[ANSWERED 2024] For this assignment conduct a cultural self-assessment using the Staircase Self-Assessment Model and write a 1250–1500-word reflection essay

For this assignment conduct a cultural self-assessment using the Staircase Self-Assessment

Assignment Description:

Part 1: For this assignment conduct a cultural self-assessment using the Staircase Self-Assessment Model and write a 1250–1500-word reflection essay.

To understand culture and cultural diversity, you must understand your own culture and beliefs. Utilizing the Staircase Self-Assessment Model as a means of determining your level of cultural competency, write a 1250 to 1500-word essay outlining the six stages: cultural destructiveness, cultural incapacity, cultural blindness, pre-competency, basic cultural competency, and advance cultural competency. Determine your level on the staircase by answering the following questions. Please be mindful that your responses will not be judged; only your knowledge of the Staircase Self-Assessment Model will be evaluated:

Step 1:

• How much do I value becoming culturally competent?
• What actions have I taken recently or in the past when caring for culturally diverse patients that demonstrate my motivation?

Step 2:

• How much do I know about my cultural heritage or racial identity and its relationship to my own healthcare beliefs and practices?
• Have I discussed these issues with my parents, grandparents, or other relatives?

Step 3:

• How much do I know about cultural groups that differ from my own?

Step 4:

• How culturally diverse is my social network?
• How many encounters with cultural group members outside my social network do I have? Are these relationships superficial, or do I have social contact beyond the workplace?

Step 5:

• Am I able to independently identify the potential or actual problems that originate from cultural conflicts, or am I surprised by them?
• Do I serve as a culturally competent role model/mentor for others?

Step 6:

• Have I developed problem-solving strategies to manage cultural conflicts?
• Am I able to manage or resolve cultural problems or issues that arise, and what resources do I use?

Once you have completed the self-assessment, address the following questions:

1. Why are self-knowledge and understanding a critical step in achieving cultural competence?

2. How has the “cultural self-assessment” exercise influenced your awareness of personal and professional values, attitudes, and practices, including prejudices and biases?

3. How will your interactions with patients and families change as a result of this self-reflection?
Remember, you answer these questions from your perspective, so there is no right or wrong response. You must address each question. Although the information on your self-assessment paper is strictly confidential, if you do not wish to self-disclose a specific area from the Staircase, indicate that by explaining in detail why you do not want to disclose. You are not required to provide citations/references in this paper. Attention should be paid to grammar, spelling, and punctuation.

Part 2: Go to Think Cultural Health located on the U.S. Department of Health & Human Services Office of Minority Health website (you may access it from the following URL (https://thinkculturalhealth.hhs.gov/). Click on the Education tab. Select nurses and create your account (there are approximately seven questions to answer). Register for the Think Cultural Health program for nurses: Nurses – Culturally Competent Nursing Care: A Cornerstone of Caring.

For Module 1, you will only register and review the objectives of Course I. Throughout the next 7 Modules; you will complete the program. There are three (3) courses. The estimated time to complete the entire program is nine (9) hours.

When you register, please Do Not select the CNE Nursing option. You must select the option, Statement of Participation. You will submit the Statement of Participation in Module 7.

Expert Answer and Explanation

Staircase Self-Assessment Model

Cultural diversity is a key factor for any medical professional and can be used to ensure efficient working relations. It is important that different interventions and models are applied to help improve the efficiency and outcome of care. The Staircase Self-Assessment Model can be used to help understand the aspect of cultural competency and how it can be applied within the healthcare sector. This paper will focus on the analysis of the Staircase Self-Assessment Model to explore the issue of cultural competency.

Stages of the Staircase Self-Assessment Model

Cultural Destructiveness

Cultural destructiveness occurs when a person denies patient healthcare services as of the difference in the culturally and linguistically diverse background. The aspect denotes that there can be challenges with the delivery of care when the nurse and patient come from different or diverse cultures, in this regard, the cultural difference would have facilitated the destruction of services that would have been rendered under other conditions.

