Japanese Cultural Paper

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1. Describe methods to evaluate and enhance a QAPI program for hospice.

The Quality Assessment and Performance Improvement (QAPI) is a data driven program improves quality care and safety for patients under hospice care. The QAPI program enables and enhances quality in hospice clinics in order to self evaluate themselves determining whether patient care in up to par (Tecca, Merriman, & Wilson, 2007). The methods to self examination enables hospice clinics to improve performance and quality of care for the patients they serve. These methods are used as conditions of participation that assess such hospice programs. Hospice organizations are able to identify their weaknesses and address them to QAPI standards.

2. Discuss what the focus of QAPI programs should be.

QAPI has two functions, the first function is assessing the quality of hospice care and the second is improving the performance of current hospice care. Focuses should take into consideration current and ongoing hospice quality of care, hospice safety, and hospice health outcomes. When the quality of hospice care and the performance of hospice care are improved and carried out the outcome is better patient care and health.

3. Summarize the details of various cultural competence assessment resources in the Hines article.

Hines article provides various tools that enable a person or organization to be evaluated in a cultural competence point of view. These examinations enable a healthcare organization to improve cultural competence within their services, how to address certain weaknesses in cultural competences, and how care is being provided to diverse populations. These cultural assessment tools help the health care delivery system enhance services by promoting cultural sensitive care to their patients (Tecca, Merriman, & Wilson, 2007).

4. Explain the details of several cultural competence educational resources.

Hines, D. (2012). Cultural Competence Assessment and Education Resources for Home Care and Hospice Clinicians. Home Healthcare Nurse, 30(1), 39-45.

Tecca, M., Merriman., M., & Wilson, H. (2007). White Papers. OCS - Insights to Elevate Performance. Retrieved from www.oschomecare.com/Resources/White-Papers.aspx

Janelle Bailie
Adrianna Cisneros
Alexandro Fernandez
Jasdeep Kaur
Lorraine Vashaw
Meena Vu
California State University, Dominguez Hills
School of Nursing
Cultural Diversity and Health Care
BSN 306
Barbara L. Kennedy, ND, APRN, FNP-BC, ACRN, CNE
October 18, 2012
Introduction
The 2000 U. S. reports that there are 800,000 Japanese American making up 7% of the Asian population (Lipson & Dibble, 2005). Japanese American began immigrating to the United States in 1885, settling in the West Coast and Hawaii (Lipson & Dibble, 2005). It is estimated that there is just under 127 million people in Japan (U. S. Department of State, 2012). According to Japanese legend, Japan was founded in 600 BC by the Emperor Jimmu, a descendant of the sun goddess and ancestors to the current ruling imperial family (U.S. Department of State, 2012). Buddhism was introduced to Japan during the 6th century and Japan adopted the Chinese writing system, it revolutionized the Japanese cultures (U. S. Department of State, 2012). Nation or geographic area of the world the group comes from. What is the landscape like? What are the seasons like? Japan is made up of four main islands: Hokkaido, Honshu, Kyushu, Shikoku and over 3500 smaller island located off the East coast of Asia (Petry, 2003). Most of the land in Japan is mountains, covering over 80% of the landmass. Based on their location, these islands may experience heavy snowfall during the winter, or the humidity of the summer and warm rains. In November, there is possibility of typhoons in the southeastern part of Japan. One best of the seasons in Japan is during the spring months with the cherry blossoms. What is the traditional dress for men, women and children? Is the traditional dress...
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