1. In what way does your institution send the message “you are welcome here”?
  2. Do you see any barriers that might send another message?
  3. Is the mission statement visible?
  4. What languages are spoken and by whom?
  5. Are staff, professional and ancillary, reflective of the community?
  6. What would you add to make it even more welcoming?

Decision making/Spokesperson

  1. How were decisions made in your family of origin?
  2. Is that different from your family of today?
  3. How is your decision-making mode different from that of your patients?
  4. Where do you find common ground?

How do you include family members?

  1. In outpatient settings?
  2. During procedures or treatments?
  3. In the emergency room?
  4. In the Intensive Care Unit?
  5. In the Pediatric Unit?
  6. In the Obstetrical Unit?
  7. During end-of-life?

Role of the Sick Person

  1. What was the role of the sick person in your family of origin?
  2. How is it different from that of your patients and their families?
  3. Where do you find common ground?
  4. In what ways do you encourage the patient’s family to participate in the patient’s care?

From your perspective…

  1. Where is it difficult to provide balance between patient and HCP?
  2. Which element would pose the greatest obstacle?
  3. How would you incorporate cultural beliefs and practices into a plan of care?

Ch. 22

Creating a vision

  1. What is your vision of a culturally competent healthcare organization?
  2. How does it address values of cultural diversity?
  3. How does it address a welcoming environment?
  4. Dignity for all who enter?

Do we reflect our community demographics?

  1. Administrators, do they reflect the community demographics?
  2. Professional staff, do they reflect the community demographics?
  3. Ancillary staff, do they reflect the community demographics?
  4. Patient demographics, if not reflective of community demographics, could this lead to health disparities?

Orienting to a new department

  1. Does your departmental orientation program address cultural diversity?
  2. Is there a policy addressing language spoken in the workplace?
  3. Are cultural styles of communication and conflict resolution reviewed and discussed?
  4. Is there discussion of the cultural values, beliefs, and health practices of your patient population?
  5. Are standards of care and Practice reviewed?
  6. What else needs to be added to the program?


Trends over time…the benefits and challenges

  1. What demographics changes have you seen in the student population?
  2. In the faculty population?
  3. What are the challenges of teaching in a culturally diverse student population?
  4. How does faculty address those challenges?
  5. What are the benefits?

Barriers for whom…

  1. Which of those themes resonate immediately with your experience?
  2. Have you observed or heard these mentioned by your students?
  3. From faculty?
  4. Do you treat all students the same?
  5. Can you see where changes could be made?

Student learning outcomes

  1. Who accredits your institution?
  2. What are the student learning outcomes specific to your department?
  3. How are cultural learning styles addressed in the development of curricula and testing?
  4. Do you see any biases?

Self and department cultural assessment

  1. Have you ever completed a cultural self-awareness assessment tool?
  2. What were the results, were they what you expected?
  3. Did you find it helpful?
  4. Were you involved in the decision-making process to do this exercise?
  5. Did new programs, new teaching strategies, better communication emerge?

Five Teaching patterns

  1. Which pattern is most reflective of your teaching style?
  2. Which style intrigues you?
  3. What resources are available to enrich your cultural teaching strategies?

In the classroom setting

  1. What are some of the resources you currently use?
  2. What teaching strategies have you used in the classroom?
  3. Are they effective?
  4. Does faculty work collaboratively to develop these programs?
  5. Are they part of your overall mission statement, goals, and objectives of the department?

Summary: The purpose of the weekly reflective journal exercises is to allow for analysis, synthesis and evaluation of nursing theory using guided questions. Reflection has been referred to as a process that happens internally, privately or in isolation (Hill & Watson, 2011).  Also a useful definition of reflection has been referred to as the examination of an issue of concern, as a consequence of experience, creating clarity and meaning in terms of self, and which results in a change of perspective ( Boyd & Fales, 1983).

Directions: Complete the Reflective Journal questions presented in your Lincoln (Weeks 1-6) and Dayer-Berenson (Weeks 6-8) text as defined in the course outline.  Post the responses to the questions in the D2L dropbox. The assignment in due on Monday by 11:59 PM PST

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