Transcultural Nursing Assessment Paper
Transcultural Nursing Assessment Paper
The purpose of Milestone 2 is to develop an assessment guide utilizing open-ended questions that will encourage participation by the individual.
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Research your individual’s cultural background prior to developing questions. Think about the impact the culture of origin has on the individual’s physical health; that is, what illnesses and conditions are prevalent in this culture? What are commonly held beliefs about health in the individual’s culture of origin that could influence the individual’s perception of healthcare and health practices in the current culture/community?
Refer to Appendix A in your text and select five (5) categories upon which you will concentrate for your assessment guide and questions. Thoroughly review each of the categories, and think about your individual.
Develop an assessment guide and questions with specific initial and follow-up questions. Include questions that reflect a thorough understanding of the categories (Appendix A) that you selected about the influence culture may have on the individual’s health and well-being. Transcultural Nursing Assessment Paper
Review the Differences Between Closed and Open-Ended Questions document
Use the suggestions as you formulate/propose your initial and follow-up questions.
Download the Milestone 2 assessment template embedded in these guidelines.
Fill in information using the template. This does not require APA formatting; however, you are expected to write clearly and use proper grammar and spelling. The template is expandable to accommodate your typing.
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NR394_W4_Milestone2_Template8-29-18.docx
Chamberlain College of Nursing NR394 Transcultural Nursing
Course Project Milestone 2:
Transcultural Assessment Guide and Questions Template
This is a template to record your information for this assignment. Do not rely only on this template to determine everything you must include! Please read Milestone 2: Transcultural Assessment Guide and Questions guidelines, grading criteria, and grading rubric on the assignment page in order to learn details of what to include on this template.
Review NR394_Differences Between Closed and Open-Ended Questions prior to completing this template. The link to this file is located in the Guidelines for this assignment. Go to Modules, Introduction & Resources then Course Project Overview for best practices. Refer to Appendix A in your text and select five categories upon which you will concentrate your assessment guide and questions.
Type your answers to the following questions using complete sentences and correct grammar, spelling, and syntax. Note this template is expandable. You may need more pages to include the information that is requested in the guidelines for this assignment.
Once you have filled in the template, click Save As and save the assignment name and your last name. For example, “NR394_Milestone2_Template_Smith”. Submit to the Milestone 2 assignment page by 11:59 p.m. MT Sunday at the end of Week 4.
Note: This template is expandable to accommodate your typing.
Title: Milestone 2
Your Name: __________________________Individual’s Initials______________
Individual’s Culture of Origin_________________Age_____________Career/Profession_________________
1. State the proposed date of the assessment which should not occur until after Friday of Week 5. Describe the location of the assessment and how privacy/confidentiality will be maintained. Be specific. (20 points)
2. Describe the process you will use for documenting your assessment and what steps you will take to ensure its accuracy. For example, do you plan to take notes and then ask the subject for verification, or do you plan to record the assessment in audio or video and then transcribe it? Be specific.(14 points)
3. Identify five (5) categories from Appendix A in your text from which you would like to develop primary (and follow-up) questions for your assessment. The categories from which you may choose include:
· Biocultural Variations and Cultural Aspects of the Incidence of Disease
· Communication
· Cultural Affiliations
· Cultural Sanctions & Restrictions
· Developmental Considerations
· Economics
· Educational Background
· Health-Related beliefs and Practices
· Kinship and Social Networks
· Nutrition
· Religion and Spirituality
· Values Orientation
Type the names of the five categories you have chosen in the table below in the column marked “Categories.”
4. Develop one open-ended primary question for each of the five categories. Please note that the questions should be in your own words and designed to elicit meaningful responses. Use the table to type each question next to its corresponding category. (60 points)
5. Develop two open-ended follow-up questions for each primary question. Type these next to the corresponding primary questions. Formulate questions that your individual will understand. Avoid “medical/nursing jargon.”(40 points)
6. Indicate reasons for asking specific questions that relate to culture of origin and healthcare experiences. (50 points)
Categories Primary Question Related to Category Follow-up Questions for each primary question Indicate reasons for asking questions that are related to culture of origin and healthcare experiences in local community. In other words, why are you asking the questions? How will knowing the answers inform your care of future patients for whom you may provide care? Example Name Category X: Educational Background
Open question : Tell me how your education in Cuba prepared you for your move to the US. Closed question: Did you finish high school?
Note: Only list Open Questions below. The Closed Question above is for example purposes only.
1. Open question : Share with me how you learned English as a second language. 2. Closed question : Do you speak a foreign language?
Knowing the individual’s educational background will assist me with determining his ability to read and write. This will be helpful for my patient teaching. Value placed on education is important to know as it may indicate potential compliance with a plan of care and acceptance of responsibility for one’s health.
1. Open question : Help me understand the differences between public and private education in Cuba. 2. Closed question : Is college paid for by the government?
Note: Only list Open Questions below. The Closed Question above is for example purposes only.
Name Category 1 Category________
1. 2. Name Category 2 Category________
1. 2. Name Category 3 Category_________
1. 2. Name Category 4 Category_________
1. 2. Name Category 5 Category_________
1. 2. NR394 Milestone 2 Template 8-29-18 LMD 1 -
NR393_Differences_Between_Closed_and_Open-Ended_Questions.docx
Chamberlain College of Nursing NR393 Nursing History
Differences Between Closed- and
Open-Ended Questions
When interviewing individuals, one is more likely to obtain comprehensive information when asking open-ended questions instead of closed-ended questions.
Think back to the days of mental health nursing and therapeutic communication skills. The emphasis was on asking open-ended questions to encourage the patient to share information, clarify, and reflect to ensure that the nurse heard what the patient was trying to communicate.
Skilled communication goes a few steps further. Respectful, collaborative communication among and between the nurse and the patient is important and valuable. In Milestone #2 of your Course Project, you are to develop specific initial and follow-up questions that reflect an understanding of the categories that you selected about the influence culture may have on your interviewee. Active listening to seek understanding and using key follow-up questions are crucial when trying to elicit optimum information to provide culturally competent care.
Closed-Ended Questions
For purposes of this assignment, closed-ended questions are those for which you are only expecting a one-word answer like yes, or no, or one’s age, educational level, country of origin, and so on. You should have this information already, and it is not necessary to ask for it again. Closed-ended questions may convey to your interviewee that you are in a hurry and may not really be interested in answers. Closed-ended questions can be answered with a short phrase or a one-word answer. They may be appropriate when you are completing a checklist for a health history for a new patient, but they are not appropriate when trying to find out more about one’s culture. Closed-ended questions have the potential to end the conversation.
Questions to Avoid
Questions to avoid include, but are not limited to, the following.
Do you…? Are you…? Will you…? Have you…? Can you…? Open-Ended Questions
On the other hand, open-ended questions help you to elicit much more information and convey to your interviewee that you are truly interested in his or her answers. Open-ended questions require responses containing more than one word. A more in-depth and lengthy response is helpful in discovering more about a situation or a person, especially as it relates to culture of origin. This promotes further discussion. Transcultural Nursing Assessment Paper
Questions to Ask
Phrases in responses include, but are not limited to, the following.
Please tell me more about… It seems to me that… I need more information about… I gather that… Describe that more fully for me… I hear you describing… Let’s talk more about… With experiences like yours… I’m not sure I follow. Please explain… It sounds like… It might be helpful for me to know… How do you feel about… Help me understand… What you’re saying is… I’m wondering… NR393 Differences Between Closed Open Ended Questions 6/23/2017 JM 2