review the Office of Minority Health, National CLAS Standards located in the Web Resources area.

1. Discuss your ethnic/cultural background (health perception and practices).
2. Choose a different culture or ethnic group and discuss potential cultural/linguistic needs. Consider your food preferences, rituals, health beliefs, and any religious orientations that may influence patient care.
3. Apply at least one CLAS Standard that supports the identified need and discuss the role of the advanced practice nurse in promoting culturally sensitive care.
4. Please list references in APA format.

Example of what I want please do something similar but adding a latino culture which is Puerto Rico.

Example:

Whilst spending a considerable amount of time reflecting on what it is that I align amidst in this endeavor to declare an ethnic and cultural background, for the perspective of health perception and practices, I realized how simplistic or complicated this task could become. Defining myself as a White, American, Male, and Nurse would simply sum it up. I am very much a product of my environment; as my culture is acquired, accorded, adapted and ever-evolving (Elsevier, 2016). I like to think that I keep my health perception and self-practices cutting edge and mostly derived from Evidence-Based Resources. One can venture to assume that is an advantageous way to think, as research has clearly revealed one’s self-perception of health is coupled with mortality (Menec, Chipperfield, & Perry, 1999). In actualization of practice, I adhere to a proactive stance towards my health. I follow a vegan diet, exercise several hours daily, and practice yoga; a far cry from my days of junk-food and finding every excuse not to work-out. The significant shift in my health perception and practice meriting a mention, derived from realizing that most Medical Doctors I had utilized, simply did not render quality care or input. Labs results, blood pressure results, weigh-ins, and exercise regimes that clearly needed improving, consistently met their check off criteria of being acceptable. It excites me to someday be given the opportunity to function as an Advanced Registered Nurse Practitioner and share the depth and breadth of my knowledge with others, regardless of their ethnic and cultural background; holding the concept of egalitarianism to heart, I am confident I will function in a manner of respect and understanding while educating patients who originate from diverse backgrounds.

In addressing the second component of this discussion, it is relevant to reveal it is next to impossible for a clinician to dismiss their own personal view of food preferences, rituals, health belief, and/or religious orientations, yet it is not impossible to shelf these attributes and keep them sidelined when imparting advice to patients. Embracing the doctrine of egalitarianism as aforementioned, it is quite a comfortable stance for me to reserve my personal beliefs and offer evidence-based practice advice to patients I treat. However, surely, we have all sought after clinicians who had strong opinions, and perhaps for that reason alone, we sought after such an individual; certainly, if a patient is interested in some health aspect that may not be the mainstream, yet may be close to your heart, it is fine to educate; it is our position to help a client achieve physiological and psychological equanimity.

In consideration of others deriving from ethnic and/or cultural backgrounds that differ from my own, I can attest that I have much experience in this arena, as I assume we all have. It is a daily event for me to utilize a professional language line to speak with, but not limited to a Spanish, Korean, or Thai client. Perhaps one of the most respectful groups of ethnic diversities I have worked with is the Thai population. Healthcare in Thailand is vastly different than here in the United States (U.S.). In the utilization of a language-line, the hurdle of the language barrier is easily overcome; the comprehension of cultural differences, well that takes some time. For Thai patients who have assimilated here into the U.S. healthcare system, appreciation for clinicians to interpret and define medical testing is greatly appreciated, although most Americans feel the actual time spent with their clinician is far too short, a client from Thailand often feels satisfied with the time a clinician spends with them, conversely, they often feel disappointed and a bit lost to realize their U.S. clinician does not ultimately make the medical decision for them (Kijsomporn & Steeves, 2017).

After years of working with a diverse client population, it is considered the norm to engage with respect and understanding for the coterie of a population, understanding their values, creeds, cultures, and rituals (Jarvis, 2016). Performance that parallels the stance of the National Standards for Culturally and Linguistically Appropriate Services (CLAS) in Health and Health Care is what I strive toward. Beyond fulfilling their number one principle standard of providing practical, impartial, logical, and polite world-class care, and services that is sensitive to assorted cultural health views and customs, in one’s favored language, regardless of their health knowledgeability (U.S. Department of Health and Human Services Office of Minority Health, n.d.), I personally make the effort to research the culture and ethnic needs of my clients. Every Nurse, regardless of degree, has the ownership to extend and offer CLAS standards. The Advanced Registered Nurse Practitioner is often the pinnacle of operational management, and in holding such a position, it is their obligation to support and guide in the delivery of CLAS standards.

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