Respond to at least two of your classmates. Participate in the discussion by asking a question, providing a statement of clarification, providing a point of view with a rationale, challenging an aspect of the discussion, or indicating a relationship between two or more lines of reasoning in the discussion. Complete your participation for this assignment by the end of week.

Discussion Question 2

With a society that is so diverse in its own nature, issues pertaining to cultural diversity are bound to occur in the process of team management and leadership. Using the South University Online Library or the Internet, research about cultural diversity. Based on your research and understanding, answer the following questions:

• How does having members of different cultures on a team affect the team’s performance?
• How would you incorporate a person from a culture of your choice into your team, keeping in mind communication differences within your and the chosen culture?

Reply to my peers

Peer 1

Having members of different cultures can improve the team’s performance by introducing new perspectives and improving patient care. According to the textbook and the IOM, one skill that allows teams to cooperate effectively is when team members learn about each other’s backgrounds, values, and expertise (Murray, 2017). With a diverse team, members will have a wide range of backgrounds. Understanding each other’s backgrounds improves the group’s cultural competence and strengthens relationships within the group. Having various cultural backgrounds also improves the group’s problem-solving skills, as there are more perspectives and viewpoints to work with. Patient care also improves with better cultural competence because patients are at less risk of falling victim to unequal care due to disparities and stereotyping. 

If I were to incorporate a person from a culture different from mine, for example, someone of Hispanic descent, I would first assess their nursing expertise and background and highlight any skills that would be useful for the team. For example, a team member who speaks Spanish would be particularly useful for communicating with Spanish-speaking patients. Ultimately, I would be sure to incorporate them into the team like any member while keeping in mind any cultural traits that would benefit the team’s performance.

References

Murray, E. (2017). Nursing Leadership and Management for Patient Safety and Quality Care. Philadelphia, PA: F. A. Davis. ISBN: 9780803630215

Peer 2

A health system’s commitment to delivering culturally competent care is essential in creating a culture of respect for patients, clinicians and administrative staff (Kumra et al., 2020). Cultural diversity is an essential aspect in a team especially when much focus is on utilizing the strengths of each culture to achieve a team’s set goals.  Unfortunately, there are situations when the cultural differences lead to the isolation of team members, often making it hard for the team to achieve the desired outcome (Kälin, 2017).  When a team is composed of members from different ethnicities, nationalities, and gender backgrounds, there will be diverse solutions to organizational problems that may hinder the team members from performing joint tasks.

Incorporating an individual from a different culture into the team requires acknowledging and respecting cultural differences, getting insight into the strengths of the culture, and how they can be utilized within the team (Cochran et al., 2017). By focusing on the strengths of the culture it will allow for positive facets to be incorporated into the team.  As a team, we would focus on making sure that every team member felt comfortable with each other which would help build team trust.  

References:

Cochran, D., Saleem, S., Khowaja-Punjwani, S., & Lantos, J. D. (2017). Cross-cultural differences in communication about a dying child. Pediatrics, 140(5), e20170690.

Kälin, W. (2017). Troubled communication: Cross-cultural misunderstandings in the asylum-hearing. In International Refugee Law (pp. 175-186). Routledge.

Kumra, T., Hsu, Y. J., Cheng, T. L., Marsteller, J. A., McGuire, M., & Cooper, L. A. (2020). The association between organizational cultural competence and teamwork climate in a network of primary care practices. Health care management review, 45(2), 106–116. https://doi.org/10.1097/HMR.0000000000000205

 

Exercise Content

1. Use APA 6 or 7th Edition Format and support your work with at least 3 peer-reviewed references within 5 years of publication. Remember that you need a cover page and a reference page. All paragraphs need to be cited properly. Please use headers.  All responses must be in a narrative format and each paragraph must have at least 4 sentences. Lastly, you must have at least 2 pages of content, no greater than 4 pages, excluding cover page and reference page.

