Develop a 5–7-page proposal for a wellness education program for a specific population. Integrate aspects of culture, CAM and spirituality, and linguistics into the program. Explain how to market the program to the population, and explain the ethical, legal, and economic factors that can affect the health of the population.

Preparation

Your team has succeeded in demonstrating the need for a health promotion and disease prevention initiative for the population identified by your Windshield Survey assessment. Now you need to develop a proposal for a wellness education program that will help bridge the gaps in health care service delivery.

Use the Capella library and the Internet to find scholarly and professional resources that will help you propose a wellness education program for the health concern of your population. Find at least four resources to use in this assessment. You may also want to review the previous assessments you completed in this course.

Requirements

Based on your Windshield Survey and Organizational Evaluation assessments, complete the following:

· Design an evidence-based wellness program to address the primary health concern of the population that integrates:

o Cultural considerations: Will you need to consult with someone from the population on how to approach the delivery of your program?

o CAM, traditional medicine, holistic health, and spirituality considerations.

o Linguistic considerations: Will you need interpreters or translators for either written or oral presentations?

o Educational considerations: What will be the best way to educate the population?

· Describe how you will market or advertise the wellness program.

o What are the benefits the program offers the population?

o Will you need incentives to ensure participation and completion of the program?

· Explain the ethical, legal, and economic factors that impact the health and wellness of the population. For example:

o The ethical considerations (such as justice, non-malfeasance, and duty) that can affect preventative care and health promotion.

o Local laws, federal laws, and the Affordable Health Care Act that can affect preventative care and health promotion.

o The potential economic impact of clinical prevention and health promotion related to health disparities of your population.

The format for this assessment should be a professional proposal. If possible, ask about the format used for proposals in your organization and follow that. Follow APA formatting for your in-text citations and references.

Additional Requirements

· Include a title page and reference page. The completed assessment should be 5–7 pages in length, not including a title page and a reference page.

· Reference at least four current scholarly or professional resources.

· Use current APA format for citations and references.

· Use Times New Roman font, 12 point.

· Double space.

Attached is an example of a well graded paper for this assignment to use as a reference. 

Purpose

The purpose of the Course Project is to give the student the opportunity to apply concepts in transcultural nursing by performing a transcultural nursing assessment.

The purpose of Milestone 1 is to identify an adult who is not a relative who is willing to participate in the transcultural assessment and to secure the instructor’s approval for the assessment. Note: The actual assessment does not occur until Milestone 3. It is not a purpose for this assignment.

Course Outcomes

CO1: Identify theories, concepts, and beliefs related to transcultural nursing. (PO1)

CO2: Communicate effectively with culturally diverse individuals, families, and organizations. (PO3)

CO4: Perform a culturally competent nursing assessment. (PO7)

Points

The entire project is worth 600 points. Milestone 1 is worth 100 points of this total.

Due Dates

You are to submit your completed NR394 Milestone 1 by Sunday, 11:59 p.m. MT, at the end of Week 3.

Requirements and Guidelines

1. Review the Course Outcomes for this assignment, which are listed above.

2. Review the guidelines for Milestones 1, 2, and 3, paying particular attention to Milestone 1 for this assignment. The guidelines for all of the Milestones are located in Modules on the left-hand navigation menu. Also, read the Course Project Overview page in Introduction & Resources for more details and helpful tips.

3. Identify a potential individual who has been living in a culture other than the one of origin for at least 2 years. This individual must be born outside the United States.

The individual can be a patient, friend, or colleague, such as a physician, or acquaintance, but cannot be a relative. The individual must be living in your community and must be currently receiving or have previously received healthcare services in your community. The individual’s race, ethnicity, language, religion, and culturally based beliefs about healthcare and illness should be quite different from yours.

The individual must speak your language. An interpreter is not permitted for the actual assessment, which occurs in Milestone 3 (Week 6). 

