| Course | NU 780 Population Health |
|---|---|
| Unit | Unit 7 |
| Paper type | Culturally adapted implementation plan |
| Length | About 780 words, 5 pages |
| Format | APA 7 student paper |
| School | Herzing University |
| Program | MSN |
| Updated | October 2026 |
Free sample paper for NU 780 Unit 7
Implementation Plan for a Culturally Adapted Hepatitis B Screening Program With Vietnamese American Adults
Student Name
Department of Nursing, Herzing University
NU 780: Population Health
Instructor Name
March 11, 2026
Implementation Plan for a Culturally Adapted Hepatitis B Screening Program With Vietnamese American Adults
The Program and the Community
The program offers hepatitis B screening, linkage to care for people with chronic infection, and vaccination for those susceptible, to Vietnamese American adults in a composite metropolitan area where about 18,000 Vietnamese Americans live, many of whom immigrated as adults. Chronic hepatitis B infection is far more common among people born in countries where the virus is endemic, including Vietnam, than in the general US population, and many people with chronic infection do not know it. Federal guidance now recommends screening all adults at least once using a triple panel of tests that identifies current infection, past infection, and vaccine immunity (Conners et al., 2023). The program is modeled on a community-based randomized trial among high-risk Vietnamese Americans in which community health educators and patient navigation, delivered through community organizations, increased hepatitis B screening compared with a control group (Ma et al., 2017).
Adaptation Principles
Adaptation works at two levels. Surface structure refers to the visible features of a program, such as language, images, and messengers, and deep structure refers to the cultural, social, and historical factors that shape how a community understands a health issue and makes decisions about it (Griffith et al., 2024). The plan addresses both, and each is written into delivery rather than described once at the end.
Language, by Language and by Mode
Materials: all print materials are in Vietnamese and English, written first in Vietnamese by a bilingual health educator rather than translated from English, then reviewed by a panel of six community members of different ages for clarity and tone. Interpreters: the partner clinic provides in-person Vietnamese-speaking medical interpreters on screening days, since phone interpretation is poorly accepted by older adults in this community. Staff: two Vietnamese-speaking community health workers deliver outreach and navigation; the nurse practitioner who delivers results uses an interpreter for every conversation with patients who prefer Vietnamese, regardless of how well they seem to speak English, because results conversations involve concepts that are easy to misunderstand. Each of these three is planned separately because they fail separately: a clinic can have good materials and still have no interpreter on a Saturday.
Timing and Venue
Timing accounts for how the community lives. Many adults work in nail salons, restaurants, and manufacturing with long weekday hours, so screening events are held on Sunday afternoons after religious services and on two weekday evenings a month. Events avoid Tet, the lunar new year, and the weeks before it, when community calendars are full. Venues are chosen for trust as well as capacity: a Vietnamese Buddhist temple, a Catholic parish with a Vietnamese-language Mass, and a community association office. The clinic is used for follow-up, not first contact, because many community members do not yet have a regular source of care and see clinics as places to go when sick.
Deep Structure: Understanding and Stigma
Community advisory members described two beliefs that affect screening. First, some people believe that a person who feels well cannot have liver disease, so the program's message emphasizes that hepatitis B usually has no symptoms and that testing protects the family. Second, there is stigma: some fear that a positive result will lead to exclusion from family events or problems at work. The program addresses stigma by framing screening as a family and community health practice, featuring testimonials from respected community members who have hepatitis B and are managing it well, and by ensuring confidentiality, with results given privately and never at the event. Family decision-making is respected: materials are designed to be taken home and discussed, and community health workers offer to talk with family members together.
Schedule and Staffing
Months one and two: advisory group meetings, material development and testing, and training of community health workers in hepatitis B, navigation, and confidentiality. Months three through twelve: two screening events per month, each aiming for 40 participants, with blood drawn on site by the partner clinic's phlebotomist. Within two weeks of each event: results delivered privately by the nurse practitioner with an interpreter; people with chronic infection navigated to a clinician for evaluation within 30 days; susceptible people offered vaccination, with the three-dose series scheduled at community events where possible.
Measures of Reach and Fidelity
Reach: number screened, by age, sex, and neighborhood, compared with the estimated eligible population. Fidelity: proportion of events with interpreters present, proportion of results delivered within two weeks, proportion of infected people evaluated within 30 days, and proportion of susceptible people starting vaccination. Acceptability: brief feedback forms in Vietnamese at each event. These measures will show whether the adaptation is working as delivered before any population outcome could change.
