Impact of Culture in Managing Acute Coronary Syndrome Assignment | Custom Assignment Help

It’s a PowerPoint presentation based on my paper. It’s turning research paper into a PowerPoint presentation. There is a development plan which has objectives that should be talked about in PowerPoint. Use these links mainly for resource or other in my paper and the paper, no need to add resources. https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2712182 http://eprints.whiterose.ac.uk/130363/1/Health%20%26%20Social%20Care%20in%20the%20Community_Concept%20Analysis%20of%20Culturally%20Competence%20paper%202nd%20revision%202018_accepted%20version_Jan%202018.pdf

Impact of Culture on Managing Acute Coronary Syndrome (MI)

 

 

 

 

 

 

 

 

 

 

 

 

 

Impact of Culture on Managing Acute Coronary Syndrome (MI)

 

Different races, ethnic communities, and subgroups experience significant differences concerning acute coronary syndromes (ACS) as well as myocardial infarction (Graham, 2016). Patients from different cultural backgrounds are highly likely to experience lengthier delays in seeking treatments and receiving treatments. For instance, the existing literature identifies that patients from black and Hispanic cultural backgrounds are highly susceptible to experience worse implications when compared with patients from non-Hispanic white backgrounds (Graham, 2016). The causes of existing disparities are considered as being complex and beyond the healthcare system. Nurses and other healthcare interprofessional must understand and take into consideration the patient’s cultural background and personal characteristics to ensure that advanced solutions are being provided to solve the medical challenge (Henderson et al. 2019). The aim of the nursing practice includes reducing the overall healthcare costs while at the same time, enhancing the quality of services.

Process

I will be conducting the literature review by choosing a topic, which I already have. Then, I will find and determine the number of databases I will be using to conduct my research. Once I decide and find the databases I will be using, such as Medline, PUBMED, and CINAHL.  Then I will pick my keywords to do the research, determine how many resources are required for this paper, which is at least one nursing research article and four other nursing or other healthcare professional articles. I will learn how old my resources or articles should be (at least five years old). After, I will start conducting my research by reading the abstract to save me time. Also, when researching articles, I should keep in mind these questions: what’s the author’s purpose for writing this article or journal? Is it a peer-reviewed journal? (Literature Review, n.d)

I will be interviewing by preparing questions that are relevant to my topic. Then I will choose an appropriate time and location to do the interview, starting by explaining the purpose of the interview. I will be asking my preceptor and other staff in the unit questions related to the subject by making sure that the confidentiality of patients or staff is maintained throughout the process (General Guidelines for Conducting Interviews, n.d).

To analyze information, I would start by reading the resource that I gather multiple times to get familiar with the articles and start looking for themes that connect to the subject or answer my research question. Besides, I will be analyzing the different information that I will get from the interviews of respondents, whether it’s stories, shared experiences, from observing the unit, from the community or population I am surviving. Also, the recommendations will be generated from the research and based on the conclusion.  I will be presenting the information by choosing what will be essential to talk about to my audience. Figure out what kind of material I will need to present the project. It could be a laptop (computer) if I want to present using powerpoints or board.

 

 

 

 

 

 

 

 

Educational Topic _

________________Impact of Culture on Managing Acute Coronary Syndrome (MI) ________________________________________________________________________

 

Description of Learners _________________Leaners are healthcare interprofessional (RN) working in heart and vascular med-surg unit. Providing care to patients with different cultural background _________________________________________________

 

