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MEDICATIONS FOR ATRIAL FLUTTER 1-medication name each one 2-Dose order each one 3-Times administer each one 4-Route each one 5-Rationale each one  6-Range each one 7-Nursing implications each one

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Offering culturally competent care for the people of color, particularly African Americans, has been a critical area of investigation even as health care personnel continue with the efforts to identify and understand the factors behind the current disparities of care affecting the community. Therefore, the ability to offer culturally competent care by the health care personnel to the community will facilitate addressing of barriers, including lack of trust and cultural stereotypes by the medical community towards the community (Stansbury et al., 2018). Generally, several strategies can be adopted to achieve culturally competent care for African Americans.      Being culturally sensitive and understanding to African American patients is one of the strategies of promoting culturally competent care for the population. According to studies, African Americans have more chances of refusing or avoiding invasive procedures as a result of religious and cultural beliefs (Clark et al., 2018). Understanding and being sensitive to these beliefs is essential in facilitating positive and culturally competent experiences hence improving their engagement in healthcare. Some of the beliefs that could be taken into considerations in the effort to improve culturally competent care for African Americans include lack of trustworthiness between the healthcare providers and the healthcare system, concerns about surgical procedures and their role in spreading cancer, fear of addiction from using opioids in pain management and belief in seeking treatment from spiritual healers and prayers instead of medical treatment (Clark et al., 2018). With these kinds of beliefs, it important to understand to ensure they receive the best quality care that is free from disparities associated with being African Americans.       Encouraging African Americans to engage in clinical trials is also another strategy to promote culturally competent care. Statically, African American participation in clinical research has been very low, and this has limited the opportunity to not only offer safe and effective care to the population but also identify culturally competent care. By actively engaging in clinical research, this will present an opportunity for communication, knowledge, and awareness on various health aspects that may reduce the negative behaviors that hinder the provision of culturally competent care (Kelley et al., 2019). Such initiatives will also engage American Americans in their care, thus enabling them to address stereotypes, myths, anxiety, and other concerns that may prevent them from receiving culturally competent care.       Offering cultural competency training for the healthcare professional is also another strategy for encouraging culturally competent care for African Americans. This can be achieved through educational interventions that aim to improve the knowledge that is specific to African Americans as well as general interventions. Interventions that are specific to African Americans would aim at teaching healthcare various on how to deal with beliefs, values, and attitudes about the population that result in stereotypes and exaggerations of the diversity associated with the group (Kennedy et al., 2018). On the other hand, the general interventions aim at teaching cultural competence through awareness, empathy, cultural skills, and techniques as well as cognitive measures that would increase cultural sensitivity hence addressing biases and stereotypes.       In conclusion, achieving culturally competent care for African Americans has been a vital goal in the healthcare system. This aims at reducing health disparities through improving cultural sensitivity and providing unbiased care. Further, culturally competent care also implies respecting the diversity of the population and cultural aspects related to health and health care. References  Clark, J. L., Phoenix, S., Bilbrey, A. C., McManis, T., Escal, K. A., Arulanantham, R., Sisay, T., & Ghatak, R. (2018). Cultural competency in dementia care: An African American case study. Clinical Gerontologist, 41(3), 255–260. Kelley, F. R., Haas, G. L., Felber, E., Travis, M. J., & Davis, E. M. (2019). Religious community partnerships: A novel approach to teaching psychiatry residents about religious and cultural factors in the mental health care of African-Americans. Academic Psychiatry, 43(3), 300–305. REPLY 2   African Americans are an ethnic group of Americans with total or partial ancestry from any of the black racial groups of Africa. Many African Americans experience healthcare disparities that result in limited access to healthcare, the underutilization of healthcare services, quality of care received and having inadequate health insurance coverage (McDowell & O’Rourke, 2018). Most African-Americans mistrust the US Healthcare System. This distress was fueled by incidences such as the Tuskegee study between 1932 and 1972 (Ritter & Graham, 2017, P. 209). In addition, African Americans commonly receive disrespect in healthcare settings, and African-Americans experienced adverse encounters due to negative assumptions and images, with the most common assumption being related to black women’s sexual promiscuity (Ritter & Graham, 2017, P. 207). Subtle insults and comments make African Americans feel inferior in healthcare settings. Dismiss stress is what leads some African Americans to rely on traditional healing methods or not to seek care until they can no longer be avoided (Ritter & Graham, 2017, P. 207). African Americans have to deal with a lot of discrimination, and even that can negatively impact these individuals. The physical effects of racial discrimination can include stress which can lead to problems such as high blood pressure and a weakened immune system. Another physical effect of racial discrimination is obesity and diabetes. It can lead to unhealthy behaviors such as smoking, drinking, drug use, and binge-eating. Another unhealthy behavior is that people who experience racial discrimination May verbally abused others or be very discriminating towards people outside of their race (Ritter & Graham, 2017, P. 209). Discrimination, poverty, poor nutrition, and exercise habits have resulted in serious health problems for African Americans. African American dominates all other racial groups in low birth weight, infant mortality, obesity, diabetes, asthma, Hepatitis B, HIV AIDS, STDs, the waiting list for organ transplants, and cancer deaths (Ritter & Graham, 2017, P. 216). When individuals have these limitations, it is important to be culturally sensitive and competent to ensure the patient receives the best quality of care (McDowell & O’Rourke, 2018).  Some considerations for practice: African Americans tend to speak louder than those from other cultures, Healthcare Providers to not misinterpret this as anger; Ask patients about their health beliefs; Assess their knowledge and the significance of spirituality, and offer choices for treatment options; Include patients in the decision-making process and answer your patients’ questions and concerns about diagnosis and treatment plans; Be respectful; before touching patients always explain what will be done and why (Ritter & Graham, 2017, P. 221-222). The disparities in treatment and the Prejudice shown have resulted in African Americans having the worst Health profile of any population in the United States (Ritter & Graham, 2017, P. 209). Reducing health disparities is an important initiative to improve outcomes for patients from diverse backgrounds (McDowell & O’Rourke, 2018). There is undoubtedly a necessity to increase the level of cultural sensitivity among physicians, nurses, & other healthcare personnel; recognize unfavorable socioeconomic and cultural barriers as a preexisting condition; improve the community surrounding African Americans & other minority patients; and increase the number of minority healthcare workers (Thomas, 2016). References McDowell, M., & O’Rourke, M. (2018). Providing Culturally Competent Care for African Americans. Retrieved from https://www.aana.com/docs/default-source/about-us-aana.com-web-documents-(all)/providing-culturally-competent-care-to-african-americans-jan-2018.pdf?sfvrsn=54115cb1_2 Ritter, L.A., & Graham, D.H. (2017). Multicultural Health (2nd ed.). Burlington, MA: Jones and Bartlett Learning. ISBN: 9781284021028 Thomas, N. (2016). Healthcare Disparities in African Americans. Retrieved from https://minoritynurse.com/healthcare-disparities-african-americans/ All replies must be constructive and use literature where possible. Your assignment will be graded according to the grading rubric.

