Heritage Self-Assessment Reflection Paper Guide
Three questions and only the third is about clients — budget a third of the space to each, or the professional application ends up as an afterthought.
Editorial process
Last reviewed · August 9, 2026
Two questions about you, one about your patients
Three questions, one to two pages, and the third one is the only one that is not about you. That asymmetry is the key to the whole assignment. The first two ask you to reflect on your own heritage assessment and on whether you identify with your traditional heritage; the third asks how a tool like a heritage assessment could be used with clients and their families. A paper that spends both pages on personal reflection answers two-thirds of the brief and leaves the professional application — arguably the reason the assignment exists — as an afterthought in the final paragraph. Budget roughly a third of your space to each question and resist the pull of the first one. The brief also asks for APA format with references, which is a signal that reflection here is expected to sit alongside literature rather than replace it.
The second question contains a genuine trap in the phrase *the degree to which*. It is not a yes-or-no question, and answering it as one costs you the analysis. Heritage consistency is a spectrum: someone may keep the food, the holidays and the language of a tradition while having let go of its religious observance, or the reverse. Say where on that spectrum your answers put you and, more usefully, say which dimensions of the assessment pulled in different directions. The instrument asks about place of birth, family structure, religious practice, language, neighbourhood, and social contact for a reason — they can disagree, and naming a disagreement is more analytical than reporting a total. Quantifying it loosely is fine; the marks come from explaining what the pattern shows, not from producing a score. Say which questions you answered from certainty and which you had to guess at, because a heritage you know only second-hand is itself a finding about how strongly you identify with it.
The link to nursing practice has to be specific or it evaporates. "This will make me more culturally aware" is the sentence to avoid. Better is to name a concrete way your own heritage shapes your default assumptions at the bedside: what you take as normal family involvement in decisions, how you read silence or deference, what you assume about diet, pain expression, modesty, or who speaks for the patient. Then say what happens when a patient's defaults differ. The point of assessing your own heritage first is that unexamined norms are invisible, and the paper should demonstrate that you have made at least one of yours visible. That is also the honest version of the reflection, since a writer who identifies strongly with a tradition and one who identifies weakly both bring assumptions into the room — only different ones.
The third question asks about the tool, not about cultural competence in the abstract, so keep it concrete. A heritage assessment used with a client is a structured way of asking about background rather than inferring it, and its real value is that it makes the clinician ask instead of assume. Say when in the encounter you would use it, how you would introduce it without making it feel like an interrogation, what you would do with the answers, and where it would change a plan of care — diet, medication timing around fasting, family presence, interpreter needs, end-of-life preferences. Name at least one limitation too. A tool applied to every patient identically is a form of the same problem it is meant to solve, and saying so shows you have thought past the assignment's premise.
Cultural competence is the term the brief uses and it is worth handling carefully, because the literature has moved on and a marker in this field will notice. Competence implies an endpoint that can be reached; cultural humility frames it as an ongoing self-critical practice, and several of the assessment instruments now in use measure something closer to the latter. You do not need to relitigate the debate in two pages, but a sentence acknowledging that heritage assessment is one input to a continuing process rather than a competence achieved is the kind of framing that separates a graduate-level reflection from an undergraduate one. Support it with a source, since this is exactly the claim that benefits from a citation rather than an assertion. It also gives the paper somewhere to go beyond description, since the interesting claim is not that you assessed your heritage but that the assessment is one moment in something continuous.
Keep the mechanics clean because there is very little room for slippage. One to two pages in a Word document means the reflection is tight and the references sit on their own page. APA format with references means in-text citations as well as a reference list — a reflective paper with a reference list and no citations in the body is a common and easily-avoided error. Write in the first person, because the brief asks you to reflect on your own assessment and third person would be contorted, but keep the professional claims sourced. Draft the third question first if you find the personal sections easier to write, since starting with the application forces the reflection to earn its place rather than filling the page by itself. Keep the personal detail proportionate as well — enough that the reflection is genuinely yours, not so much that the marker is reading biography instead of analysis.
Required element | The version that loses marks | The version that scores |
|---|---|---|
Balance of the three questions | Two pages of personal reflection | Roughly a third of the space each |
Degree of identification | Yes or no | A spectrum, with dimensions that disagree named |
Which dimensions | A total or a summary | Food, language, religion, contact — separated |
Impact on practice | 'I will be more aware' | One named default assumption made visible |
Using the tool | A description of cultural competence | When, how, and what changes in the care plan |
Limitations | None mentioned | At least one, e.g. applying it identically to everyone |
Framing | Competence as an endpoint | An ongoing practice, supported by a source |
Citations | A reference list with no in-text citations | Both, in APA format |
Likely learning objectives
Inferred from the brief — check these against your own rubric.