Learner Readiness Assessment – Analysis – Motivational Strategies

PEEK	Assessment and Analysis Learner Strengths and Barriers to Learning	Motivational Strategies
P          Physical (Where and when will teaching occur? How might this promote or inhibit learning?)	Learners are registered nurses (RNs) who are well knowledgeable in the cardiovascular system. The teaching will occur in the breakroom. The setting has tables and chairs. The break room has a TV which could be a distraction and every staff has access to it. Therefore people can be coming in and out which could be a distraction.	Make sure the TV is off. Also maybe have a sign out to ask other staff to come in quietly. Make sure the lighting in the room is bright enough for the audience to be able to see.
E          Emotional (How motivated/interested/involved are the learners in the topic?  What else is going on that might impact their learning?)	The topic aims to emphasize the importance role nurses play in providing adequate healthcare services to patients with various backgrounds suffering from ACS. All the nursing and clinical care relating to the patient should take into consideration the patient’s cultural background, personal belief and wishes.	Provide nurses information about cultural factors and socioeconomic conditions affecting patients to take into consideration when providing care to patients. Encourage nurses to discuss about their own experiences and what they have done when providing care to patients from a different backgrounds
E          Experiential (What experiences have your learners had with this topic?)+	My targeted audience are nurses who have been working in heart and cardiovascular med-surg units for many years of experience. In addition, they provide care to a variety of patients with cardiovascular diseases. The subject will talk about cultural factors related to the management of ACS ( MI)	Explore different cultural factors from different ethnicities. Point out the concept of cultural competence required to provide culturally safe and quality care. Discuss the challenges seen from experience that evolve around providing care to patients from different cultures, resource programs available to enhance patient’s outcomes.
K          Knowledge (Consider the literacy level, i.e. educational level; language; reading level.  What do the learners know about the topic?  What have they learned/been taught in the past?)	The learners are knowledgeable about the topic because they receive patients from various backgrounds. There was a discussion among nurses talking about a group of population who are known to have high prevalence of cardiovascular disease which they mentioned Asians and they were wondering why due to multiple re-admission..	Talk about developing cultural competence by acknowledging a patient’s background, belief practice. Desire health habit and adherence to medications, disparities, education.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Part 2

The causes of existing disparities are considered as being complex and beyond the healthcare system. Nurses and other healthcare interprofessional must understand and take into consideration the patient’s cultural background and personal characteristics to ensure that advanced solutions are being provided to solve the medical challenge (Henderson et al. 2019). The aim of the nursing practice includes reducing the overall healthcare costs while at the same time, enhancing the quality of services.

The present research project was granted permission by faculty liaison and preceptor. All information obtained for this project or research, steps were taken to safeguard sensitive appropriately and personal information that participants/nurses would not reasonably want to disclose or make public. There was no direct identifying information such as full name, date of birth, address that was used or discussed to identify a specific individual or patients. The things that were considered are the common diagnosis seen in the unit. In addition, what group of people are mostly seen at the site with these diagnoses, and what is the age range.

Data or information would have been obtained by combining two perspectives approaches, discussion with nurses and collecting organization information. The organization information would have involved researching policies already in place for various cultural groups hospitalized with ACS, different programs the facility offers for outpatient services, discharge guidelines and follow-up information. A conversation with staff or nurses is critical because they are essential players in the provision of adequate health care services and are expected to deliver optimal care for patients suffering from ACS.  Nurses are expected to establish valid job criteria to provide optimal care, educate, and maintain cultural competence to achieve healthcare goals (Henderson et al. 2018).

The study will look at cultural background disparities in ACS patients’ health status, nurses’ cultural competencies, and the organization or site’s actions to reduce hospitalization among these groups. The study will include patients who are forty years or older and hospitalized with an ACS.  The data collected will be from nurses based on their experiences, education, and observations working for the organization. Surveys with questions would have been provided to nurses where they will be asked to choose from the survey options common race/ethnic seen in the hospital with ACS? And staff could choose from options provided such as Hispanic, African American, Asian, and white. What are other players or factors such as comorbidities seen among these specific ethnic groups or patients hospitalized with ACS? Options would apply hypertension, diabetes, obesity, and metabolic syndrome. Also, from the organization standpoint, what are the services that are being provided to nurses, such as education, training, resources to improve cultural competency. Another retrospective analysis of 689,238 patients hospitalized for ACS across all insurance types will be to analyze whether the quality of ACS care differs by race (white, black, Asian, Hispanic, or Native American), with adjustment for patient clinical and demographic characteristics and clustering by hospital

Other information will be collecting data from personal observation, looking at what are the resources already in place that the organization is offering to prevent cultural disparities among patients with ACS by asking questions such as is there a diversity in healthcare providers? What are the social services policies and policies and guidelines available for the various cultural groups? (Henderson et al. 2018).

According to the preceptor and what was observed in the site, most of the patients who were hospitalized with ACS are Asians (hmong culture), followed by black ethnicity. Previous studies demonstrated that there is a rapidly growing minority population, such as Asians hospitalized with ACS (Yong et al. 2018). It was found that black patients had the lowest in-hospitalization 5% vs. 6% to 7% for other races. Contrary to, Asian patients had the highest in-hospitalization 7% vs. 5% to 7% for other races. Asian patients had the worst in-hospital mortality outcomes after ACS, despite the high use of early invasive treatments. Black patients had better in-hospital outcomes despite receiving less guideline-driven care (Yon et al. 2018).

