Transcultural Assessment Paper
· Points 200
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Using Giger and Davidhizar’s Transcultural Assessment Model, found on pp. 8-10 in your Giger textbook as your assessment framework, perform and document a cultural assessment performed with an individual with a different ethnicity than your own (please avoid using family members). Please provide the client with confidentiality in preparing this assessment.
In your narrative style paper, address each phenomena of the cultural assessment framework. Provide a brief description of the assessment component, your client’s data, and then a comparison of your client to the identified cultural norms.
The submitted document should be 8-10 pages, in APA format excluding the title page and reference page with use of appropriate headings, and be written as a narrative that includes five (5) resources specifically relating to the individual’s ethnicity. Two or more of these resources should be scholarly research.
Culturally Unique Individual
1. Place of birth
2. Cultural definition: what is…
3. Race: What is…
4. Length of time in country.
1. Voice quality
2. Pronunciation and enunciation
3. Use of silence
4. Use of nonverbal
6. Ask these and similar questions:
a. How do you get your point across to others?
b. Do you like communicating with friends, family and acquaintances?
c. When asked a question, do you usually respond (in words or body movement, or both)?
d. If you have something important to discuss with family, how would you approach them?
1. Degree of comfort
a. Moves when space invaded
b. Does not move when space invaded
2. Distance in conversations
a. 0-18 inches
b. 18 inches to 3 feet
c. 3 feet or more
3. Definition of space
a. Describe degree of comfort with closeness when talking with or standing near others
b. How do objects (e.g. furniture) in the environment affect your sense of space?
4. Ask these and similar questions:
a. When you talk with family members, how close do you stand?
b. When you communicate with coworkers and other acquaintances, how close do you stand?
c. If a stranger touches you, how do you react or feel?
d. If a loved one touches you, how do you react or feel?
e. Are you comfortable with the distance between us now?
1. Normal state of health: poor, fair, good, excellent?
2. Marital status
3. Number of children
4. Parents living or deceased?
5. Ask these and similar questions:
a. How do you define social activities?
b. What are some activities that you enjoy?
c. What are your hobbies, or what do you do when you have free time?
d. Do you believe in a Supreme Being?
e. How do you worship that Supreme Being?
f. What is your function (what do you do)
g. What is your role in your family unit/system (father, mother, child, advisor)?
h. When you were a child, what or who influenced you most?
i. What is/was your relationship with your siblings and parents?
j. What does work mean to you?
k. Describe your past, present, and future jobs.
l. What are your political views?
m. How have your political views influenced your attitude towards health and illness?
1. Orientation to time: past-oriented, present-oriented, future-oriented.
2. View of time: Social time, clock-oriented.
3. Physiochemical reaction to time: sleeps at least 8 hours, goes to sleep and wakes on a consistent schedule, understands the importance of taking medication and other treatments on schedule.
4. Ask these and similar questions:
a. What kind of timepiece do you wear daily?
b. If you have an appointment at 2 p.m. what time is acceptable to arrive?
c. If a nurse tells you that you will receive a medication in “about half an hour,” realistically how much time will you allow before calling the nurse’s station?
a. Internal locus-of-control (believes that the power to affect change lies within)
b. External locus-of-control (believes that fate, luck, an chance have a great deal to do with how things turn out)
2. Value orientation
a. Believes in supernatural forces
b. Relies on magic, witchcraft, and prayer to effect change
c. Does not believe in supernatural forces
d. Does not rely on magic, witchcraft or prayer to affect change,
3. Ask these and similar questions
a. How often do you have visitors at your home?
b. Is it acceptable to you for visitors to drop in unexpectedly?
c. Name some ways your parents or other persons treated your iullnesses when you were a child.
d. Have you or someone else in your immediate surroundings ever used a home remedy that made you sick?
e. What home remedies have you used that worked? Will you use them in the future?
f. What is your definition of “good health?”
g. What is your definition of “poor health?”
1. Conduct a complete physical assessment noting:
a. Body structure (small, medium, or large frame)
b. Skin color
c. Unusual skin discoloration
d. Hair color and distribution
e. Other visible physical characteristics (e.g. keloids, chloasma)
h. Check lab work for variances in hemoglobin, and sickle cell phenomena if black or Mediterranean.
2. Ask these and similar questions:
a. What diseases or illnesses are common in your family?
b. Has anyone in your family been told that there is a possible genetic susceptibility for a particular disease?
c. Describe your family’s typical behavior when a family member is ill.
d. How do you respond when you are angry?
e. Who (or what) usually helps you cope during a difficult time?
f. What foods do you and your family like to eat?
g. Have you ever had any unusual cravings for:
White or red clay dirt or laundry starch?
h. When you were a child what types of foods did you eat?
i. What foods are family favorites or are considered traditional?
