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Strategy Submission

Using a Capstone Cultural Diversity Paper for Program Outcomes Evaluation


Lisa Sue Flood



Associate Professor



Northern Michigan University


Competency Categories:

Patient-Centered Care

Learner Level(s):

Pre-Licensure BSN, RN to BSN

Learner Setting(s):

Clinical Setting

Strategy Type:

Paper Assignments

Learning Objectives:


  • Identify dimensions of the client’s diversity identified through the nursing interview.
  • Discuss common problems/concerns for the cultural/diverse group.
  • Plan potential patient-centered interventions which promote wellness and demonstrate respect for the client’s diversity.
  • Identify how knowledge gained from this assignment will influence your future nursing care with diverse clients.


  • During the interview, identify the client’s cultural affiliation, values, beliefs, practices, preferences, and expressed needs related to health care, illness, and religion.
  • Determine the client’s communication needs and identify family structure, needs, and preferences.
  • Evaluate the communication skills you used during the interview.
  • Demonstrate written scholarly communication skills using correct APA format.
  • Evaluate and use a variety of scholarly/professional references cited correctly per the APA manual.


  • Value continuous improvement of your communication skills.
  • After reflection, recognize and analyze how your culturally-based attitudes, values, and beliefs impact nursing care.

Strategy Overview:

Using a Capstone Cultural Diversity Paper for Program Outcomes Evaluation

For nursing students in isolated rural areas, opportunities to meet a diverse population can be limited. The capstone course at Northern Michigan University requires senior nursing students to write a scholarly paper based on interviews with a client from another culture, religion, or sexual orientation. In addition to student evaluations, this three-part paper is also used to evaluate the baccalaureate program outcomes of critical thinking, written communication, and therapeutic interventions. First, students interview a diverse client. Second, students analyze the interview data and compare their findings with the literature. Third, students reflect on their own cultural beliefs and values and discuss their influence on future nursing practice.

NOTE: The following excerpts have been reprinted with the publisher’s permission.

Flood, L. S. (2007). online pharmacy Using a capstone cultural diversity paper for program outcomes evaluation. Nursing Education Perspectives, 28(3), 130 – 135.

Guidelines for Cultural Diversity Paper (Excerpts from Course Syllabus)

Students will need to interview a person of a different race, ethnicity, religion, or sexual orientation to complete part of this assignment. The paper consists of three parts. In Part I the student interviews a client using a standard cultural assessment tool (minimum 3–5 pages). In Part II, the student must submit a typed analysis of the client’s diversity supported with in-text references citations (minimum 3 – 4 pages). In Part III, the student must submit…a personal reflection of how this knowledge might influence their nursing care with persons from different cultures (minimum 2 pages).

For Part I: Client Interview Data

Using the attached questionnaire, the student will explore the client’s health beliefs as they relate to his/her cultural diversity by completing the Cultural Assessment Guide…Previous students have found it helpful to review the literature before the actual interview to be better prepared for asking specific questions.

For Part II: Cultural Analysis and Health Care Needs Identification

The student needs to analyze their client’s diversity using interview data and reference sources. At a minimum you should include the following:

  • Using the client interview data and current literature, describe the traditional cultural health care beliefs and practices, which includes illness beliefs and customs, interpersonal relationships, spiritual/religious beliefs and practices, worldview beliefs, and social structures.
  • Discuss any differences between what you’ve read in the literature regarding the culture’s traditional health and what your client told you. Include possible explanations for these differences.
  • Identify actual or potential health care problems/concerns (for example cultural, physical, psychological, social, financial, or developmental) for the client and their cultural /diversity group.
  • Discuss potential therapeutic interventions for the client and/or their cultural group that promote wellness, which demonstrate respect for the client’s culture/diversity, rights, beliefs, values, and life experiences and that incorporate professional values and practice standards.
  • Record your observations from the interview regarding nonverbal and verbal communication (such as eye contact, rate of speech, personal space, and touch) demonstrated by yourself and the client.

For Part III: Personal Reflections

The student needs to reflect upon how their own culture and beliefs influences their nursing care and how knowledge gained from this assignment will influence future nursing care with clients from diverse cultures. At a minimum you should include the following: analyze how your culture (beliefs, values, religion, orientation, etc.) influences your nursing care.

  • To what extent do your beliefs, prejudices, or bias influence your thinking and nursing care? Give several examples.
  • Discuss specifically how the knowledge from this assignment will influence your future nursing care of clients from different cultures/orientations. Discuss several examples.

Submitted Materials:

Additional Materials:

Evaluation Description:

The instructor evaluates the paper using the tool with all indicators evaluated on a scale of 1 – 5 (1= not met, 5 = met). For a discussion of how this assignment is used for program evaluation, please refer to the full article or contact the author.

Evaluation Tool

Critical Thinking

Client’s cultural/diversity data were thoroughly assessed and described logically.
Client’s health problems or concerns (actual/potential) were identified including wellness and developmental considerations.
Common health problems (actual and potential) were discussed for the cultural group.
Content was relevant, accurate, and complete.
Demonstrated thoughtful analysis of data to identify cultural diversity considerations in order to make sound decisions/conclusions regarding nursing/health care.
Deviations from traditional cultural practices were identified and discussed.
Discussed how knowledge gained from this assignment could be used for future nursing care of diverse clients.
Discussed how personal beliefs, values, orientation, and cultural influences could affect future nursing practice.
Integrated theoretical and evidenced based knowledge into the application of the nursing process.


Student and client’s verbal/nonverbal communication was analyzed.
Paper was written in clear, scholarly style and with correct grammar.
Paper was precise and logically organized.
Paper was of adequate length for assignment.
Format followed APA guidelines.
Paper contained a sufficient number of current scholarly/professional references.
Paper contained a variety of current scholarly/professional references.
References were appropriately cited in text of paper using APA.
References were appropriately cited on reference page using APA.

Therapeutic Interventions

Formulated potential therapeutic nursing interventions, which promoted wellness for the client and/or their cultural group, based on respect for the client’s culture/diversity, rights, beliefs, values, and life experiences.
Potential interventions incorporated professional values and standards in order to plan caring and compassionate nursing care.
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