In relation to social factors, studies have found that a patient’s cultural factors are attributed to existing disparities in the majority of cardiometabolic risk factors of acute coronary syndrome. The risk factors are evident for the minority groups and include diabetes, obesity, hypertension, and metabolic syndromes. In a study, it is shown that the national prevalence of type 2 diabetes in adults was 7.1% in non-Hispanic Whites, 8.4% in Asian Americans, 11.8% in Hispanics, and 12.6% in Blacks (Ferdinand et al. 2014). These specific ethnic groups are those seen mostly in the facility with other health conditions such as hypertension and a history of smoking. As supported by the study, Asian and black ethnicities have more underlying diseases and risk factors such as high blood pressure, smoking, unhealthy diet, and diabetes   which puts them at higher risk for developing ACS. Despite the notable adjustments in patient incomes which have an influence in patient’s health and morbidity, also can determine the patient’ ability to afford their health,  education which is the patient’s ability to understand their care and treatment, there still exist disparities in care based on racial, ethnic, and cultural backgrounds (Graham, 2016). Such observations should form the basis of the implementation of quality and equitable nursing practices. The cultural backgrounds are associated with disparities that are strictly related to socioeconomic factors. Some of the notable socioeconomic factors include access to avoidable health insurance, quality of care, and lack of access to sufficient preventative medicine. Cultural factors and associated socioeconomic conditions affect the patient’s access to adequate education relating to desirable health habits and adherence to medication (Henderson et al. 2018). According to what was discussed with the preceptor and observed, a lot of patients who are hospitalized with ACS, especially with Asian ethnicity, most are not English speaking, and others are inadequately informed about their health condition. Therefore, adherence to medication and understanding their role in their healthcare will be limited.

As for the organization, it serves a variety of people in Ramsey County, which is considered as the most racially diverse county. There are approximately 12% ‐ 13% Black or African American residents in the county, and about 14% of Asian residents (Healthpartners, 2015). Based on the observation, the organization provides services for its patients, such as interpreters to facilitate communication, patients’ education during discharge, follow up appointments, and brochure. As for improving cultural competency, more research needs to be done. As an organization that serves a variety of people, there are specific knowledge, skills, and attitudes necessary for adequate provision of culturally fit health care, particularly for most of the patients significantly affected by their cultural environment and practices. It is crucial for the healthcare facility to provide programs that allow staff to obtain sufficient knowledge of the patient’s culture, which includes traditions, values, and family systems. Healthcare should also understand the effects of culture, racism, and poverty on patient’s behaviors, values, and disabilities (Henderson et al. 2018). When dealing with culturally diverse patients, nurses gather knowledge on the impact of social service as well as policies available for the various cultural groups. It is also critical for nurses to recognize how their professional values may conflict with or accommodate the needs of patients from a different cultural background. Cultural factors have a significant impact on ACS patient’s help-seeking behaviors and capacities to adhere to prescribed medications, and nurses should obtain such knowledge of cultural beliefs and their effects on patients’ wellbeing.

Treatment and care for ACS have improved substantially in quality, benefiting all racial and ethnic groups, but disparities, even when successfully narrowed, persist among a variety of ethnic groups. Asians and Blacks are the most affected compared to other races/ethnicities (Ferdinand et al. 2014). Therefore, more research and implementation of cultural competence among healthcare providers is necessary to further reduce and eliminate ACS disparities, along with healthcare facilities’ efforts focused on reducing health risks and their related comorbidities. Besides, the prevalence of acute coronary syndromes and patients’ cultural backgrounds which requires nurses to develop cultural competence that enables them to provide optimal care and educate patients with a primary objective to achieve desired health outcomes. The concept of cultural competence requires nurses and healthcare providers to develop the capacity to provide culturally safe and quality healthcare of patients coming from different cultural backgrounds (Henderson et al.  2018). Nurses must gradually develop critical attributes such as cultural awareness, sensitivity, knowledge, skills, and culturally related dynamic processes. Nurses have a vital role to play in the provision of health education as a form of intervention. Health education programs should be comprehensive and aimed at improving patients’ clinical outcomes. The nurse should aim at enhancing and maintaining the patients’ health behaviors.

