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

My course Tutor Writing Experts are available to help you with this SOAP note assignment in case you might not have the time to prepare a quality paper.

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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Assessment 1 Instructions: Health Promotion Plan

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Develop a hypothetical health promotion plan, 3-4 pages in length, addressing a specific health concern for an individual or a group living in the community that you identified from the topic list provided.

• Bullying.
• Teen Pregnancy.
• LGBTQIA + Health.
• Sudden Infant Death (SID).
• Immunization.
• Tobacco use (include all: vaping, e-cigarettes, hookah, chewing tobacco, and smoking) cessation.

Historically, nurses have made significant contributions to community and public health with regard to health promotion, disease prevention, and environmental and public safety. They have also been instrumental in shaping public health policy. Today, community and public health nurses have a key role in identifying and developing plans of care to address local, national, and international health issues. The goal of community and public health nursing is to optimize the health of individuals and families, taking into consideration cultural, racial, ethnic groups, communities, and populations. 

Caring for a population involves identifying the factors that place the population's health at risk and developing specific interventions to address those factors. The community/public health nurse uses epidemiology as a tool to customize disease prevention and health promotion strategies disseminated to a specific population. Epidemiology is the branch of medicine that
investigates causes of various diseases in a specific population (CDC, 2012; Healthy People 2030, n.d.).

As an advocate and educator, the community/public health nurse is instrumental in providing individuals, groups, and aggregates with the tools that are essential for health promotion and disease prevention. There is a connection between one’s quality of life and their health literacy. Health literacy is related to the knowledge, comprehension, and understanding of one’s condition along with the ability to find resources that will treat, prevent, maintain, or cure their condition. Health literacy is impacted by the individual’s learning style, reading level, and the ability understand and retain the information being provided. The individual’s technology aptitude
and proficiency in navigating available resources is an essential component to making informed decisions and to the teaching learning process (CDC, 2012; Healthy People 2030, n.d.). It is essential to develop trust and rapport with community members to accurately identify health needs and help them adopt health promotion, health maintenance, and disease prevention strategies. Cultural, socioeconomical, and educational biases need to be taken into consideration when communicating and developing an individualized treatment and educational plan. Social, economic, cultural, and lifestyle behaviors can have an impact on an individual's health and the health of a community. These behaviors may pose health risks, which may be mitigated through lifestyle/behaviorally-based education. The environment, housing conditions, employment factors, diet, cultural beliefs, and family/support system structure play a role in a person's levels of risk and resulting health. Assessment, evaluation, and inclusion of these factors provide a basis for the development of an individualized plan. The health professional may use a genogram or sociogram in this process.

What is a genogram? A genogram, similar to a family tree, is used to gather detailed information about the quality of relationships and interactions between family members over generations as opposed to lineage.

Gender, family relationships, emotional relationships, lifespan, and genetic predisposition to certain health conditions are components of a genogram. A genogram, for instance, may identify a pattern of martial issues perhaps rooted in anger or explain why a person has green eyes. 

What is a sociogram? A sociogram helps the health professional to develop a greater understanding of these factors by seeing inter-relationships, social links between people or other entities, as well as patterns to identify vulnerable populations and the flow of information within the community.

References

Centers for Disease Control and Prevention. (2012). Lesson 1: Introduction to epidemiology. In Principles of

Epidemiology in Public Health Practice (3rd ed.). https://www.cdc.gov/csels/dsepd/ss1978/lesson1/section1.html

U.S. Department of Health and Human Services, Office of Disease Prevention and Health Promotion. (n.d.).  Healthy People 2030. https://health.gov/healthypeople

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.
 ◦ Analyze a community health concern that is the focus of a health promotion plan.
• Competency 2: Propose health promotion strategies to improve the health of populations.
 ◦ Explain why a health concern is important for health promotion within a specific population.
 ◦ Establish agreed-upon health goals in collaboration with participants.
• 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.
Your Online ePortfolio

Creating an ePortfolio is not required in the BSN program, but you may find it helpful to create one to attach to  your professional resume while job hunting. Online ePortfolios serve two key purposes: 1) to support learning and reflection, and 2) to be used as a showcase tool. Your learning journey can be documented, and ePortfolios contribute to lifelong learning and growth through reflection and sharing. Online ePortfolios can also be shared with employers and peers to present artifacts that demonstrate your accomplishments at Capella.

