In your opinion, who holds the responsibility to decrease the soaring costs of health care, and who has the authority to change the fundamental culture of both our healthcare system and our national code of ethics? Why? What is one initiative that your organization (or local healthcare provider) has implemented in recent years to help curb the rising costs of health care in your community? 
200 words minimum w/cited references

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All the instructions are in the Word Document attached 

APA Format

100% original work

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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 and describe an adult, non-relative, born outside the US, whose culture is different from yours and is willing to participate in a transcultural nursing assessment during Wk. 6. (Milestone 3).

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)

Notes: 

• Send your instructor a brief email during Wk. 1 or 2 briefly describing the individual’s place of birth, age and current city/community of residence.
• The actual assessment does not occur until Milestone 3. The assessment is not a purpose for this assignment.

Requirements and Guidelines

1. Review the Course Outcomes for this assignment.
2. BEFORE beginning this Milestone, make sure you have received “approval” of the individual from your instructor. This must be done during Wk. 1 or 2 of the course. Send your instructor a brief email with the initials of the individual, country of birth, current city/community of residence. Your instructor will reply to your email letting you know it is all right to proceed with Milestone 1 (“approval”).
3. 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 on the left-hand navigation menu. Also, read the Course Project Overview document located under the Modules Tab. Here you will find more details and helpful tips.
4. Identify/describe the individual approved by your instructor. This individual:
   • Has been living in a culture other than the one of origin for at least 2 years.
   • Was born outside the United States.
   • Can be a patient, friend, or colleague, such as a physician, or acquaintance, but cannot be a relative.
   • Must be living in your community and must be currently receiving or have previously received healthcare services in your community.
   • Race, ethnicity, language, religion, and culturally based beliefs about healthcare and illness should be quite different from yours.
   • Must speak English. An interpreter/translator 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. Then you will reflect on your learning about the Course Project Milestones, assessment and how your future practice will change based on your learning.

1. 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 community of origin as well as since arriving in the United States.
2. 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 when you use first and last initials only on all templates. Assure the individual that the assessment (Milestone 3) should not take more than one hour of the individual’s time.
3. 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’s background to complete Milestone 1. This information may come from the individual or Internet sources. Basically, you are comparing the individual’s previous and current communities/cultures.
4. Type information about the potential individual using only the template provided. You are expected to write clearly and use proper grammar and spelling and eliminate typos.
5. Submit the completed template by the end of Week 3 at 11:59 p.m. MT.
6. Contact your instructor if you have any questions.

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.

References: Andrews, M. M., & Boyle, J. S. (2016). Transcultural concepts in nursing care (7th ed.). Philadelphia: PA: Wolters Kluwer.

American Psychological Association. (2010). Publication manual of the American Psychological Association (6th ed.). Washington, DC: Author.

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Your course project is due in the next module. Continue this project by writing a nursing care plan.

Choose three priority nursing diagnoses. The nursing care plan should include:

• What the diagnosis is related to?
• Evidence that supports the chosen nursing diagnoses.
• Planned outcomes that are patient-centered.

NOTE: Please follow this Rubric. I t’s for 30 points

– Semester Project Completion

Scoring Rubric:

Criteria

Points

Describes the patient that is the subject of the project including diagnoses, medications, and history OR describes the community, its strengths and problems and the mental health issue that will be the subject of the paper.

4

Includes any substance abuse or violence issues for the patient or community

2

Discusses attempted interventions, what has been successful and what has not.

4

Describes own personal thoughts about the patient’s or community’s mental health issues.

4

Describes any cognitive concerns and possible interventions.

2

Writes a nursing care plan including three priority nursing diagnoses with r/t and AEB factors.

4

Includes outcomes in NOC language and interventions in NIC language with a plan for evaluation.

4

Identifies mental health resources that can be used with the patient or community. Includes an educational tool.

4

Supports answers using academic resources, with citations in APA format.

2

Total

30

• Nursing interventions that are evidence-based and include rationales.
• How will you evaluate the effectiveness of the plan? Include an evaluation tool or rubric?

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