NUR3894 Rasmussen College Social and Cultural Issues in Nursing Presentation NUR3894CBE Section 01CBE Contemporary Issues in Nursing. Deliverable 4 – Socia

NUR3894 Rasmussen College Social and Cultural Issues in Nursing Presentation NUR3894CBE Section 01CBE Contemporary Issues in Nursing. Deliverable 4 – Social and Cultural Digital Poster Presentation Competency Analyze cultural and social issues in the contemporary, professional nursing environment. Scenario You have been selected by your colleagues to be the nursing representative on the Hospital Diversity Committee. The annual nursing symposium is coming up, and this year the focus is on contemporary issues in nursing. The members of the committee have asked you to represent the group by creating a digital poster presentation, for the symposium. Instructions The infographic needs to include the following elements: One contemporary cultural issue present in nursing. Address at least two implications of the cultural issues on current nursing environments. Identify one credible source to provide attendees with more information on the issue.One contemporary social issue present in nursing. Appraise how the social issue impacts the consumer within healthcare. Identify one credible source to provide attendees with more information on this issue.Two resolution strategies to support each identified cultural and social issue.Define what the nurse’s role would be in supporting these strategies. Resources For assistance on creating an infographic, please visit the Rasmussen College Answers page For assistance on creating a professional poster presentation, please visit the Rasmussen College Answers page For assistance on ensuring you are completing assignments at the appropriate level of depth, please visit the FAQ called What is Bloom’s Taxonomy? How do I get from one level to the next? For additional research assistance, please visit How can I make a Research Appointment with a Rasmussen College Librarian? For additional APA assistance, please visit the Rasmussen APA Guide. NUR3894 Contemporary issues in nursing Material
Cultural Diversity and Uprising Social Issues
In today’s society, nurses work in very diverse environments that require
continual adaptation to multifaceted changes. Nurses are faced with
balancing client care while considering “policy, regulatory requirements,
benchmark standards, economic forces, technological developments,
and social challenges in the resource-constrained healthcare delivery
system” (Mennella, 2018, p. 1). In addition, nurses have to be mindful
and cultivate cultural and social strategies to meet the diverse
populations. According to Mennella (2018), “employees and patients in
healthcare organizations represent various cultural backgrounds, and the
population continues to diversify” which leads to a host of social
variations (p. 1). Understanding the diverse nursing environments will
allow for more inclusion amongst nurses and those who work within
Diverse nursing environments must first be considered for nurses to
foster cultural and social resolutions for enhanced client outcomes.
Before we look at strategies to promote diverse nursing environments,
we should define the context in which we are using cultural and social
terminology. Healthcare professionals come in contact with the more
than 100 ethnic groups that make up the United States population
(Mennella, 2018). Therefore, the diversity of our workforce and the
patients we serve are made up of different and isolated populations.
Cultural sensitivity is essential to ensure healthcare organizations follow
laws and create policies to eliminate discrimination. In addition, with the
multitude of cultural considerations society faces with a host of new and
uprising social issues presenting challenges within today’s healthcare
infrastructure. For example, the rise of opioid abuse has impacted how
healthcare can treat and manage pain for both acute and chronic pain
Mennella, H. (2018). Leadership: Culturally sensitive. CINAHL Nursing
Guide. Retrieved
Promoting Health Work Environments
To cultivate strategies for diverse nursing environments that foster
cultural and social resolutions, nurses must first look at what is
necessary to promote a healthy work environment. There have been
benefits of creating, fostering and ensuring a healthy work environment
exists to include:
“(a) improved physical and mental health; (b) enhanced job and role
satisfaction; (c) low rates of absenteeism, illness and injury, turnover,
involuntary overtime, burnout and job strain, and unresolved grievances;
and (d) positive relationships with colleagues, physicians, and
management personnel. Additional, encouraging benefits of a healthy
work life is a perception of balanced work life; upbeat perceptions of work
environment; self-directed practice; possibilities for professional
development and advancement; and increased involvement in decision
making” (Schub, 2018, p.1).
Studies have pointed out that basic considerations need to be made
before a culture of inclusion can be created to support the nursing
profession. To be inclusive, employers need to consider the cultural and
social needs of their employees (Schub, 2018). The cultural and social
needs of employees vary and require a culture of collaboration.
Therefore, strategies for diverse nursing environments that foster cultural
and social resolutions requires nurses to be directly involved in shared
governance. Woten and Heering (2018) define shared governance as “ a
professional practice model that promotes nursing empowerment and
shared decision making…a structure for decentralized, shared decision
making in which nurses and managers collaborate to achieve
organization goal” (p. 1). Using a shared governance model allows
nurses to weave their needs together, including cultural and social
preferences, in the work environment (Newman, 2011). Having the
collective voice of employees creating, leading and driving the
organizational culture ensures that everyone is committed to achieving
the organization’s goal and including everyone’s needs. In addition,
without shared governance, leaders have found it very challenging to
meet the needs of their employees in such diverse work environment
present today. Nursing leaders are expected to “lead during a period of
change in a diverse profession and to act as a cultural” and social bridge
(Newman, 2011, p. 47). There are ways to approach shared governance,
but often organizations reported high social and cultural inclusion have
used steering committees to ensure bylaws are created to guide councils
and scope of their influence (Newman, 2011). When employees are not
engaged in creating the foundation of the organization, you will see
issues with inclusion, specific to cultural and social needs, and resulting
turnover; this alone speaks volumes to the social and cultural inclusion
that is missing in many healthcare organizations. (Velmurugan, 2017).