 Using ePortfolio to Build Your Career
 As you are preparing to tell your story in the professional world, leverage your ePortfolio artifacts to demonstrate the knowledge and competencies you have gained through your program in professional conversations, performance reviews, and interviews. To do that, reflect on the knowledge and skills you have gained from your courses and the elements you have put in your portfolio, along with how you have already applied these things to your professional life or how you might apply them in the future. Next, create your story or talking points to tell your professional story.

Privacy Statement
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 work. Refer to the Family Educational Rights and Privacy Act (FERPA) and/or the Health Insurance Portability and Accountability Act (HIPAA) if you have specific questions or concerns about your choices.

 Note: Assessment 1 must be completed first before you are able to submit Assessment 4.
 

Preparation
 The first step in any effective project or clinical patient encounter is planning. This assessment provides an opportunity for you to plan a hypothetical clinical learning experience focused on health promotion associated with a specific community health concern or health need. Such a plan defines the critical elements of who, what, when, where, and why that establish the foundation for an effective clinical learning experience for the participants. Completing this assessment will strengthen your understanding of how to plan and negotiate individual or group participation. This assessment is the foundation for the implementation of your health
 promotion educational plan (Assessment 4).

 You will need to satisfactorily pass Assessment 1 (Health Promotion Plan) before working on your last assessment (Assessment 4).
 To prepare for the assessment, consider a various health concern or health need that you would like to be the focus of your plan from the topic list provided, the populations potentially affected by that concern or health need, and hypothetical individuals or groups living in the community. Then, investigate your chosen concern or need and best practices for health improvement, based on supporting evidence.

 As you begin to prepare this assessment, you are encouraged to complete the Vila Health: Effective Interpersonal Communications activity. The information gained from completing this activity will help you succeed with the assessment. Completing activities is also a way to demonstrate engagement. For this assessment, you will propose a hypothetical health promotion plan addressing a particular health concern or health need affecting a fictitious individual or group living in the community. The hypothetical individual or group of your choice must be living in the community; not in a hospital, assistant living, nursing home, or other facility. You may choose any health issues or need from the list provided in the instructions.

 In the Assessment 4, you will simulate a face-to-face presentation of this plan to the individual or group that you have identified.

 Please choose one of the topics below:
 • Bullying.
 • Teen Pregnancy.
 • LGBTQIA + Health.
 • Sudden Infant Death (SID).
 • Immunizations.
 • Tobacco use (include all: vaping e-cigarettes, hookah, chewing tobacco, and smoking) cessation. (MUST
 address all tobacco products).

Instructions
Health Promotion Plan
 • Choose a specific health concern or health need as the focus of your hypothetical health promotion plan.
 Then, investigate your chosen concern or need and best practices for health improvement, based onsupporting evidence.
 ◦ Bullying.
 ◦ Teen Pregnancy.
 ◦ LGBTQIA + Health.
 ◦ Sudden Infant Death (SID).
 ◦ Immunizations.
 ◦ Tobacco use (include all: vaping e-cigarettes, hookah, chewing tobacco, and smoking) cessation.

 (MUST address all tobacco products).
 • Create a scenario as if this project was being completed face-to-face.
 • Identify the chosen population and include demographic data (location, lifestyle, age, race, ethnicity, gender, marital status, income, education, employment).
 • Describe in detail the characteristics of your chosen hypothetical individual or group for this activity and how they are relevant to this targeted population.
 • Discuss why your chosen population is predisposed to this health concern or health need and why they can benefit from a health promotion educational plan.
 • Based on the health concern for your hypothetical individual or group, discuss what you would include in the development of a sociogram. Take into consideration possible social, economic, cultural, genetic, and/or lifestyle behaviors that may have an impact on health as you develop your educational plan in your first assessment. You will take this information into consideration when you develop your educational plan in your fourth assessment.

 • Identify their potential learning needs. Collaborate with the individual or group on SMART goals that will be used to evaluate the educational session (Assessment 4).
 • Identify the individual or group's current behaviors and outline clear expectations for this educational session and offer suggestions for how the individual or group needs can be met.
 • Health promotion goals need to be clear, measurable, and appropriate for this activity. Consider goals that will foster behavior changes and lead to the desired outcomes.

 Document Format and Length
 Your health promotion plan should be 3-4 pages in length.
 Supporting Evidence
 Support your health promotion plan with peer-reviewed articles, course study resources, and Healthy People
 2030 resources. Cite at least three credible sources published within the past five years, using APA format.