- 01Report heritage consistency as a spectrum rather than a binary.
- 02Make one's own cultural default assumptions explicit and examinable.
- 03Specify where a heritage assessment would change a plan of care.
- 04Frame cultural competence as a continuing practice, with support.
Read the full question
Review every instruction before using the planning guidance that follows.
What the document must contain
- 01A 1-2 page Word document in APA format.
- 02A reflection on the degree of identification with your traditional heritage.
- 03An explanation of how that does or does not affect your nursing practice.
- 04An account of how a heritage assessment could be used with clients and families.
- 05In-text citations and a reference list.
From your own pattern to the plan of care
Your heritage assessment, read as a pattern
Report the degree of identification and which dimensions disagree.
What that means at the bedside
Name a default assumption your heritage supplies and what happens when a patient's differs.
Using the tool with clients
Set out when, how, and what would change in the plan of care.
Limits and the wider practice
Acknowledge a limitation and frame competence as ongoing.
Find the instrument, not a description of it
Recommended databases
- PubMed Central
- CINAHL
- Transcultural nursing journals
Search sequence
- 1.Find the published account of the heritage assessment instrument itself, so the paper describes the tool accurately rather than from memory of the worksheet.
- 2.Look for evidence on whether cultural competence education changes practice, since the assignment's implicit claim is that it does and a source is better than an assumption.
- 3.Search for the cultural humility literature, which supplies the framing that keeps the paper from treating competence as an endpoint.
- 4.Find at least one study of the tool used with patients rather than with students, to support the third question with something other than speculation.
Measuring competence and what education changes
These are authoritative starting points, not a ready-made bibliography. A qualified reviewer must confirm that each source fits the assignment and supports the claim beside which it is cited.
Nothing here is cleared for citation until you have read it.
- 01
Development and psychometric assessment of the healthcare provider cultural competence instrument
Inquiry: A Journal of Medical Care Organization, Provision and Financing · 2015
Shows how cultural competence is actually operationalised and measured, which gives the reflection a basis for saying what a heritage assessment does and does not capture.
- 02
Effect of a transcultural nursing course on improving the cultural competency of nursing graduate students
Journal of Educational Evaluation for Health Professions · 2023
Evidence that structured cultural education changes measured competency, supporting the claim that self-assessment is a step in a process rather than a formality.
- 03
Exploring the Meaning of Cultural Competence Among Undergraduate Nursing Students
Nursing Research and Practice · 2026
Useful for the framing paragraph, since it examines what nurses themselves understand cultural competence to mean rather than assuming the textbook definition.
- 04
An educational program for enhancing cultural competence and cultural self-efficacy in healthcare providers
BMC Medical Education · 2025
Connects self-assessment to self-efficacy in practice, which supports the second question's link between reflecting on your own heritage and what you do at the bedside.
Before the reflection is submitted
Common mistakes
- Answering the first two questions and treating the third as a conclusion.
- Reading 'the degree to which' as a yes-or-no question.
- Reporting a total from the instrument instead of what the pattern shows.
- Claiming increased awareness without naming a single assumption.
- Describing cultural competence in general instead of the tool in use.
- Never saying when in the encounter the tool would be used.
- Failing to name any limitation of heritage assessment.
- Treating competence as a state that can be achieved and finished.
- Including a reference list with no in-text citations.
- Writing in third person about your own reflection.
- Running to three pages when the brief says one to two.
Submission checklist
- All three questions receive roughly equal space.
- Identification is described as a degree, with specific dimensions.
- At least one dimension that pulls against the others is named.
- One concrete default assumption from your own heritage is made explicit.
- The practice impact names a bedside situation, not a general attitude.
- The tool section covers when, how, and what changes as a result.
- A limitation of the tool is acknowledged.
- Cultural competence is framed as ongoing, with a source.
- APA in-text citations appear alongside the reference list.
- The document is 1-2 pages.
Use this guide to plan and review your own work. Follow your institution's rules and read our academic-integrity policy.

Written by
Aaron Bishop
MA, Education
assignment interpretation and research-methods coaching across disciplines
Aaron leads the EssayCrackers editorial desk. He works on how assignment briefs are read — what a rubric is actually asking for, and where students most often answer a different question than the one set.

Reviewed by
Dr. Nathan Cole
PhD, Rhetoric & Composition
Argumentation and thesis development
Nathan teaches first-year composition and directs a university writing center. He reviews EssayCrackers guides for argumentative soundness and citation accuracy.