This assignment is a formal paper. This includes APA format, title page, headingUncategorized This assignment is a formal paper. This includes APA format, title page, headings, literature review, proper citation per APA, logical sequence, conclusions, clarity, understanding of the topic, and reference list. The paper should be 3–5 pages in length excluding the title page and reference page. The paper must demonstrate independent ideas and conclusions. At a minimum, the following topics must be well articulated in the paper. Remember that discussion of each topic requires citations that are current (less than 5 years old) and relevant. Please refer to the grading rubric for how your paper will be graded.Assignment Requirements:Based upon current evidence-based research, explain how cultural competence improves health outcomes.Identify the differences between cultural awareness, cultural sensitivity, and cultural competence.Discuss why geographic regions, such as Appalachia, are often associated with a particular culture.Below is a list of five cultural factors that can have a significant impact on health outcomes. For each factor, give an example of how a particular culture (for example Mexican Americans) may affect the health and development of a pediatric patient.Health BeliefsHealth CustomsReligious BeliefsDietary CustomsConduct a brief cultural self-assessment that includes:What culture do you identify with?How does your culture view diversity?Explain the impact of your culture on healthcare decisions.Explain how your culture views the dying process.Are there any particular customs, foods, holidays, and beliefs that strongly represent your culture?