Assignment Prompt & Instructions
**files (3)**
– ## CultureProjectTopicsandCatagories.docx
– ## CultureProjectRubric.docx
– ## ExemplarTransgenderCultureproject.pptx
**## CultureProjectTopicsandCatagories.docx**
## Culture “Poster” Project
Group Assignments Categories
Native American Group #1 Social Customs
Vietnamese Group #2 Health care practices
Hmong Group #3 Barriers to care
Philippines Group #4 Gender roles/sexuality
Somali Group #5 Birth/death practices
Hispanic/Mexican Group #6 Nutrition
Jewish Group #7 Religion
Black American Group #8 “Fun” Facts (Interesting)
Italian Group #9
LGBTQLA+ Group #10
Japanese Group #11
Norwegian Group #12
Irish Group # 13
African Group # 14
Chinese Group # 15
**## CultureProjectRubric.docx**
| | | | | | |
| — | — | — | — | — | — |
| **Criteria** | **Exceptional: Professional, clear, accurate, confident. Organization and mechanics are impeccable. Well-organized and easily understood. No improvement needed.**<br>3 points | **Proficient: Professional, clear, accurate, confident with OCCASIONAL errors that are easily corrected.**<br>2.5 points | **Basic/Needs Improvement: MOSTLY professional and accurate. PARTIAL demonstration of professional understanding, sometimes unclear. Displays lack of confidence or inefficiencies in writing. SEVERAL areas of correction are required.**<br>2 points | **Below basic: SOMEWHAT professional and accurate. MINIMAL demonstration of professional understanding, frequently unclear. MULTIPLE areas of correction are required. Mid-term Personal Improvement Plan required**<br>1 point | **Marginal/Unacceptable: Unprofessional, inaccurate, unclear. Does not demonstrate understanding of concept. Lacks professionalism. NUMEROUS areas of correction that require resubmission. Any portion of the assignment that receives a 0 does not meet minimum requirements and must be resubmitted to earn a grade for the assignment.**<br>0 points |
| **Poster Project** |
| Presentation | Presentation is attractive and easy to follow. Viewing of all sections takes least five but no more than ten minutes for an average reader/viewer. Demonstrates effort in visual/presentation appeal through pictures, music, short videos, etc. | Presentation is clear but shows limited effort in visual appeal. Viewer can easily follow along. Viewing takes fewer than five or more than ten minutes. | Presentation is somewhat unclear and shows minimal effort in visual appeal. Somewhat difficult to follow. Viewing takes fewer than five or more than ten minutes. | Presentation is unclear and unattractive, frequently confusing, and is outside of time limits. | No discernable clarity or visual efforts. Time is significantly outside limits. |
| Content | Each of the eight sections of presentation includes three critical points that clearly relate to nursing. The three points are distinctly different from one another and are not restatements or variations of the same information. | One section contains fewer than three critical points OR critical points are a repeat of one another. Critical points are not clearly related nursing. | Two sections contain fewer than three critical points OR critical points are a repeat of one another. Critical points are not related to nursing. | Three sections contain fewer than three critical points OR critical points are a repeat of one another. | Four or more sections contain fewer than three critical points OR critical points are a repeat of one another. |
| Accuracy | All critical points are presented accurately and without bias. In the case that the critical point is opinion- or experience-based, it is clearly noted as such. All statements of fact are verifiable through provided references. | Critical points are presented accurately with some evidence of bias or inferences without reference. All statements of fact are verifiable through provided references. | Critical points are presented with clear bias and without reference. Most statements of fact are verifiable through provided references. | Critical points are biased and unreferenced. Facts are unverifiable. | Presentation is rife with stereotyped bias. |
| Grammar & Mechanics | Follows all guidelines for spelling, usage, mechanics, grammar, etc. Sentences are strong and have a varied structure. There are no mechanical errors | Follows most guidelines, but some sentences are unclear, uneven, or contain errors. There are two or fewer mechanical errors (spelling, punctuation, capitalization, grammar) | Follows some guidelines, but sentences contain multiple errors and are difficult to understand. There are three or more mechanical errors (spelling, punctuation, capitalization, grammar) | Difficulty following guidelines; mechanical errors are numerous. | Guidelines are not followed; most sentences contain numerous errors and cannot be understood. |
| References | All critical points (24 total) have a reference link available for fact-checking by the instructor | 21 or fewer critical points have reference links available | 18 or fewer critical points have reference links available | 15 or fewer critical points have reference links available | 12 or fewer critical points have reference links available |
**## ExemplarTransgenderCultureproject.pptx**
Culture Project:
transgender
By:
According to GLAAD
(Gay & Lesbian Alliance Against Defamation), Transgender is a term used to describe people whose gender identity differs from the sex they were assigned at birth.
Social customs
Coming out! (Bruce Jenner to Caitlin Jenner, Ellen Page to Elliot Page)
-Nurses need to be aware that transgender patients may be packing, which is placing a penile prosthesis in the underwear or binding, which is tight fitting sports bras or Ace bandages across the bust.
-Nurses need to be sensitive to the topic of hormone replacement and gender reassignment surgery.
-Social activism and nursing
advocacy for transgender patients.
-Some transgender patients may
elect to change their style of
clothing, hair, and change legal
name.
Bruce Jenner- Gold medal winner and public speaker
Bruce transitioned and changed name to
Caitlin Jenner.
Health care practices
Ask patients about gender identity on registration forms, include fields for listed sex at birth, preferred name and pronouns.
Ask patients how they would like to be addressed.
Apologize for mistakes. Sometimes mistakes happen, and simple apologies can go a long way.
Avoid asking for a patient's "real" name. Patients may feel offended.
Only discuss a patient's transgender status in a private setting and only with those who need to know in order to provide appropriate and sensitive care.
Barriers to care
-Lack of access to providers and healthcare workers that have sufficient knowledge about transgender people.
-Financial barriers to healthcare due to health insurance companies not covering the cost of hormone therapy and the cost to transition. However, many insurance plans have removed the exclusion that single out transgenders as they are protected under federal and state laws.
-Nurses should be aware that there are barriers to mental health resources due to prejudice, therefore there is an increased risk of violence, suicide, and STIs.
