How can community health nurses apply the strategies of cultural competence to their practice? Provide at least one example from each of the following four strategies: cultural preservation, cultural accommodation, cultural repatterning, and cultural brokering. What is a possible barrier to applying the strategy/example chosen? Use an example that is different than the postings of other students.

Community Health
B. Assessment
1. Describe the community where you performed your fieldwork by identifying each of the following items:
• geographical area (e.g., county, city, town)
• area size
• population size
• demographics
• physical and social environment (use the windshield survey from task 1 of C228)
2. Discuss the health concern you studied in your fieldwork.
a. Provide background information in relation to Healthy People 2020 and local public health data that characterizes the
health concern.
b. Provide data from national, state, and/or local levels related to the health concern.
3. Describe the target population affected by the health concern you studied in your fieldwork, including each of the
following components:
• gender
• age
• demographics, including socioeconomic status and educational levela. Explain how the health concern is linked to a
health inequity/health disparity for the population of interest.
i. Provide specific data to support the health inequity/disparity conclusion.
4. Discuss the primary community resources and partners currently involved with the health concern.
a. Describe how your fieldwork interviews support your chosen health concern, including a summary of the interviews.
5. Discuss aspects of the population health concern not being addressed despite the efforts of the partners involved.
C. Outcomes Identification
1. Explain the desired outcome(s) or goal(s) for improvement related to the health concern.
Note: This outcome or goal should be in alignment with Healthy People 2020 objective.
D. Planning
1. Create a nursing action plan to address the identified population health concern.
a. Recommend two population-focused specific objectives.
Note: The recommended objectives should be measurable ones
b. Recommend two population-focused specific nursing interventions to improve the health concern.
Note: Use the attached “Minnesota Intervention Wheel” as an aid in selecting the broad areas for nursing action. Select
primary and secondary prevention activities only. For example, explain how you and other nurses might work with the community
and your chosen target population of interest to improve the health concern.
2. Discuss potential public and private partnerships from your field experience that could be formed to implement your
recommendations from parts D1a and D1b.
3. Create a specific timeline for your population-focused nursing interventions.
E. Evaluation
1. Explain how you would evaluate the effectiveness of the nursing action plan created in part D.
a. Identify the measurable tools necessary to perform the evaluation.
F. Conclusion
1. Reflect on how your perspective of the community’s health and the national, state, and local efforts toward a healthier
population has changed as a result of your fieldwork.
G. Appendices