What is the demographic make-up of your community?

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Lincoln, Ch. 3 & 4; 

Ch. 3 Who lives here…works here…?

  • What is the demographic make-up of your community?
  • Is this a change from ten or twenty years ago?
  • Do you have an immigrant or refugee population?

Immigrants in your community

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  • Who are the immigrants in your community?
  • What ways does it challenge you to care for this population?
  • What resources are available…for you…for your patients?
  • Has your organization provided you with continuing education programs about caring for diverse populations?

Ch. 4

List your first positive and negative thoughts after reading each one:

  • African American- college- male- dreadlocks
  • Asian- math- herbs- driving
  • White- pregnant- poverty- alone
  • Native American- overweight- casino- pride
  • Woman- executive- African American- new
  • Elderly- new hire- thrifty- organized

On the scale of 1-5…where are you on the river…?

  • In the clinical setting:       1   2   3   4   5  
  • In the staff meeting:          1   2   3   4   5
  • At the supermarket:          1   2   3   4   5
  • At the family gathering:   1   2   3   4   5

Summary: The purpose of the weekly reflective journal exercises is to allow for analysis, synthesis and evaluation of nursing theory using guided questions. Reflection has been referred to as a process that happens internally, privately or in isolation (Hill & Watson, 2011).  Also a useful definition of reflection has been referred to as the examination of an issue of concern, as a consequence of experience, creating clarity and meaning in terms of self, and which results in a change of perspective ( Boyd & Fales, 1983).

Directions: Complete the Reflective Journal questions presented in your Lincoln (Weeks 1-6) and Dayer-Berenson (Weeks 6-8) text as defined in the course outline.  Post the responses to the questions in the D2L dropbox.

chapter 3 :

This was the response I received during a recent seminar. A participant, sitting at the back of the room and acting as though he wished he were somewhere else, startled me with his response. But, he was right! The census data is only as reliable as the people who fill out the forms. Much has been written about the hesitancy of some to provide the information because of illiteracy, distrust, or apathy toward the process. What the census does reflect is trends over time.The census was written into the United States Constitution of 1789 and stated:Article I, Section 2 of the Constitution of the United States“Representation and direct Taxes shall be apportioned among the several States which may be included within this Union, according to their respective Numbers . . . The actual Enumeration shall be made within three Years after the first Meeting of the Congress of the United States, and within every subsequent Term of ten Years, in such Manner as they shall by Law direct.”

It came about because the Revolutionary War created a debt. No longer receiving support from England, the Congress looked to the new states to share the debt and to provide revenue. In addition, it gave an accurate picture of the current population, which also determined representation in Congress. The initial census included “white” males and excluded Indians who were not taxed. Slaves were each counted as 3/5 of a person. Each succeeding census in the 1800s saw a 25% to 30% growth in the population of the United States. The 3/5 slave designation was repealed in 1865 with the passage of the 14th Amendment. In 1913 the 16th Amendment authorized directed taxation of the individual which ended the census’ role in determining state taxation.

the current census includes White and Black (African American, Negro); those identifying themselves as American Indian or Alaskan Native can list their tribe affiliation; Spanish/Hispanic/Latino can list Mexican, Mexican American, Chicano, Puerto Rican, Cuban or write in another group. Those of Asian or Southeast Asian heritage are also given an opportunity to write in another race. So, yes, we definitely see trends over time, and that enables us to reflect on the changes within our community and country.

U.S. Census Bureau Population 2008 EstimateBlack ~ African American12.8%American Indian/Alaskan Native1.0%

Asian4.5%Native Hawaiian/ Pacific Islander0.2%Hispanic ~ Latino15.4%White ~ Non Hispanic65.6%

Who Fits in what category.

interesting!According to the U.S. Census Bureau (2000) the “concept of race reflects self-identification by people according to the race or races with which they most closely identify. These categories are sociopolitical constructs and should not be interpreted as being scientific or anthropological in nature. Furthermore, the race categories include both racial and

The following race classifications are used by the U.S. Census Bureau and are consistent with the “Revisions to the Standards for the Classification of Federal Data on Race and Ethnicity” issued in 1997 by the Office of Management and Budget. Each group is listed below and includes both race and national-origin as the defining factors.White: a person having origins in any of the original peoples of Europe, the Middle East or North Africa. It includes people who indicate their race as “White” or other, such as Irish, German, Lebanese, Arab, and Polish.Black or African American: a person having origins in any of the Black racial groups of Africa. It includes those who indicate their race as “Black, African American, or Negro” or provide written entries such as Nigerian, Afro American, Kenyan, and Haitian.

American Indian and Alaskan Native: a person having origins in any of the original peoples of North and South America (including Central America) and who maintain tribal affiliation or community attachment.Asian: a person having origins in any of the original peoples of the Far East, Southeast Asia, or the Indian subcontinent including for example, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand and Vietnam. It includes Asian Indian, Chinese, Filipino, Korean, Japanese, Vietnamese, and Other Asian.Native Hawaiian and Other Pacific Islander: a person having origins in any of the original peoples of Hawaii, Guam, Samoa, or other Pacific Islands. It includes people who indicate their race as Native Hawaiian, Guamanian or Chamorro, Samoan, and Other Pacific Islander

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