TRANSCULTURAL NURSING COURSE DESCRIPTION
Transcultural Nursing Course Description
Transcultural Nursing explores cultural beliefs and practices as they apply to a population’s health and the development of illnesses, as well as similarities and differences among cultural groups. Course materials and resources allow students to explore appropriate communication, cultural needs within the nursing scope of practice, and patient-centered care based on cultural values and preferences. Students will also identify disparities in health and health care among cultural groups.
TRANSCULTURAL NURSING COURSE DESIGN
Transcultural nursing applies knowledge of differences in cultural norms and best practices to the provision of care based on the history, religion, and traditions of the patient. Nurses can provide higher-quality care when they are well versed in patients’ cultural practices and belief systems. In this course, students will learn about diverse customs and methods of health care, including folk remedies and the use of complementary and alternative care options, as well as how to gather information from patients in order to provide the best possible care.
Throughout the course, the role of the nurse in the delivery of culturally competent care is examined. Students will participate in weekly discussions that focus on the foundations of transcultural care, the customs of individual cultures, and best-practice methodology. Quizzes and the Final Exam address terminology and definitions as well as concept comprehension. There are two written assignments in the course. The Week Two assignment allows students to analyze a medical case study to identify areas that can be the basis for bias and develop questions that enable practitioners to ascertain critical information from patients. This assignment also provides an opportunity to compare and contrast cultural norms. The Week Four assignment utilizes cultural case studies. Students learn to develop exploratory questions to determine patients’ cultural behaviors and evaluate community services in order to adapt nursing practices to achieve quality health outcomes for diverse populations.
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TRANSCULTURAL NURSING COURSE LEARNING OUTCOMES
Upon successful completion of this course, students will be able to
1. Explain the importance of communication for diverse patient populations in nursing practice.
2. Synthesize nursing care based on unique cultural needs’ assessment(s) and nursing scope of practice.
3. Apply the concept of quality care for specific group(s) based on cultural preferences.
4. Articulate specific similarities and differences in nursing care amongst different cultural groups.
TRANSCULTURAL NURSING REQUIRED TEXT
Dayer-Berenson, L. (2014). Cultural competencies for nurses: Impact on health and illness (2nd ed.). Burlington, MA: Jones & Bartlett Learning
TRANSCULTURAL NURSING REQUIRED RESOURCES
Articles
Akinyemiju, T. F., Soliman, A. S., Copeland, G., Banerjee, M., Schwartz, K., & Merajver, S. D. (2013). Trends in breast cancer stage and mortality in Michigan (1992–2009) by race, socioeconomic status, and area health care resources [PDF file]. Plos ONE, 8(4), 1-9. doi:10.1371/journal.pone.0061879.
Campinha-Bacote, J. (2011). Delivering patient-centered care in the midst of a cultural conflict: The role of cultural competence. The Online Journal of Issues in Nursing: A Scholarly Journal of the American Nurses Association, 16(2). doi: 10.3912/OJIN.Vol16No02Man05
Chou, C., PhD., Tulolo, A., PharmD., Raver, E. W., B.S., Hsu, C., PhD., & Young, Gary,J.D., PhD. (2013). Effect of race and health insurance on health disparities: Results from the national health interview survey 2010. Journal of Health Care for the Poor and Underserved, 24(3), 1353-63. doi: 10.1353/hpu.2013.0131
Crandall, M., Anderson, B., Idakoji, I., Rajasekhar, A., Kahlenberg, C., Agubuzu, O., & … Esposito, T. (2014). Trauma patient satisfaction survey opens discussion about bias in health care. Journal of Health Disparities Research & Practice, 7(3), 1-14. Retrieved from http://digitalscholarship.unlv.edu/jhdrp/
