Diversity Tool

Column 1 Column 2 What behaviors does What behaviors does

List behaviors typically List HEALTH behaviors your patient display your patient display that Considerations for
associated with this typically associated with that are the same as are not consistent with nursing interventions.
culture, religion, and this culture, religion, and those listed in those listed in columns 1
developmental level developmental level columns 1 and 2? and 2?
Date:
What is your
patient’s:
Culture:

Religion:

Development
al Level:

©2010, Linda Caputi, Inc. Email: Linda@LindaCaputi.com 1


List behaviors typically associated
with this culture, religion, and
developmental level.
List HEALTH behaviors typically
associated with this culture,
religion, and developmental level
What behaviors does your patient
display that are the same as those
listed in columns 1 and 2?
What behaviors does your patient
display that are not consistent with
those listed in columns 1 and 2?
Considerations for nursing
interventions.
©2010, Linda Caputi, Inc.
Rubric for Grading the Diversity Tool
3 2
Lists at least 5 behaviors
typically associated with
the patient’s culture,
religion, and
developmental level and
documents source of
information.
Lists at least 5 health
behaviors typically
associated with the
patient’s culture,
religion, and
developmental level and
documents source of
information.
Assesses patient and able
to identify at least 5
behaviors the patient
displays that are either
the same or different
than the behaviors
typically associated with
the patient’s culture,
religion, and
developmental level.
Able to identify at least 5
factors to consider when
planning patient care
based on the patient’s
culture, religion, and
developmental level and
alterations in nursing
interventions associated
with those factors.
Lists only 3 behaviors typically
associated with the patient’s
culture, religion, and
developmental level and
developmental level and
documents source of information.
Lists only 3 health behaviors
typically associated with the
patient’s culture, religion, and
developmental level and
developmental level and
documents source of information.
Assesses patient and able to
identify only 3 behaviors the
patient displays that are either the
same or different than the
behaviors typically associated with
the patient’s culture, religion, and
developmental level.
Able to identify at least 3 factors to
consider when planning patient
care based on the patient’s culture,
religion, and developmental level
and alterations in nursing
interventions associated with those
factors.
Email: Linda@LindaCaputi.com
1 0
Lists less than 3 behaviors
typically associated with the
patient’s culture, religion, and
developmental level but unable
to document source of
information.
Lists less than 3 health
behaviors typically associated
with the patient’s culture,
religion, and developmental
level but unable to document
source of information.
Assesses patient and able to
identify less than 3 behaviors
the patient displays that are
either the same or different than
the behaviors typically
associated with the patient’s
culture, religion, and
developmental level.
Identifies less than 3 factors to
consider when planning patient
care based on the patient’s
culture, religion, and
developmental level and
alterations in nursing
interventions associated with
those factors.
Unable to list behaviors
typically associated with this
culture, religion, and
developmental level.
Unable to list any health
behaviors typically associated
with this culture, religion, and
developmental level.
Unable to identify behaviors
the patient displays that are
either the same or different
than the behaviors typically
associated with the patient’s
culture, religion, and
developmental level.
Unable to identify factors to
consider when planning
patient care based on the
patient’s culture, religion, and
developmental level and
alterations in nursing
interventions associated with
those factors.
2
©2010, Linda Caputi, Inc. Email: Linda@LindaCaputi.com 3