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Caring, Culture, and Service Carmon Weekes, RN, MSN University of Detroit Mercy Faculty University of Texas at Tyler Doctoral Student 1C. Weekes Envision.

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Presentation on theme: "Caring, Culture, and Service Carmon Weekes, RN, MSN University of Detroit Mercy Faculty University of Texas at Tyler Doctoral Student 1C. Weekes Envision."— Presentation transcript:

1 Caring, Culture, and Service Carmon Weekes, RN, MSN University of Detroit Mercy Faculty University of Texas at Tyler Doctoral Student 1C. Weekes Envision 2010

2 n Purpose of Presentation Goal of Envision Conference “Conference seeks to explore the various aspects of caring” Academic Clinical Research Presentation will show how caring, culture, and service are integrated into the academic setting Service Learning as a strategy to develop caring and cultural competence Provide two examples of student projects 2C. Weekes Envision 2010

3 What is Caring Watching over, attending to, and providing for the needs of others. Taken from, Chitty,K.K. & Black. B.P. (2007) Professional Nursing Concepts and Challenges (5 th ed) Involves actions. 3C. Weekes Envision 2010

4 Caring in Nursing’s Social Policy American Nurses Association’s Nursing’s Social Policy Statement, 2 nd Ed Four Features Essential to Defining Nursing “Attention to the full range of human experiences and responses to health and illness without restriction to problem-focused orientation” “Integration of objective data with knowledge gained from an understanding of the patient or group’s subjective experience” “Application of scientific knowledge to the processes of diagnosis and treatment” “Provision of a caring relationship that facilitates health and healing” “Provision of a caring relationship that facilitates health and healing” 4C. Weekes Envision 2010

5 Caring as a Nursing Ethic American Nursing Association Guide to the Code of Ethics Dr. Linda Olsen summarizes Dr. Watson’s Ethics of Caring Caring is one of the core values of nursing Caring is a mark of professional excellence 5C. Weekes Envision 2010

6 Culture What is culture? Probably never a universal definition of culture (Kao, Hsu,& Clark (2004) Attempt to define culture will be tricky (Cohen, 2009) Definition used for this presentation: “Socially transmitted ways of thinking, believing, feeling, and acting within a group. These patterns are transmitted from one generation to the next.”(Gollnic & Chinn, 2009, p. 405) 6C. Weekes Envision 2010

7 Cultural Competence A set of behaviors, attitudes, and skills that enables nurses to work effectively in cross-cultural situations.(Office of Minority Health Web, U.S. Department of Health and Human Services) How can nursing educators impact student behaviors, attitudes, and skills to promote cultural competence? How is cultural competence defined? Why is it important in nursing education? 7 C. Weekes Envision 2010

8 Caring and Culture in the Academic Setting Introduce students to culture, caring, and nursing theories in introductory courses. Reinforce teaching throughout the curriculum. Provide experiences to reinforce classroom instruction including facing their own biases. Sample in class activity: “What do you think?” 8C. Weekes Envision 2010

9 What do you think ? Look at the following slides and think of how these images affect you. What conclusions might you draw prior to interacting with the person? As a culturally competent nurse what should you do? 9C. Weekes Envision 2010

10 What Did You Think? Emotions and feelings evoked? Biases? Will facing biases promote understanding, tolerance, caring, and cultural competence? 10C. Weekes Envision 2010

11 University of Detroit Mercy Students University of Detroit Mercy information provided by the National Center for Education Statistics and the Carnegie Foundation Enrollment Total enrollment 6,023 Undergraduate enrollment 3,830 Percent of undergraduate enrollment by race/ethnicity Non-resident alien 6% Black non-Hispanic 31% American Indian or Alaskan Native 1% Asian or Pacific Islander 3% Hispanic 2% White non-Hispanic 48% Other 10% 11C. Weekes Envision 2010

12 Wayne County Population by Race C. Weekes Envision 2010

13 13C. Weekes Envision 2010 Wayne County Language and Birthplace Diversity

14 Service Learning and the Institute for Service and Learning “Essentials of Service – Learning: Direct service experience is not just volunteering, but working WITH other people directly, so that we come to know them as persons just as we ourselves are.” ( Retrieved from 14C. Weekes Envision 2010

