Cultural Assessment

Play an AI-generated podcast conversation about this lesson

will help the patient and nurse to formulate a mutually acceptable, culturally responsive treatment plan.

Data obtained from a cultural assessment

To learn about the client’s beliefs and usual behaviors associated with health and illness, including beliefs about disease cause, caregiving, expected treatments (both Western medicine and folk practices), daily hygiene, food preferences and rituals, religious beliefs relative to health care

PURPOSE of Cultural Assessment

To compare and contrast the client’s beliefs and practices with those of other persons from a similar cultural background ( to avoid stereotyping )

PURPOSE of Cultural Assessment

To assess the client’s health relative to diseases prevalent in the specific cultural group

PURPOSE of Cultural Assessment Signup and view all the answers

is that patients have a right to their cultural beliefs, values, and practices, and that these factors should be understood, respected, and considered when giving culturally competent care.

The basic premise of the cultural assessment Signup and view all the answers

Cultural Beliefs and Values to Assess Include

Value orientation ( principle of what values and behaviors are considered right or wrong by a group or an individual ) Beliefs about human nature Beliefs about relationship with nature Beliefs about purpose of life Beliefs about health, illness, and healing Beliefs about what causes disease Beliefs about health Beliefs about who serves in the role of healer or what practices bring about healing Beliefs about the meaning of suffering and pain Signup and view all the answers

Factors Affecting Approach to Providers

▪ Ethnicity ( of both client and health care provider ) ▪Generational status ▪ Educational Level ▪Religion ▪Previous health care experiences ▪Occupation and income level ▪Beliefs about time and space ▪Communication needs/preferences Signup and view all the answers

is culturally based,

communication Signup and view all the answers

can have many variations based on both language differences and usual tone of voice.

Verbal communication Signup and view all the answers

VARIATIONS TO COMMUNICATION

time, space, Eye contact and Face positioning, Body Language and Hand gestures, Silence, Touch Signup and view all the answers

is perceived to be measurable (Western cultures) or fluid and flowing (Eastern cultures). Different cultural groups tend to place different values on the past versus present versus future.

Time Signup and view all the answers

cultural differences in personal space

Space Signup and view all the answers

American expect people talking to each other to maintain a fairly high level of eye contact. Those looking away and not giving good eye contact are thought to be rude or inattentive.

Eye contact and Face positioning Signup and view all the answers

two major hand gesture of note are those for indicating height and those for indicating “ok”

Body Language and Hand gestures Signup and view all the answers

there are two types of silence. One is simply remaining silent for long periods; the other is used for space talking between two people carrying on a conversation.

Silence Signup and view all the answers

Is a very culturally based. How much touch is comfortable and allowable, and by whom, are all based on culture.

Touch Signup and view all the answers

Chinese medical practitioners, herbalist

Asians traditions Signup and view all the answers

Magic herbalist, Hoodoo (also known as conjurers), or other traditional healers known as “old lady”, “granny” or lay midwife

African traditions Signup and view all the answers

Medicine men or shamans

Native American/ Alaska Native traditions Signup and view all the answers

Folk healers (curandero/a, bruja/o [witch], yerbero/a, partera [midwife])

Hispanic (Mexican, Central and South America, Spain/Portugal) traditions Signup and view all the answers

Homeophatic physicians, physicians, and other health professionals

Western European tradition Signup and view all the answers

Factors Affecting Disease, Illness, Health State

▪ Biomedical variation ▪ Nutrition/dietary habits ▪ Family roles and organization, pattern ▪Workforce issue ▪ High-risk behaviors ▪ Pregnancy and childbirth practices ▪ Death rituals ▪ Religious and spiritual beliefs and practices ▪ Health care practices ▪ Health care practitioners ▪ Environment Signup and view all the answers

three nursing modes

Madeleine Leininger Signup and view all the answers

Madeleine Leininger's three nursing modes

Cultural preservation and maintenance, Cultural care negation and accommodation, Cultural care repatterning and restructuring Signup and view all the answers

this refers to the choices that would “maintain and preserve desirable and helprul values and beliefs”

Cultural preservation and maintenance Signup and view all the answers

this is helpful in “adaptation and transaction for care that is fitting for the culture of the individual, families or groups”

Cultural care negation and accommodation Signup and view all the answers

this involves working with the individual in a “mutual decision-making process as the nurse modifies or changes the nursing action to achieve better health outcomes”

Cultural care repatterning and restructuring Signup and view all the answers