Sample Answer for NUR 513 Discussion: Role of APN in Promoting Health Included After Question
Topic 3 DQ 1
Description:
Identify a population that you will likely serve as an advanced registered nurse that you think is particularly vulnerable to issues of health disparities/inequity. Discuss the contribution of your paiticular specialty to health promotion and disease prevention for th.is population. How do issues of diversity and global perspectives of cai·e contribute to your understanding of health equity as it relates to this population?
A Sample Answer For the Assignment: NUR 513 Discussion: Role of APN in Promoting Health
Title: NUR 513 Discussion: Role of APN in Promoting Health
The diversity of religions around the world creates challenges for health care providers and systems to provide culturally competent medical care. Cultural competence is the ability of health providers and organizations to deliver health care services that meet the cultural, social, and religious needs of patients and their families (Swihart et al., 2023).
Reflecting on my early experiences as a nurse, particularly during my novice years, I often encountered situations where patients’ values, religious beliefs, and cultural practices diverged from my own. I initially lacked competence in understanding how these factors could impact treatment and clinical approaches. Regrettably, I sometimes assumed that my patients’ and their families’ treatment decisions were misguided or inhumane. It wasn’t until the hospital where I started my nursing journey provided cultural competency education that my perspective shifted. This training emphasized the significance of cultural and religious competence in healthcare. Also, my colleagues have been instrumental providing me their experiences in respects to this topic. This prompted me to approach patient care with an open mind, questioning the reason behind decisions that initially seemed unfamiliar. This newfound understanding not only improved my ability to provide effective care but also fueled my curiosity and empathy toward diverse perspectives in the healthcare setting.
Ensuring new nurses are equipped with an understanding of cultural and religious diversity from the start could have a positive influence on their ability to provide emphatic and effective patient care. According to DeNisco (2024), cultural competency is a crucial component of the educational preparedness of nurses, and the inclusion of cultural sensitivity and awareness into the curriculum will promote cultural competency within the profession of nursing.
References
DeNisco, S. M. (Ed.). (2024). Advanced practice nursing: Essential knowledge for the profession (5th ed.). Jones & Bartlett Learning. ISBN-13: 9781284264661
Swihart, D. L., Yarrarapu, S. N. S., & Martin, R. L. (2023). Cultural Religious Competence in Clinical Practice. In StatPearls. StatPearls Publishing.
A Sample Answer 2 For the Assignment: NUR 513 Discussion: Role of APN in Promoting Health
Title: NUR 513 Discussion: Role of APN in Promoting Health
The Code of Ethics guideline emphasizes the importance of patient autonomy, beneficence, non-maleficence, and justice, which intends to serve as a guide throughout a nurse’s professional practice. Awareness and adherent to Code of Ethics, also protecting patient rights is one of the paramount duties of medical professionals and other healthcare personnel (Jihye & Heeyoung, 2023), should be honored.
Patients’ rights to their values and preferences must be respected. For instance, religious or cultural values, such as seeking alternatives to blood transfusions (Jihye & Heeyoung, 2023). No healthcare professional has the right to impose their personal ideas or views on a patient, colleague, or anyone except in the case of immediate harm to self or others. Take for example, a parent may not act or decide in the best interest of their child’s (minor) healthcare decision. Health care profession have an obligation to protect the patient (minor) in such instance. But through educating the patient and interdisciplinary collaboration,
Christian worldview principle strives for equality, that all humans are created in God’s image, equal, and should be treated with the principle of justice, compassion, dignity, respect, and helping one another especially, those in need/vulnerable. We are unique in the way we have relationships with other humans, that is the force behind interaction. Cultural competence is a must in the 21st century of healthcare era.
Jihye Yun, & Heeyoung Oh. (2023). Validity and Reliability of the Korean Version of Nurses’ Ethical Behaviors for Protecting Patient’s Rights Scale: A Methodological Study. Korean Journal of Adult Nursing, 35(2), 138–147. https://doi-org.lopes.idm.oclc.org/10.7475/kjan.2023.35.2.138
A Sample Answer 3 For the Assignment: NUR 513 Discussion: Role of APN in Promoting Health
Title: NUR 513 Discussion: Role of APN in Promoting Health
Values and beliefs influence our world view and the decisions we make in life, whether it is personal or professional. When one’s beliefs and values are deeply rooted, often times, we can project those beliefs on others without being aware of it. This can cause conflicts in any environment.
I had a co-worker who was a Jehovah’s Witness. She became really ill and needed a blood transfusion and other treatments. Jehovah Witness believe that blood is unclean and blood transfusions are an unclean practice. She refused the blood transfusion. Because of this, the doctor’s felt it was unsafe to perform any surgical procedures due to her unstable condition. Many of the doctors and nurses that we worked with encouraged her to have the blood transfusion because it could save her life. She continued to refuse and ultimately passed away from her illness. We as a team had a conversation about her decision because many felt like she made the wrong decision and even showed anger toward her. I expressed to the team that although it would not have been the decision I made for myself, I supported her decision. I also told her this before she passed away. I may not have agreed with her decision, but I respected it and did not try to change it. I was taught growing up to have respect for others regardless of our differences.
As nurses, we have to learn how to care for others in a way that respects their beliefs and values. In order to do this, we must determine the “who, what, and why” of the patient’s that we care for. We must determine who we are caring. We must learn what their cultural beliefs and values are. We must also examine why we are making the care decision that we are making; is it based on it being best decision for the patient that will provide the most effective care and also aligns with the patient’s values and beliefs?; or, are we making care decisions based on our beliefs and values and not taking into consideration the beliefs and comfort of the patient? The principle of “do no harm” includes understanding the population in which you care for so that your decisions for their care aligns with their beliefs and values. When you force your beliefs upon someone else, you cause mental harm and discomfort.