Gender Roles/sexuality
Healthcare workers need to be aware:
-Gender identity and sexual orientation are two different things
-Gender identity refers to your own internal knowledge of your own gender
-Gender roles within the community are not set in stone and most trans people believe you don’t have to follow them if they don’t fit you as a person
-Gender and sex exist on a spectrum, meaning that there are a lot of different ways that people can express their gender identity and/or sexuality
-Sexual orientation deals with who you’re attracted to and like cisgender people, transgender people can have any sexual orientation
*Example: a transgender man may be attracted to other men and identify as a gay man or may be attracted to women and identify as a straight man or have any other sexual orientation
Birth/Death practices
– No birth practices since transgenders don't realize their identity until year(s) after birth.
– Nurses should be aware that death practices/ rituals/ rites are often denied due to family abandonment.
– Nurses will hear stories of abandonment that reach multiple geographies of racial, ethnic, religious, and gender difference.
– Nurses need to be aware of cultural differences:
– In Turkey, Transgender are buried as the sex assigned at birth unless they have completed the official gender transition, a process that takes about two years with surgeries.
– In India, Transgenders were buried in a secluded area, not cremated which is custom. Hindu priests also refuse to perform post death rituals for transgenders.
– In America, the American Indians recognize Transgender. In the Native American Culture, everything that exists is thought to come from the spirit world. Someone who is Transgender is thought of as "double blessed" and the term referring to them is "Two-Spirited." For many Native American cultures, rather than stigmatizing such persons, they're seen as more spiritually gifted and often viewed as spiritual leaders and teachers. Death practices are respected and buried as they are.
Nutrition
-Research shows transgender people are more apt to experience food insecurity than non-transgender people. Nurses can offer and educate on community resources like SNAP.
-Food insecurity results from lack of resources due to employment discrimination, housing and healthcare discrimination, and homelessness. Nurses can get a referral for social service consult.
-The transgender community has a high prevalence of eating disorders, "unhealthy weight control behaviors, weight misperception, and body dissatisfaction."
Females are more likely to be overweight or obese. Nurses can seek dietary consult or support group.
-Members of this community lack knowledge and skills of dietary intake. Nurses can consider asking for a dietary consult and educate.
-Poor nutrition is also linked to the transgender having the highest rates of tobacco use and alcohol and other drug use. Nurses can consider smoking cessation and give patient external resources for addiction support.
-Strategies for improvement include creating a welcoming environment inclusive of these patients, support and nurture patients and families, facilitate their disclosure, advance effective communication, and finally promote community involvement and advocacy.
Religion
RELIGION
-Transgender does not mean anti-religious or anti-God as it is not "turning away" from God, rather "turning to" one's self-identified identity… so ask if they would like Spiritual Care
-Know the Trans-accepting churches, resources, or safe-havens within the community you work; with trans-centered violence and abandonment you never know which patient will need it during discharge planning
-Inform the Spiritual Team of preferred identity/pronouns beforehand AND incorporate one's selected family in the spiritual care of the patient
-Before you consider passing judgment… "He that is without sin among you, let him first cast a stone at her". Bible KJV John 8:7
[https://transspiritualcare.org](https://transspiritualcare.org/) for chaplain training education
“fun” facts
28% have been subjected to harassment in a medical setting.
19% have been refused medical care due to being transgender.
In the United States the first reassignment surgery was performed in 1966.
"Bottom surgery" costs $10,000 – $30,000 for male-to-female patients and $6,000-$30,000 for female-to-male patients.
41% of transgender people have attempted suicide.
Approximately 2 million Americans identify as transgender.
Resources
Cover Page: https://www.glaad.org/transgender/transfaq
Social Customs
What Do I Need to Know About the Transitioning Process? (plannedparenthood.org)
https://transcare.ucsf.edu/guidelines/binding-packing-and-tucking
National Coming Out Day: 20 people who came out in 2020 (nbcnews.com)
'Our love is radical': why trans activists lead the way in protest movements (theguardian.com)
Health care practices
https://www.cdc.gov/hiv/clinicians/transforming-health/health-care-providers/affirmative-care.html#strategies
https://uihc.org/health-topics/quick-tips-medical-providers-transgender-patients
https://www.lgbtqiahealtheducation.org/wp-content/uploads/13-017_TransBestPracticesforFrontlineStaff_v6_02-19-13_FINAL.pdf
Barriers to care
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4802845/#:~:text=The%20biggest%20barrier%20to%20health,systems%20barriers%20and%20socioeconomic%20barriers
https://transequality.org/health-coverage-guide
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3953767/
Gender Roles/Sexuality
https://transequality.org/issues/resources/frequently-asked-questions-about-transgender-people
https://www.thetrevorproject.org/trvr_support_center/trans-gender-identity/
https://www.hrc.org/resources/transgender-faq#2
Birth/Death Practices
ZENGIN, A. (2019). View of the afterlife of Gender: Sovereignty, intimacy and Muslim funerals of transgender people in Turkey: Cultural anthropology. Retrieved February 08, 2021, from https://journal.culanth.org/index.php/ca/article/view/3860/431
Malhotra, N. (2016, August 16). For the first TIME, 151 priests in Varanasi will PERFORM post-death rituals FOR TRANSGENDERS. Retrieved February 08, 2021, from https://www.thebetterindia.com/64904/transgenders-cremation-pind-daan-death-rituals-india/
Williams, W. L. (2010, October 11). The 'two-spirit' people of indigenous North Americans. Retrieved February 13, 2021, from https://www.theguardian.com/music/2010/oct/11/two-spirit-people-north-america
10
RESOURCES CONTINUED
Nutrition
Kirby, S. R., & Linde, J. A. (2020). Understanding the Nutritional Needs of Transgender and Gender-Nonconforming Students at a Large Public Midwestern University. Transgender health, 5(1), 33–41. https://doi.org/10.1089/trgh.2019.0071
https://doi.org/10.1016/j.jand.2018.03.006
https://www.healthypeople.gov/2020/topics-objectives/topic/lesbian-gay-bisexual-and-transgender-health
https://www.americanprogress.org/issues/lgbtq-rights/reports/2018/08/13/454592/protecting-basic-living-standards-lgbtq-people/
Religion
http://crashingpatient.com/wp-content/uploads/2018/10/jamainternal_Rosendale_2018_rv_180001.pdf
https://transequality.org/self-help-guide
https://sojournchaplaincy.org/education/
https://www.nursingcenter.com/ce_articleprint?an=00129191-201912000-00003
Bible King James Version John 8:7
Fun" Facts
https://muse.jhu.edu/article/258727/pdf
https://www.healthline.com/health/transgender/bottom-surgery
https://www.hrc.org/resources/understanding-the-transgender-community
https://williamsinstitute.law.ucla.edu/publications/trans-adults-united-states/
https://www.thetaskforce.org/new-report-reveals-rampant-discrimination-against-transgender-people-by-health-providers-high-hiv-rates-and-widespread-lack-of-access-to-necessary-care-2/
## image3.jpeg
## image4.png
## image5.png
## image6.jpeg
## image7.jpeg
## image8.png
## image9.png
## image10.png
## image11.jpeg
## image12.png
## image13.png
## image14.png
## image15.gif
## image16.png
## image17.jpeg
**## ExemplarTransgenderCultureproject.pptx**
Culture Project:
transgender
By:
According to GLAAD
(Gay & Lesbian Alliance Against Defamation), Transgender is a term used to describe people whose gender identity differs from the sex they were assigned at birth.
