Culturally Competent Nursing

For this assignment, you will interview a person from a cultural background that is different from your own. Using the twelve domains of culture from the Purnell Model, discuss the health practices of that culture and compose a scholarly paper in a Microsoft Word document of 5–6 pages formatted in APA style.

In your paper, you should include the following:

Select a person from a cultural group different from your own. You may choose a patient, friend, or work colleague. For the sake of confidentiality, do not reveal the name of the person you interview; use only initials.

For the person you select, complete the cultural assessment using questions 1 through 12 from the Purnell Model for Cultural Competence in your textbook, Transcultural Health Care: A Culturally Competent Approach.

On a separate page, cite all sources using APA format.

Use this APA Citation Helper as a convenient reference for properly citing resources.
This handout will provide you the details of formatting your essay using APA style.
You may create your essay in this APA-formatted template.
Submission Details:
Name the document SU_NSG4074_W2_A2_LastName_FirstInitial.doc.
Submit it to the Submissions Area by the due date assigned.

The Twelve Domains of Culture

These are the 12 domains that are essential for assessing the ethnocultural attributes of an individual, family, or group:

· 1. Overview, inhabited localities, and topography

· 2. Communication

· 3. Family roles and organization

· 4. Workforce issues

· 5. Biocultural ecology

· 6. High-risk behaviors

· 7. Nutrition

· 8. Pregnancy and childbearing practices

· 9. Death rituals

· 10. Spirituality

· 11. Health-care practices

· 12. Health-care providers

Match the health care definition with the term (Points : 13) Potential Matches: 1 : Cost sharing 2 : Managed Care Organizations (MCO) 3 : Fee-for-Service (FFS) 4 : Diagnosis Related Group (DRG) 5 : Cultural Competency 6 : Capitation 7 : Prospective Payment System (PPS) 8 : Pay-for-performance 9 : Centers for Disease Control (CDC) 10 : Public Health 11 : Explanation of Benefits (EOB) 12 : Nostrum 13 : Gatekeeping Answer 1 : Managed care’s way of classifying patients by diagnosis, average length of hospital stay, and therapy received 2 : Summarizes what the insurance company paid the provider, how much the patient owes, and provides an up-to-date status of the patient’s annual deductible and out of pocket expenses 3 : Employees become part of their employer’s group insurance plan and the employer subsidizes the monthly premiums 4 : Emphasized environmental sanitation to stop the spread of epidemic diseases 5 : Each individual service or treatment is paid and billed separately 6 : A derogatory term for a medicine, especially an ineffective one, prepared by an unqualified person 7 : Involves bundled payments when physicians are paid for a series of treatments that are not billable individually 8 : Preventing unnecessary specialized care 9 : Global mission of health protection, prevention, and preparedness 10 : Practice of recognizing that different groups have unique health experiences and needs 11 : Enter into contracts with hospitals and healthcare professionals to provide healthcare to the beneficiaries in exchange for a negotiated rate per patient 12 : Amount of payment is determined prospectively, before the service is rendered 13 : Reimbursement models aimed at improving the quality, efficiency, and overall value of health care Match the real word example with the term (Points : 13) Potential Matches: 1 : Nostrum 2 : Fee-for-Service 3 : Public Health 4 : Capitation 5 : Diagnosis Related Group (DRG) 6 : Gatekeeping 7 : Prospective Payment System (PPS) 8 : Pay-for-Performance 9 : Cost Sharing 10 : Explanation of Benefits (EOB) 11 : Managed Care Organization (MCO) 12 : Cultural Competency 13 : Centers for Disease Control (CDC) Answer 1 : Hospitals, skilled nursing facilities and home health agencies are reimbursed on an “episode of care basis” 2 : Dr. Thomas exams a patient named Jan. Jan’s health insurance provider is Blue Cross Blue Shield. Services provided included a Chest X-ray, yearly physical, and removal of a mole. Dr. Thomas receives reimbursement for each service rendered 3 : Dr. Thomas exams a patient named Jen. Jen’s health insurance provider is HealthPlus of Michigan. Services provided included a yearly physical, removing a mole and ordering of labs and chest x-ray. Dr. Thomas receives reimbursement based on a contracted discounted rate 4] : Jan receives a report from the health plan listing the blood work, chest x-ray and physical she received at her primary care physician’s office 5 : Mr. Jenkins owns a hardware in 1880s and starts to treat patients 6 : Dr. Thomas receives the same amount per patient per month whether the patient is receiving services or not 7] : Jan goes to the primary care physician in order to receive a referral to a specialist 8 : Jan is in severe pain evidenced by Nursing assessment of raised blood pressure, facial grimacing, and holding abdomen. However, she does not complain of pain 9 : Dr. Thomas reports to this entity that she has diagnosed a patient with Tuberculosis 10 : Jan is employed by ACME Tile, receives health insurance as a benefit and contributes $100/month to the premium 11 : Promotes a Youth advertising campaign to promote healthy eating and exercise 1 : Patient presents to the ER with COPD and is admitted to the hospital. The hospital is reimbursed based on the COPD Diagnosis 13: Dr. Thomas educates and advises patients on quitting smoking, exercise, and health eating. Dr. Thomas receives reimbursement for meeting quality measures

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