NSG/523 V1 Grading Rubrics Week 2 Summative Assessment

NSG/523 V1 NSG/523 Grading Rubrics Wk 2 Summative Assessment

Determine the core assignment task from the provided rubric and instructions, which involve analyzing and reflecting on patient interviewing, cultural competence, and ethical considerations in health assessment, with emphasis on critical thinking, cultural sensitivity, legal concerns, communication strategies, and use of technology.

Paper For Above instruction

The assessment of a comprehensive patient interview, especially in advanced health assessment, requires a thoughtful and structured approach to gathering relevant health information while establishing rapport through therapeutic communication. This process becomes even more nuanced when considering the cultural, developmental, technological, legal, and ethical factors that influence patient care. In this paper, I will reflect on the process of interviewing a patient named Tina Jones, demonstrate how I utilized therapeutic communication, evaluate her health conditions, and discuss strategies that acknowledge cultural, developmental, and legal considerations to enhance patient outcomes.

Initiating the interview process involved creating a welcoming environment that fostered open communication, ensuring that Tina felt valued and understood. I employed open-ended questions to encourage testimony about her symptoms, health history, and social determinants affecting her health. During the conversation, I utilized active listening and empathetic responses to build trust, which is crucial for eliciting truthful and comprehensive information (Hamberger, 2020). I acknowledged her concerns, maintained eye contact, and used appropriate body language, which reinforced therapeutic rapport. These strategies facilitate accurate data collection and foster patient comfort, especially in sensitive scenarios like Tina’s.

The health history obtained from Tina revealed multiple concerns, including respiratory issues, previous hospitalizations, medication use, and social factors such as smoking habits and support systems. Analyzing her health conditions indicated the need for immediate intervention regarding her respiratory symptoms while prioritizing her lifestyle factors contributing to her condition. Her history of smoking, weight issues, and family health background helped me understand potential risks and tailor care plans accordingly (Bickley, 2022). This comprehensive understanding is vital in diagnosing and formulating effective treatment options.

In terms of cultural competency, respecting Tina’s cultural background and beliefs was essential to make her comfortable and foster open communication. To adapt my approach, I would incorporate cultural sensitivity by asking about her cultural practices related to health and healing, and I would ensure that language barriers are addressed through interpreters if necessary (Beach et al., 2019). I would also consider cultural beliefs about medication, health maintenance, and traditional practices to avoid misunderstandings and promote culturally appropriate care. The use of respectful questioning and affirmation of her beliefs demonstrated cultural sensitivity and fostered a collaborative nurse-patient relationship.

Developmental considerations are also vital during the interview process. For Tina, an adult approaching middle age with potential chronic health conditions, I would adjust my communication by simplifying complex medical terminology and providing more detailed explanations tailored to her level of health literacy (Schoenberg et al., 2020). For pediatric or elderly patients, different approaches would inherently be necessary, emphasizing age-appropriate communication and addressing cognitive or sensory impairments that may affect understanding and comfort.

The technological integration into health assessments offers valuable advantages. Electronic health records (EHRs) and health information exchanges allow access to a patient’s prior medical history, laboratory results, and social data, which improves the comprehensiveness and speed of assessments (Hersh et al., 2020). Additionally, telehealth platforms can facilitate follow-up and specialist consultations, expanding access to care for Tina, especially if she faces barriers like transportation or mobility issues. Mobile health apps and wearable devices further offer continuous monitoring options that support ongoing health management.

Effective oral communication is paramount in patient interviews. I demonstrated clarity, professionalism, and empathy throughout, articulating questions in an understandable manner while demonstrating genuine concern for Tina’s wellbeing. This approach aligns with the principles of patient-centered communication, which emphasize respect, understanding, and active listening (Silverman et al., 2016). Engaging the patient through verbal affirmations and appropriate non-verbal cues promotes a positive environment, encourages disclosure, and enhances the overall quality of the assessment.

In summary, the process of patient interviewing in advanced health assessment encompasses a range of skills — from applying therapeutic communication and understanding health history to integrating cultural competence and technology while maintaining ethical standards. Sensitivity to developmental stages, cultural backgrounds, and legal considerations ensures holistic and patient-centered care. Thoughtful application of these principles enhances trust, improves health outcomes, and exemplifies the nursing profession’s commitment to compassionate, culturally appropriate, and evidence-based practice.

References

• Bickley, L. S. (2022). Bates’ guide to physical examination and history taking (12th ed.). Wolters Kluwer.
• Beach, M. C., Price, E. G., Gary, T. L., Robinson, K. A., Gozu, A., Palmer, N., ... & Cooper, L. A. (2019). Cultural competence: A systematic review of health care provider educational interventions. Medical Care, 57(4), 365-377.
• Hamberger, L. K. (2020). Therapeutic communication in nursing practice. Journal of Nursing Practice, 16(1), 15–22.
• Hersh, W. R., Hahn, T. P., & Casarett, D. (2020). The impact of health information technology on the quality of care. Medical Care Research and Review, 77(4), 503-508.
• Schoenberg, N. E., Dorgan, K., & Patterson, J. (2020). Communication strategies with older adults. Journal of Geriatric Nursing, 41(2), 25–32.
• Silverman, J., Kurtz, S., & Draper, J. (2016). Skills for communicating with patients (3rd ed.). CRC Press.