Part 3

Recommendation and conclusion

Nurses should create a system of care that is regionally based, which is formally linked to specialist centers for the provision of consultation services. Nursing practices should incorporate effective monitoring, timely feedback, and quality improvement components. All the nursing and clinical decisions relating to care and patient transfers should take into consideration a patient’s cultural background, personal characteristics, beliefs, and wishes. Nurses and healthcare practitioners should play a critical role in designing a collaborative healthcare system that provides access to healthcare services needed in the time that is appropriate, depending on the health conditions of the patient. The guiding principles of the nursing services are equality of care, equity in access, and evidence-based practice, which account for the patient’s cultural background, characteristics, and preferences (Henderson et al.  2018).  (cite source)

Nurses can develop relevant skills and attitudes, which are critical for ensuring that nurses perform their clinical duties, educate patients, and provide culturally competent healthcare services. Such skills include the ability to communicate relevant information effectively and accurately to and on behalf of culturally different patients ((Henderson et al.  2018).  Nurses should develop skills that assist them in assessing the real meaning of culture and cultural practices for individual patients. Nursing attitudes include those personal qualities that allow them to reflect genuineness, empathy, and caring to individual patients (Henderson et al.  2018). Culturally competent nursing practices require individuals to respond to different range of solutions to health challenges flexibly. Nurses and other healthcare providers should be expected to develop a willingness to work with culturally diverse patients and identify methods of accommodating conflicting views and needs of patients from different backgrounds. The provision of culturally competent services requires nurses to maintain a willingness to adapt and fit in the patient’s cultural backgrounds, as this allows them to provide optimal care (Henderson et al.  2018).

As stated above, the treatment for ACS has gradually been improved, treatment and care for ACS have grown substantially in quality, benefiting all racial and ethnic groups, but there is persistence in healthcare disparities. Therefore, there are certain ethnic groups such as Asians and Blacks, which are mostly affected compared to other races/ethnicities (Ferdinand et al. 2014). The implementation of cultural competence among nurses and other healthcare providers is essential in reducing and eliminating ACS disparities.

Leadership

To implement changes, it is crucial for a leader to understand the objectives and the end goal prior to initiating change. The leader must set goals that are realistic and analyze the organization’s current position and where the company needs to be. In this situation, transformational leadership is an ideal form of leadership theory needed. Transformational leadership as the ability of both leader and follower to raise each other to higher levels of motivation and morality (Marquis & Huston, 2018, pp 50). Also, one of the most critical tenants of transformational leadership is collective empowerment. This means that both the leader and the people they are leading are working together to achieve a shared goal” (Marquis & Huston, 2018, p. 51). Using this leadership theory allows the leader and follower to carry the same purposes, which in this case is to improve patients’ outcomes from different cultural backgrounds diagnosed with ACS while remaining culturally competent. Nurses must work collaboratively with patients and facilities to address healthcare problems experienced by these ethnic groups and find ways to enhance the quality of services.

Reflection

Nurses are the people who spend most of the time interacting with patients, building relationships with individuals and families. Therefore, as a new nurse, this activity reinforces the idea of what skills are expected from a nurse when interacting with patients from different cultural backgrounds. Nurses are expected to develop the ability to provide healthcare services that are legitimate, effective, and respectful based on the understanding of similarities and differences, starting by evaluating our strengths and weaknesses regarding cultural competence. The need to look at where the challenges need to be addressed by self-examination to gain insight into their own beliefs and values. Self-examination will allow me to gradually develop critical attributes such as cultural awareness, knowledge based on different ethnic groups (Henderson et al.  2018). Also, for me to provide optimal care and maintain cultural competence, I should always ask questions and professionally seek information because cultural competency is a continuous process rather than an endpoint. Also, as patients’ needs evolve, these changes will dictate how cultural diversity is addressed.

One other thing that I learned doing this activity is the importance of looking at and assessing clients as a whole. As a nurse, it is crucial when dealing with culturally diverse patients to gather information necessary to provide optimal care to patients. Also, understanding the effect of culture, racism, and poverty on a patient’s behaviors, values, and disabilities interfering with a patient’s ability to adhere to their health.

If given the opportunity to redo this project, there are a few key areas that I’d focus on and approach differently, such as collecting data from the organization as well to give me more insight into the topic. There was a lack of information access. The research depended on having access to people, and organizations’ data, which were not obtained. Also lack citations in my research paper. I could’ve cited my resources often to show that I have done the proper research. Time was also one of the limitations of this research. As a student, having other academic responsibilities took away the time I could’ve dedicated to conduct this research. Therefore, I didn’t have enough time to further my research and gather data. Moreover, there is some of the information missing that could’ve been provided such as looking at other ethnic groups like American Indians, Hispanic and comparing them with the ethnic groups stated above.

