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Health, Medicine, Nursing
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Family Cultural Assessment

Essay Instructions:

Explain in 1-2 paragraphs how you know this family and why you have chosen this family. I will respond back in the “Assignments” area of D2L with feedback. I need this by 4/14/2021. I could do it but I do not know what kind of family you will choose.

INSTRUCTIONS for THE FAMILY CULTURAL ASSESSMENT ASSIGNMENT

IMPORTANT: Read all instructions carefully and study the rubric, you will be graded using the rubric. Be sure you have included everything the instructions and rubric ask for before you submit your assignment to avoid unnecessarily losing points.

 Overview-Important definitions

Marginalized populations Marginalized populations refer to specific groups of peoples or individuals that are relegated to the outer edges of society or social standing, both in this country and abroad. Such people are often denied access to resources and privileges available to mainstream society.  This includes access to healthcare and healthcare disparities.  Note: Marginalized populations will be a concept important to your Family Cultural Interview Assignment

Cultural Competence: "The ability to deliver health care with knowledge of and sensitivity to cultural factors that influence the health behavior" (AHNA & ANA, 2013, p. 87)

Cultural Diversity is a part of AHNA (2013) Core Value 3. Holistic Communication, Therapeutic Healing Environment and Cultural Diversity.  “Culture, beliefs and values are an inherent component of a holistic approach” (p. 17).

AHNA & ANA. (2013). Holistic Nursing: Scope and standards of practice, 2nd Edition. Silver Spring, MD: Nursebooks.org.

Preparation

¨  Complete the WebQuest at the following URL: http://questgarden.com/q/transcultural (this will take approximately 4 hours)

¨  Read Chapter 21: Nursing Care in a Culturally Diverse World in your Blais & Hayes Textbook. text

¨  Read Chapter 6 Cultural and Diversity Aspects of Health and Illness Care Needs and skim Chapter 14 Family-Focused Nursing Actions in your Denham, Eggenberger, Young & Krumwiede textbook

Interview

Then complete a cultural assessment of a family (two or more people) with a culturally or ethnically diverse background different from your own.  Note: This family cannot have a member who is part of this course

¨  Get my permission: You MUST get permission from me for the family you wish to interview prior to actually conducting the interview (submit this in writing to the “Assignments” area of D2L)-explain in 1-2 paragraphs how you know this family and why you have chosen this family. I will respond back in the “Assignments” area of D2L with feedback)

¨  Get the family’s permission: Ask the family if they would like to be interviewed and that they are under no obligation to do so, that the interview is completely voluntary.  Explain to the family that the purpose of the assignment is to learn about the culture of a family from a diverse population. Utilize initials to protect family privacy within all documents.

¨  Formulate questions and observations: Use the Giger and Davidhizar Transcultural Assessment Model to for the family you will interview. (note you need to sign in with the user name and password you created for Think Cultural Health website when you completed the WebQuest). Be sure to include all 6 assessment areas. An abbreviated version of the tool can also be found on page 162 of your Denham et al. text.

¨  Create a Culturagram during the interview (see this article on how to create): 

Congress (2005). Cultural and ethical issues in working with culturally diverse patients and their families, Social Work in Health Care, 39:3-4, 249-262, DOI: 10.1300/J010v39n03_03 available at http://dx.doi.org.ezproxy.mnsu.edu/10.1300/J010v39n03_03

  • (note that not all parts of the Culturagram may be applicable and you are free to omit those that do not apply)

¨  Choose a “family level” culturally appropriate nursing action you will implement during the interview to assist a family member, or members, or the entire family, based on your assessment. Chapter  14  Family-Focused Nursing Actions in your Denham Textbook is a good source for ideas for nursing actions

¨  Complete the assessment form for all elements from the rubric, submit to Assignments area in D2L

Essay Sample Content Preview:

Name
Institution
Course Code
Date
ASSESSMENT FORM
Date of Interview: 04/10/2021 Place of interview: Family’s Home
MT (mother 33 years old), FT (father, 35 years old), DG (daughter 16 years old), SN (Son 13 years old). All the family members except for the father who is serving time in prison. I have known the family through my aunt who is their neighbor and go to the same church.
This is a black American family living in Minneapolis. The father is currently serving a 10-year prison time for possession of a firearm without a license. The mother works two jobs to support the family. They have two children; a son and a daughter aged 13 and 16 respectively. They have been living in Minneapolis throughout their lives. The mother and father schooled together and both have high school diplomas. The rest of the extended family lives a few blocks away from the community house they currently reside in. The family agreed to for the interview on Saturday 10th April 2021 in their family home. For this assignment, I’ll be using their initials to protect their privacy. I chose this family to get a deeper understanding of black American family especially those headed by a single parent and the struggles they endure. I also wanted to understand the reasons for typical choices low-income black families have when choosing their health preferences.
Giger and Davidhizar’s Transcultural Nursing Assessment (De Ruiter et al., 2016, p. 162).
Responses for each of the 6 areas (use bullet points)

Communication:
* All the family members are fluent in English. The version of language can be characterized as African American Vernacular English (AAVE).
* The children language also seemed to be heavily influenced by pop culture and used some common slangs in pop culture.
* The children were mostly quiet through the interview.

Space:
* The house is a two-bedroom house with one bathroom. It had a fairly small kitchen and a small balcony accessible through the kitchen. It is a community house and they live in the third floor. The elevator is broken and therefore you must use the staircase to reach their house.
* One bedroom is used by the mother and the other by the children. It is common for the family to cook and eat together.

Social Organization:
* Their relatives live a few blocks away. Their grandparents drop in once in a while and the grandchildren also visit them regularly. They also attend the same church. Sometimes they invite their relatives who do not live very far to their home and other times they visit them.
* The mother is the breadwinner and she has two jobs. Since she leaves very early in the morning and comes in very late in the evening, the children tend to do most of the house chore. They clean and prepare meals. It is only on Saturdays when the mother works half day and on Sundays when she is off.
* They are Christians and they attend church together.

Time:
* Time is fairly an important factor but it is not necessarily followed strictly. The mother always wakes up very early and comes home late because of her jobs.
* The children organize themselves to do the house chores but not necessarily at stipulated time. They however get themse...
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