NRS 429V Week 3 – Heritage Assessment Benchmark Assignment
The promotion of optimum health of families is imperative in healthcare. Nurses utilize their understanding of family structure and diversity in needs to develop care plans that promote the health, wellbeing, and recovery of family members. Family assessment enables nurses to provide holistic care that addresses both the actual and potential needs of the family members. The assessment provides insights into family strengths, weaknesses, and opportunities to be explored to achieve the desired health-related goals. Therefore, this paper examines an interview performed with a family to identify its health status and application of family systems theory to promote positive change in the family’s functions over time.
Description of the Family Structure
The interviewed family comprises seven members that include parents aged between 40 and 50 years, a grandparent aged 75 years, and two children aged between 10 and 20 years. The family is of African American ethnicity. It is a Christian family living in a family-owned home. The father is a nurse while the mother is a teacher. The grandfather is a retired army officer. The children are school-going. The family is of the middle class, living in a healthy environment. It engages in activities that contribute to the development of the community. For example, it assists the poor in achieving their health-related needs.
Overall Health Behaviors of the Family
The interview revealed the family to be of moderate health. Most of the family members were found healthy except the grandfather who is diabetic and suffers from depression. The family engages in activities that contribute to their positive health. They include engaging in active physical activities, eating healthy diets, and utilizing social support systems to achieve their health-related needs. The interview also showed the family to utilize screening services for health problems, including hypertension, cancer, and obesity. The interview showed some areas of weaknesses that threaten its health. They include high costs of care and access to specialized care. The family raised concerns about the increasing costs of addressing the care needs of the grandfather. In most cases, the family found it hard to access the specialized care he needed due to its geographical location in the region. Therefore, it was essential to assist the family to identify ways of addressing their health-related challenges.
Functional Health Pattern Strengths
The interview revealed some functional health pattern strengths in the family. One of the strengths relates to values/health
perception patterns. The family was aware of its health needs and how to achieve them. It understood the unique health needs of each member of the family. It was also aware of the importance of engaging in health practices that promote its health. For example, its members utilize screening services to identify and manage health problems promptly. The family members also engage in active physical activity to prevent health problems, including obesity, overweight, diabetes, and hypertension. The second functional area of strength identified during the interview is coping. The family acknowledged experiencing stressors that affect its overall health. However, it uses effective coping strategies such as seeking support from each other and community members to overcome the stressors. It also seeks professional support from counselors and healthcare providers to overcome adversities. Effective coping with stressors has enabled the family to develop resilience to unforeseen events that may affect its members (Davey et al., 2020).
One of the barriers to health identified in the family is the high cost of care. The family members noted that achieving grandfather’s health needs has been costly for them. The grandfather needs frequent hospitalizations for depression and diabetes, which increases the costs incurred in the family. The costs incurred in seeking specialized carehave been rising, hence, the challenge. The other barrier identified from the interview is access to specialized care. The family noted challenges in accessing specialized care it needed due to its geographical location in the region (Huot et al., 2019). One of the health problems identified from the interview is the grandfather suffering from diabetes and depression. The children are also predisposed to lifestyle-related problems due to too much screen time and playing video games (Anderson & Durstine, 2019). Therefore, it was essential to educate the family about the importance of engaging consistently in activities that promote their health.
Application of Family Systems Theory
The family systems theory can be appliedto solicit changes in family members that, in turn, initiate positive change to the overall functions over time. The theory provides insights on how family members can be influenced to contribute to their optimal health (Bottorff et al., 2021). The analysis of theoretical concepts such as sibling behavior and family problems increases nurses’ understanding of family functioning and health. Therefore, they can use it to strengthen positive behaviors that will contribute to their optimal functioning and the health of the family (Bottorff et al., 2021). In addition, the theory can be used to increase the understanding of the family members of the interdependence in their roles and how to engage in activities contributing to their optimal health.
Overall, a family assessment is important in nursing practice. Nurses utilize it to understand the actual and potential family needs. The interview performed with the family revealed some strengths and weaknesses. It is important for nurses working with the family to empower the members to identify opportunities for minimizing their barriers to health. In addition, they should explore the incorporation of the family systems theory into the care given to the family to ensure its optimum health.
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Anderson, E., & Durstine, J. L. (2019).Physical activity, exercise, and chronic diseases: A brief review.Sports Medicine and Health Science, 1(1), 3–10. https://doi.org/10.1016/j.smhs.2019.08.006
Bottorff, J. L., Huisken, A., Hopkins, M., & Friesen, L. (2021).Scaling up a community-led health promotion initiative: Lessons learned and promising practices from the Healthy Weights for Children Project.Evaluation and Program Planning, 87, 101943. https://doi.org/10.1016/j.evalprogplan.2021.101943
Davey, J., Herbst, J., Johns, R., Parkinson, J., Russell-Bennett, R., &Zainuddin, N. (2020). The role of health locus of control in value co-creation for standardized screening services. Journal of Service Theory and Practice, 30(1), 31–55. https://doi.org/10.1108/JSTP-08-2018-0180
Huot, S., Ho, H., Ko, A., Lam, S., Tactay, P., MacLachlan, J., &Raanaas, R. K. (2019). Identifying barriers to healthcare delivery and access in the Circumpolar North: Important insights for health professionals.International Journal of Circumpolar Health, 78(1), 1571385. https://doi.org/10.1080/22423982.2019.1571385
Heritage Assessment Benchmark Assignment Details:
The learning activity and corresponding assignment in this topic requires students to perform a heritage assessment with families selected by the student from their local community.