Cultural Incapacity

The concept of cultural incapacity originates from the lack of capacity to meet the needs of patients from all ethnic, linguistic, and ethnic backgrounds. Incapacity is different from destructiveness since it focuses on the inability of the facility to meet different needs. The incapacity can be derived from the lack of resources or amenities to ensure that the facility meets all its services to different cultural different patients.

Cultural Blindness

The component of cultural blindness is the deliberate oversight of the aspect of culture and how it can be used to meet the different outcomes of care. When a care provider provides the same standard form of care to all patients regardless of their cultural background can be referred to as cultural blindness. The aspect denotes that the treatment is only based on the medical need of the patient and not the alignment with cultural norms. Blindness treats each person equally and care is not based on cultural and ethnic needs, but rather based on standard protocols that apply to all.

Cultural Pre-Competency

The pre-competence aspect focuses on the strategies within which agencies or individual care providers attempt to improve their cultural awareness. The process is essential as it creates a means by which a person can further improve their understanding of culture and its impact on others. Cultural awareness within the pre-competence level can be viewed as the early stages toward proficiency.

Basic Cultural Competency

The stage of cultural competency is the continued attempts for a person to make cultural adjustments when interacting with a patient from diverse cultures other than their own. It is important for individuals in this stage to learn how to identify the differences and work on improving the general outcome. The strategies would help in increasing self-awareness and cultural understanding.

Advance Cultural Competency

Also called cultural proficiency, this stage is based on the overall ability of a person to respect and accept the different cultural and linguistic backgrounds of the patient. The person can easily and efficiently adapt to the values of the patient and meet their specific and individual needs.

Evaluation of Staircase Self-Assessment

Step 1:

• How much do I value becoming culturally competent?

I believe cultural competence is the basis for the future of nursing and needs to be adopted by all nurses. Cultural competency can improve the efficiency of the healthcare sector and bring about the desired changes and positive outcomes.

• What actions have I taken recently or in the past when caring for culturally diverse patients that demonstrate my motivation?

The main strategy I have taken when caring for culturally diverse patients is to first create a relationship during the assessment where I intentionally ask about their culture and preferences in terms of medical care and treatment.

Step 2:

• How much do I know about my cultural heritage or racial identity and its relationship to my own healthcare beliefs and practices?

I have a strong and in-depth understanding of my cultural heritage and racial identity. I am also conversant with how my culture affects my personal healthcare beliefs and practices.

• Have I discussed these issues with my parents, grandparents, or other relatives?

I am yet to have a detailed and candid discussion of the issues with my immediate or extended family but I occasionally ask various questions regarding complex issues that I need clarification on about the culture.

Step 3:

• How much do I know about cultural groups that differ from my own?

Despite having been in the healthcare industry for a while, there are way too many cultures and I cannot have an excellent understanding of all. However, I can rate myself as having above-average awareness of cultural groups that are different from my own.

Step 4:

• How culturally diverse is my social network?

My social network is diverse as I have friends and colleagues from different cultural, ethnic, social, and economic classes. I tend to freely interact with people regardless of their backgrounds and affiliation.

• How many encounters with cultural group members outside my social network do I have? Are these relationships superficial, or do I have social contact beyond the workplace?

I encounter different cultural group members outside my social network very often within my workplace and personal life. While the majority of the interaction is superficial, some of them proceed beyond the workplace to become friends and become part of my social network.

Step 5:

• Am I able to independently identify the potential or actual problems that originate from cultural conflicts, or am I surprised by them?

Through my competency in cultural differences, I can identify problems that can originate from cultural conflicts. While some of the problems are repetitive, some cultures can come as a surprise and require an additional assessment to learn and adjust.

• Do I serve as a culturally competent role model/mentor for others?

I am yet to be proficient in terms of cultural competence and while I can help others learn and improve their level of competence, I am yet to be a mentor. However, I hope to one day attain the level where I can be able to mentor and guide others.

Step 6:

• Have I developed problem-solving strategies to manage cultural conflicts?

At the beginning of my practice, I had challenges accepting and understanding the essence of cultural integration. However, I have become more aware of the need for understanding and accepting diversity.

• Am I able to manage or resolve cultural problems or issues that arise, and what resources do I use?

