Nursing Report: Analyzing Diversity, Aging Biases, and Community Plan

This nursing assignment analyzes the impact of cultural diversity, age, gender, and socioeconomic situations on nurses' comfort levels in patient communication. The report discusses aging biases, particularly ageism in healthcare, and its effects on elderly patients. It reflects on personal experiences, emphasizing the importance of cultural competence and sensitivity in nursing practice. The assignment culminates in a community education plan designed to address ageism, promote intergenerational interactions, and improve the quality of care for older adults. The plan includes onsite programs such as wellness interventions, training for nurses, and educational initiatives aimed at eradicating biases and fostering positive attitudes towards the aging population. The report highlights the need for healthcare professionals to understand and address the unique needs of diverse patient populations, especially the elderly, to ensure equitable and effective care.

Running head: NURSING
NURSING
Name of the student
Name of the university
Author note

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Answers
1. The difference in the culture, the age, gender, race and the situation of the livelihood
tends to impact the level of comfort as a nurse towards initiating communication with
them (Harris et al., 2018). For me, these difference did not negatively affected my
comfort level as a nurse. This is because these differences help the nurses to engage in
effective communication with the patients with ultimate care. Communication is one of
the essential key that helps the nurses and the health care providers to understand, to
appreciate and work with the patients and the individuals from cultures that are other than
their own. The factor of diverse culture, gender and race which constitutes the
demographics that helps the nurse in involving in the acceptance and the awareness of the
self-awareness, the cultural differences, the knowledge of the culture of the patient and
the adaptation of the skills (Murray et al., 2016). The nurses and the health care providers
experience the opportunity of having positive impacts over the health of patient. The
nurses and the health care providers can furthermore maximize the potential by learning
more regarding the culture of the patient. By doing these, they have been practicing the
cultural awareness and the cultural competency and sensitivity. The diversity in the
practice and the field of nursing is important or essential since it provides the
opportunities for administering the quality care to the patients. The level of comfort of
the nurses can be improved and the care to the patient can be enhanced when the nurses
bridges the divide among the culture of the medicine and that of the beliefs and the
practice that constitute the value system of patient.
2. People have been aging since the beginning of the time. Though various cultures have
separate attitudes regarding aging and traditions the perspectives of the process of the

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aging tends to be very different throughout the world. Though the seniors and the OAs
within the age years of 48 to 65 years and more are arguable healthier and happier they
are still being subject to stereotyping and prejudice (Schroyen et al., 2016). In our
society, some of the younger people perceive the OAs with gray hair, wrinkled skin.
Many of the elders reported that they have felt ageism among the workplace and the
society. While some of the families and all the religions honor and value their elders,
United States is one of the place throughout the world where the OAs are not given the
proper care and the respect they deserve (Rush et al., 2017). There has been several
reports regarding the aggression and the violence regarding the OAs in the society. These
disrespect incudes differences and mismatch among the religion among the society.
Furthermore reports regarding the lack of proper treatment sand the aces to health care
measures of the OAs in the society has been one of the rising factor of debate.

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Part 1
Reflection on the experiences and impact on the current nursing practices
I have faced various of differences in the context of culture, race, gender and the situation
of living while initiating my nursing practices. But these differences did not affected me and my
level of comfort towards giving effective nursing care. In the age of health care where the quality
and presentation is all, the context of the diversity in nursing is extremely essential. According to
my personal discussion, as a nurse it is beneficial to understand the culture and the history
regarding the patient’s background to improve the communication and the bonding of trust.
Besides these, the patients from diverse background feel more comfortable and confident
towards the care they have been receiving in case the nurse can relate them towards the factor of
the ethics and culture with the improvement of the satisfaction of the patient. The current diverse
nursing practice has been in need for the development of the health care workforce. Among the
numerous other benefits some of my personal experience regarding the impact of the current
practices on nursing includes the provision of more customized, safer and culturally sensitive
care to the patient, proper determination of the culturally sensitive models of the intervention and
the better asses, accommodation and the cater towards the needs of the healthcare regarding
various of the minority groups.
The difference in the culture, the age, the gender and the living situation of the patient
impacts the comfort level of the nurse towards communicating with the patient in appositive way
(Chrisler, Barney & Palatino, 2016). This is because diversity is a worldwide factor that the
nurse experiences in their daily life while encountering with people from various backgrounds
and sexual orientation. The increase in the factor of differences like the culture, age, gender, race

