Cultural Respect & Competency—Caring for a Vulnerable Population in My Own Community

Effective health communication is as important to healthcare as clinical skill. To improve individual health and build healthy communities, providers need to recognize and address the unique culture, language, and health literacy of diverse consumers and communities. As advanced practice nurses, we must be knowledgeable but also culturally savvy and understand the nuances of the populations that we serve.

National Institutes of Health: Cultural Respect
Health Resources and Services Administration: Cultural Language and Health Literacy
Effective Communication Tools 2016 (YouTube)
    Effective Communication Tools 2016 (YouTube) video transcript

Initial Post

For this discussion, the textbook readings and articles assigned for this week should also help you to identify a vulnerable population in your own community. Describe the characteristics of this group—what makes them vulnerable—and utilize at least three scholarly resources to answer one of the following questions for your initial post.

Paraphrase concepts/theories specific to healthcare disparities as related to vulnerability; provide at least three applications of concepts/theories that could be implemented within your community.
As an APRN, how can you advocate for this identified vulnerable population within your community? Discuss at least three ways in which you can advocate.
How does what you learned about your own cultural competency affect how you might approach your role as an advocate? Did you find that you had bias? Were you aware of your bias prior to this exercise?
As an APRN, how will you strive to be culturally competent and respectful to those you serve? List and discuss at least three behaviors/characteristics of a culturally competent and respectful APRN.

Note: Evaluate your APA proficiency and make sure you address each of the required elements for this discussion. Utilizing headings for each aspect of the question is a great way to know that you covered the elements of the question. As you continue to move through this course and our program, expectations related to APA, grammar, professional writing, and assessment instructions will encourage you to stretch and push yourself, ensuring you are producing graduate-level academic work you can be proud of.
Reply Posts

Reply to at least two of your classmates that answered different questions than you did. The replies should be well thought out with strong paragraph development (minimum of five to six sentences each), citations, and APA formatting.

Note: The expectation is not that you “agree” or “disagree” with your peers, but that you develop a conversation with information that is validated via citations to encourage learning and to bring your own perspective to the conversation. Don’t forget to provide a clear purpose statement in your initial post.

In your reply posts, compare and contrast your vulnerable community’s characteristics or conditions, or even your own bias, with those of your peers in relationship to the question your peer answered.

Please refer to the Grading Rubric for details on how this activity will be graded. Reply to at least two of your classmates on two separate days (minimum) utilizing at least two scholarly references per peer post.

Discussion: Bacterial Vaginosis

Initial Post
In your initial post, answer all the questions and provide rationales for your answers with supporting evidence using APA formatting, integrate two evidence-based resources to include clinical practice guidelines as well as the course textbook.
Read the scenario and answer the following questions:
R.S. is a 32-year-old white woman who seeks treatment for a vaginal discharge that she has had for the past month. She is sexually active and has had the same partner for the past 6 months. She reports noticing odor, especially after sexual intercourse. Her history reveals that she has been using a commercial douche on a bi-weekly basis during the past year for hygienic purposes in an attempt to prevent vaginal infections, She denies any other associated symptoms.
The physical examination reveals a white vaginal discharge. Microscopic examination of the vaginal discharge shows clue cells, and the pH is 5.5
Diagnosis: Bacterial Vaginosis

1. Lis specific goals of treatment for this patient
2. What drug therapy would you prescribe? Why?
3. What are the parameters for monitoring the success of the therapy?
4. Discuss specific patient education based on the prescribed therapy.
5. List one or two adverse reactions for the selected agent that would cause you to change therapy.
6. What would be the choice for the second-line therapy? Provide rationale
7. What OTC or alternative medications would be appropriate for this patient?
   Reply Posts
   Your response should be in a well-developed paragraph (300-350 words) integrating an evidence-based resource that is different than the one you used for the initial post.
   Respectfully agree and disagree with your peers’ responses and explain your reasoning by including your rationales in your explanation.

Please refer to the grading rubric for details on how this activity will be graded.
The described expectations meet the passing level of 80%. Students are directed to review the discussion grading rubric for criteria which exceed expectations.