Social customs
Coming out! (Bruce Jenner to Caitlin Jenner, Ellen Page to Elliot Page)
-Nurses need to be aware that transgender patients may be packing, which is placing a penile prosthesis in the underwear or binding, which is tight fitting sports bras or Ace bandages across the bust.
-Nurses need to be sensitive to the topic of hormone replacement and gender reassignment surgery.
-Social activism and nursing
advocacy for transgender patients.
-Some transgender patients may
elect to change their style of
clothing, hair, and change legal
name.
Bruce Jenner- Gold medal winner and public speaker
Bruce transitioned and changed name to
Caitlin Jenner.
Health care practices
Ask patients about gender identity on registration forms, include fields for listed sex at birth, preferred name and pronouns.
Ask patients how they would like to be addressed.
Apologize for mistakes. Sometimes mistakes happen, and simple apologies can go a long way.
Avoid asking for a patient's "real" name. Patients may feel offended.
Only discuss a patient's transgender status in a private setting and only with those who need to know in order to provide appropriate and sensitive care.
Barriers to care
-Lack of access to providers and healthcare workers that have sufficient knowledge about transgender people.
-Financial barriers to healthcare due to health insurance companies not covering the cost of hormone therapy and the cost to transition. However, many insurance plans have removed the exclusion that single out transgenders as they are protected under federal and state laws.
-Nurses should be aware that there are barriers to mental health resources due to prejudice, therefore there is an increased risk of violence, suicide, and STIs.
Gender Roles/sexuality
Healthcare workers need to be aware:
-Gender identity and sexual orientation are two different things
-Gender identity refers to your own internal knowledge of your own gender
-Gender roles within the community are not set in stone and most trans people believe you don’t have to follow them if they don’t fit you as a person
-Gender and sex exist on a spectrum, meaning that there are a lot of different ways that people can express their gender identity and/or sexuality
-Sexual orientation deals with who you’re attracted to and like cisgender people, transgender people can have any sexual orientation
*Example: a transgender man may be attracted to other men and identify as a gay man or may be attracted to women and identify as a straight man or have any other sexual orientation
Birth/Death practices
– No birth practices since transgenders don't realize their identity until year(s) after birth.
– Nurses should be aware that death practices/ rituals/ rites are often denied due to family abandonment.
– Nurses will hear stories of abandonment that reach multiple geographies of racial, ethnic, religious, and gender difference.
– Nurses need to be aware of cultural differences:
– In Turkey, Transgender are buried as the sex assigned at birth unless they have completed the official gender transition, a process that takes about two years with surgeries.
– In India, Transgenders were buried in a secluded area, not cremated which is custom. Hindu priests also refuse to perform post death rituals for transgenders.
– In America, the American Indians recognize Transgender. In the Native American Culture, everything that exists is thought to come from the spirit world. Someone who is Transgender is thought of as "double blessed" and the term referring to them is "Two-Spirited." For many Native American cultures, rather than stigmatizing such persons, they're seen as more spiritually gifted and often viewed as spiritual leaders and teachers. Death practices are respected and buried as they are.
Nutrition
-Research shows transgender people are more apt to experience food insecurity than non-transgender people. Nurses can offer and educate on community resources like SNAP.
-Food insecurity results from lack of resources due to employment discrimination, housing and healthcare discrimination, and homelessness. Nurses can get a referral for social service consult.
-The transgender community has a high prevalence of eating disorders, "unhealthy weight control behaviors, weight misperception, and body dissatisfaction."
Females are more likely to be overweight or obese. Nurses can seek dietary consult or support group.
-Members of this community lack knowledge and skills of dietary intake. Nurses can consider asking for a dietary consult and educate.
-Poor nutrition is also linked to the transgender having the highest rates of tobacco use and alcohol and other drug use. Nurses can consider smoking cessation and give patient external resources for addiction support.
-Strategies for improvement include creating a welcoming environment inclusive of these patients, support and nurture patients and families, facilitate their disclosure, advance effective communication, and finally promote community involvement and advocacy.
Religion
RELIGION
-Transgender does not mean anti-religious or anti-God as it is not "turning away" from God, rather "turning to" one's self-identified identity… so ask if they would like Spiritual Care
-Know the Trans-accepting churches, resources, or safe-havens within the community you work; with trans-centered violence and abandonment you never know which patient will need it during discharge planning
-Inform the Spiritual Team of preferred identity/pronouns beforehand AND incorporate one's selected family in the spiritual care of the patient
-Before you consider passing judgment… "He that is without sin among you, let him first cast a stone at her". Bible KJV John 8:7
[https://transspiritualcare.org](https://transspiritualcare.org/) for chaplain training education
“fun” facts
28% have been subjected to harassment in a medical setting.
