ATI Engage Nursing Fundamentals Study Notes 2N

1. Inclusion, Equity, and Diversity

Cues & Questions	Notes
What is the Theory of Culture Care Diversity and Universality?	Theory of Culture Care Diversity and Universality - Origin: Developed by Madeleine Leininger in the $1950s$ ; published in the $1980s$ . - Purpose: Planning/delivery of culturally appropriate nursing care. - Focus: Diversity in race, religion, socioeconomic status, disability, age, sexuality, and gender identity.
What tool visualizes Leininger's theory?	Leininger’s Sunrise Enabler - Visual assessment tool to aid nurses in delivering culturally congruent care to enhance well-being throughout life stages.
Define Cultural Awareness and Competence.	- Cultural Awareness: Investigating and understanding perceptions and values in own and other cultures. - Cultural Competence: Acknowledging and respecting diverse cultural influences; requires effective communication and self-awareness of biases.
What is EMIC vs. ETIC?	- EMIC: Insider’s viewpoint (within the culture). - ETIC: Outsider’s analysis (external observation).

2. Health Equity and Disparities

Cues & Questions	Notes
Difference between Health Equity and Equality?	- Health Equity: Achieving the highest level of health for all; focus on fairness. - Health Equality: Providing the same resources to everyone regardless of specific needs.
Who are vulnerable populations?	Groups at risk for poor health outcomes due to social, economic, or environmental barriers (e.g., illness, disability).
LGBTQIA+ Considerations?	Includes transgender clients (identity differs from biological sex) and sexual minority groups (lesbian, gay, bisexual).

3. Communication in Culturally Diverse Settings

Cues & Questions	Notes
Elements of Communication?	- Verbal: Vocabulary, intonation, rhythm, and silence. - Non-Verbal: Eye movement, touch, facial expressions, and body posture.
Recommendations for effective communication?	- Speak clearly; avoid slang and contractions. - Use active listening and be patient with dialects. - Interpreters: Do not omit/add info; maintain eye contact with the client, not the interpreter.

4. Nursing Care Planning Process

Cues & Questions	Notes
What are the steps of the Nursing Process?	1. Assessment: Data collection/cue recognition. 2. Nursing Diagnosis: Analyzing cues. 3. Planning: Goal-setting. 4. Implementation: Action/intervention. 5. Evaluation: Assessing outcomes.
What questions guide a Cultural Assessment?	- Birthplace and time in the USA. - Ethnic affiliation. - Primary support systems (family/community). - Dietary needs and spiritual practices.

Summary

Culture and communication are central to safe nursing care.
Health equity focuses on fairness in outcomes, whereas equality provides the same resources to all.
The nursing process must incorporate cultural assessments (using tools like the Sunrise Enabler) to ensure care is culturally congruent and respectful of diverse identities, including the LGBTQIA+ community and other vulnerable populations.