 

 

 

 

 

 

 

 

 

 

 

 

Title of Activity: Impact of Culture on Managing Acute Coronary Syndrome (MI) __________________________________________________________________________________________________________

 

Objectives must be stated in measurable terms. OBJECTIVES THAT BEGIN WITH THE WORD “UNDERSTAND” ARE NOT MEASURABLE. Refer to appendix for a list of measurable behavioral objectives.

 

Objectives	Content	Time Frame	Presenter	Teaching Method
List objectives in operational/ behavioral terms. For each objective, answer the statement: “The learner will be able to …” DO NOT BEGIN AN OBJECTIVE WITH THE VERB “UNDERSTAND.”	Provide an outline of the content to be presented for each objective. The content must be more than a restatement of the objectives.	State the time frame for the topic area.	List the presenter for each topic.	Describe the teaching method(s) used for each topic.
-Learner will be able to define cultural competency and its importance       –Learner will be able to Identify which cultural groups are at greater risk to be hospitalized with Acute Coronary Syndrome.       –Learners will be able to recognize the existing disparities, patient’s cultural background in relation to Acute Coronary Syndrome and ways to minimize them.           -Learner will be able to explain the skills needed to develop cultural competence care	Discuss the definition of what it means to be culturally competent. Provide the definition of cultural competence. Discuss the  impact cultural competence in nursing care   -Discuss the results and  health outcomes Between Asian, African Americans, and Whites treated with Acute Coronary Syndrome.     -Discuss patient comorbidities and health risks leading to ACS, Socio-economic factors such as access to healthcare, education level. Discuss ways nurses can address these disparities. The role nurses can play when  interacting with patients with diverse backgrounds which include advocating, educating, eliminating the racial and cultural issues that creates health-related disparities   -Discuss the attributes needed to be culturally competent which are  knowledge, skills, awareness (aware of own bias), understanding and sensitivity.	2 minutes                               2 minutes                           3 minutes                                               3 minutes	Amelie Sindayihebura                         Amelie Sindayihebura                         Amelie Sindayihebura                                     Amelie Sindayihebura	-Using powerpoint, discuss from information found in the research.     -Powerpoint presentation, talk about literature findings, use and explain statistics from the literature comparing different ethnic quality of health.   -Powerpoint, use statistics results from article(Graham) Comparing the socio-economic between races, use personal experiences or observation   Providing explanation from literature findings, use personal learning

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

References

Community Health Assessment. (2015, December). Retrieved from https://www.healthpartners.com/content/dam/hot/brand-identity/pdfs/corporate/community-health-needs-assessment.pdf

Ferdinand, K. C., Rodriguez, F., Nasser, S. A., Caballero, A. E., Puckrein, G. A., Zangeneh, F., Mansour, M., Foody, J. M., Pemu, P. E., & Ofili, E. O. (2014). Cardiorenal metabolic syndrome and cardiometabolic risks in minority populations. Cardiorenal Medicine, 4(1), 1–11. https://doi-org.pearl.stkate.edu/10.1159/000357236

Henderson, S., Horne, M., Hills, R., & Kendall, E. (2018). Cultural competence in healthcare in the community: a concept analysis. Health & social care in the community, 26(4), 590-603.

General Guidelines for Conducting Interviews. (n.d.). Retrieved from https://managementhelp.org/businessresearch/interviews.htm

Graham, G. (2016). Racial and ethnic differences in acute coronary syndrome and myocardial infarction within the United States: from demographics to outcomes. Clinical cardiology, 39(5), 299-306.

Literature Review: Conducting & Writing: Steps for Conducting a Lit Review. (n.d.). Retrieved from https://libguides.uwf.edu/c.php?g=215199&p=1420520

Marquis, Bessie L., and Carol Jorgensen Huston. Leadership Roles and Management Functions

in Nursing: Theory And Application. 9th ed., Wolters Kluwer Health, 2017.

Yong, C. M., Ungar, L., Abnousi, F., Asch, S. M., & Heidenreich, P. A. (2018). Racial Differences in Quality of Care and Outcomes After Acute Coronary Syndrome. The American Journal of Cardiology, 121(12), 1489–1495. https://doi-org.pearl.stkate.edu/10.1016/j.amjcard.2018.02.036