Identify a cardiac or respiratory issue and outline the key steps necessary to include for prevention and health promotion

 Identify a cardiac or respiratory issue and outline the key steps necessary to include for prevention and health promotion 

Discuss the ways in which a nurse demonstrates cultural competency in nursing practice.

  Topic 4 DQ 1

In the field of nursing there are many things the nurse needs to be good at. We need to be good at listening, assessing, treating, and many other things. Today there are so many different cultures that nurses meet. To provide the best care for the patient the nurse needs to be culturally competent and be able to gain the cultural information from the patients. To gather that information, the nurse can do several things. They can ask the patient verbally or by a written questioner. The nurse can also observe the patient and pick up on their culture. asking the patient to get the information can sometimes be difficult but I think it is the best way. The nurse needs to ask questions in a non-judgmental way.

When a nurse is culturally competent they give better care. They can know what the culture wants and allows during care. Some cultures the husband makes all the decisions, some cultures do not allow a male doctor or nurse around a female patient. In my field certain cultures do not believe in pain management and some believe in a LOTUS birth. When the nurse knows the different cultural beliefs, they can give much better patient centered care. Allowing the patient to practice their beliefs if they are safe shows cultural competency on the nurse’s part. Not trying to force the patient to do something that they do not believe in, for example pushing the pain medication on the patient that does not believe in it. Being culturally competent is very important so there needs to be training to become culturally competent (Cuevas, O’Brien, Saha, 2017)

Respond to the above posting using 200-300 words APA format with references supporting the post


The first step of the evidence-based practice process is to evaluate a nursing practice environment to identify a

nursing problem in the clinical area. When a nursing problem is discovered, the nurse researcher develops a

clinical guiding question to address that nursing practice problem.

For this assignment, you will create a clinical guiding question know as a PICOT question. The PICOT question must

be relevant to a nursing practice problem. To support your PICOT question, identify six supporting peer-reviewed

research articles, as indicated below. The PICOT question and six peer-reviewed research articles you choose will

be utilized for subsequent assignments.

Use the "Literature Evaluation Table" to complete this assignment.

1. Select a nursing practice problem of interest to use as the focus of your research. Start with the

patient population and identify a clinical problem or issue that arises from the patient population. In

200–250 words, provide a summary of the clinical issue.

2. Following the PICOT format, write a PICOT question in your selected nursing practice problem area of

interest. The PICOT question should be applicable to your proposed capstone project (the project

students must complete during their final course in the RN-BSN program of study).

3. The PICOT question will provide a framework for your capstone project.

4. Conduct a literature search to locate six research articles focused on your selected nursing practice

problem of interest. This literature search should include three quantitative and three qualitative

peer-reviewed research articles to support your nursing practice problem.

Note: To assist in your search, remove the words qualitative and quantitative and include words that narrow or

broaden your main topic. For example: Search for diabetes and pediatric and dialysis. To determine what research

design was used in the articles the search produced, review the abstract and the methods section of the article.

The author will provide a description of data collection using qualitative or quantitative methods. Systematic

Reviews, Literature Reviews, and Metanalysis articles are good resources and provide a strong level of evidence

but are not considered primary research articles.  Therefore, they should not be included in this assignment.

While APA style is not required for the body of this assignment, solid academic writing is expected, and

documentation of sources should be presented using APA formatting guidelines, which can be found in the APA

Style Guide, located in the Student Success Center. 

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with

the expectations for successful completion.

You are not required to submit this assignment to LopesWrite.

C and U charts

 PROBLEMS 1. A hospital introduced hip protectors to reduce the frequency of injury-producing patient falls. The hip protectors were introduced in July. The following table records the number of injury-producing falls from January through December. Create and interpret a c chart for patient falls. Were the hip protectors effective in reducing injury-producing patient falls? 

 s Month Falls Jan 5 Jul 3 Feb 5 Aug 3 Mar 3 Sep 2 Apr 4 Oct 2 May 2 Nov 3 Jun 2 Dec 3

2. The director of medical records conducts a monthly audit of 50 medical records to iden- tify coding errors. The Chapter 08.xls, Problem 08–02 tab records the data. National sta- tistics indicate that approximately 15% of medical records contain errors, and in the past the director has found multiple errors in a single record. Create a c chart to analyze perfor- mance. Interpret the department’s performance based on your control chart and identify any issues that should be investigated. Is the department doing a good job? 

3. The chief medical officer is concerned that the long lengths of stay at her hospital may be the result of missed oxygen treatments. She has enacted a program to reduce the number of missed treatments. The Chapter08.xls, Problem 08–03 tab, records the number of missed oxygen treatments over the last 40 weeks. The improvement program was introduced in week 20. Was the program effective? 

 4. Implementing regular nursing rounds has been demonstrated to increase patient satisfac- tion and reduce patient falls. A hospital has collected data on ten patients per month over the past 24 months. The first twelve months the hospital did not have a formal rounding system. During the second period nurses were required to make rounds on an hourly basis from 8:00 AM through 8:00 PM and every two hours from 8:00 PM to 8:00 AM. The Chapter 08.xls, Problem 08–04 tab displays the number of call lights received per day for the ten- patient sample. Create a c chart to determine the effect of the rounding system on the use of call lights. Did the rounding program reduce patients’ use of call lights? Are there any issues that should be investigated? 

5. To supplement their patient satisfaction survey, End Result Hospital conducts in-depth tele- phone interviews of past patients. The interviews are based on a 1% sample of the completed surveys from the prior month. The sample varies widely due to differences in monthly admis- sions, the rate at which surveys are completed, and the willingness of patients to participate in the telephone interview. The Chapter 08.xls, Problem 08–05 tab records the total number of the patients’ concerns noted by the interviewers. These concerns range from the effective- ness of medical treatment to the cleanliness and comfort of the patient room and ease of parking. The interviewer addresses the same items found on the patient satisfaction survey, solicits additional information for any item on which the patient indicated performance was less than “Good” or “Very Good,” and provides the patient with the opportunity to voice any other concerns. Create a control chart to summarize the results. Are patient concerns stable?