Note: This is the same individual for whom you will develop verbal assessment questions in Milestone 2 and whom you will ask those questions in Milestone 3 and then reflect on your learning about the Course Project and the assessment.

4. Individuals can come from a variety of settings. Recent immigrants, migrant workers, exchange students, international students, long-term care residents, refugees, coworkers, physicians, patients, employees at local ethnic businesses, religious venues, community centers, and individuals who have recently moved to your community are some suggestions.

The individual does not need to be a healthcare worker but must have received healthcare services in the country of origin as well as since arriving in the United States. Work with your instructor prior to submitting Milestone 1. Approval must be provided by your instructor before submitting Milestone 1 (this assignment).

5. Speak with the individual, and obtain permission to conduct an assessment later in the course. Clearly explain that statements made in the assessment will be recorded (written) and submitted to the instructor only. It is not intended for public distribution. Anonymity will be maintained by using first and last initials only. Do not use names in any of your documents.

6. Download the NR394_Individual_Profile_Template (Links to an external site.). Although you are not performing the official assessment until Milestone 3, it will be necessary to obtain some general information about your individual to complete Milestone 1. This information may come from the individual or Internet sources.

7. Fill in information about the potential individual using the template. You are expected to write clearly and use proper grammar and spelling and eliminate typos.

8. Submit the completed template by the end of Week 3 at 11:59 p.m. MT.

Example: KC was born in Hwidiem, Ghana, a small village in Africa, where he did not graduate from high school. He is 72 years old. He immigrated to the United States at age 28 and has lived in Grove City near Columbus, Ohio since then. Hwidiem is considered the provincial capital (fill in information about the community or city as you can find). He was married but divorced after a traumatic brain injury. Since then, he has had many part-time jobs and studies his Bible faithfully. Grove City is a town in Ohio (fill in information about the city or community). Currently, he receives healthcare for his hypertension control. I met him 3 years ago at a senior citizens’ center where I volunteer.

**Academic Integrity Reminder**

College of Nursing values honesty and integrity. All students should be aware of the Academic Integrity policy and follow it in all discussions and assignments.

By submitting this assignment, I pledge on my honor that all content contained is my own original work except as quoted and cited appropriately. I have not received any unauthorized assistance on this assignment.

Please see the grading criteria and rubrics on this page.

Note: Please use your browser’s File setting to save or print this page.

Rubric

NR394 Milestone_1 – May 2019

NR394 Milestone_1 – May 2019

Criteria

Ratings

Pts

This criterion is linked to a Learning OutcomeDescription of individual and culture/community of origin

Provides first and last initials of individual; states profession and/or career choice of individual; describes specifically the country/community/city of birth and culture of origin of individual.

25.0 pts

Provides both the first and last initial of individual, age, profession or career choice; country of birth and thoroughly describes culture/community/city of origin.

22.0 pts

Provides first and last initial of individual age; gives general descriptions of profession or career choice; clearly describes culture/community/city of origin.

20.0 pts

Provides first and last initials of individual. Mentions specific culture/community/city but details are incomplete; fails to mention profession or career choice.

9.0 pts

Mentions individual by name instead of initials, which breaks confidentiality. Vaguely describes culture/community/city of origin and profession or career choice.

0.0 pts

Does not provide initials of individual; fails to mention profession or career choice; does not describe specific culture of origin.

25.0 pts

This criterion is linked to a Learning OutcomeTime in current community, and community

States the number of years individual has resided in your community. Provides a description of the individual’s current community.

20.0 pts

Indicates the number of years individual has resided in your community. Provides a detailed description of that community.

18.0 pts

Indicates the number of years individual has resided in the community. Provides a general description of that community.

16.0 pts

Indicates the number of years the individual has resided in this community. Provides a brief description of that community.

8.0 pts

Includes the number of years individual has resided in the community. Provides a vague description of that community.