15 The Partnership McCauley School of Nursing and the Institute for Service and Learning 15C. Weekes Envision 2010

16 The Courses Introduction to Professional Nursing 6 hours of Service Learning Intervening with Families and Aggregates at Risk 9 hours of Service Learning Community Health Nursing Semester Long Community Care Project 16C. Weekes Envision 2010

17 Service Learning Course Requirements Select site to complete service learning requirements Site selection is from UDM partner sites Should provide opportunity for interaction with clients at the site Contact site and establish plan for service Communicate with instructor regarding service learning assignment at times designated in syllabus Complete required service learning reflection paper Groups presentation in class 17C. Weekes Envision 2010

18 Service Learning – Site Selection SL3: Service Placement Report 2010/Roster for 01_NUR2040_02_WEEKES 18C. Weekes Envision 2010

19 Service Learning Form 1: Registration Your Leadership Self-evaluation: Service-Learning is not just a service project. It is the use of service to help develop graduates who lead and serve in their communities. Please rate your Current level of competence in each from 1(low) to 5 (high) [ ] Listening: listening intently to others, getting in touch with one's own inner voice. [ ] Empathy: understanding and empathizing with others. [ ] Healing: care for yourself and your relationship to others [ ] Awareness: General awareness, self-awareness, ethics, power and values. [ ] Persuasion: use of persuasion rather than positional authority; consensus-building [ ] Conceptualization: thinking to encompass the broader-based “big picture” [ ] Foresight: the ability to foresee the likely outcome of a situation [ ] Stewardship: a commitment to serving the needs of others [ ] Commitment to the growth of people: nurturing growth of employees and colleagues [ ] Building community: developing and modeling interdependence 4. Your Social Justice Issue Interest: In your Service project and in your studies and career, the following are areas in which you can have impact, just by the way you do what you do. Please rate your interest in each issue from 1(low) to 5 (high) [ ] Dignity of the Human Person: All people are sacred. People do not lose dignity because of disability, poverty, age, lack of success, or race. [ ] Community and the Common Good: We realize our dignity and rights in relationship with others, in community. We are called to respect creation, be good stewards of the earth & each other. [ ] Rights and Responsibilities: People have a fundamental right to life, food, shelter, health care, education and employment. Corresponding to these is the duty to work for the common good. [ ] Option for the Poor: The moral test of a society is how it treats its most vulnerable members. The poor have the most urgent moral claim on the conscience of the nation, and our good efforts [ ] Dignity of Work: People have a right to decent and productive work, fair wages, private property and economic initiative. The economy exists to serve people, not the other way around. [ ] Solidarity: We are one human family. Our responsibilities to each other cross national, racial, economic and ideological differences. We are called to work globally for justice. [ ] Care for God's Creation: The goods of the earth are gifts from God. We have a responsibility to care for these goods as stewards and trustees, not as mere consumers and users. 19C. Weekes Envision 2010

20 Service Learning Form 2: Service Agreement Student To Be Completed and signed by student & service site volunteer coordinator; to the teacher by 4 th week of class Starting Year / Month _ Course #(i.e.Mus1000) _ Section _ Teacher’s last name, as much as fits Your Last Name First Name Name of Agency to be served Last Name of agency representative First Name Agency Street Address City ZIP Agency representative phone Title of agency representative Agency representative 20C. Weekes Envision 2010

21 Service Learning Form 3: Service Verification To be completed & signed by student & service site volunteer coordinator and delivered to your teacher by 12 th week of class Starting Year / Month _ Course # (i.e.Mus1000) _ Section _ Teacher’s last name, as much as fits Your Last Name First Name Name of Agency served Last Name of agency representative First Name BEFORE STARTING: What do you hope to do, and what do you hope to learn that will apply to this course? AFTER SERVING: What did you actually do, and what did you actually learn that applies to this course? What was most encouraging and what was most discouraging? Thank you for giving our student this opportunity to serve in a way that helps them learn. 21C. Weekes Envision 2010

22 Service Learning End of Course Evaluation 1. Your Leadership Self-evaluation, before this course and now: Please rate your level of competence BEFORE this course (column B) and NOW (column N) in each item below, from 1(low) to 5 (high) Before Now [ ] [ ] Listening: listening intently to others, getting in touch with one's own inner voice [ ] [ ] Empathy: understanding and empathizing with others [ ] [ ] Healing: care for yourself self and your relationship to others [ ] [ ] Awareness: General awareness, self-awareness, ethics, power and values [ ] [ ] Persuasion: use of persuasion rather than positional authority; consensus- building [ ] [ ] Conceptualization: thinking to encompass the broader-based “big picture” [ ] [ ] Foresight: the ability to foresee the likely outcome of a situation [ ] [ ] Stewardship: a commitment to serving the needs of others [ ] [ ] Commitment to the growth of people: nurturing growth of employees and colleagues [ ] [ ] Building community: developing and modeling interdependence 22C. Weekes Envision 2010