Diabetes: researchers’ work from University of Arizona focuses on diabetes. (2012). Education Business Weekly, p.107. Retrieved from http://www.educationbusinessuk.net/
Dovidio, J. F., & Fiske, S. T. (2012). Under the radar: How unexamined biases in decision-making processes in clinical interactions can contribute to health care disparities. American Journal of Public Health, 102(5), 945-952. doi:10.2105/AJPH.2011.300601
Douglas, M. K., Pierce, J. U., Rosenkoetter, M., Pacquiao, D., Callister, L. C., Hattar-Pollara, M., & Purnell, L. (2011). Standards of practice for culturally competent nursing care: 2011 update. Journal of Transcultural Nursing, 22(4), 317. doi:10.1177/1043659611412965
Eggenberger, S., Grassley, & J., Restrepo, E. (July 19, 2006). Culturally competent nursing care for families: Listening to the voices of Mexican-American women. OJIN: The Online Journal of Issues in Nursing, 11(3). doi: 10.3912/OJIN.Vol11No03PPT01
Jimenez, R. L. (2014). Cultural competence and communication. AAOS Now, 8(9), 14-16. Retrieved from http://www.aaos.org/aaosnow/
Parker, V. A. (2010). The importance of cultural competence in caring for and working in a diverse America. Generations, 34(4), 97-102. Retrieved from http://www.asaging.org/generations-journal-american-society-aging
Paschal, A. M., Lewis-moss, R., Sly, J., & White, B. J. (2010). Addressing health disparities among African/Black Americans: Using the stages of change model to document attitudes and decisions about nutrition and physical activity. Journal of Community Health, 35(1), 10-7. doi: http://dx.doi.org/10.1007/s10900-009-9197-x
Purnell, L. (2002). The Purnell model for cultural competence. Journal of Transcultural Nursing, 13(3), 193-196. doi:10.1177/10459602013003006
Rosenbaum, S. (2011). The Patient Protection and Affordable Care Act: Implications for public health policy and practice. Public Health Reports, 126(1), 130–135. Retrieved from http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3001814/
Shah, V. O., Ghahate, D. M., Bobelu, J., Sandy, P., Newman, S., Helitzer, D. L., & … Zager, P. (2014). Identifying barriers to health care to reduce health disparity in Zuni Indians using focus group conducted by community health workers. CTS: Clinical & Translational Science, 7(1), 6-11. doi:10.1111/cts.12127
Singleton, K. & Krause, E. (2009). Understanding cultural and linguistic barriers to health literacy. OJIN 14(3). doi: 10.3912/OJIN.Vol14No03Man04
Victorson, D., Banas, J., Smith, J., Languido, L., Shen, E., Gutierrez, S., & … Flores, L. (2014). eSalud: Designing and implementing culturally competent e-health research with Latino patient populations. American Journal of Public Health, 104(12), 2259-2265. doi:10.2105/AJPH.2014.302187
Multimedia
Davies, J., Wolfendale, T. (Producers), & Rouse, S. (Director). (2012). Competent care in a culturally diverse nation [Video file]. Retrieved from https://fod.infobase.com/OnDemandEmbed.aspx?token=52851&wID=100753&plt=FOD&loid=0&w=640&h=360&fWidth=660&fHeight=410
Films Media Group. (2006). Now is our time: Healthy living for black women 40-55 [Video file]. In Films on Demand. Retrieved from http://digital.films.com.proxy-library.ashford.edu/PortalPlaylists.aspx?aid=18596&xtid=30916
Marofsky, M., Grote, K. (Writers), Christiansen, L., Hommeyer, T. (Producers), Christiansen, L., & Dean, W. (Directors). (1991). Understanding our biases and assumptions [Video file]. Retrieved from
https://fod.infobase.com/OnDemandEmbed.aspx?token=2574&wID=100753&plt=FOD&loid=0&w=640&h=480&fWidth=660&fHeight=530
Nevco Healthcare Education. (1991). Understanding our biases and assumptions [Video file]. In Films on Demand. Retrieved from http://fod.infobase.com.proxy-library.ashford.edu/p_ViewVideo.aspx?xtid=2574
Practice Activities. (2015). Transcultural nursing. Burlington, MA: Jones & Bartlett Learning Navigate.
