TRINITY VALLEY COMMUNITY COLLEGE
ASSOCIATE DEGREE NURSING
TRANSITION SELF CULTURAL ASSESSMENT CRITERIA SHEET
NAME: _________________________________
DUE DATE: _____________________
SUBMITTED: __________
# - Maximum points available for each criterion
 - Self check column
#
2.0

G
COURSE: _____________________________
CULTURE: ____________
G - Assigned grade (increments of 0.25)
C – Corrections required
C
I.
CULTURAL ASSESSMENT
Identify the culture, religion, and ethnicity you most predominantly identify with.
Discuss your personal ethnic/cultural/spiritual beliefs about health & illness, causes of
physical and mental illnesses, symptom management, health care seeking behaviors,
expression of pain and pain management, home and folk remedies, communication,
nutrition, birth rituals, death rituals, family relationships, care of the elderly.
1.0
II.
1.0
III. ANALYSIS OF HEALTH PROMOTION
ANALYSIS OF CULTURE
Research what other resources say about your culture using at least one internet resource
and one textbook. Discuss three areas where your beliefs are similar to what is noted in
the resources and three areas where your beliefs are different. Cite references in paper.
Discuss at least three of your behaviors/practices that promote health and three ways
you could improve your health.
1.0
IV.
1.0
V.
1.0
III.
ANALYSIS OF CULTURAL BIAS
Get to know at least 3 characters in the Neighborhood that have different
ethnicities/cultural beliefs than you. Discuss what cultural biases you have that might
impact your ability to care for these clients in a non-judgmental manner.
CULTURAL COMPETENCE
Discuss three strategies you can use to provide culturally competent health care to
clients with differing cultural beliefs. Cite references.
OTHER
A. Typed, accurately spelled, grammatically correct and formal essay style. Use
check sheet for writing formal papers. Attach reference list using APA
format. Cite reference using APA format.
B. Completed self check column prior to submitting for evaluation and criteria
sheet is included.
7.0
V.
TOTALS
COMMENTS:
Unsatisfactory. Corrections due: _________________ Return corrections to: _________________________
Accepted as satisfactory
Instructor’s Signature
N:\Syllabus\coresyllabus\/Self Cultural Assessment Criteria Sheet
Date
Revised 04/13
TRINITY VALLEY COMMUNITY COLLEGE
ASSOCIATE DEGREE NURSING PROGRAM
II.
CHECK-SHEET FOR WRITING PAPERS
MAKE SURE TO CHECK THAT ALL CRITERIA HAVE BEEN MET PRIOR TO SUBMITTING WRITTEN DOCUMENTATION.
_____
1.
Use 12-font only and Times New Roman type.
_____
2.
Write in active voice rather than passive voice. “I conducted the interview in the patient’s
room” is better than “The interview was conducted in the patient’s room”. When using
pronouns, make sure the referent is obvious. For example, if you have been talking about a
patient and his son and then use “he”, make sure it is clear which “he” you are referring to.
_____
3.
Double space between lines but do not add an additional double space between paragraphs.
_____
4.
Indent all paragraphs.
_____
5.
Use 1-inch margin for upper, lower, left, and right side of papers.
_____
6.
Put title on first page of written assignments. Do not include a separate title page.
______
7.
Put page numbers in right upper hand corner of each page.
_____
8.
Answer objectives in the order of criteria sheet. Do not put question number of objectives in
formal paper – use a new paragraph for each question. Make sure first sentence of each
paragraph reflects the objective that is being answered in the paragraph.
_____
9.
Citations within a formal paper should be (last name, year) or (correspondence with name,
title of person, month, day, year of interview).
_____
10. Check TVCC handbook for the correct method to document all references. All formal papers
must have a reference page. Information that was obtained from an interview with person at
site, book, article, or manual must be reflected.
_____
11. Do not start sentences with “There is/are”.
_____
12. Do not start sentences with numbers such as “846”; the number must be spelled out “eight
hundred forty six”. All numbers less than “10” should be written out “ten” otherwise write
the specific number “487”.
_____
13. Be sure to write out the words for any acronyms the first time it appears in the paper,
followed by the acronym in parentheses. For the rest of the paper, the acronym may be used.
For example, Texas Board of Nursing (BON)…
_____
14. Must have at least three sentences in each paragraph. Do not have paragraphs which are too
long, such as an entire page. Do not use short, choppy sentences.
_____
15. Use spell check and grammar check prior to turning in paper.
_____
16. Have another person read paper prior to turning in to identify misspelled words, grammar,
and to determine if all objectives have been answered.
Reviewer’s Signature: ___________________________
_____
17. If submitting electronically, save as a .doc, .docx, or .rtf file.
_____
18. Turn in criteria sheet with all papers as directed to designated instructor.
Handbook: checksheetforwritingpapers
Revised 03/13