Using a shared governance model leads to the creation of new
professional practice models that fit the organizations’ cultural and social
Newman, K. P. (2011). Transforming organizational culture through
nursing shared governance. Nursing Clinics of North America, 46(1), 45–
Schub, T. B. (2018). Work environment: Creating a healthy work
environment. CINAHL Nursing Guide. Retrieved
Velmurugan, R. (2017). Nursing issues in leading and managing
change. International Journal of Nursing Education, 9(4), 148–
Woten, M. R. B., & Heering, H. R. C. (2018). Shared Governance: an
Overview. CINAHL Nursing Guide. Retrieved
Changing Nursing Demographics
A strategy that has gained popularity, but not as much momentum, for
cultivating diverse nursing environments has been creating nursing
demographics that mirror the population they serve. In practice, this
strategy would be represented by a nurse manager who would be in
charge of hiring the nursing staff to reflect the general population of their
community. Studies have long made a solid connection between a
culturally diverse nursing workforce and culturally competent client care
(Elfman, 2018). The nursing profession has made progress toward in
creating a profession that mirrors the client population, but more efforts
need to be made to represent the diverse populations being served. The
need for diversity will only heighten if the projections are correct in
asserting minority populations will become the majority by 2043
(American Association of Colleges of Nursing, 2018).
Some strategies to promote cultural and social inclusion include:
Once the nursing profession can identify barriers to diversity, key
strategies can be created to enhance cultural and social diversity to
create nursing environments that represent the populations served.
American Association of Colleges of Nursing. (2018). Enhancing
Diversity in the Workforce. Retrieved
Elfman, L. (2018). Meeting nursing demand through diversity. Diverse:
Issues in Higher Education, 35(2), 10–11. Retrieved
O, B. K. R., Scheffer, M., van Nes, E. H., & van der Lee, R. (2015). How
to break the cycle of low workforce diversity: A model for change. PLoS
ONE, 10(7), 1–15.
Murray, T. A., Pole, D. C., Ciarlo, E. M., & Holmes, S. (2016). A nursing
workforce diversity project: strategies for recruitment, retention,
graduation, and NCLEX-RN success. Nursing Education Perspectives
(National League for Nursing), 37(3), 138–143.
Societal Change on Healthcare Consumption.
A societal change is the increasing longevity and lifespan of consumers,
which is causing an increase in healthcare services. These services
need to be available for a longer period of time, more specialty facilities
need to be created to support the aging population and health
expenditures are at the forefront as consumers are outliving their
savings. Specifically, chronic diseases accounted for 75% of healthcare
expenditures and are attributed to this societal change (Mehta, Ni,
Srinivasan, & Sun, 2017). This shift has caused there to be various
approaches to supporting chronic diseases. For example, patients with
chronic disease can consume three types of services.
Due to insurance changes, patients are left uneducated. For example,
Mehta and al. (2017) found that “consumers who purchase more
comprehensive plans than needed because of high uncertainty vis-à-vis
their health status, and that once in the plan, they opt for curative care
even when their illness could be managed through preventive care” (p.
339). In addition, Morrison (2015) found the rising economic burden of
healthcare has caused a societal change in treatment compliance.
Specifically, Morrison found that lower-income consumers:
“on private insurance are particularly vulnerable and, as a consequence,
46 percent of Americans with private insurance who earn below 200
percent of the federal poverty level have experienced some cost-related
access problem in the past 12 months: They have skipped doses, failed
to fill a prescription, or neglected to visit a doctor or specialist when
needed” (p. 25).
Therefore, the inflating costs, the insurance plan options and the cyclical
healthcare reform have left consumers confused, making grave
decisions, and needing more information and support to reduce the
impact of all these changes.
Another societal change impacting healthcare consumption is services
on demand. One of the most popular ways people are requesting
healthcare services is remote. Mostly popularly to date, this is done
through telehealth services. Telehealth is a care delivery model that
provides patients healthcare by way of technology. It primarily is
changing how healthcare is provided allowing for flexibility and reach of
health services to remote locations as patients can receive care in the
privacy of their home while the provider is thousands of miles away at a
healthcare facility. Powell et al. (2017) surveyed clients to see if
telehealth was “well received by patients and they found all participants
reported overall satisfaction with video visits, with the majority interested
in continuing to use video visits as an alternative to in-person visits” (p.
227). The study cited the benefits include convenience, increased client
comfort as they are seen in their supportive environment, and decreased
costs. As society continues to diversify it will be equally important that
healthcare can strategize new ways to deliver care. It is estimated that a
quarter of citizens do not have access to primary healthcare providers
(Polinski, 2016). Telehealth is changing how clients consume healthcare
by allowing individuals to access safe, affordable and convenient care all
from the comfort of home. Telehealth will continue to drive care practices
that reach all facets of the world; regardless of where you live, healthcare
can now have a central role in providing reliable healthcare services.
Mehta, N., Ni, J., Srinivasan, K., & Sun, B. (2017). A dynamic model of
health insurance choices and healthcare consumption
decisions. Marketing Science, 36(3), 338–360.
Morrison, I. (2015). The U.S. health care consumer. Trustee, 68(2), 25.
Picone, L. (2018). Demographic change: Minnesota will become older
and more diverse. Minnesota Medicine, 101(6), 13. Retrieved
Powell, R. E., Henstenburg, J. M., Cooper, G., Hollander, J. E., & Rising,
K. L. (2017). Patient perceptions of telehealth primary care video
Visits. Annals of Family Medicine, 15(3), 225–229.
Polinski, J. M., Barker, T., Gagliano, N., Sussman, A., Brennan, T. A., &
Shrank, W. H. (2016). Patients’ Satisfaction with and Preference for
Telehealth Visits. Journal of General Internal Medicine, 31(3), 269–

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