Websites
Cultural Competence Project. (2014). Developing cultural competencies in nurses: Evidence-based and best practices. Retrieved from http://www.ojccnh.org/project/index.shtml
Institute for Work and Health. (n.d.). What researchers mean by… primary, secondary, and tertiary prevention. Retrieved from http://www.iwh.on.ca/wrmb/primary-secondary-and-tertiary-prevention
National Association of School Nurses. (2013). Purnell model for cultural competency. Retrieved from https://www.nasn.org/ToolsResources/CulturalCompetency/PurnellModelforCulturalCompetence
Teaching Tolerance: A Project of the Southern Poverty Law Center. (2011). Teaching tolerance: A project of the Southern Poverty Law Center. Retrieved from http://www.tolerance.org/activity/test-yourself-hidden-bias
Ward, J. (2012). The role of nursing in preventive care. Nursing Together. Retrieved from http://www.nursetogether.com/the-role-of-nursing-in-preventive-care
TRANSCULTURAL NURSING RECOMMENDED RESOURCES
Articles
Ahs, A., Burell, G., & Westerling, R. (2012). Care or not care-that is the question: Predictors of healthcare utilization in relation to employment status. International Journal of Behavioral Medicine, 19(1), 29-38. doi: 10.1007/s12529-010-9129-2
Berkowitz, S. A., Traore, C. Y., Singer, D. E., & Atlas, S. J. (2015). Evaluating area-based socioeconomic status indicators for monitoring disparities within health care systems: Results from a primary care network. Health Services Research, 50(2), 398-417. doi:10.1111/1475-6773.12229
Cogan, J.A. (2011). The affordable care act’s preventive services mandate: Breaking down the barriers to nationwide access to preventive services. Journal of Law, Medicine & Ethics, 39(3), 355-365. doi: 10.1111/j.1748-720X.2011.00605.x
Gupta, V. B. (2010). Impact of culture on health care seeking behavior of Asian Indians. Journal Of Cultural Diversity, 17(1), 13-19. Retrieved from http://tuckerpub.com/jcd.htm
Health Research & Educational Trust. (2013). Becoming a culturally competent health care organization [PDF file]. Retrieved from http://www.hpoe.org/Reports-HPOE/becoming_culturally_competent_health_care_organization.PDF
Pesut, B., Fowler, M., Reimer-Kirkham, S., Taylor, E., & Sawatzky, R. (2009). Particularizing spirituality in points of tension: Enriching the discourse. Nursing Inquiry, 16(4), 337-346. doi: 10.1111/j.1440-1800.2009.00462.x
Robert, S.A. and Booske, B.C. (2011). US opinions on health determinants and social policy as health policy. American Journal of Public Health, 101(9), 1655-1663. Retrieved from http://ajph.aphapublications.org/loi/ajph
Tripp-Reimer, T., Choi, E., Skemp Kelley, L. and Enslein, J. (2001). Cultural barriers to care: Inverting the problem. Diabetes Spectrum. 14(1). doi: 10.2337/diaspect.14.1.13
Wilson, A., Whitaker, N. & Whitford, D. (May 31, 2012) Rising to the challenge of health care reform with entrepreneurial and intrapreneurial nursing initiatives. OJIN: The Online Journal of Issues in Nursing 17(2). doi: 10.3912/OJIN.Vol17No02Man05
Worthen, M. S. (2014). The PPACA’s potential impact on hospitals. The RMA Journal, 96(7), 37-37. Retrieved from http://www.rmahq.org/thermajournal/
Zepeda, E. D. (2012). Technology-enabled health care supply chain for primary care: Reducing disparities in the delivery of chronic care. Retrieved from http://conservancy.umn.edu/bitstream/handle/11299/136021/Zepeda_umn_0130E_12974.pdf?sequence=1&isAllowed=y
Government Reports
111th Congress. Patient protection and affordable care act [PDF file]. (2010). Retrieved from http://www.gpo.gov/fdsys/pkg/BILLS-111hr3590enr/pdf/BILLS-111hr3590enr.pdf
Williams, E., & Redhead, C.S. (2010). Public health, workforce, quality, and related provisions in the Patient Protection and Affordable Care Act (PPACA) [PDF file]. Retrieved from https://www.aamc.org/download/130996/data/ph.pdf.pdf
Multimedia
Peek, M. (2014, October 30). Poverty association with poor dealth outcomes and health disparities [Blog post]. Retrieved from http://healthaffairs.org/blog/2014/10/30/povertys-association-with-poor-health-outcomes-and-health-disparities/
Supplemental Material
College of Health, Human Services, and Science: Department of Health Promotion (Producer). The Affordable Care Act and you: History, implications, and the future of healthcare [Webinar]. San Diego, CA
Websites
Kaiser Family Foundation. (2013). Summary of the affordable care act. Retrieved from http://kff.org/health-reform/fact-sheet/summary-of-the-affordable-care-act/
Petiprin, A. (2013). Leininger’s Culture Care Theory. Retrieved from http://nursing-theory.org/theories-and-models/leininger-culture-care-theory.php
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