Click on http://wps.prenhall.com/ws/media/objects/663/679611/box_6_1.pdf in order to access the “Heritage Assessment Tool.”
Interview three families from different cultures. One family can be your own. Compare the differences in health traditions between these cultures.
Assess three families using the “Heritage Assessment Tool.” In 1,000-1,500 words discuss the usefulness of applying a heritage assessment to evaluate the needs of families and develop plans for health maintenance, health protection, and health restoration. Include the following:
1. Perform a heritage assessment on three families.
2. Complete the “Heritage Assessment Tool” for each of the three families interviewed. These must be included with your submission to LoudCloud.
3. Identify common health traditions based on cultural heritage. Evaluate and discuss how the families subscribe to these traditions and practices. Address health maintenance, health protection, and health restoration as they relate to your assessment.
Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
You are required to submit this assignment to Turnitin. Please refer to the directions in the Student Success Center.
NRS 429V Week 4 Discussion 1 NEW SYLLABUS
Using the family structural theory (see the textbook as a model) how can families created following second marriages learn to function as one?
NRS 429 Topic 4 DQ 1 OLD SYLLABUS
What are the methods a nurse can use to gather cultural information from patients? How does cultural competence relate to better patient care? Discuss the ways in which a nurse demonstrates cultural competency in nursing practice.
Re: Topic 4 DQ 1
Nurse can gather patient culture knowledge with various ways, In this Nurse can talk to the patient and can explore the patient to get more knowledge about patient’s culture, beliefs and traditions. Nurse can research online the different cultures and beliefs and traditions of particular race or religion of the patient. Maintaining a level of awareness of the culture around a service area enables a Nurse to quickly assess the medical needs of the patient as well.
Berlin and Fowkes designed the memonic, LEARN in conducting the Culture assessment
Listen– Nurse should always pay attention about what is patient saying and what is his/her perception regarding his/her disease.
Explain-Explain your perception about the patient’s problem to patient, that what do you understand or perceive about the diagnosis.
Acknowledge– Always acknowledge the similarities and differences between patient perception and your perception.
Recommend- Nurse can recommend the patient based on the conversation in first 3 steps, according to her/his understanding.
Negotiate– Sometime patient may need negotiation in a treatment plan. To provide the best care possible sometimes negotiation is necessary.
Understanding the different cultures helps to provide high quality care to the patients. When patient comes to the hospital, they may be highly stressed because of pain, nerves, fear and worry, especially in this pandemic when family cannot visit the patient, nurse can play a role of family member and health team member as well, in this Nurse understand the patient culture beliefs and traditions, patient can feel more comfortable and will feel in safe hands more. Being cultural competent means nurse to be aware of differences related to culture and adjusting plans for care in according to the patient’s choices and beliefs (Grand canyon University,2018) Nurses always be continuing their eduction in order to be culturally competent. If patient is behaving more traditional health care system then it will be easier for the nurse to provide care since they seek meidcal attention from license professionals (Grand Canyon University,2018).
Grand Canyon University (Ed). (2018). Health promotion: Health & wellness across the continuum. Retrieved from: https://lc.gcumedia.com/nrs429vn/health-promotion-health-and-wellness-across-the-continuum/v1.1/
I agree with your statement that, “Maintaining a level of awareness of the culture around a service area enables the nurse to quickly assess the medical needs of the patient as well”. It is evident that with the increased cultural awareness of the nurses they will be better placed in terms of communication with the patients, which in itself is a major step towards ensuring delivery of quality healthcare services (Kaihlanen et al., 2019). Cultural competency of the nurse is likely to improve the patient’s safety and promotes patient’s satisfaction. Furthermore, it will promote patient’s adherence to the treatment and enhance information seeking and sharing between the patient and the nurse (Jongen et al., 2018). There are a number of ways a nurse can use to gather cultural information from the patients, these include having unstructured interview with the patient which will allow the nurse more freedom to get deeper and obtain more information from the patient. Secondly the nurse can obtain the information through observation and interaction with the patient and family members. During the interaction the nurse should create a rapport with the patient and build trust, this will result to the patient opening up and giving more information that would be culturally sensitive hence promote better understanding of the patient’s beliefs, traditions, religion and culture. A nurse can demonstrate cultural competency by allowing the patients to practice their own traditions, culture and religion while undergoing treatment as long as it does not affect the treatment regimen. If in case any aspect of culture or tradition or religion undermines the treatment procedure, a culturally competent nurse might involve family members and together reach out to the patient and discuss with the patient on the best possible way undergo the treatment but still enhancing the cultural components to achieve a win-win situation.
Jongen, C., McCalman, J., & Bainbridge, R. (2018). Health workforce cultural competency interventions: a systematic scoping review. BMC Health Services Research, 18(1). https://doi.org/10.1186/s12913-018-3001-5