Barriers to Cultural Competence

Examine Your Barriers to Cultural Competence
1. Respond to the prompts below in full sentences.  Be sure to use standard English grammar and spelling:
· Assess your own barriers to cultural competence.
· Have you overcome these?  If not, how do you plan to overcome them?
· If you do not have barriers, why do you think you do not have them?
APA FORMAT INCLUDE AN ABSTRACT AND REFERENCE
1 FULL PAGE, PLUS THE ABSTRACT ON A SEPARATE PAGE

death is a particularly traumatic and difficult experience for both family and caregivers

Comment1
As our lecture describes, “death is a particularly traumatic and difficult experience for both family and caregivers” (Grand Canyon, 2015). A rather interesting distinction I observed while working on both of these units and witnessing death in different underlying situations/stages: death on the oncology unit usually came after a long, hard fight with cancer. As such, patient’s families were often understandably distraught and through their grief expressed feeling “robbed” of time with their loved one. When death occurred on the geriatric unit however, family members would sometimes express feelings of gratitude that their loved one lived to a ripe age and felt at peace that their time had come, as it was expected. In witnessing these experiences, it made me understand that death is easier to swallow/digest for some when it occurs from natural age process versus caused by disease.
The acceptance of death and the grieving process is experienced differently by everyone. Personally, I feel my bedside experience as a nurse has helped me understand this process a great deal and I empathize greatly with the patients/families I have encountered.
Comment2
I have only witnessed death a couple of times at work. I have worked with hospice patients that visit the doctor’s office and these have been about comfort. Since I am a float in the clinic setting, I do not come across much death. I did when I worked on the medical floor; there, acceptance of the death depended more on if it was expected or not. I think that when we know death is going to occur it is easier to accept and come to terms with. When death is not expected it can be harder because of the sudden loss. I do not think that the lack of experience at work has shaped my view on death because I have dealt with it personally.
I think that I handle death fairly well because I grew up with death being a natural part of life. As we grew up on the farm it was normal to lose animals. We also have a very large extended family and we went to funerals fairly regularly. While others have viewed that as wrong or depressing to have children go to funerals, it was never viewed that way by my family because it was a part of life and we celebrated that life. I have not shielded my children from death either. My sister-in-law and I have different views on this; I accept her decision, she does accept not mine. She was upset when we brought our children to the first funeral on my husband’s side of the family but it was very natural to me. Death is only one step in life and should not be feared.

 A toxic radioactive substance

A. Between 2005 and 2008​, the average rate of inflation was about 3.6​% per year.
If a cart of groceries cost ​$110 in​ 2005, what did it cost in 2008​?
A cart of groceries cost approximately ​$____in 2008.
B.   A toxic radioactive substance with a density of 7
milligrams per square centimeter is detected in the ventilating ducts of a nuclear processing building that was used 55 years ago. If the​ half- life of the substance is 20 ​years, what was the density of the substance when it was deposited 55
years​ ago?
The density of the radioactive substance when it was deposited 55 years ago was approximately was approximately_____mg/ cm squared

Criteria for Article Selection

RESEARCH ARTICLE REVIEW
This assignment gives the student an opportunity to explore current literature/research on community health nursing. It also encourages critical thinking via critiquing and analyzing. Each student will individually read and submit a review of a community health journal article. A clear, concise presentation of your analysis documents growth in written communication skills.
Criteria for Article Selection:
1. Article will be selected from community health/public health peer reviewed journal. Examples: American Journal of Public Health; Morbidity and Mortality Weekly Reports; Public Health Nursing; Journal of Community Health Nursing.
1. Content of the Research Article Review
1. Each article review is to be presented on a separate typed page, plus title page (APA format).
(5 points)
1. Include a complete bibliographic citation at the top of the page (APA format).
(5 points)
1. Body of Review:
1. Summary of article in 2-3 sentences (not from the abstract but in your own words). What is the problem and the purpose of this article? The purpose of the assignment is NOT to summarize an article. Keep this section brief.
(10 points)
1. Statement of your conclusions about the overall validity and strengths/weaknesses of the article. This should address the analysis, sample, size, and significance of the data. Include at least one recommendation for improving the article. (6-8 sentences).
(20 points)
1. Analysis of the relevance/significance of information in the article to community health nursing practice (4-6 sentences).
(10 points)
1. Writing Tips: present the review in the third person and focus on objectivity. Paraphrase and avoid extensive quotes. Use examples in the analysis of relevance for community health nursing practice.