SOAP note and Referral assignment instructions

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Assessment 2 Instructions: Ethical and Policy Factors in Care Coordination

Select a community organization or group that you feel would be interested in learning about ethical and policy issues that affect the coordination of care. Then, develop and record a 10-12-slide, 20-minute presentation, with audio, intended for that audience. Create a detailed narrative script or speakers notes for your presentation, 4-5 pages in length.
Introduction
As coordinators of care, nurses must be aware of the code of ethics for nurses and health policy issues that affect the coordination of care within the context of the community. To help patients navigate the continuum of care, nurses must be proficient at interpreting and applying the code of ethics for nurses and health policy, specifically, the Affordable Care Act (ACA). Being knowledgeable about ethical and policy issues helps ensure that care coordinators are upholding ethical standards and navigating policy issues that affect patient care.

This assessment provides an opportunity for you to develop a presentation for a local community organization of your choice, which provides an overview of ethical standards and relevant policy issues that affect the coordination of care. Completing this assessment will strengthen your understanding of ethical issues and policies related to the coordination and continuum of care, and will empower you to be a stronger advocate and nursing professional.
It would be an excellent choice to complete the Vila Health: Ethical Decision-Making activity prior to developing the presentation. The activity provides a helpful update on the ethical principles that will help with success in this assessment.
Preparation
Your nurse manager at the community care center is well connected and frequently speaks to a variety of community organizations and groups. She has noticed the good work you are doing in your new care coordination role and respects your speaking and presentation skills. Consequently, she thought that an opportunity to speak publicly about contemporary issues in care coordination would be beneficial for your career and has suggested reaching out to a community organization or support group to gauge their interest in hearing from you, as a care center representative, on a topic of interest to both you and your prospective audience.
You have agreed that this is a good idea and have decided to research a community organization or support group that might be interested in learning about ethical and policy issues related to the coordination of care.
Your manager has suggested the following community organizations and support groups, but acknowledges that the choice is yours.
• Homeless shelters.
• Local religious groups.
• Nursing homes.
• Local community organizations (Rotary Club or Kiwanis Club).
To prepare for this assessment, you may wish to:
• Research your selected community organization or support group.
• Review the Code of Ethics for Nurses With Interpretive Statements and associated health policy issues, specifically, the ACA.
• Review the assessment instructions and scoring guide to ensure you understand the work you will be asked to complete.
• Allocate sufficient time to rehearse your presentation before recording the final version for submission.
Note: Remember that you can submit all, or a portion of, your draft presentation to Smarthinking Tutoring for feedback, before you submit the final version for this assessment. If you plan on using this free service, be mindful of the turnaround time of 24-48 hours for receiving feedback.
Recording Equipment Setup and Testing Check that your audio speaker and PowerPoint software are working properly. You can record audio directly to your slides, using PowerPoint or other presentation software.
Note: Technical support about the use of PowerPoint, including voice recording and speaker notes, can be found
on Campus's Microsoft Office Software page.
• If using Kaltura, refer to the Using Kaltura tutorial for directions on recording and uploading your presentation in the courseroom.
Note: If you require the use of assistive technology or alternative communication methods to participate in this activity, please contact DisabilityServices@capella.edu to request accommodations.
Instructions
For this assessment:
• Choose the community organization or support group that you plan to address.
• Develop a PowerPoint with typed speaker notes (the script for your voice recording) and audio voice-over recording, intended for that audience. Video is not required.
Note: PowerPoint has a feature to type the speaker notes directly into the presentation. You are encouraged to use that feature or you may choose to submit a separate document. See Microsoft Office Software for technical support about the use of PowerPoint, including voice recording and speaker notes.
For this assessment, develop your presentation slides and speaker notes, then record your presentation. You are not required to deliver your presentation to an actual audience. Presentation Format and Length
You may use PowerPoint (recommended) or other suitable presentation software to create your slides and add your voice over. If you elect to use an application other than PowerPoint, check with your faculty to avoid potential file compatibility issues.
Be sure that your slide deck includes the following slides:
• Title slide.
◦ Presentation title.
◦ Your name.
Assessment 2 Instructions: Ethical and Policy Factors in Care ...
◦ Date.
◦ Course number and title.
• References (at the end of your presentation).
Your slide deck should consist of 10-12 slides, not including a title and references slide with typed speaker notes
and audio voice over. Your presentation should not exceed 20 minutes.
Create a detailed narrative script for your presentation, approximately 4-5 pages in length.
Supporting Evidence
Cite 3-5 credible sources from peer-reviewed journals or professional industry publications to support your
presentation. Include your source citations on a references page appended to your narrative script.
Grading Requirements
The requirements outlined below correspond to the grading criteria in the Ethical and Policy Factors in Care
Coordination Scoring Guide, so be sure to address each point. Read the performance-level descriptions for each
criterion to see how your work will be assessed.
• Explain how governmental policies related to the health and/or safety of the community affect the
coordination of care.
◦ Provide examples of a specific policy affecting the organization or group.
◦ Refer to the assessment resources for help in locating relevant policies.
◦ Be sure influential policies include the Health Insurance Portability and Accountability Act (HIPPA).
• Identify national, state, and local policy provisions that raise ethical questions or dilemmas for care
coordination.
◦ What are the implications and consequences of specific policy provisions?
◦ What evidence do you have to support your conclusions?
• Assess the impact of the code of ethics for nurses on the coordination and continuum of care.
◦ Consider the factors that contribute to health, health disparities, and access to services.
◦ Consider the social determinants of health identified in Healthy People 2020 as a framework for
your assessment.
◦ Provide evidence to support your conclusions.
• Communicate key ethical and policy issues in a presentation affecting the coordination and continuum of
care for a selected community organization or support group. Either speaker notes or audio voice-over are
included for a proficient score; both speaker notes and the audio voice over are included for a
distinguished score.
◦ Present a concise overview.
◦ Support your main points and conclusions with relevant and credible evidence.
Additional Requirements
Before submitting your assessment, proofread your presentation slides and speaker notes to minimize errors that
could distract readers and make it more difficult for them to focus on the substance of your presentation.
Portfolio Prompt: Save your presentation to your ePortfolio. Submissions to the ePortfolio will be part of your
final Capstone course.
Competencies Measured
By successfully completing this assessment, you will demonstrate your proficiency in the course competencies through the following assessment scoring guide criteria:
• Competency 4: Defend decisions based on the code of ethics for nursing.
◦ Assess the impact of the code of ethics for nurses on the coordination and continuum of care.
• Competency 5: Explain how health care policies affect patient-centered care.
◦ Explain how governmental policies related to the health and/or safety of a community affect the
coordination of care.
◦ Identify national, state, and local policy provisions that raise ethical questions or dilemmas for care coordination.
• Competency 6: Apply professional, scholarly communication strategies to lead patient-centered care.
◦ Communicate key ethical and policy issues in a presentation affecting the coordination and
continuum of care for a selected community organization or support group. Either speaker notes or audio voice-over are included.
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Assessment 2 Instructions: Community Resources