A Sample Answer 4 For the Assignment: NUR 513 Discussion: Role of APN in Promoting Health
Title: NUR 513 Discussion: Role of APN in Promoting Health
I can relate to the experience you described with a patient who refused a blood transfusion due to religious and cultural beliefs. This occurred with a patient at our hospital, who was frequently admitted due to low hemoglobin levels. Despite not being a Jehovah’s Witness, the patient explicitly expressed a refusal to receive any blood products during his hospital stay. According to DeLoughery (2020), other patients may have deep-seated personal beliefs regarding transfusion that must be respected. The consulting hematologist needs to be understanding, clearly document the patient’s reason for declining transfusion, and specify what products/interventions are acceptable to the patient.
The patient was under our care for a minimum of three months, receiving alternative treatments and consultations with specialists in hematology-oncology, palliative care, and hospice. Regrettably, the patient’s health progressively deteriorated, rendering them unable to make decisions, and ultimately, they passed away.
The healthcare team faced a dilemma, it’s a complex and challenging situation when personal beliefs clash with medical interventions. Each member had their own perspective. Despite these differing viewpoints, it’s commendable that the healthcare team managed to navigate the delicate balance between respecting the patient’s autonomy and providing the best possible care. I believe that nurses must possess religious and cultural competence to provide care with respect and dignity to our patients. We should adhere to our oath and follow nursing ethics.
Reference
DeLoughery T. G. (2020). Transfusion replacement strategies in Jehovah’s Witnesses and others who decline blood products. Clinical advances in hematology & oncology: H&O, 18(12), 826–836.
Description
Objectives:
1. Discuss the role of the advanced registered nurse in promoting health and disease prevention for diverse populations.
2. Discuss the impact of diversity, global perspectives, and the advanced registered nurse’s role in
advancing health equity.
3. Relate cultural and spiritual competence to the advanced registered nurse’s scope of practice.
4. Determine how your personal worldview may affect your future practice and role.
El Study Materials
Advanced Practice Nursing: Essential Knowledge for the Profession
Description:
Read Chapters 7, 8, and 24 in Advanced Practice Nursing: Essential Knowledge far the Profession.
Diversity Rx
Description:
Explore the Diversity Rx website.
Tanenbaum Center for lnterreligious Understanding
Description
Explore the Tanenbaum Center for Interreligious Understanding website.
Advanced Practice Nursing: Essential Knowledge for the Profession
Read Chapters 19 and 23 in Advanced Practice Nursing: Essential Knowledge for the Profession.
The Living Tree of Nursing Theories
Description:
Read “The Living Tree of Nursing Theories,” by Tomville and Ingalls, from Nursing Forum (2003).
A Cross -Cultural Comparison of a Clinical Nurse Competency Path Model
Description:
Read “A Cross-Cultural Comparison of a Clinical Nurse Competency Path Model,” by Sportsman , Hamilton, and Schumacker, from International Journal of Nursing Education(2014).
A Multidimensional Analysis of the Epistemic Origins of Nursing Theories, Models, and Frameworks
Description:
Read “A Multidime nsional Analysis of the Epistemic Origins of Nursing Theories , Models , and Framewor ks,” by Beckstead and Beck stead , from International Journal of Nursing Studies(2006).
Nursing Theories
Description:
Explore the links on the Nursing Theories page of the Current Nursing website.
Grading Rubric Guidelines
| Performance Category | 10 | 9 | 8 | 4 | 0 |
| Scholarliness
Demonstrates achievement of scholarly inquiry for professional and academic decisions. |
|
|
|
|
|
| Performance Category | 10 | 9 | 8 | 4 | 0 |
| Application of Course Knowledge –
Demonstrate the ability to analyze, synthesize, and/or apply principles and concepts learned in the course lesson and outside readings and relate them to real-life professional situations |
|
|
|
|
|
| Performance Category | 5 | 4 | 3 | 2 | 0 |
| Interactive Dialogue
Replies to each graded thread topic posted by the course instructor, by Wednesday, 11:59 p.m. MT, of each week, and posts a minimum of two times in each graded thread, on separate days. (5 points possible per graded thread) |
|
Summarizes what was learned from the lesson, readings, and other student posts for the week. |
|
|
|
| Minus 1 Point | Minus 2 Point | Minus 3 Point | Minus 4 Point | Minus 5 Point | |
| Grammar, Syntax, APA
Note: if there are only a few errors in these criteria, please note this for the student in as an area for improvement. If the student does not make the needed corrections in upcoming weeks, then points should be deducted. Points deducted for improper grammar, syntax and APA style of writing. The source of information is the APA Manual 6th Edition |
|
|
|
|
|
| 0 points lost | -5 points lost | ||||
| Total Participation Requirements
per discussion thread |
The student answers the threaded discussion question or topic on one day and posts a second response on another day. | The student does not meet the minimum requirement of two postings on two different days | |||
| Early Participation Requirement
per discussion thread |
The student must provide a substantive answer to the graded discussion question(s) or topic(s), posted by the course instructor (not a response to a peer), by Wednesday, 11:59 p.m. MT of each week. | The student does not meet the requirement of a substantive response to the stated question or topic by Wednesday at 11:59 pm MT. |