I am in a position to efficiently and easily resolve cultural problems that might arise. I believe that communication is a key resource and understanding the diverse needs of the patient through active listening and communication can help resolve the issue.

Critical Step in Achieving Cultural Competence

Self-knowledge and understanding are the basis of a person’s ability to know their strengths and weaknesses. Understanding what can trigger a person and how they respond to external stimuli can help in shaping the correct attitude and response to cultural differences and help improve on the weaknesses. Embracing the strengths and working on the weaknesses is a key strategy that can be used by an individual to achieve greater cultural competence and by extension, better patient outcomes

Impact of Cultural Self-Assessment

Engaging in cultural self-assessment has had a positive impact on my awareness of personal and professional values in different ways. I have been able to identify the areas of strength, and overall perception concerning the issues around cultural diversity. The role of the care provider can be impactful if they identify and understand how a patient’s culture can impact the overall outcome of care. The self-assessment has also impacted my attitude towards patients from different cultures and practices as they relate to the delivery of care practices. I have also learned the importance of culture and the need to eliminate or mitigate issues of prejudice and cultures through cultural differentiations.

Interactions with Patients and Family

Following the self-reflection, I believe that I will have a different and more profound relationship with patients. I have had a chance to understand my cultural awareness and how it affects my delivery of care. The process helps provide a profound understanding of cultures and how different cultures can lead to different outcomes in care.

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Other Questions Related to this Class:

Module 1 Discussion

Cultural theorist Campinha-Bacote describes cultural competency as a continuum, which implies continual growth and development (Kersey-Matusiak, 2019).

Discuss the following:

• What is cultural competence?
• Are there steps nurses can take to achieve it?
• How does it differ from cultural humility?
• Briefly describe how a lack of cultural sensitivity may impact patients’ health and well-being and their future encounters with the healthcare system.
• Why is it more important to focus on cultural humility rather than achieving cultural competence?

Module 2 Discussion

In recent years, nurses have been fired for posting derogatory comments on social media about people who did not look like them. Effective leaders build organizational cultures where employees can thrive in their workplace. Examine your organization’s diversity, equity, and inclusion (DEI) policy.

Answer these questions:

• What policies, if any, exist in your healthcare organization/institution that helps cultivate the skills needed to advance the principles of diversity, equity, and inclusion?
• If your organization does not have a DEI policy analyze the DEI policy of another healthcare organization and discuss what policies exist in the healthcare organization/institution that helps cultivate the skills needed to advance the principles of DEI.
• What steps would you take to develop policies you can recommend to your chief nursing officer or chief executive officer?
• What role do you play in eliminating discrimination and horizontal and lateral violence in your workplace?

Module 2 Assignment

For this assignment, you will create a PowerPoint presentation based on the details below.

Select two (2) nursing cultural theories or models and one (1) non-nursing theory or model. One of the nursing theories/models must include Madeleine Leininger’s Sunrise Model or Culture Care Diversity and Universality theory. The other theory/model should be a self-assessment model, and the third one should be a model that focuses on enhancing communication in building cultural competence.

Create a PowerPoint presentation that discusses the theories or models, including how you can utilize each model to improve your cultural competence skills.

Your presentation should be at least 15 slides (not including title, objectives, and references slides) with detailed notes for each slide that addresses each of the points/questions. Audio recording is required. Be sure to handle all the points thoroughly. Use clear headings that allow your professor to know which bullet you are addressing on the slides in your presentation. Include at least three (3) graphics.

Support your content with citations throughout your presentation. Make sure to reference the citations using the APA writing style for the presentation. Include a slide for your references at the end.

Follow best practices for PowerPoint presentations by going to the Writing Center, Module 3: Assignments, Microsoft, and utilize the Microsoft Overview and the Creating a Quality PowerPoint video.

Module 3 Discussion

Like healthcare disparities, disability disparities refer to the differences in service delivery, disability experiences, or clinical outcomes based on one’s membership in a particular group such as age, race, culture, ethnicity, or socioeconomic status (Kersey-Matusiak, 2019).

