Organizational Cultural Competence
Purpose: To assess the degree to which the healthcare organization where you are employed promotes culturally competent care. In addition, you will explore strategies to promote cultural competence in health care organizations.
Guidelines:
Complete this template (by Dennison) based on your current or most recent healthcare employment setting. Organizational Culture Assessment
Upload your completed assessment tool to this forum. Failure to attach the completed tool will result in a zero for the original post.
Open Sutton’s article on improving cultural competence in patient care. Read-only the introduction and the section entitled “How is your practice doing?”
Based on your results from the Organizational Cultural Assessment tool, please answer the following questions about your agency:
Should healthcare organizations strive for cultural competence? Why or why not? Support your statements with scholarly sources.
Based on Sutton’s “How is your practice doing?” discuss how individual nurses influence cultural sensitivity and competence of health care organizations as a whole.
Discuss what your organization is doing to provide the best care for the primary multi-ethnic and multi-cultural patient populations served. For example, your agency may be educating providers about different ethnic or cultural beliefs and practices, use specific services or programs for healthcare teaching, mandate cultural assessments, engage community liaisons for specific patient populations, or engage in other initiatives.
Based on these assessment results, describe the greatest strength and the major concerns or weaknesses within your organization.
Describe agency-appropriate strategies to improve the areas of weakness in serving your community.
Dr. Howard Johnson is a tenured Associate Professor in the biochemistry department at a public university. He has been collaborating with a large, multinational pharmaceutical firm for the past six years. During this time the company has supported his research to the extent that they are the sole source of his funding. The research is widely respected and he receives multiple requests each year for seminars, review articles, etc. He anticipates that his promotion credentials for Full Professor will be forwarded to the University Committee in two to three years. As part of his research program with the company, he serves as an “external reviewer” in the annual evaluation of the Research and Development section of the corporation. In doing so, he signs a confidentiality agreement that covers the research activities discussed during the review.
This year Dr. Johnson was inadvertently included in a discussion at the social gathering following the review where one of the corporate scientists revealed that they had been utilizing a widely recognized chemical synthesis to generate new compounds that could be used as antidotes to certain viral infections. Because of prior use and the obvious nature of the synthesis as presented in the literature, neither the process nor the compounds could be patented. Thus, as soon as word of this process leaks out, it would be available to any of their competitors.
During the course of this conversation, he learned that in secret trials one of the compounds reduced the mortality of Rift Valley Fever by 90%. About 5000 lives are lost annually to this and similar viruses in East African countries.
The strategic plan adopted by the company was to withhold the distribution of those compounds. Management decided that they could not afford to release this compound to a developing country which would amount to a purely philanthropic gesture until after they had time to develop the compounds for influenza and the common cold. This would require about five years to obtain all of the permits needed to market such an antidote in developed countries. Unless the market in developed countries could be reached the antidotes would not be economically feasible to develop. However, if developed tens of thousands of additional lives lost to influenza would be saved.
Identify one product that you use for each of the categories on the Home Chemicals activity sheet. If you do not use a particular category of product, simply enter the phrase “do not use” and explain why. For example, if you do not use pet care products, enter “do not use” in the “Product Name” column and “do not have a pet” in the “What the Warning Says” column.
For each product identified that you do use, indicate the following:
The product name
What the product does, also known as the product “service”
Whether there is some type of warning about using the product.
What the warning says.
Answer questions 1 & 2 on the activity sheet when you have completed the inventory.
After doing this, select three products from your household product list which you think may be “hazardous” based on the warnings listed on the products. The U.S. Environmental Protection Agency defines hazardous as any material that is ignitable, corrosive, explosive, or toxic to humans, plants or animals. List the three products on the Activity Sheet.
The National Institutes of Health (NIH) maintains a database that contains a wide variety of information on over 5,000 consumer products. Information contained in the database includes the chemical ingredients, the manufacturer and contact information, as well as any possible acute and chronic effects associated with the chemicals that make up the products.
Go to the NIH Household Products Database. In the Quick Search box on the right side of the screen. Look up the first potentially hazardous product you have listed. Scroll down the page until you come to the Material Safety Data Sheet (MSDS) link and click on the link. Follow the directions on the remainder of the Activity Sheet and answer the questions
Create an ethical legal decision-making dilemma involving an advanced practice nurse in the field of education, informatics, administration, or a nurse practitioner. Apply relevant codes of conduct that apply to the practice of nursing and your chosen field.
Include one ethical principle and one law that could be violated and whether the violation would constitute a civil or criminal act based on facts.
Construct a decision that demonstrates integrity and that would prevent violation of the ethical principle and prevent the law from being violated.
Describe the legal principles and laws that apply to the ethical dilemma.
Support the legal issues with prior legal cases or state or federal statutes.
Analyze the differences between ethical and legal reasoning and apply an ethical-legal reasoning model in the case study to create a basis for a solution to the ethical-legal dilemma.
List three recommendations that will resolve advanced practice nurses’ moral distress in the dilemma you have presented.
Based on the issue you presented and the rules of the law, apply the laws to your case and come up with a conclusion.
Note:
This is a fact-based Assignment that will not include your opinion.
This will require research and support for what is written.
The Assignment should be in your words after reading the scholarly and fact-based publications and have proper citations. There should be no quotations. The professor wants to hear your voice as a masters trained nurse.
Description
In the Unit 2 topic 1 Discussion, you will choose an ethical-legal dilemma that would cause the advanced practice nurse moral distress. You will write the introductory paragraphs for the Unit 4 Assignment in the Unit 2 topic 1 Discussion Board and post it for your peers to comment on.
You will continue working on the topic you have chosen and submit the paper using the most recent version of APA format. A template is provided in the left navigation of the course room for the paper. The paper should have a minimum of seven citations and some of these should be case law or applicable statutes. The Kaplan Library has Westlaw Campus Research database where you can find case laws that relate to your topic. The APA Manual and the textbook have instructions on legal formatting.
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