19% have been refused medical care due to being transgender.
In the United States the first reassignment surgery was performed in 1966.
"Bottom surgery" costs $10,000 – $30,000 for male-to-female patients and $6,000-$30,000 for female-to-male patients.
41% of transgender people have attempted suicide.
Approximately 2 million Americans identify as transgender.
Resources
Cover Page: https://www.glaad.org/transgender/transfaq
Social Customs
What Do I Need to Know About the Transitioning Process? (plannedparenthood.org)
https://transcare.ucsf.edu/guidelines/binding-packing-and-tucking
National Coming Out Day: 20 people who came out in 2020 (nbcnews.com)
'Our love is radical': why trans activists lead the way in protest movements (theguardian.com)
Health care practices
https://www.cdc.gov/hiv/clinicians/transforming-health/health-care-providers/affirmative-care.html#strategies
https://uihc.org/health-topics/quick-tips-medical-providers-transgender-patients
https://www.lgbtqiahealtheducation.org/wp-content/uploads/13-017_TransBestPracticesforFrontlineStaff_v6_02-19-13_FINAL.pdf
Barriers to care
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4802845/#:~:text=The%20biggest%20barrier%20to%20health,systems%20barriers%20and%20socioeconomic%20barriers
https://transequality.org/health-coverage-guide
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3953767/
Gender Roles/Sexuality
https://transequality.org/issues/resources/frequently-asked-questions-about-transgender-people
https://www.thetrevorproject.org/trvr_support_center/trans-gender-identity/
https://www.hrc.org/resources/transgender-faq#2
Birth/Death Practices
ZENGIN, A. (2019). View of the afterlife of Gender: Sovereignty, intimacy and Muslim funerals of transgender people in Turkey: Cultural anthropology. Retrieved February 08, 2021, from https://journal.culanth.org/index.php/ca/article/view/3860/431
Malhotra, N. (2016, August 16). For the first TIME, 151 priests in Varanasi will PERFORM post-death rituals FOR TRANSGENDERS. Retrieved February 08, 2021, from https://www.thebetterindia.com/64904/transgenders-cremation-pind-daan-death-rituals-india/
Williams, W. L. (2010, October 11). The 'two-spirit' people of indigenous North Americans. Retrieved February 13, 2021, from https://www.theguardian.com/music/2010/oct/11/two-spirit-people-north-america
10
RESOURCES CONTINUED
Nutrition
Kirby, S. R., & Linde, J. A. (2020). Understanding the Nutritional Needs of Transgender and Gender-Nonconforming Students at a Large Public Midwestern University. Transgender health, 5(1), 33–41. https://doi.org/10.1089/trgh.2019.0071
https://doi.org/10.1016/j.jand.2018.03.006
https://www.healthypeople.gov/2020/topics-objectives/topic/lesbian-gay-bisexual-and-transgender-health
https://www.americanprogress.org/issues/lgbtq-rights/reports/2018/08/13/454592/protecting-basic-living-standards-lgbtq-people/
Religion
http://crashingpatient.com/wp-content/uploads/2018/10/jamainternal_Rosendale_2018_rv_180001.pdf
https://transequality.org/self-help-guide
https://sojournchaplaincy.org/education/
https://www.nursingcenter.com/ce_articleprint?an=00129191-201912000-00003
Bible King James Version John 8:7
Fun" Facts
https://muse.jhu.edu/article/258727/pdf
https://www.healthline.com/health/transgender/bottom-surgery
https://www.hrc.org/resources/understanding-the-transgender-community
https://williamsinstitute.law.ucla.edu/publications/trans-adults-united-states/
https://www.thetaskforce.org/new-report-reveals-rampant-discrimination-against-transgender-people-by-health-providers-high-hiv-rates-and-widespread-lack-of-access-to-necessary-care-2/
## image3.jpeg
## image4.png
## image5.png
## image6.jpeg
## image7.jpeg
## image8.png
## image9.png
## image10.png
## image11.jpeg
## image12.png
## image13.png
## image14.png
## image15.gif
## image16.png
## image17.jpeg
**## CultureProjectTopicsandCatagories.docx**
## Culture “Poster” Project
Group Assignments Categories
Native American Group #1 Social Customs
Vietnamese Group #2 Health care practices
Hmong Group #3 Barriers to care
Philippines Group #4 Gender roles/sexuality
Somali Group #5 Birth/death practices
Hispanic/Mexican Group #6 Nutrition
Jewish Group #7 Religion
Black American Group #8 “Fun” Facts (Interesting)
Italian Group #9
LGBTQLA+ Group #10
Japanese Group #11
Norwegian Group #12
Irish Group # 13
African Group # 14
Chinese Group # 15
**## CultureProjectRubric.docx**
| | | | | | |
| — | — | — | — | — | — |
| **Criteria** | **Exceptional: Professional, clear, accurate, confident. Organization and mechanics are impeccable. Well-organized and easily understood. No improvement needed.**<br>3 points | **Proficient: Professional, clear, accurate, confident with OCCASIONAL errors that are easily corrected.**<br>2.5 points | **Basic/Needs Improvement: MOSTLY professional and accurate. PARTIAL demonstration of professional understanding, sometimes unclear. Displays lack of confidence or inefficiencies in writing. SEVERAL areas of correction are required.**<br>2 points | **Below basic: SOMEWHAT professional and accurate. MINIMAL demonstration of professional understanding, frequently unclear. MULTIPLE areas of correction are required. Mid-term Personal Improvement Plan required**<br>1 point | **Marginal/Unacceptable: Unprofessional, inaccurate, unclear. Does not demonstrate understanding of concept. Lacks professionalism. NUMEROUS areas of correction that require resubmission. Any portion of the assignment that receives a 0 does not meet minimum requirements and must be resubmitted to earn a grade for the assignment.**<br>0 points |
| **Poster Project** |
| Presentation | Presentation is attractive and easy to follow. Viewing of all sections takes least five but no more than ten minutes for an average reader/viewer. Demonstrates effort in visual/presentation appeal through pictures, music, short videos, etc. | Presentation is clear but shows limited effort in visual appeal. Viewer can easily follow along. Viewing takes fewer than five or more than ten minutes. | Presentation is somewhat unclear and shows minimal effort in visual appeal. Somewhat difficult to follow. Viewing takes fewer than five or more than ten minutes. | Presentation is unclear and unattractive, frequently confusing, and is outside of time limits. | No discernable clarity or visual efforts. Time is significantly outside limits. |
| Content | Each of the eight sections of presentation includes three critical points that clearly relate to nursing. The three points are distinctly different from one another and are not restatements or variations of the same information. | One section contains fewer than three critical points OR critical points are a repeat of one another. Critical points are not clearly related nursing. | Two sections contain fewer than three critical points OR critical points are a repeat of one another. Critical points are not related to nursing. | Three sections contain fewer than three critical points OR critical points are a repeat of one another. | Four or more sections contain fewer than three critical points OR critical points are a repeat of one another. |
