The outer edges of society

IMPORTANT: Read all instructions carefully and study the rubric, you will be graded using the rubric. Be sure you have included everything the instructions and rubric ask for before you submit your assignment to avoid unnecessarily losing points.


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Overview-Important definitions

Marginalized populations Marginalized populations refer to specific groups of peoples or individuals that are relegated to the outer edges of society or social standing, both in this country and abroad. Such people are often denied access to resources and privileges available to mainstream society. This includes access to healthcare and healthcare disparities. Note: Marginalized populations will be a concept important to your Family Cultural Interview Assignment


Cultural Competence: “The ability to deliver health care with knowledge of and sensitivity to cultural factors that influence the health behavior” (AHNA & ANA, 2013, p. 87)


Cultural Diversity is a part of AHNA (2013) Core Value 3. Holistic Communication, Therapeutic Healing Environment and Cultural Diversity. “Culture, beliefs and values are an inherent component of a holistic approach” (p. 17).

AHNA & ANA. (2013). Holistic Nursing: Scope and standards of practice, 2nd Edition. Silver Spring, MD:



· Complete the Spiritual Assessment Module.

· Read Chapter 21: Nursing Care in a Culturally Diverse World in your Blais & Hayes Textbook.

· Read Chapter 6 Cultural and Diversity Aspects of Health and Illness Care Needs and skim Chapter 14 Family-Focused Nursing Actions in your Denham, Eggenberger, Young & Krumwiede textbook



Then complete a cultural assessment of a family ( two or more people) with a culturally or ethnically diverse background different from your own. Note: This family cannot have a member who is part of this course.

· Get my permission: You MUST get permission from me for the family you wish to interview prior to actually conducting the interview (submit this in writing to the “Assignments” area of D2L)-explain in 1-2 paragraphs how you know this family and why you have chosen this family. I will respond back in the “Assignments” area of D2L with feedback)

· Get the family’s permission: Ask the family if they would like to be interviewed and that they are under no obligation to do so, that the interview is completely voluntary. Explain to the family that the purpose of the assignment is to learn about the culture of a family from a diverse population.

· Formulate questions and observations: Use the Giger and Davidhizar Transcultural Assessment Model for the family you will interview. Note: you need to sign in with the user name and password you created for Think Cultural Health website when you completed the SoftChalk Module. Be sure to include all 6 assessment areas. An abbreviated version of the tool can also be found on page 162 of your Denham et al. text.

· Create a Culturagram during the interview (see this article on how to create):

Congress (2005). Cultural and ethical issues in working with culturally diverse patients and their families, Social Work in Health Care, 39:3-4, 249-262, DOI: 10.1300/J010v39n03_03 available at

· Note: that not all parts of the Culturagram may be applicable and you are free to omit those that do not apply)

· Choose a “family level” culturally appropriate nursing intervention you will implement during the interview to assist a family member, or members, or the entire family, based on your assessment. Chapter 14 Family-Focused Nursing Actions in your Denham Textbook is a good source for ideas for nursing actions

· Complete the assessment form for all elements from the rubric, submit to Assignments area in D2L


IMPORTANT: Be sure your address every check box of the rubric in order to avoid unnecessarily losing points



Fully Addressed


Partially Addressed


Insufficient/ Not Addressed

Pts Possible

Pts earned

· Assessment sufficiently covers all 6 areas of the tool X     12 12
· Culturagram- covers all pertinent areas X     5 5
· Describe Nursing interventions you implemented (minimum of 3), must be both culturally and family- oriented, and based on the assessment X     3 3
· Why did you choose the nursing action(s)? Include at least 3 peer-reviewed sources (citations) to support nursing action (one may be your textbook) X     3 3
· Evaluation of the interventions are included-e.g. what was the family’s reaction to the nursing intervention? X     3 3
· Revision of nursing interventions is included- e.g. what would you revise based on the family’s reaction? X     3 3
· Describe your thoughts on experience of doing the assessment. X     3 3
· Explain how this family is part of a marginalized population. X     3 3
· Reflect upon what you have learned about analyzing and responding to conditions of marginalized populations through this unit. Be sure to use the words marginalized populations X     3 3
· Explain how you will respond to conditions of marginalized populations in your nursing practice both during and after this course. X     3 3
APA /Spelling, Grammar Format

· Free of spelling, typographical, and grammatical errors

· Uses bullet points or numbering

· References in proper APA format

X     4 4
Total Points 45 45












(Please keep information you fill in to three (3) pages, not including references or culturagram)

Student Name________________________ Professor Name_______________________

Date of Interview: __________ Place of interview_________________________________

Initials or Pseudonyms of Family Members Present for Interview (note: at least two family members must be present for interview):____________________________________________________

Giger and Davidhizar’s Transcultural Nursing Assessment (De Ruiter et al., 2016, p. 162).

Responses for each of the 6 areas (use bullet points)















Social Organization:















Environmental Control:








Biological Variation:







Nursing Interventions: must be family & culturally oriented, use bullet points (Minimum of 3). Why Chosen: use bullet points, include 3 or more peer-reviewed citations to support.












Evaluation of Nursing Interventions: (What was the family’s reaction to nursing interventions). Describe your thoughts on experience of doing the assessment.





















Revision of Nursing Interventions – what would you revise based on the family’s reaction? How is this family part of a marginalized population? explain













What have you learned about analyzing & responding to conditions of marginalized populations through this unit? How will you respond to conditions of marginalized populations in your nursing practice?

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