1. Note whether the client has become culturally assimilated or observes own cultural practices.
2. Incorporate data into plan of nursing care:
a. Encourage the client to discuss cultural differences; people from diverse cultures who hold different world views can enlighten nurses.
b. Make efforts to accept and understand methods of communication.
c. Respect the individual’s personal need for space.
d. Respect the rights of clients to honor and worship the Supreme Being of their choice.
f. Determine whether spiritual practices have implications for health, life, and well-being (e.g. Jehovah’s Witnesses may refuse blood and bloo derivatives; an Orthodox Jew may eat only kosher food high in sodium and may ot drink milk when meat is served).
g. Identify hobbies, especially when devising interventions for a short or extended convalescence or for rehabilitation.
h. Honor time and value orientations and differences in these areas. Allay anxiety and apprehension if adherence to time is necessary.
i. Provide privacy according to person need and health status of the client (NOTE: the perception of and reaction to pain ay be culturally related.
j. Note cultural health practices.
Identify and encourage efficacious practices.
Identify and discourage dysfunctional practices.
Identify and determine whether neutral practices will have a long-term ill effect.
k. Note food preferences.
Make as many adjustments in diet as health status and long-term benefits will allow and that dietary department can provide.
Note dietary practices that may have serious implications for the client.
Transcultural Assessment Paper Grading Rubric 2018-2020
|Transcultural Assessment Paper Grading Rubric 2018-2020|
|This criterion is linked to a Learning OutcomeComprehensive collection of dataAssessment Categories to be included are Culturally Unique Individual, Communication, Space, Social Organization, Time, Environmental Control, Biological Variations, and Nursing Assessment.||140.0 ptsAll categories are included with comprehensive data or references to sources of data.125.0 ptsFewer categories are addressed. Data present but not very comprehensive. Categories left unaddressed.100.0 ptsPaper is vague with little support or strays from the assessment. Superficial attempt at assessment. Many categories with incomplete data.||140.0 pts|
|This criterion is linked to a Learning Outcome Quality of sources||40.0 ptsEvidence of a variety of sources of data collection including direct observation, interviews, written sources e.g scholarly articles, textbook, news pieces. 5 references related to the ethnicity cited. 2 scholarly research references35.0 ptsSome variety of methods, but limited to primarily written reports and some direct observation. 3-5 references related to the ethnicity cited. 1 scholarly research reference30.0 ptsLittle evidence of a variety of sources. Mostly written reports and/or little observation. Less than 3 references related to the ethnicity cited. No scholarly research used as reference.||40.0 pts|
|This criterion is linked to a Learning OutcomeAPA Writing Style and Organizationview longer descriptionthreshold: 3.0 pts||5.0 ptsExceeds Expectations: Excellent control of language, clear consideration of an academic or professional audience. Sentence and paragraph variety appropriate for audience. The entire paper is cohesive Editing and proofreading are clearly evident.3.0 ptsMeets Expectations: Usage is sometimes less precise or with awkward or unclear passages and some consideration of audience. Paragraphing structure is present with some poorly constructed sentences or word choices. Most of the paper is cohesive with one or two areas that are less concise. Proofreading and editing are evident.1.0 ptsNeeds Improvement: Inaccurate word choice, fragmented and monotonous sentences and little or no concern for the reader. Paper lacks organization and structure in more than two areas No editing or proofreading evident0.0 ptsDoes not meet: No paper submitted or Paper lacks organization and cohesion at all levels. Impossible for the reader to follow.||5.0 pts|
|This criterion is linked to a Learning OutcomeAPA Formattingview longer descriptionthreshold: 3.0 pts||5.0 ptsExceeds Expectations: Grammar and punctuation issues are addressed correctly. No errors in APA style. Paper is in full APA format. Complete; correct documentation, integration of citation and paraphrases.3.0 ptsMeets Expectations: Rare errors in APA style that do not detract from the paper and has a scholarly style. Acceptable work but clumsy inclusion of sources.1.0 ptsNeeds Improvement: Problems include repeated grammar and usage errors which are distracting to the reader.0.0 ptsDoes not Meet Expectations: No Paper submitted or APA clearly not used||5.0 pts|
|This criterion is linked to a Learning OutcomeAssignment Specific8-10 pages Uses Headings Provides a brief description of the assessment component, your client’s data, and then a comparison of your client to the identified cultural norms.||10.0 ptsExceeds ExpectationsUses APA headings accurately to guide the reader. 8-10 pages Provides a brief description of the assessment component, your client’s data, and then a comparison of your client to the identified cultural norms.8.0 ptsMeets ExpectationsUses APA headings with some accuracy to guide the reader. 7 or less pages or 11 or more pages Provides two of the three: a brief description of assessment components, your client’s data, and then a comparison of your client to the identified cultural norms.5.0 ptsNeeds improvmentNo use of APA headings to guide the reader 7 or less pages or 11 or more pages. Provides one of the three: a brief description of assessment components, your client’s data, and then a comparison of your client to the identified cultural norms.0.0 ptsDoes not meet expectations.No Paper Submitted.||10.0 pts|
|Total Points: 200.0|