| Accuracy | All critical points are presented accurately and without bias. In the case that the critical point is opinion- or experience-based, it is clearly noted as such. All statements of fact are verifiable through provided references. | Critical points are presented accurately with some evidence of bias or inferences without reference. All statements of fact are verifiable through provided references. | Critical points are presented with clear bias and without reference. Most statements of fact are verifiable through provided references. | Critical points are biased and unreferenced. Facts are unverifiable. | Presentation is rife with stereotyped bias. |
| Grammar & Mechanics | Follows all guidelines for spelling, usage, mechanics, grammar, etc. Sentences are strong and have a varied structure. There are no mechanical errors | Follows most guidelines, but some sentences are unclear, uneven, or contain errors. There are two or fewer mechanical errors (spelling, punctuation, capitalization, grammar) | Follows some guidelines, but sentences contain multiple errors and are difficult to understand. There are three or more mechanical errors (spelling, punctuation, capitalization, grammar) | Difficulty following guidelines; mechanical errors are numerous. | Guidelines are not followed; most sentences contain numerous errors and cannot be understood. |
| References | All critical points (24 total) have a reference link available for fact-checking by the instructor | 21 or fewer critical points have reference links available | 18 or fewer critical points have reference links available | 15 or fewer critical points have reference links available | 12 or fewer critical points have reference links available |
**## ExemplarTransgenderCultureproject.pptx**
Culture Project:
transgender
By:
According to GLAAD
(Gay & Lesbian Alliance Against Defamation), Transgender is a term used to describe people whose gender identity differs from the sex they were assigned at birth.
Social customs
Coming out! (Bruce Jenner to Caitlin Jenner, Ellen Page to Elliot Page)
-Nurses need to be aware that transgender patients may be packing, which is placing a penile prosthesis in the underwear or binding, which is tight fitting sports bras or Ace bandages across the bust.
-Nurses need to be sensitive to the topic of hormone replacement and gender reassignment surgery.
-Social activism and nursing
advocacy for transgender patients.
-Some transgender patients may
elect to change their style of
clothing, hair, and change legal
name.
Bruce Jenner- Gold medal winner and public speaker
Bruce transitioned and changed name to
Caitlin Jenner.
Health care practices
Ask patients about gender identity on registration forms, include fields for listed sex at birth, preferred name and pronouns.
Ask patients how they would like to be addressed.
Apologize for mistakes. Sometimes mistakes happen, and simple apologies can go a long way.
Avoid asking for a patient's "real" name. Patients may feel offended.
Only discuss a patient's transgender status in a private setting and only with those who need to know in order to provide appropriate and sensitive care.
Barriers to care
-Lack of access to providers and healthcare workers that have sufficient knowledge about transgender people.
-Financial barriers to healthcare due to health insurance companies not covering the cost of hormone therapy and the cost to transition. However, many insurance plans have removed the exclusion that single out transgenders as they are protected under federal and state laws.
-Nurses should be aware that there are barriers to mental health resources due to prejudice, therefore there is an increased risk of violence, suicide, and STIs.
Gender Roles/sexuality
Healthcare workers need to be aware:
-Gender identity and sexual orientation are two different things
-Gender identity refers to your own internal knowledge of your own gender
-Gender roles within the community are not set in stone and most trans people believe you don’t have to follow them if they don’t fit you as a person
-Gender and sex exist on a spectrum, meaning that there are a lot of different ways that people can express their gender identity and/or sexuality
-Sexual orientation deals with who you’re attracted to and like cisgender people, transgender people can have any sexual orientation
*Example: a transgender man may be attracted to other men and identify as a gay man or may be attracted to women and identify as a straight man or have any other sexual orientation
Birth/Death practices
– No birth practices since transgenders don't realize their identity until year(s) after birth.
– Nurses should be aware that death practices/ rituals/ rites are often denied due to family abandonment.
– Nurses will hear stories of abandonment that reach multiple geographies of racial, ethnic, religious, and gender difference.
– Nurses need to be aware of cultural differences:
– In Turkey, Transgender are buried as the sex assigned at birth unless they have completed the official gender transition, a process that takes about two years with surgeries.
– In India, Transgenders were buried in a secluded area, not cremated which is custom. Hindu priests also refuse to perform post death rituals for transgenders.
– In America, the American Indians recognize Transgender. In the Native American Culture, everything that exists is thought to come from the spirit world. Someone who is Transgender is thought of as "double blessed" and the term referring to them is "Two-Spirited." For many Native American cultures, rather than stigmatizing such persons, they're seen as more spiritually gifted and often viewed as spiritual leaders and teachers. Death practices are respected and buried as they are.
Nutrition
-Research shows transgender people are more apt to experience food insecurity than non-transgender people. Nurses can offer and educate on community resources like SNAP.
-Food insecurity results from lack of resources due to employment discrimination, housing and healthcare discrimination, and homelessness. Nurses can get a referral for social service consult.
-The transgender community has a high prevalence of eating disorders, "unhealthy weight control behaviors, weight misperception, and body dissatisfaction."
Females are more likely to be overweight or obese. Nurses can seek dietary consult or support group.
-Members of this community lack knowledge and skills of dietary intake. Nurses can consider asking for a dietary consult and educate.