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and the livelihood within the United States has initiated the initiation of the necessities for being
cultural and racially conscious regrading the care to be provided to the patient.
From my personal experience, for the patients ranging between the aged, OAs ranging
from 45 to 65 and more needs maximum of care and are prone to get afraid and tends to avoid
needles and medication practices. For these patients, friendly and comfortable nature of
communication is thus required which is different from the other group of population. These
patients are mostly the victims of chronic disease and effective and comfortable communication
with them is the one and only key. Apart from the age, I have noticed that female aged patients
are more prone to contagious diseases and seeks attention of the nurses while admitted as
inpatient within the ward. However these experiences has not impacted my nursing care and my
duty towards my patient, it has only improved my vision and my desire to engage in more
comfortable and friendly communication for developing a good patient-nurse bond for providing
the best care to my patient.
Part 2
Discussion on the ageing biases that has been observed and perpetrated
The issue of ageism is extremely common in the current society. The discrimination
against the elderly population in the health care is generally defined as the whole of bias, the
negative attitudes, the acts and the corporate arrangements towards them due to their age.
Though it has been found as per the statics, the older people are the large consumers of the health
care services. People aged 65 years and over constitute the majority of the percentage of the aged
population seeking nursing and health care (Baker, 2016).

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Negative attitudes regarding ageing and the older people tends to have significant
consequences over the mental and the physical health of the older adults. The discrimination
regarding the access and the provision of the health care facilities by the health care experts and
the nurses in the hospital furthermore leads the aging patient to go in higher risk of depression
and social isolation.
As per my personal experience, though the older people tends to require more and better
integrated services of health care by the nurses and the health care professionals due to their
complex nature of health issues, they are being treated badly with the nurses and the health care
professionals and these patients often face challenges. I have often observed that the deficit of
the gerontology skills and the lack of the understanding of the aging procedure tends to have
negative influence on the nursing care in the emergency departments of the hospital. I believe
that the socio cultural structures and the customs in the communities we live play a very
important role in the development and formation of the behaviors and the attitudes towards the
elderly patients by the nurses. Furthermore the changes of the social and the economic life have
impacted over the communication among the young individuals, the elderly together with the
attitudes towards the elderly age (Nichols, Horner & Fyfe, 2015). I have observed many of the
instances regarding the discrimination against the elderly regarding the factor of the manners, the
prejudice and the behaviors with mostly negative attitudes. I have observed and examined the
attitudes of the nurses in my departments towards the elderly patients that included their personal
values, beliefs, perceptions, prejudice which constitutes among the fundamental reasons that
influence the nurses for discriminating the elderly people. I have furthermore heard reports and
complaints regarding the cruel and the demeaning attitude of several nurses in case of elderly
and aged population. It has been reported that the elderly patients of the hospital are being left

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lying in their own feces and urine and are often being left without drinks and food. I feel that
though majority of the nurses and the health care professionals who look after the aging patients
are highly committed and motivated but due to their often overloaded and over stretched
schedule, the nurses often prefers to care for the teen age and less aged population of patient
since they are hassle free and delivering effective care to these population are much more ease as
compared to the older patients of the wards (Bahrami et al., 2019).
Part 3
Creation of the community education plan for addressing the ageing biases.
Nobody stays young forever. Aging is one of the natural process just as the changing of
the seasons. Ageism is a multifaceted issue among the current era that perpetuates some of the
negative stereotypes towards the older and aged adults by the means of the attitudes the actions
and the beliefs (Lee, Shin & Greiner, 2015). I believe that the concept of Ageism stems from the
lack of proper knowledge regarding aging, limited contact with the older adults, fear of aging
and leading towards distancing oneself from the older adults. The awareness of the context of the
ageism without the programming and the education makes the situation worse (Swift et al.,
2017). Hence it is essential to provide opportunities for the younger adults to engage in some of
the meaningful and efficient intergenerational interactions with the elder people and also by the
community development plan that will allow them to learn regarding the aging and the
development of the positive attitudes towards the process which is result in the reduction of the
challenges and the biases among the aging population.
Audience Goal
Community people including the young adults and To eradicate the biases in the delivery of care and