Conduct a literature search to locate a journal article related to disability disparities. What disability disparity is the author referencing. What can you do as a nurse to address the disparity and ensure a positive outcome for patients? Consider Lewis’ model. What biases might act as barriers to access to care for members of culturally diverse groups?

Module 3 Assignment

For this assignment, create a PowerPoint presentation based on the following case study.

Read the following case study and answer the questions presented.

Case Scenario 2: A Jehovah’s Witness Patient on page 77

Questions:

In attempting to address Mr. Jackmon’s case, ask yourself the following questions if you are the nurse caring for Mr. Jackmon:

1. Where am I on the staircase concerning this patient? How can I move to the next level?
2. How familiar am I and the nursing and medical staff with the religious beliefs, values, and attitudes of people who are Jehovah’s Witnesses?
3. What significant differences exist in followers’ health beliefs and other Christian traditions? How different is this religion from my own?
4. What feelings and attitudes do I have about Mr. Jackmon’s beliefs about receiving blood?
5. How helpful are these attitudes toward the development of cooperative interaction between myself and the patient?
6. Are there alternative ways of treating this patient’s hemoglobinemia?
7. On what religious beliefs does Mr. Jackmon base his refusal of blood, despite his need for it?
8. From whom could the nursing staff gain more insight into the patient’s healthcare beliefs?
9. What strategies might be useful in meeting the physiological and psychological needs of this patient?
10. What resources might the nursing staff utilize to assist them in meeting this patient’s needs?

Your presentation should be at least 15 slides (not including title, objectives, and references slides) with detailed notes for each slide. Audio recording is required. Be sure to answer all the questions completely. Use clear headings that allow your professor to know which bullet you are addressing on the slides in your presentation. Include at least three (3) graphics. Support your content with citations throughout your presentation. Make sure to reference the citations using the APA writing style for the presentation. Include a slide for your references at the end.

Follow best practices for PowerPoint presentations by going to the Writing and Resource center, Module 3: Assignments, Microsoft, and utilizing Microsoft Overview and the Creating a Quality PowerPoint video.

Module 4 Discussion

Please go to the U.S. Department of Health & Human Services website and review the National Standards for Culturally and Linguistically Appropriate Services (CLAS) in Health and Health Care Guidelines. Review the national standards and search for an article that addresses one of the standards. Provide a summary of the article and describe how the information may impact your nursing practice. Please provide a copy of the journal article (or hyperlink) if possible.

Module 4 Assignment

For this assignment, please review the Case Scenario on page 112 and Case Scenario 1 on page 131 (Kersey-Matusiak, 2019). Reflect on your attitudes, beliefs, and practices as they apply to each case scenario. This assignment requires you to address your personal feelings about culturally and linguistically appropriate service and care for the terminally ill. Remember, answer these questions from your unique perspective, so there is no right or wrong response. You must address each problem.

For this assignment, create a 1250-1500-word essay based on the following case studies.

Read the following two Case Studies and answer the questions presented below.

1. Case Scenario: Mrs. Garcia is located in Chapter 6 on page 112.

Questions:

• Where are you on the Cultural Competency Staircase regarding this patient’s language and culture? How will you progress to the next level? (Review Chapter 1 and the Staircase Model).
• What knowledge do you need to have about this patient, including cultural/language needs, to provide this patient with culturally sensitive care?
• What would you personally do to address the needs of this patient?
• What resources do you need, and how would you obtain them?
• What cultural assessment model would you plan to use to assess this patient?
• 2. Case Scenario 1: Ms. Vera Talsford located in Chapter 7 page 131

Questions:

• Have you considered the significance of your death?
• Do you believe in life after death?
• Where are you on the Cultural Competency Staircase when caring for patients who are terminally ill? How will you progress to the next level?
• How comfortable are you caring for this patient and discussing issues related to her and her family’s death and dying process?
• What cultural information about the patient will you need to obtain culturally sensitive care during the EOL?
• What kinds of psychological, emotional, and spiritual support would you need if given a similar diagnosis?