-Poor nutrition is also linked to the transgender having the highest rates of tobacco use and alcohol and other drug use. Nurses can consider smoking cessation and give patient external resources for addiction support.
-Strategies for improvement include creating a welcoming environment inclusive of these patients, support and nurture patients and families, facilitate their disclosure, advance effective communication, and finally promote community involvement and advocacy.
Religion
RELIGION
-Transgender does not mean anti-religious or anti-God as it is not "turning away" from God, rather "turning to" one's self-identified identity… so ask if they would like Spiritual Care
-Know the Trans-accepting churches, resources, or safe-havens within the community you work; with trans-centered violence and abandonment you never know which patient will need it during discharge planning
-Inform the Spiritual Team of preferred identity/pronouns beforehand AND incorporate one's selected family in the spiritual care of the patient
-Before you consider passing judgment… "He that is without sin among you, let him first cast a stone at her". Bible KJV John 8:7
[https://transspiritualcare.org](https://transspiritualcare.org/) for chaplain training education
“fun” facts
28% have been subjected to harassment in a medical setting.
19% have been refused medical care due to being transgender.
In the United States the first reassignment surgery was performed in 1966.
"Bottom surgery" costs $10,000 – $30,000 for male-to-female patients and $6,000-$30,000 for female-to-male patients.
41% of transgender people have attempted suicide.
Approximately 2 million Americans identify as transgender.
Resources
Cover Page: https://www.glaad.org/transgender/transfaq
Social Customs
What Do I Need to Know About the Transitioning Process? (plannedparenthood.org)
https://transcare.ucsf.edu/guidelines/binding-packing-and-tucking
National Coming Out Day: 20 people who came out in 2020 (nbcnews.com)
'Our love is radical': why trans activists lead the way in protest movements (theguardian.com)
Health care practices
https://www.cdc.gov/hiv/clinicians/transforming-health/health-care-providers/affirmative-care.html#strategies
https://uihc.org/health-topics/quick-tips-medical-providers-transgender-patients
https://www.lgbtqiahealtheducation.org/wp-content/uploads/13-017_TransBestPracticesforFrontlineStaff_v6_02-19-13_FINAL.pdf
Barriers to care
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4802845/#:~:text=The%20biggest%20barrier%20to%20health,systems%20barriers%20and%20socioeconomic%20barriers
https://transequality.org/health-coverage-guide
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3953767/
Gender Roles/Sexuality
https://transequality.org/issues/resources/frequently-asked-questions-about-transgender-people
https://www.thetrevorproject.org/trvr_support_center/trans-gender-identity/
https://www.hrc.org/resources/transgender-faq#2
Birth/Death Practices
ZENGIN, A. (2019). View of the afterlife of Gender: Sovereignty, intimacy and Muslim funerals of transgender people in Turkey: Cultural anthropology. Retrieved February 08, 2021, from https://journal.culanth.org/index.php/ca/article/view/3860/431
Malhotra, N. (2016, August 16). For the first TIME, 151 priests in Varanasi will PERFORM post-death rituals FOR TRANSGENDERS. Retrieved February 08, 2021, from https://www.thebetterindia.com/64904/transgenders-cremation-pind-daan-death-rituals-india/
Williams, W. L. (2010, October 11). The 'two-spirit' people of indigenous North Americans. Retrieved February 13, 2021, from https://www.theguardian.com/music/2010/oct/11/two-spirit-people-north-america
10
RESOURCES CONTINUED
Nutrition
Kirby, S. R., & Linde, J. A. (2020). Understanding the Nutritional Needs of Transgender and Gender-Nonconforming Students at a Large Public Midwestern University. Transgender health, 5(1), 33–41. https://doi.org/10.1089/trgh.2019.0071
https://doi.org/10.1016/j.jand.2018.03.006
https://www.healthypeople.gov/2020/topics-objectives/topic/lesbian-gay-bisexual-and-transgender-health
https://www.americanprogress.org/issues/lgbtq-rights/reports/2018/08/13/454592/protecting-basic-living-standards-lgbtq-people/
Religion
http://crashingpatient.com/wp-content/uploads/2018/10/jamainternal_Rosendale_2018_rv_180001.pdf
https://transequality.org/self-help-guide
https://sojournchaplaincy.org/education/
https://www.nursingcenter.com/ce_articleprint?an=00129191-201912000-00003
Bible King James Version John 8:7
Fun" Facts
https://muse.jhu.edu/article/258727/pdf
https://www.healthline.com/health/transgender/bottom-surgery
https://www.hrc.org/resources/understanding-the-transgender-community
https://williamsinstitute.law.ucla.edu/publications/trans-adults-united-states/
https://www.thetaskforce.org/new-report-reveals-rampant-discrimination-against-transgender-people-by-health-providers-high-hiv-rates-and-widespread-lack-of-access-to-necessary-care-2/
## image3.jpeg
## image4.png
## image5.png
## image6.jpeg
## image7.jpeg
## image8.png
## image9.png
## image10.png
## image11.jpeg
## image12.png
## image13.png
## image14.png
## image15.gif
## image16.png
## image17.jpeg
**## CultureProjectTopicsandCatagories.docx**
## Culture “Poster” Project
Group Assignments Categories
Native American Group #1 Social Customs
Vietnamese Group #2 Health care practices
Hmong Group #3 Barriers to care
Philippines Group #4 Gender roles/sexuality
Somali Group #5 Birth/death practices
Hispanic/Mexican Group #6 Nutrition
Jewish Group #7 Religion
Black American Group #8 “Fun” Facts (Interesting)
Italian Group #9
LGBTQLA+ Group #10
Japanese Group #11
Norwegian Group #12
Irish Group # 13
African Group # 14
Chinese Group # 15
**## CultureProjectRubric.docx**
| | | | | | |
| — | — | — | — | — | — |
| **Criteria** | **Exceptional: Professional, clear, accurate, confident. Organization and mechanics are impeccable. Well-organized and easily understood. No improvement needed.**<br>3 points | **Proficient: Professional, clear, accurate, confident with OCCASIONAL errors that are easily corrected.**<br>2.5 points | **Basic/Needs Improvement: MOSTLY professional and accurate. PARTIAL demonstration of professional understanding, sometimes unclear. Displays lack of confidence or inefficiencies in writing. SEVERAL areas of correction are required.**<br>2 points | **Below basic: SOMEWHAT professional and accurate. MINIMAL demonstration of professional understanding, frequently unclear. MULTIPLE areas of correction are required. Mid-term Personal Improvement Plan required**<br>1 point | **Marginal/Unacceptable: Unprofessional, inaccurate, unclear. Does not demonstrate understanding of concept. Lacks professionalism. NUMEROUS areas of correction that require resubmission. Any portion of the assignment that receives a 0 does not meet minimum requirements and must be resubmitted to earn a grade for the assignment.**<br>0 points |