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The healthcare system is growing in the U. S. and around the world. We have to participate in the evolution being more than a care professionals practice in an environment that is complex, with many regulations, laws and standards of practice. We must promote our profession in the community explaining who we are and what we do based on policy and politics. People have to be aware that nurse practitioners are healthcare provider with our many new ideas and skills that can be effective tools in healthcare reform. Health providers are out there with a lot of health information, opinions, and advice. Providing excellent care, with good outcomes, is a big first step. We must continue to do that and to document how effective our care is so we can show the results (Giwa, O.Salami, & O’Rourke, 2020). The main objectives of a health delivery system are to allow all people to receive health care services when they need it regardless of their ability to pay their job or income and provide the services meeting the highest standards of quality. There are many players in the system such as nurses, clinicians, administrators of health service institutions, insurance companies, large employers, and the government. It is important to find balance between the roles of all of them to deliver timely, efficient, and appropriate health care (Graves et al., 2016). Many studies have showed the great acceptance, effectiveness and excellent outcomes of our care. We need to demonstrate how much we have to offer to the community to make them choose us and stay with us because we listen to our patients, take time with them, advocate for them, and are able to diagnose and treat also (Xue, Ye, Brewer & Spetz, 2016). References Giwa, O., O.Salami, B., & O’Rourke, T. (2020). A scoping review of nurse practitioner roles in immigrant health.

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Evaluating Organizational Change Description: This Assignment provides an overview of how to evaluate evidence-based practice quality improvement in a practice change. Directions: Introduce an overview of a healthcare system practice guideline, preferably where you work or have worked. Discuss how different professionals in the healthcare system (Nurses, Pharmacists, Technicians, Nurse Educators, CFO, etc.) are held to this guideline. Identify the research/reference used by the system to adopt the guideline. Define the evidence used to define the guideline. Determine the level of evidence used in the EBP identified. Provide an opinion on how well this guideline is followed by professionals in the system. Conclude with a concise overview of the guideline and the discussion in the paper. Write the paper in 8–10 pages, using APA format. To view the Grading Rubric for this Assignment, please visit the Grading Rubrics section of the Course Resources. Assignment Requirements: Before finalizing your work, you should: be sure to read the Assignment description carefully (as displayed above) consult the Grading Rubric (under the Course Resources) to make sure you have included everything necessary; utilize spelling and grammar check to minimize errors; and Your writing Assignment should: follow the conventions of Standard English (correct grammar, punctuation, etc.); be well ordered, logical, and unified, as well as original and insightful; display superior content, organization, style, and mechanics; and; use APA 6th edition format How to Submit: Submit your Assignment to the unit Dropbox by 11:59 pm ET on Sunday of the unit. When you are ready to submit your Assignment, submit to the unit Dropbox. Make sure to save a copy of your work and be sure to confirm that your file uploaded correctly. PART B During this course, you must complete a mandatory clinical process training. This training will provide important information that you will need to prepare for your clinical experience. You must complete the training and submit a screenshot of your completion to the course dropbox. If you do not complete the training, you will not be permitted to register for any clinical course and you will receive a “0” for the week 10 assignment, regardless of what is submitted for “Part A”.  The link to the training can be found in course announcements.

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