https://cdnproxy.thepoint.lww.com/download/wolterskluwer_vitalstream_com/journal_library/ans_0161926

https://cdnproxy.thepoint.lww.com/download/wolterskluwer_vitalstream_com/journal_library/ans_01619268_2019_42_2_172.pdf https://www.ted.com/talks/dixon_chibanda_why_i_train_grandmothers_to_treat_depression?utm_campaign=tedspread&utm_medium=referral&utm_source=tedcomshare 1. Wardlaw & Shambley – Ebron (2019), derived 5 domains from their data: system and structural impact, establish trust, preserving self, practice selection, and co-cultural communicative practices. Chose one of the 5 domains. Summarize the domain and describe what this means to you and your practice. How can you use this information for better patient outcomes? 2. “The women entered the journey of seeking care for depression within a dominant societal institution without the protections that white skin, maleness, and wealth confer. As a result, their communicative practices were influenced by the intersecting oppressions and were used strategically to navigate the system to obtain the care they needed” (Wardlaw & Shambley -Ebron, 2019). What does this statement mean to you? Do you think this is specific to women seeking care for mental health? 3. Chibanda (2017) taught grandmothers skills to listen, show empathy, provide behavior activation, activity scheduling and support with digital technology. These are all skills or interventions that nurses are taught to provide care. Do you think mental health providers are providing similar support to persons with mental illness as the grandmothers that are taught evidence based talk therapy? What are the differences between this support group and similar support provided in Minnesota? Why might one have better outcomes than another?

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