| **Poster Project** |
| Presentation | Presentation is attractive and easy to follow. Viewing of all sections takes least five but no more than ten minutes for an average reader/viewer. Demonstrates effort in visual/presentation appeal through pictures, music, short videos, etc. | Presentation is clear but shows limited effort in visual appeal. Viewer can easily follow along. Viewing takes fewer than five or more than ten minutes. | Presentation is somewhat unclear and shows minimal effort in visual appeal. Somewhat difficult to follow. Viewing takes fewer than five or more than ten minutes. | Presentation is unclear and unattractive, frequently confusing, and is outside of time limits. | No discernable clarity or visual efforts. Time is significantly outside limits. |
| Content | Each of the eight sections of presentation includes three critical points that clearly relate to nursing. The three points are distinctly different from one another and are not restatements or variations of the same information. | One section contains fewer than three critical points OR critical points are a repeat of one another. Critical points are not clearly related nursing. | Two sections contain fewer than three critical points OR critical points are a repeat of one another. Critical points are not related to nursing. | Three sections contain fewer than three critical points OR critical points are a repeat of one another. | Four or more sections contain fewer than three critical points OR critical points are a repeat of one another. |
| Accuracy | All critical points are presented accurately and without bias. In the case that the critical point is opinion- or experience-based, it is clearly noted as such. All statements of fact are verifiable through provided references. | Critical points are presented accurately with some evidence of bias or inferences without reference. All statements of fact are verifiable through provided references. | Critical points are presented with clear bias and without reference. Most statements of fact are verifiable through provided references. | Critical points are biased and unreferenced. Facts are unverifiable. | Presentation is rife with stereotyped bias. |
| Grammar & Mechanics | Follows all guidelines for spelling, usage, mechanics, grammar, etc. Sentences are strong and have a varied structure. There are no mechanical errors | Follows most guidelines, but some sentences are unclear, uneven, or contain errors. There are two or fewer mechanical errors (spelling, punctuation, capitalization, grammar) | Follows some guidelines, but sentences contain multiple errors and are difficult to understand. There are three or more mechanical errors (spelling, punctuation, capitalization, grammar) | Difficulty following guidelines; mechanical errors are numerous. | Guidelines are not followed; most sentences contain numerous errors and cannot be understood. |
| References | All critical points (24 total) have a reference link available for fact-checking by the instructor | 21 or fewer critical points have reference links available | 18 or fewer critical points have reference links available | 15 or fewer critical points have reference links available | 12 or fewer critical points have reference links available |
**## ExemplarTransgenderCultureproject.pptx**
Culture Project:
transgender
By:
According to GLAAD
(Gay & Lesbian Alliance Against Defamation), Transgender is a term used to describe people whose gender identity differs from the sex they were assigned at birth.
Social customs
Coming out! (Bruce Jenner to Caitlin Jenner, Ellen Page to Elliot Page)
-Nurses need to be aware that transgender patients may be packing, which is placing a penile prosthesis in the underwear or binding, which is tight fitting sports bras or Ace bandages across the bust.
-Nurses need to be sensitive to the topic of hormone replacement and gender reassignment surgery.
-Social activism and nursing
advocacy for transgender patients.
-Some transgender patients may
elect to change their style of
clothing, hair, and change legal
name.
Bruce Jenner- Gold medal winner and public speaker
Bruce transitioned and changed name to
Caitlin Jenner.
Health care practices
Ask patients about gender identity on registration forms, include fields for listed sex at birth, preferred name and pronouns.
Ask patients how they would like to be addressed.
Apologize for mistakes. Sometimes mistakes happen, and simple apologies can go a long way.
Avoid asking for a patient's "real" name. Patients may feel offended.
Only discuss a patient's transgender status in a private setting and only with those who need to know in order to provide appropriate and sensitive care.
Barriers to care
-Lack of access to providers and healthcare workers that have sufficient knowledge about transgender people.
-Financial barriers to healthcare due to health insurance companies not covering the cost of hormone therapy and the cost to transition. However, many insurance plans have removed the exclusion that single out transgenders as they are protected under federal and state laws.
-Nurses should be aware that there are barriers to mental health resources due to prejudice, therefore there is an increased risk of violence, suicide, and STIs.
Gender Roles/sexuality
Healthcare workers need to be aware:
-Gender identity and sexual orientation are two different things
-Gender identity refers to your own internal knowledge of your own gender
-Gender roles within the community are not set in stone and most trans people believe you don’t have to follow them if they don’t fit you as a person
-Gender and sex exist on a spectrum, meaning that there are a lot of different ways that people can express their gender identity and/or sexuality
-Sexual orientation deals with who you’re attracted to and like cisgender people, transgender people can have any sexual orientation
*Example: a transgender man may be attracted to other men and identify as a gay man or may be attracted to women and identify as a straight man or have any other sexual orientation
Birth/Death practices
– No birth practices since transgenders don't realize their identity until year(s) after birth.
– Nurses should be aware that death practices/ rituals/ rites are often denied due to family abandonment.
– Nurses will hear stories of abandonment that reach multiple geographies of racial, ethnic, religious, and gender difference.
– Nurses need to be aware of cultural differences:
– In Turkey, Transgender are buried as the sex assigned at birth unless they have completed the official gender transition, a process that takes about two years with surgeries.
– In India, Transgenders were buried in a secluded area, not cremated which is custom. Hindu priests also refuse to perform post death rituals for transgenders.