Research a selected local, national, or global nonprofit organization or government agency to determine how it contributes to public health and safety improvements, promotes equal opportunity, and improves the quality of life within the community. Submit your findings in a 3-5 page report.
As you begin to prepare this assessment, it would be an excellent choice to complete the Nonprofit
Organizations and Community Health activity. Complete this activity to gain insight into promoting equal
opportunity and improving the quality of life in a community. The information gained from completing this
activity will help you succeed with the assessment.
Professional writing Context
Many organizations work to better local and global communities' quality of life and promote health and safety in times of crisis. As public health and safety advocates, nurses must be cognizant of how such organizations help certain populations. As change agents, nurses must be aware of factors that impact the organization and the services that it offers. Familiarity with these organizations enables the nurse to offer assistance as a volunteer and source of referral.

This assessment provides an opportunity for you gain insight into the mission, vision, and operations of a
community services organization.
Demonstration of Proficiency
By successfully completing this assessment, you will demonstrate your proficiency in the following course
competencies and assessment criteria:
• Competency 1: Analyze health risks and health care needs among distinct populations.
◦ Explain how an organization’s work impacts the health and/or safety needs of a local community.
• Competency 2: Propose health promotion strategies to improve the health of populations.
◦ Explain how an organization’s mission and vision enable it to contribute to public health and safety
improvements.
• Competency 3: Evaluate health policies, based on their ability to achieve desired outcomes.
◦ Assess the impact of funding sources, policy, and legislation on an organization’s provision of
services.
• Competency 4: Integrate principles of social justice in community health interventions.
◦ Evaluate an organization’s ability to promote equal opportunity and improve the quality of life
within a community.
• Competency 5: Apply professional, scholarly communication strategies to lead health promotion and
improve population health.
◦ Organize content so ideas flow logically with smooth transitions; contains few errors in
grammar/punctuation, word choice, and spelling.
Apply APA formatting to in-text citations and references exhibiting nearly flawless adherence to
APA format.
Preparation
You are interested in expanding your role as a nurse and are considering working in an area where you can help to promote equal opportunity and improve the quality of life within the local or global community. You are aware of several nonprofit organizations and government agencies whose work contributes to this effort in some way.