Module 5 Discussion

Conduct a literature search to locate a journal article related to people’s health or health care practices from the LGBTQIA population. You should consider only articles published within the last five (5) years. Refer to the Krehely (2009) article, How to Close the LGBT Health Disparities Gap summary.

Discuss any changes made since this article was published? In June 2009, President Obama issued a directive on same-sex domestic partner benefits. Discuss the significance of this directive to healthcare access for this population.

Analyze this encounter with a healthcare professional: Doctor, I’m gay.” “Great. We’ll test you for HIV today.” “But I’m not having sex.”
“How much do you drink?” Is this appropriate? Why? Why not? How, with humility, would you have approached this assessment with the patient?

Module 5 Assignment

For this assignment, create a PowerPoint presentation based on the following case studies:

Read the following two Case Studies and answer the questions presented.

1. Case Scenario: Milagros Amaro located in Chapter 8 on page 149

Questions:

• What is the response of the staff to Milagros’s incomplete health records on her children? What assumptions underlie this response?
• How could the N.P best communicate with Reynaldo while preserving his rights to privacy and confidentiality?
• What health-related issues are essential when caring for migrant agricultural workers? Why are these health-related issues important?
• What attributes do nurses working with migrant agricultural workers need to refine to function as effective advocates for their patients?

2. Scenario 4: John located in Chapter 9 on page 172

Questions:

• How many interactions have you had with people who identify as LGBTQIA? Would you have known at the time that your patient was LGBTQIA? How might these experiences have prepared you for interactions with patients like John?
• What role do you play as a nurse when John’s family and friends become aware of his gender reassignment plans?
• What are some best practices that organizations can put in place to foster a more welcoming environment for patients who are LGBTQIA? Would you recognize when you need help to approach John’s situation because you are uncomfortable working with someone like him?
• Describe heterosexism, cissexism, homophobia, and transphobia exist? What steps should a nurse take to address these biases?
• What is the most sensitive way to elicit information about health practices that allows the LGBTQIA patient to answer questions honestly and enables the nurse to complete a practical assessment?

Your presentation should be 20 slides (not including title, objectives, and references slides) with detailed notes for each slide. Audio recording is required. Be sure to answer all the questions completely. Use clear headings that allow your professor to know which bullet you are addressing on the slides in your presentation. Support your content with citations throughout your presentation. Make sure to reference the citations using the APA writing style for the presentation. Include a slide for your references at the end.

Follow best practices for PowerPoint presentations by going to the Writing and Resource center, Module 3: Assignments, Microsoft, and utilizing Microsoft Overview and the Creating a Quality PowerPoint video.

Module 6 Discussion

Chose two journal articles related to the healthcare of new immigrants or refugees and one related to people from marginalized populations who are indigent and uninsured. Conduct a review and summarize the articles. Present a summary of the journal article, and examine how the information presented may impact your nursing practice. Discuss what you have learned to improve diversity awareness and cultural competence in caring for people from each population. Please select journal articles that include a hyperlink (URL or DOI) so your peers can access the article should they want to learn more about your selected articles.

Module 6 Assignment

For this assignment, you will research Hispanic populations and the Lost Boys of Sudan, immigrant refugees.  Create a 1250-1500-word essay based on your research.

According to the Pew Research Center (2016), the Hispanic population became the largest ethnic group in America, comprising 57 million people, or more than 18% of the population. In 2019, the population reached a record of 60.6 million in the U.S. (Pew Research Center, 2020). For this assignment, select 3 states that have the most Hispanic/Latinx populations. Name each state and discuss the Latinx/Hispanic population that is most represented in each state.

Part 1. Answer the following questions and/or discuss the following about your selected population:

• Describe health-related problems encountered by the poor and uninsured in your selected population.
• What socio-economic factors impact healthcare decision making and outcomes in your selected population?
• Discuss the cultural diversity that exists between and among immigrant populations and the implications for nurses
• How do cultural differences, language barriers, and poverty impact healthcare access for your selected population?

Part 2. Research the Lost Boys of Sudan and answer the followings questions:

• What are some health challenges a nurse may encounter refugees? Include in your answer communicable and non-communicable diseases you may find in this population.
• What are some cultural considerations a nurse should consider when caring for patients from this population?
• Explain the role of the nurse in providing resources when caring for members of this population.