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the children. Furthermore the audience will include
the nurses and the health care professionals of
hospital
attitude towards the aging population in the society.
The goal or the target is to eliminate the aging bias
from the society
Program /The Plan The description of the
program
The dimension of the
wellness
Timeframe
Onsite programs Interventions of
exergaming
 This program
led by the
trainers offers
encouragemen
t to the
participants
during the
exergaming
activities. The
program
furthermore
demonstrate
the corrected
ways and the
methods for
performance
The physical
participants, the social,
emotional and the
vocational participants
Weekly 60 -80 minutes

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of the needed
activity.
Training of the nurses
and the health care
professionals.
 Sustainable
feature
regarding the
palliative care
for the aging
population
 Strategies to
initiate
effective
communicatio
n for building
patient-nurse
bond
 To develop
commitment
towards the
old age
chronic illness

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care
Education This method will initiate
all the participants of
this community
development plan to
gain knowledge
regarding the
understanding of the
entire course of life.
 The process of
aging
 The issues
related and
connected to
the process of
aging
 The insights
regarding the
older people as
individuals
 The
connection
among the
The knowledge
regarding aging and the
rights of the elderly
people.
Weekly 2-3 hours

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young
generation and
the older
generation
Action Plan Some of the key
initiatives and the
targets includes the
following:
 Lifelong
employability
for the aging
population
 Opportunity
for health and
wellness of the
aging
population
without any
biases
 Chances for
senior learning
process
 Aged care and
active ageing
Community befriending,
senior volunteerism and
inter-generational
harmony
Monthly evaluation
once

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and assisted
life

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References
Bahrami, M., Purfarzad, Z., Keshvari, M., & Rafiei, M. (2019). The components of nursing
competence in caring for older people in Iranian hospitals: A qualitative study. Iranian
journal of nursing and midwifery research, 24(2), 124.
Baker, J. D. (2016). Aging and ageism in perioperative nursing. AORN journal, 103(6), 552-554.
Chrisler, J. C., Barney, A., & Palatino, B. (2016). Ageism can be hazardous to women's health:
Ageism, sexism, and stereotypes of older women in the healthcare system. Journal of
Social Issues, 72(1), 86-104.
Harris, A. L., Banister, G. E., Townsend, C., Raymond, N., & Mason, P. R. (2018). " It Was a
Light Coming Through": African-American Nurses' Perceptions of a Collaborative
Nursing Leadership Program.
Lee, Y. S., Shin, S. H., & Greiner, P. A. (2015). Can education change attitudes toward aging? A
quasi-experimental design with a comparison group. Journal of nursing education and
practice, 5(9), 90-99.
Murray, T. A., Pole, D. C., Ciarlo, E. M., & Holmes, S. (2016). A nursing workforce diversity
project: Strategies for recruitment, retention, graduation, and NCLEX-RN
success. Nursing education perspectives, 37(3), 138-143.
Nichols, P., Horner, B., & Fyfe, K. (2015). Understanding and improving communication
processes in an increasingly multicultural aged care workforce. Journal of Aging
Studies, 32, 23-31.

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Rush, K. L., Hickey, S., Epp, S., & Janke, R. (2017). Nurses' attitudes towards older people care:
An integrative review. Journal of clinical nursing, 26(23-24), 4105-4116.
Schroyen, S., Missotten, P., Jerusalem, G., Gilles, C., & Adam, S. (2016). Ageism and caring
attitudes among nurses in oncology. International Psychogeriatrics, 28(5), 749-757.
Swift, H. J., Abrams, D., Lamont, R. A., & Drury, L. (2017). The risks of ageism model: How
ageism and negative attitudes toward age can be a barrier to active aging. Social Issues
and Policy Review, 11(1), 195-231.