You have particular interest in one of these organizations but would like to know more about its contributions to public health and safety improvements. You would like to report the results of your research in a scholarly paper that you could submit for publication.
Research a selected local, national, or global nonprofit organization or government agency from the list
provided. Determine how the organization or agency contributes to public health and safety improvements,
promotes equal opportunity, and improves the quality of life within the community. Submit your findings in a 3–5-page report.

As you begin to prepare this assessment, it would be an excellent choice to complete the Nonprofit
Organizations and Community Health activity. Complete this activity to gain insight into promoting equal
opportunity and improving the quality of life in a community. The information gained from completing this
activity will help you succeed with the assessment.

Choose the organization or agency you are most interested in researching:
• American Red Cross.
• Habitat for Humanity.
• United Way.
• Doctors Without Borders.
• The Salvation Army.
• United Nations Children's Fund (UNICEF).
• Federal Emergency Management Agency (FEMA).
• Centers for Disease Control and Prevention (CDC).
• National Center for Transgender Equality.
• National Resource Center on LGBT Aging.
• Advocacy & Services for LGBT Elders.
• Equal Justice Initiative.
• National Alliance to End Homelessness.
• Urban Triage.
• World Health Organization.
• The Arc: For People With Intellectual and Developmental Disabilities.
• Alliance for Retired Americans.
• Futures Without Violence.
• Blue Campaign: What Is Human Trafficking?
• Covenant House.
• Cultural Survival.

Note: Remember that you can submit all, or a portion of, your draft research paper to Smarthinking Tutoring for feedback, before you submit the final version for this assessment. If you plan on using this free service, be
mindful of the turnaround time of 24-48 hours for receiving feedback.
IInnssttrruuccttiioonnss
Research a selected local, national, or global nonprofit organization or government agency from the list
provided. Determine how the organization or agency contributes to public health and safety improvements,
promotes equal opportunity, and improves the quality of life within the community. Submit your findings in a 3-5 page report.
As you begin to prepare this assessment, it would be an excellent choice to complete the Nonprofit
Organizations and Community Health activity. Complete this activity to gain insight into promoting equal
opportunity and improving the quality of life in a community. The information gained from completing this
activity will help you succeed with the assessment. After completing this activity, choose an organization or agency from the list that you are most interested in researching.
Document Format and Length
Format your paper using APA style.
• Refer to the APA Style Paper Tutorial [DOCX] to help you in writing and formatting your paper. Be sure to include:
◦ A title page and references page. An abstract is not required.
◦ Appropriate section headings.
• Your paper should comprise 3-5 pages of content plus title and references pages.
Supporting Evidence Cite at least three credible sources from peer-reviewed journals or professional industry publications published within the past 5 years that support your research findings.
Graded Requirements
The research requirements, outlined below, correspond to the grading criteria in the assessment scoring guide, so be sure to address each point.

• Explain how the organization’s mission and vision enable it to contribute to public health and safety
improvements.
◦ Include examples of ways a local and/or global initiative supports organizational mission and vision
and promotes public health and safety.
• Evaluate an organization’s ability to promote equal opportunity and improve the quality of life in the
community.
◦ Consider the effects of social, cultural, economic, and physical barriers.
• Assess the impact of funding sources, policy, and legislation on the organization’s provision of services.
◦ Consider the potential implications of funding decisions, policy, and legislation for individuals,
families, and aggregates within the community.
• Explain how an organization’s work impacts the health and/or safety needs of a local community.
◦ Consider how nurses might become involved with the organization.
• Organize content so ideas flow logically with smooth transitions; contains few errors in
grammar/punctuation, word choice, and spelling.
• Apply APA formatting to in-text citations and references exhibiting nearly flawless adherence to APA
format.
◦ Write with a specific purpose and audience in mind.
◦ Adhere to scholarly and disciplinary writing standards and APA formatting requirements.

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