References
Conners, E. E., Panagiotakopoulos, L., Hofmeister, M. G., Spradling, P. R., Hagan, L. M., Harris, A. M., Rogers-Brown, J. S., Wester, C., & Nelson, N. P. (2023). Screening and testing for hepatitis B virus infection: CDC recommendations, United States, 2023. MMWR. Recommendations and Reports, 72(1), 1-25. https://doi.org/10.15585/mmwr.rr7201a1
Griffith, D. M., Efird, C. R., Baskin, M. L., Webb Hooper, M., Davis, R. E., & Resnicow, K. (2024). Cultural sensitivity and cultural tailoring: Lessons learned and refinements after two decades of incorporating culture in health communication research. Annual Review of Public Health, 45, 195-212. https://doi.org/10.1146/annurev-publhealth-060722-031158
Ma, G. X., Fang, C. Y., Seals, B., Feng, Z., Tan, Y., Siu, P., Yeh, M. C., Golub, S. A., Nguyen, M. T., Tran, T., & Wang, M. (2017). A community-based randomized trial of hepatitis B screening among high-risk Vietnamese Americans. American Journal of Public Health, 107(3), 433-440. https://doi.org/10.2105/AJPH.2016.303600
What the NU 780 Unit 7 instructions ask for
Unit 7 is a plan for carrying out a population health program adapted to the culture of the community it serves. Expect to describe the program and population, explain your approach to cultural adaptation, address language, timing, venues and messengers, plan for beliefs or stigma that affect participation, set a schedule with staffing, and define measures of reach and fidelity. Many versions use the surface and deep structure distinction or a named cultural adaptation framework. Check whether your section expects a community advisory group. Translation alone is rarely enough, so explain how the program will reflect values and concerns as well as language. Draw on research with the same population where possible, and describe how community members shaped the plan rather than only received it.
How this NU 780 Unit 7 example is built
The plan opens with the program's three parts and the community's size and context. The adaptation principles section defines surface and deep structure in two sentences and says how each will be addressed. Language is planned separately for print, spoken and digital modes, with materials developed in Vietnamese first. Timing and venues reflect long weekday work hours and trusted gathering places. The deep structure section takes two beliefs from advisory members and explains how messages and messengers respond to each, without dismissing them. The schedule runs month by month with staff roles. Measures separate reach, compared with the eligible population, from fidelity, such as interpreters present at every event, so the team can tell whether a weak result means poor delivery or a poor fit.
Where the points sit in the NU 780 Unit 7 rubric
When Herzing grades a cultural adaptation plan, the rubric usually weighs the description of the population, the adaptation approach, the attention to language and communication, community engagement, the implementation plan, and evaluation. The adaptation criterion often carries the most weight and gives full marks when both surface and deep structure are addressed with reasons drawn from the community. Language points reward planning beyond translation. Engagement criteria look for community members in planning roles. Implementation points go to a realistic schedule with staffing. Evaluation earns credit for reach and fidelity measures. Writing marks depend on order, plain language and APA 7 references to Griffith and colleagues and to the CDC recommendation by Conners and colleagues.
NU 780 Unit 7 help: mistakes that cost points
The usual Unit 7 problem is a plan that equates cultural adaptation with translating materials. Another is describing the community through stereotypes rather than through what community members said. Students often leave out deep structure, the beliefs and values that shape participation. Venues and timing are frequently chosen for staff convenience. Community advisory groups are mentioned without a role in decisions. Fidelity measures are often missing, so a poor result cannot be explained. Some plans cite research on a different population as if it applied directly. Finally, address stigma respectfully and with evidence, since dismissing a belief tends to reduce trust and graders look for messaging that works with community concerns.
Get a NU 780 Unit 7 example written to your instructions
Send the Unit 7 instructions and the rubric from your NU 780 classroom, plus your program and what you know about the community it serves. We write a custom example with the adaptation running through the delivery rather than sitting beside it, returned in 24 to 48 hours. The first custom sample is free.
More NU 780 papers and MSN samples
- NU 780 Unit 1: Community assessment
- NU 780 Unit 2: Epidemiologic profile
- NU 780 Unit 3: Population health paper
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- NU 780 Unit 5: Prevention program proposal
- NU 780 Unit 6: Coalition and partnership plan
- NU 780 Unit 8: Population outcome evaluation
- NU 480 Unit 7: Competency evidence audit
- NU 602 Unit 7: Theoretical framework application
- NU 651 Unit 7: Governance and committee review
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NU 780 Unit 7 questions, answered
What does cultural adaptation actually change?
The delivery. Which language the session runs in, who leads it, where it is held, what day and hour, what food is present, whether men and women attend together, what the materials show. If your plan would look identical for a different community, the adaptation is a statement of values rather than a design decision, and the rubric is looking for the second.
Is translating the materials enough?
No, and it is the most common shortfall. Written translation serves people who read in that language, which is not everybody who speaks it, and it does nothing for the session itself. Plan for interpreters or bilingual deliverers separately, check the translation with community members rather than trusting a service, and state the reading level you targeted.
How do I recruit participants who are not already connected?
Through people they trust rather than channels you control. Clinic mailings and organizational social media reach those already engaged; a respected community member, a faith leader or a promotora reaches the people your program most needs. Name who would carry the invitation, and say what it would take for them to be willing to.
Where can I find a free NU 780 Unit 7 sample paper?
This page carries the complete NU 780 Unit 7 hepatitis B screening plan free, from language and venues to deep structure and measures. A custom plan can adapt a different program for the community your section names.
What is the difference between surface and deep structure in cultural adaptation?
Surface structure is what people see and hear, such as language, images and messengers. Deep structure is the beliefs, values and history that shape how a program is received. This sample addresses both, including beliefs about feeling well and liver disease.