   Week 12 Case Study: Osteoporosis

   J.S., a 72-year-old woman of Asian descent, has just transferred to your practice. She had a hysterectomy 8 years ago and has not been on hormone replacement therapy. She is 5 ft 2 inches tall and weighs 102 lb. She has had a sedentary lifestyle (she was a secretary and retired 2 years ago). She drinks four glasses of wine a day. Her mother died at age 62 from complications of a hip fracture. J.S.’s sister was just diagnosed with metastatic breast cancer. You prescribe a DEXA scan, and the T-score is −2.6 SD.

   Diagnosis: Osteoporosis

   1. List specific goals of therapy for J.S.
   2. What drug therapy would you prescribe? Why?
   3. What are the parameters for monitoring the success of the therapy?
   4. Discuss specific patient education based on the prescribed therapy.
   5. List one or two adverse reactions for the selected agent that would cause you to change therapy.
   6. What OTC or alternative medicines might be appropriate for this patient?
   7. What dietary and lifestyle changes might you recommend?
   8. Describe one or two drug–drug or drug–food interactions for the selected agent.

The Assignment: (2- to 3-page Comparison Grid and 1-page Fact Sheet)

Part 1: Agenda Comparison Grid

Based on the presidential administrations you are comparing, complete the Agenda Comparison Grid. Be sure to address the following:

Identify and provide a brief description of the healthcare issue you selected.

Identify which administrative agency would most likely be responsible for helping you address the healthcare issue you selected.

How does the healthcare issue get on the agenda and how does it stay there?

Who was the entrepreneur/champion/sponsor of the healthcare issue you selected?

Assignment: Evidence-Based Project

Is there a difference between “common practice” and “best practice”?

When you first went to work for your current organization, experienced colleagues may have shared with you details about processes and procedures. Perhaps you even attended an orientation session to brief you on these matters. As a “rookie,” you likely kept the nature of your questions to those with answers that would best help you perform your new role.

Over time and with experience, perhaps you recognized aspects of these processes and procedures that you wanted to question further. This is the realm of clinical inquiry.

Clinical inquiry is the practice of asking questions about clinical practice. To continuously improve patient care, all nurses should consistently use clinical inquiry to question why they are doing something the way they are doing it. Do they know why it is done this way, or is it just because we have always done it this way? Is it a common practice or a best practice?

In this Assignment, you will identify clinical areas of interest and inquiry and practice searching for research in support of maintaining or changing these practices. You will also analyze this research to compare research methodologies employed.

To Prepare:

• Review the Resources and identify a clinical issue of interest that can form the basis of a clinical inquiry.
• Based on the clinical issue of interest and using keywords related to the clinical issue of interest, search at least four different databases in the Walden Library to identify at least four relevant peer-reviewed articles related to your clinical issue of interest. You should not be using systematic reviews for this assignment, select original research articles.
• Review the results of your peer-reviewed research and reflect on the process of using an unfiltered database to search for peer-reviewed research.
• Reflect on the types of research methodologies contained in the four relevant peer-reviewed articles you selected.

Part 1: An Introduction to Clinical Inquiry

Create a 4- to 5-slide PowerPoint presentation in which you do the following:

• Identify and briefly describe your chosen clinical issue of interest. This clinical issue will remain the same for the entire course and will be the basis for the development of your PICOT question
• Describe how you used keywords to search on your chosen clinical issue of interest.
• Identify the four research databases that you used to conduct your search for the peer-reviewed articles you selected.
• Provide APA citations of the four peer-reviewed articles you selected.

Part 2: Identifying Research Methodologies

After reading each of the four peer-reviewed articles you selected, use the Matrix Worksheet template to analyze the methodologies applied in each of the four peer-reviewed articles. Your analysis should include the following:

• The full citation of each peer-reviewed article in APA format.
• A brief (1-paragraph) statement explaining why you chose this peer-reviewed article and/or how it relates to your clinical issue of interest, including a brief explanation of the ethics of research related to your clinical issue of interest.
• A brief (1-2 paragraph) description of the aims of the research of each peer-reviewed article.
• A brief (1-2 paragraph) description of the research methodology used. Be sure to identify if the methodology used was qualitative, quantitative, or a mixed-methods approach. Be specific.
• A brief (1- to 2-paragraph) description of the strengths of each of the research methodologies used, including reliability and validity of how the methodology was applied in each of the peer-reviewed articles you selected.