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NUR4187-Public Family And Community Health

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  • Course Code: NUR4187
  • University: Rasmussen College
  • Country: United States


Determine how the family's culture impacts their ability to achieve healthy outcomes and identify five communication and collaboration strategies needed to facilitate health  prevention/promotion. 




The present paper focuses on health and wellness promotion of a family that considers interventions based on the cultural background of the family. The family has Carter and his wife Jenna, and three children named Cate, Peter and Ashley. It has been found that the family is at risk for developing health problems and they do not often seek medical attention. The paper would determine how the culture of the family affects the ability of the individuals to achieve healthy outcomes. Further, five communication and collaboration strategies would be identified that are required for facilitating health prevention and promotion.

Impact of culture

The culture of a family is the pattern of customs, behaviors and ideas shared by the members of the family, which has a distinct influence on the health, and wellbeing of the individuals. Cultural background influences health-related perceptions and preferences (Lor et al., 2016). In the given scenario, the rural culture of the family has the strongest influence on the ability of the family members to achieve healthy outcomes. Three primary attributes can be highlighted as elements of the rural culture of the family of Carter that act as a challenge for healthcare promotion. The use of informal resources has been pointed out to be the most common factor of rural culture (Xiong et al., 2016). Having friends is pivotal, as they help each other in times of health needs in a rural community. In the present case, Carter does not socialize with friends, and his wife Jenna stays back at home, limiting their chances of receiving health information. The second factor is the impact of family relationship in access to healthcare. Support from family members and instillation of connectedness fosters healthcare access by the individuals. In the present case, children of the family, Cate, Peter and Ashley do not receive support from their parents to seek sufficient healthcare. They do not visit health clinics for mild health issues like coughs, colds and other issues. The third factor related to family culture is level of health literacy and education level (Årestedt et al., 2015). Both the parents have low education level, and health literacy status is also poor as a consequence. Further, Jenna comes from a family of addicts because of which she has limited knowledge regarding healthcare. 


Communication strategies

Effective communication strategies are entailed that can ensure the promotion of health for the Cater family. Firstly, communication is to be inclusive through which broad participation of the members of the family would be invited. Inclusive communication considers the challenges faced by families such as cultural traditions and socioeconomic status (Williams, 2017). In the present case, the family is known to have poor socioeconomic status, and the cultural background does not support adequate healthcare access. In addition, communication with the individuals is to be respectful. The members are to be shown dignity, courtesy and reverence while having a responsive approach to the perspectives they have regarding healthcare (Black, 2016). Since Jenna and Carter have a stressful life accompanied with minimal tendency to access healthcare, their perspectives are to be understood which would be unique. Further, language barriers are to be overcome while communicating with the family members for ensuring proper communication of health information (Blais, 2015).  As the family to be cared for is from a rural background, it is likely that linguistic barriers might be present.

Collaboration strategies

While working for the improvement of health status of families living in rural settings, it is pivotal to acknowledge the individual’s values, differences and needs. A registered nurse is entailed to work in collaboration with members of an inter-disciplinary team who are in a position to communicate and integrate high quality care. Since Carter’s family has low economic status, which restricts healthcare access, the nurse is to collaborate with the Liaison Officer working in the community. The Officer would be responsible for communicating with the insurance companies and third-party insurers so that maximum health revenues can be collected for the individuals. Further, the professional would be responsible for delivering support through assistance with health funds. In addition, the involvement of a nutritionist is imperative as the individuals are at high risk of developing conditions such as high blood pressure, cancer, depression, heart attack and stroke. Jenna and her two children are known to be obese with poor eating habits. Since obesity is linked to a number of adverse health conditions, it is essential that a nutritionist advise best possible dietary plan as per the economic status of the family (Black, 2016).


Carter and his family have been facing challenges to achieve good health outcomes due to their socioeconomic background and poor access to care services. Comprehensive care for the family would need to consider the cultural aspects associated with the family. Effective communication and collaborative strategies would ensure that health promotion is achieved. 



Årestedt, L., Benzein, E., & Persson, C. (2015). Families living with chronic illness: beliefs about illness, family, and health care. Journal of family nursing, 21(2), 206-231.

Black, B. (2016). Professional Nursing-E-Book: Concepts & Challenges. Elsevier Health Sciences.

Blais, K. (2015). Professional nursing practice: Concepts and perspectives. Pearson.

Lor, M., Crooks, N., & Tluczek, A. (2016). A proposed model of person-, family-, and culture-centered nursing care. Nursing outlook, 64(4), 352-366.

Williams, L. A. (2017). Imogene King’s interacting systems theory: Application in emergency and rural nursing. Online Journal of Rural Nursing and Health Care, 2(1), 40-50.

Xiong, S., Degroote, N., Byington, H., Harder, J., Kaminski, K., & Haglund, K. (2016). Engaging in culturally informed nursing care with Hmong children and their families. Journal of Pediatric Nursing: Nursing Care of Children and Families, 31(1), 102-106

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