DIVERSITY
RNSG 2371
Concept-Based Transition to Professional Nursing Practice
Concept – DIVERSITY
Concept Definition
The unique variations among and between individuals, variations that are informed by genetics and
cultural background, but are refined by experience and personal choice. (NC)
Exemplars
Hispanic traditions- use of hot and cold foods, curandero
Native American traditions, herbs, sweat lodges, healers
Jehovah’s Witnesses and use of blood products
Complementary and alternative treatments
Spirituality
Sexual orientation: gay, lesbian, transsexual, bisexual
Objectives
1. Explain the concept of Diversity (including definition, antecedents, and attributes).
2. Analyze conditions which place a patient at risk for cultural incompetence.
3. Identify when cultural incompetence (negative consequence) is developing or has
developed.
4. Discuss exemplars of common diversity disorders.
5. Apply the nursing process (including collaborative interventions) for individuals
experiencing cultural incompetence.
Concept Analysis Diagram
Note: Diagram on separate page.
Explanation of Diversity Diagram:
If the antecedents are satisfactory then optimal expressions of diversity in healthcare occurs as
indicated by the attributes of shared beliefs, values and behaviors. If Diversity is not functioning
properly, the negative consequences of stress, culture specific illness, and breakdown of communication
occur, which requires intervention.
Before intervention can be implemented, the negative consequence must be linked to the
related antecedent and identified as ineffective. When this is done, an appropriate intervention can be
made. Whether the patient has positive or negative consequences, the impact of the interrelated
consequences of Coping, Communication, Interpersonal Relationships, Patient-Centered Care, and
Patient Education, vary, depending on the individual patient.
Assignments
Prior to class:
1. Review definitions of inter-rated concepts on concept analysis diagram.
2. Review concept analysis diagram.
3. Review assigned reading:
*Page numbers, assignments, and other lecture information will be posted on
blackboard.
DIVERSITY
 Berman, A. & Snyder, S. (2012). Kozier & Erb’s Fundamentals of Nursing.
Boston: Pearson.
 Chapter 18: Culturally Responsive Nursing Care
 Giddens, J.F. (2013). Concepts for nursing practice. St. Louis, Missouri:
Mobsy Elsevier.
 Chapter 4: Culture
 Lewis, S.L., Heitkemper, M.M., Dirksen, S.R., O’Brien, P.G., & Bucher, L.
(2014). Medical surgical nursing (9th ed). St. Louis: Mosby Elsevier.
 Chapter 2: Health Disparities and Culturally Competent Care
 Zerwekh, J. & Claborn, J. (2015). Nursing today: Transitions and trends (8th.
ed.). Philadelphia: Saunders.
 Chapter 21: Cultural and Spiritual Awareness
4. Videos and Internet resources to review:
 Ethnicity and race: An introduction to the nature of social group
differentiation and inequality.
http://anthro.palomar.edu/ethnicity/default.htm
 Understanding the Need in Cultural Awareness in Healthcare
http://mcom.alexanderstreet.com/view/1665445
 An Action Plan in Cultural Awareness in Healthcare
http://mcom.alexanderstreet.com/view/1665446
 Your Practice in Cultural Awareness in Healthcare
http://mcom.alexanderstreet.com/view/1665447
Concept Content Outline:
Concept:
Diversity
Sub Concepts: Healthcare Practice
Life Experiences
Differences in: Cultures, Religions, Gender etc.
Antecedents: Age
Religious/Spiritual
Ethnic/Race
Cultural
Sexual Orientation
Education
Life Experiences
Risk Factors: Barriers
Expecting cures or prolongation of life
Death-denying
High expectations of healers
Assessment: Comprehensive history
Physical assessment
Physical and psychological clinical manifestations
Diagnostic tests
Positive Outcomes:
Appropriate child-rearing practices
Cultural identity
Culturally congruent care
Inner peace, strength, faith, and hope
DIVERSITY
Negative Outcomes:
Stress-no hope
Culture- specific illness
Breakdown of communication/non-compliance
Fearful patient
Clinical Management:
Nursing interventions
Collaborative interventions
Exemplars:
Hispanic traditions- use of hot and cold foods, curandero
Native American traditions, herbs, sweat lodges, healers
Jehovah’s Witnesses and use of blood products
Complementary and alternative treatments
Spirituality
Sexual orientation: gay, lesbian, transsexual, bisexual
N:ADN Syllabus/CBCCurriculum/Transition Summer 2015/Transition Diversity
4/15