– In America, the American Indians recognize Transgender. In the Native American Culture, everything that exists is thought to come from the spirit world. Someone who is Transgender is thought of as "double blessed" and the term referring to them is "Two-Spirited." For many Native American cultures, rather than stigmatizing such persons, they're seen as more spiritually gifted and often viewed as spiritual leaders and teachers. Death practices are respected and buried as they are.
Nutrition
-Research shows transgender people are more apt to experience food insecurity than non-transgender people. Nurses can offer and educate on community resources like SNAP.
-Food insecurity results from lack of resources due to employment discrimination, housing and healthcare discrimination, and homelessness. Nurses can get a referral for social service consult.
-The transgender community has a high prevalence of eating disorders, "unhealthy weight control behaviors, weight misperception, and body dissatisfaction."
Females are more likely to be overweight or obese. Nurses can seek dietary consult or support group.
-Members of this community lack knowledge and skills of dietary intake. Nurses can consider asking for a dietary consult and educate.
-Poor nutrition is also linked to the transgender having the highest rates of tobacco use and alcohol and other drug use. Nurses can consider smoking cessation and give patient external resources for addiction support.
-Strategies for improvement include creating a welcoming environment inclusive of these patients, support and nurture patients and families, facilitate their disclosure, advance effective communication, and finally promote community involvement and advocacy.
Religion
RELIGION
-Transgender does not mean anti-religious or anti-God as it is not "turning away" from God, rather "turning to" one's self-identified identity… so ask if they would like Spiritual Care
-Know the Trans-accepting churches, resources, or safe-havens within the community you work; with trans-centered violence and abandonment you never know which patient will need it during discharge planning
-Inform the Spiritual Team of preferred identity/pronouns beforehand AND incorporate one's selected family in the spiritual care of the patient
-Before you consider passing judgment… "He that is without sin among you, let him first cast a stone at her". Bible KJV John 8:7
[https://transspiritualcare.org](https://transspiritualcare.org/) for chaplain training education
“fun” facts
28% have been subjected to harassment in a medical setting.
19% have been refused medical care due to being transgender.
In the United States the first reassignment surgery was performed in 1966.
"Bottom surgery" costs $10,000 – $30,000 for male-to-female patients and $6,000-$30,000 for female-to-male patients.
41% of transgender people have attempted suicide.
Approximately 2 million Americans identify as transgender.
Resources
Cover Page: https://www.glaad.org/transgender/transfaq
Social Customs
What Do I Need to Know About the Transitioning Process? (plannedparenthood.org)
https://transcare.ucsf.edu/guidelines/binding-packing-and-tucking
National Coming Out Day: 20 people who came out in 2020 (nbcnews.com)
'Our love is radical': why trans activists lead the way in protest movements (theguardian.com)
Health care practices
https://www.cdc.gov/hiv/clinicians/transforming-health/health-care-providers/affirmative-care.html#strategies
https://uihc.org/health-topics/quick-tips-medical-providers-transgender-patients
https://www.lgbtqiahealtheducation.org/wp-content/uploads/13-017_TransBestPracticesforFrontlineStaff_v6_02-19-13_FINAL.pdf
Barriers to care
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4802845/#:~:text=The%20biggest%20barrier%20to%20health,systems%20barriers%20and%20socioeconomic%20barriers
https://transequality.org/health-coverage-guide
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3953767/
Gender Roles/Sexuality
https://transequality.org/issues/resources/frequently-asked-questions-about-transgender-people
https://www.thetrevorproject.org/trvr_support_center/trans-gender-identity/
https://www.hrc.org/resources/transgender-faq#2
Birth/Death Practices
ZENGIN, A. (2019). View of the afterlife of Gender: Sovereignty, intimacy and Muslim funerals of transgender people in Turkey: Cultural anthropology. Retrieved February 08, 2021, from https://journal.culanth.org/index.php/ca/article/view/3860/431
Malhotra, N. (2016, August 16). For the first TIME, 151 priests in Varanasi will PERFORM post-death rituals FOR TRANSGENDERS. Retrieved February 08, 2021, from https://www.thebetterindia.com/64904/transgenders-cremation-pind-daan-death-rituals-india/
Williams, W. L. (2010, October 11). The 'two-spirit' people of indigenous North Americans. Retrieved February 13, 2021, from https://www.theguardian.com/music/2010/oct/11/two-spirit-people-north-america
10
RESOURCES CONTINUED
Nutrition
Kirby, S. R., & Linde, J. A. (2020). Understanding the Nutritional Needs of Transgender and Gender-Nonconforming Students at a Large Public Midwestern University. Transgender health, 5(1), 33–41. https://doi.org/10.1089/trgh.2019.0071
https://doi.org/10.1016/j.jand.2018.03.006
https://www.healthypeople.gov/2020/topics-objectives/topic/lesbian-gay-bisexual-and-transgender-health
https://www.americanprogress.org/issues/lgbtq-rights/reports/2018/08/13/454592/protecting-basic-living-standards-lgbtq-people/
Religion
http://crashingpatient.com/wp-content/uploads/2018/10/jamainternal_Rosendale_2018_rv_180001.pdf
https://transequality.org/self-help-guide
https://sojournchaplaincy.org/education/
https://www.nursingcenter.com/ce_articleprint?an=00129191-201912000-00003
Bible King James Version John 8:7
Fun" Facts
https://muse.jhu.edu/article/258727/pdf
https://www.healthline.com/health/transgender/bottom-surgery
https://www.hrc.org/resources/understanding-the-transgender-community
https://williamsinstitute.law.ucla.edu/publications/trans-adults-united-states/
https://www.thetaskforce.org/new-report-reveals-rampant-discrimination-against-transgender-people-by-health-providers-high-hiv-rates-and-widespread-lack-of-access-to-necessary-care-2/
## image3.jpeg
## image4.png
## image5.png
## image6.jpeg
## image7.jpeg
## image8.png
## image9.png
## image10.png
## image11.jpeg
## image12.png
## image13.png
## image14.png
## image15.gif
## image16.png
## image17.jpeg