0.0 pts

Does not include number of years individual has resided in the United States. Does not provide a description of that community

20.0 pts

This criterion is linked to a Learning OutcomeRelationship with individual

Describes how nurse is acquainted with individual.

10.0 pts

Thoroughly identifies the relationship of nurse to the individual, with details of how long each has known the other and the circumstances under which they met.

9.0 pts

Clearly identifies the relationship of nurse to individual but fails to describe the length of the relationship and circumstances under which they met.

8.0 pts

Generally identifies relationship of nurse to individual, but does not provide details of the length of the relationship or the circumstances under which each met.

4.0 pts

Vaguely identifies relationship of nurse to individual, but does not provide details of the length of the relationship or the circumstances under which each met.

0.0 pts

Does not identify relationship of nurse to individual.

10.0 pts

This criterion is linked to a Learning OutcomeExplains reasons individual was selected, and individual’s interaction with previous and current community’s healthcare system.

Explains details of why individual was selected that speak to individual’s culture and experiences with previous and current healthcare systems.

40.0 pts

Explains at least four reasons why the individual was selected that speak to the individual’s culture of origin and experiences with the previous and current healthcare system.

31.0 pts

Explains three reasons why the individual was selected that mention the individual’s culture and experiences with previous and current the healthcare systems.

28.0 pts

Explains two reasons why the individual was selected but does not include those that speak to the individual’s culture of origin or experiences with previous and current healthcare systems.

13.0 pts

Explains only one reason why the individual was selected but does not include those that speak to the individual’s culture of origin or experiences with the previous or current healthcare systems.

0.0 pts

Does not explain reasons individual was selected, or gives reasons that do not include the individual’s culture of origin or experiences with the previous or current healthcare systems.

40.0 pts

This criterion is linked to a Learning OutcomeMechanics

Mechanics and formatting with minimal errors of the following: correct grammar and spelling using complete sentences

5.0 pts

Excellent mechanics and formatting used with minimal errors of the following: – correct grammar and spelling using complete sentences

4.0 pts

Good mechanics and formatting used and consideration given to the elements listed in the first column.

3.0 pts

Fair mechanics and formatting used and consideration given to the elements listed in the first column.

2.0 pts

Poor mechanics and formatting used and consideration given to the elements listed in the first column

0.0 pts

Very poor mechanics and formatting such that paper is difficult to read.

5.0 pts

This criterion is linked to a Learning OutcomeTemplate Use

0.0 pts

0 points deducted

Correct template used.

0.0 pts

10 points (10%) deduction Incorrect template used or NO template used results in a loss of 10 points (10%).

0.0 pts

Examine Case Study: An Elderly Iranian Man With Alzheimer’s Disease. You will be asked to make three decisions concerning the medication to prescribe to this client. Be sure to consider factors that might impact the client’s pharmacokinetic and pharmacodynamic processes.

• At each decision point stop to complete the following:
  • Decision #1
    • Which decision did you select?
    • Why did you select this decision? Support your response with evidence and references to the Learning Resources.
    • What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources.
    • Explain any difference between what you expected to achieve with Decision #1 and the results of the decision. Why were they different?
  • Decision #2
    • Why did you select this decision? Support your response with evidence and references to the Learning Resources.
    • What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources.
    • Explain any difference between what you expected to achieve with Decision #2 and the results of the decision. Why were they different?
  • Decision #3
    • Why did you select this decision? Support your response with evidence and references to the Learning Resources.
    • What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources.
    • Explain any difference between what you expected to achieve with Decision #3 and the results of the decision. Why were they different?
• Also include how ethical considerations might impact your treatment plan and communication with clients.

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‐revised 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 (see attached document).

1. Select a nursing practice problem of interest to use as the focus of your research (Infection control). Start with the patient population (Hospital, medical surgical unit) and identify a clinical problem or issue that arises from the patient population (nosocomial infections). 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 (minimum 6) should be presented using APA formatting guidelines. 

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.