NR391 All Discussions – Nov 2016


NR 391 Week 1 Discussion

Models of Transcultural Nursing (graded)

Chapter 1 of Andrews and Boyle (2016) discusses Leininger’s
sunrise model of transcultural nursing. However, other models are described and
are important to acknowledge as well. Besides Leininger’s model, what others
are available? Describe one model and how you might apply it to your practice
setting. An excellent resource may be found at the Transcultural Nursing
Society’s website ( Click on the Theories tab.

NR 391 Week 2 Discussion

Transcultural Nursing Skills Self-Assessment (graded)

Nurses complete assessments on individuals on a daily basis.
Self-assessments are in order before considering our abilities to provide
culturally competent nursing care.

1. Complete the Transcultural Nursing Skills Self-Assessment Form
located in Doc Sharing.

2. Note the number of “no” answers in your

3. Share one or two of your “no” answers with your
classmates and describe how you will convert the “no” to a
“yes” over the next few weeks.

4. What interventions are needed to turn each “no” into
a “yes” response?

NR 391 Week 3 Discussion

Healthcare Needs of a Specific Minority Group (graded)

Describe the healthcare needs of a minority group in your city or

  • Briefly
    describe the characteristics of the minority group.
  • What
    opportunities do you see for improving the health of this group?
  • How
    would you communicate their healthcare needs to people of authority? Use
    titles instead of names to identify these individuals.
  • What
    is the role of the BSN-prepared nurse in enhancing communication skills
    related to cultural needs of this minority population?

NR 391 Week 4 Discussion

Common Illnesses and the Use of CAM (graded)

Our patients come to us after exploring various avenues of
self-help. At times, these avenues involve the use of complementary and
alternative medicine (CAM) therapies. Select a common (or not so common)
illness/ or condition that affects a specific ethnic group/ or cultural group
or vulnerable population.

1. Name the condition/ or illness and the group/ or population.

2. Identify two (2) CAM therapies that patients are likely to try
before seeking (or in addition to) allopathic, osteopathic, or ayurvedic
medical intervention for the illness or /condition.

3. Discuss the effectiveness of each therapy you identified.

4. Describe how you would answer an individual who asks you for
your professional advice about the use of these CAM therapies.

Note:Do not discuss an illness/ or condition about which a classmate
has already posted. The diversity will lead to a more robust discussion. There
are many examples you may discuss, including sickle- cell disease in African
Americans, constipation in the elderly people, or the use of Reiki for mental and
emotional healing by Japanese people. Think of others from your practice
settings or prelicensure experiences.

NR 391 Week 5 Discussion

Transcultural Perspectives Across Lifespan (graded)

Select and read ONE of the chapters of particular interest to you
listed in Assignments under Required Readings. Discuss what information you
should obtain to develop and implement culturally appropriate care plans for an
individual of this group. A brief case study or exemplar may be one way to
present your information. For example, how would you provide culturally-
appropriate care for an elderly female who is Muslim and presents to the
Emergency Department with chest pain?

NR 391 Week 6 Discussion

Standards of Practice (graded)

The basis for our lesson this week came from the Standards of
Practice for Culturally Competent Nursing Care Executive Summary, Transcultural
Nursing Society:

Your nursing leader has decided that the department needs to
better incorporate these Standards of Practice for Culturally Competent Nursing
Care into the nursing care delivery model at your organization. There are 12

Read the Executive Summary.

Select ONE one of the 12 Standards in the Summary.

Does your department or /organization currently give credence to
this standard? If so, how? Think about the standards as they relate to
culturally sensitive care.

If not, offer suggestions of how the standard can be incorporated
into patient care or your organization as a whole.

Note: There are 12 standards, so make sure you choose a standard
that another student has not described. We all have different takes on a
standard so the standard should be specific for the patient population or
organization. The typical number of students in a class means that we should
only read about a particular standard twice. And, keep in mind that each of us
does not work in an acute care setting, so examples from other practice
settings will add to our discussion.

NR 391 Week 7 Discussion

Workforce Diversity (graded)

As nurses, we often work with physicians or other healthcare team
members whose native language is not English. In fact, some of you may have interviewed
a non-native English speaker for your Course Project.

1. Share an example of miscommunication that has occurred as a
result of this disparity.

2. Reflect on your new-found knowledge of transcultural nursing,
and describe how this miscommunication could have been prevented.

NR 391 Week 8 Discussion

Professional Insight (graded)

Reflect on the Transcultural Nursing Self-Assessment that you
completed during Week 2. Not all of us will have the opportunity to participate
in an international nursing experience for even a few weeks, let alone as a
career. However, if assuming you had the opportunity to practice this type of
nursing, consider how you would answer the following questions. Make sure you
address all components below:

1. What contributions would you be able to make that would be
considered unique?

2. What experiences and wisdom would you bring to the care of your

3. What challenges might there be for you and/or your family for
participation in such an opportunity?