LEVEL II HEALTH PROMOTION

COURSE DESCRIPTION

COURSE NUMBER: NGR 5604 - Fall 2001

COURSE TITLE: Cultures, Communities, and Health Care

COURSE CREDIT

& CLOCK HOURS: 3 credits; 2 credits theory (2 hours), 1 credit field

study 3 hours/week)

PREREQUISITE: Graduate status; Permission of instructor

PLACEMENT: Core course; Required Course for Students in Family-Focused Interdisciplinary Health Across Cultures Certificate

FACULTY: Marie-Luise Friedemann, PhD, RN

Office: ACII 203, Phone: (305) 919-5311

CATALOG DESCRIPTION: The course focuses on cultural competence and the evaluation of health care system models around the world in light of each country’s culture, economic, public health and threats to people’s health.

COURSE OBJECTIVES: Upon completion of this course, the student will

be able to:

· Examine the foundation concepts of culturally congruent nursing

· Critically analyze selected models of cultural competence in terms of concepts they include. For example, one model includes the concepts of awareness, knowledge, skill, encounter, and desire.

· Compare and contrast health care policy relative to cultural groups in home, host, and other countries.

· Articulate the strengths and weaknesses, including cultural fit, of selected health care delivery systems

· Analyze health care policy implications on both health care professionals and consumers.

· Critique the socio-economic impact on families of health-care needs and services

· Integrate a global perspective in participant-observation experiences.

FIELD STUDY ACTIVITIES:

· Self assessment

· Cultural heritage

· Assumptions about cultural differences

· Participant-observation in an agency serving a minority population. Analyze services the agency provides, funding, population using the agency, State regulations and Policies directing the agency, language services, needs, and suggestions for improvement. Complete a health assessment using an interpreter.

· Visit a health policymaking body and examine their role in policy development, implementation, enforcement, and evaluation

CLASS SCHEDULE: Web Course. Students’ own time.

TOPICAL

OUTLINE:

I. Concepts of Culturally Congruent Health Care and Nursing (for students who have not had a course on nursing and culture at the undergraduate level).

II. Selected Models of cultural competence

III. Global Perspectives of Public Health Issues

IV. National Models of Health Care practiced in the host countries and others and their interface with the political system and the community (public health).

TEACHING

STRATEGIES

Students are introduced to selected models and applications presented as web-based modules.

In a web-based dialogue they will share knowledge and discuss cases among each other and with faculty.

The practicum involves observing in a health care institution/agency, and visiting policy-making bodies and government agencies.

NOTE: Students with disabilities who may need special accommodations should register with the Office of Disability Services. In addition, they are encouraged to contact the instructor so that arrangements can be made to accommodate their needs.

EVALUATION:

· Objective test measuring knowledge of or paper demonstrating use of culturally congruent nursing concepts influencing patient care including culture, cultural values, ethnicity, ethnocentrism, cultural blindness, acculturation, assimilation, cultural diversity, prejudice, bigotry, racism, institutional racism, and genocide.

· Comparison of two cultural competence models and application of a cultural competence model to care of a family from a minority population.

· Position paper on the interface between health care and government in a selected country of study.

· Case study of health care policies reflected in individual and family care.

REQUIRED TEXTS: to be determined.

Relevant articles and web sites will be used.