23 Service Learning End of Course Evaluation Continued 2. Your Social Justice Issue Interest, before this course and now: Please rate your level of concern BEFORE this course (column B) and NOW (column N) in each item below, from 1(low) to 5 (high) Before Now [ ] [ ] Dignity of the Human Person: All people are sacred. People do not lose dignity because of disability, poverty, age, lack of success, or race. [ ] [ ] Community and the Common Good: We realize our dignity and rights in relationship with others, in community. We are called to respect creation, be good stewards of the earth & each other. [ ] [ ] Rights and Responsibilities: People have a fundamental right to life, food, shelter, health care, education and employment. Corresponding to these is the duty to work for the common good. [ ] [ ] Option for the Poor: The moral test of a society is how it treats its most vulnerable members. The poor have the most urgent moral claim on the conscience of the nation, and our good efforts. [ ] [ ] Dignity of Work: People have a right to decent and productive work, fair wages, private property and economic initiative. The economy exists to serve people, not the other way around. [ ] [ ] Solidarity: We are one human family. Our responsibilities to each other cross national, racial, economic and ideological differences. We are called to work globally for justice. [ ] [ ] Care for God's Creation: The goods of the earth are gifts from God. We have a responsibility to care for these goods as stewards and trustees, not as mere consumers and users. 23C. Weekes Envision 2010

24 Example of Service Learning Project Boys and Girls Club Located in Detroit Children age 6-16 years Services target to children failing in school, living in poverty, from at risk families. 24C. Weekes Envision 2010

25 What Students Gained from Service Learning “Doing our service in Detroit opened up our eyes to the difference in the socioeconomic and ethnic backgrounds.” “So this in the long run taught us something of cultural competency.” “Simply driving down to the club resembled something of a different world with abandoned houses and rubbish littering the ground.” “Many of the children would also ask us for a dollar to buy a snack, demonstrating the differences in our socioeconomic statuses.” Megan Petzold, Megan McMahon & Olivia MacPhee 25C. Weekes Envision 2010

26 Community Health Care Project Semester long project in senior year. Must focus on a population at risk. Document Healthy People 2010 objective being met. Must work with community partners and stakeholders within the community they are assigned to. 26C. Weekes Envision 2010

27 Community Health Care Project at an Urban Elementary School NRA Gun Safety HP 2010 Objective Fourth and Fifth Graders Majority African American Male Mostly Middle to Working Cla ss 27C. Weekes Envision 2010

28 What Students Gained from the Community Health Care Project Insight into cultural and ethnic groups that are different from themselves. Collaboration with various cultural groups to meet a defined health care need. Further develop caring through service at the aggregate level. Learning to care for and care about at risk populations. 28C. Weekes Envision 2010

29 Service Learning and Community Health Care Projects……….. Promotes interaction with others, providing an opportunity to serve the client in the community. Promotes student nurses awareness of their personal experiences and biases. Increases the Nursing Student’s consciousness thereby allowing them to develop a transpersonal caring relationship with the clients they serve. Supports learning that each person is different and EACH interaction is a cultural encounter. Increases cultural competence through their interactions and decreases cultural stereotyping. 29C. Weekes Envision 2010

30 UDM Student Testimonials “I learned that I still have it in me to be compassionate to those in need.” “I was able to bond with some of the kids (at my placement).” “Most encouraging was seeing the positive impact the center has on families.” Retrieved from 30C. Weekes Envision 2010

31 Conclusion I Dare to Care I’m a Nurse 31C. Weekes Envision 2010

32 Acknowledgements Carmon Weekes, MSN, RN I would like to thank the Envision Conference program committee for inviting me to present. Dr. Barbara K. Haas, PhD, RN, University of Texas at Tyler Doctoral Program Chair, for her support and encouragement. Mr. David Nantis former director for the institute of Service and Learning at the University of Detroit Mercy for his assistance. My nursing students for sharing their project information. 32C. Weekes Envision 2010


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