E.g. What particular moment is in the media Understanding Representations Our familiarity with cultural codes helps us unpack/read texts Cultural codes – culturally CONSTRUCTED: secret things we understand Meanings arise out of context E.g. Green: money, St Patrick’s, environment E.g. MJ: context changes How do we understand meanings? How do texts refer us to specific interpretations? TEXTUAL ANALYSIS Denotation first impression. Most stable, obvious, ‘commonsense’ reading of the text Connotation Second appreciation/associations. Associations that come to mind. You need to identify which discourses you’re using to...
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...Question: Using the model for goal setting, evaluate Allstate’s goal setting process to determine whether or not Allstate has an effective goal-setting program? Answer: Goals are future outcomes or results that individuals and group desire and strive to achieve. On the other hand, goal setting is the process of specifying desired outcomes towards which individuals, teams, departments, and organizations will strive and is intended to increase organizational efficiency and effectiveness (Hellriegel & Slocum, 2001, pg 192). Allstate provides their employees with a road map to succeed by executing the goal setting definitions. The employees were given tools and resources to become better. They have quarterly leadership measurements as well as the survey to get feedback from employees. Allstate focus on diversity, they see diversity as a strategy for leveraging differences in order to create a competitive advantage thus create four steps process to reach their effective goals. The first step which is the succession programming explains how Allstate identified and developed candidates for each key position. Allstate’s management information system enables it to track and measure key drivers of career development and career opportunities for all of its employees, ensuring that the company’s future workforce will be diverse at all levels. The goal of which came to manifestation; women were empowered, minorities grew above national averages, Hispanics, and people with...
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