Module 7 Discussion

Review the Case Example on page 260 in Chapter 12 in your text. Using the skills you have already gained from previous courses, what would you say to the nurse who told Mrs. L, “I am sure that delaying your lunch until we get you settled won’t hurt you a bit?” How can the nurse who made these statements improve her biases: “Isn’t it sad that all she can seem to focus on is her lunch? She needs to be on a strict diet.”

Select one of the articles found under Additional Resources and examine how the information presented may impact your nursing practice and help you understand the stigma associated with obesity.

Module 7 Assignment- Part 1

Part 1. For this assignment, consider how factors that may have occurred from war participation influence U.S. veterans’ reintegration. Select 3 factors that influence veteran reintegration and create a PowerPoint presentation that discusses how the culturally sensitive nurse can meet discharged veterans’ unique cultural needs as they transition from military life to civilians. Include in your PowerPoint presentation slides that address diverse resources the culturally aware nurse can provide to improve reintegration.

Your presentation should be at least 20 slides (including title, objectives, and references slides) with detailed notes for each slide. Audio recording is required. Be sure to answer all the questions completely. Use clear headings that allow your professor to know which bullet you are addressing on the slides in your presentation. Support your content with citations throughout your presentation. Make sure to reference the citations using the APA writing style for the presentation. Include a slide for your references at the end.

Follow best practices for PowerPoint presentations by going to the Writing and Resource center, Module 3: Assignments, Microsoft, and utilizing Microsoft Overview and the Creating a Quality PowerPoint video.

Part 2. Statement of Participation certificate. Upload your Statement of Participation from the Think Cultural Health program.

Module 7 Assignment- Part 2

Assignment Part 2. Statement of Participation certificate.

Upload your Statement of Participation from the Think Cultural Health program.

Module 8 Discussion

Almost half the children living in the U. S. live in poverty (Kersey-Matusiak, 2019). Social determinants of childhood health often lead to adverse health outcomes in children and across the life span.

Conduct a literature search to locate a journal article related to children living in poverty, maltreated children, LGBTQ children, or immigrant children. What are health risks disproportionately higher for the child population you selected? What supports could you offer the family through local or national organizations to address your selected population’s health risks? What factors influence your motivation to provide culturally sensitive care to your chosen population?

Module 8 Assignment

Signature Assignment: Diverse and Culturally-Specific Approaches to Healthcare

For this assignment, you will examine the role of the nurse as a culturally diverse practitioner. Identify your target audience (i.e. staff nurses, pre-licensure nursing students, etc.) and create a PowerPoint presentation.

A nurse educator is preparing an orientation on culture and the workplace. There is a need to address the many cultures that seek healthcare services and how to better understand the culture. Choose a culture that you feel less knowledgeable about and address the following prompts by including two to three examples of each bullet point:

• Compare and contrast this culture with your own culture.
• Provide examples of the historical, socioeconomic, political, educational, and topographical aspects of this culture.
• Report the appropriate interdisciplinary interventions for hereditary, genetic, and endemic diseases and high-risk health behaviors within this culture.
• Determine the influences of their value systems on childbearing and bereavement practices.
• Name their sources of strength, spirituality, and magico-religious beliefs associated with health and health care.
• Outline health-care practices, including acute versus preventive care; barriers to health care; the meaning of pain and the sick role; and traditional folk medicine practices.
• Identify cultural issues related to learning styles, autonomy, and educational preparation of content for this culture.

Your presentation should be 15-20 slides (not including title, objectives, and references slides) with detailed notes for each slide. Include at least four scholarly sources. Follow best practices for PowerPoint presentations related to text size, color, images, effects, wordiness, and multimedia enhancements. Review the rubric criteria for this assignment.

Audio recording is required. Be sure to completely answer all the points/questions. Use clear headings that allow your professor to know which bullet you are addressing on the slides in your presentation. Support your content with citations throughout your presentation. Make sure to reference the citations using the APA writing style for the presentation. Include a slide for your references at the end.