27 Questions
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
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
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
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
is culturally based,
communication
can have many variations based on both language differences and usual tone of voice.
Verbal communication
VARIATIONS TO COMMUNICATION
time, space, Eye contact and Face positioning, Body Language and Hand gestures, Silence, Touch
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
cultural differences in personal space
Space
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
two major hand gesture of note are those for indicating height and those for indicating “ok”
Body Language and Hand gestures
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
Is a very culturally based. How much touch is comfortable and allowable, and by whom, are all based on culture.
Touch
Chinese medical practitioners, herbalist
Asians traditions
Magic herbalist, Hoodoo (also known as conjurers), or other traditional healers known as “old lady”, “granny” or lay midwife
African traditions
Medicine men or shamans
Native American/ Alaska Native traditions
Folk healers (curandero/a, bruja/o [witch], yerbero/a, partera [midwife])
Hispanic (Mexican, Central and South America, Spain/Portugal) traditions
Homeophatic physicians, physicians, and other health professionals
Western European tradition
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
three nursing modes
Madeleine Leininger
Madeleine Leininger's three nursing modes
Cultural preservation and maintenance, Cultural care negation and accommodation, Cultural care repatterning and restructuring
this refers to the choices that would “maintain and preserve desirable and helprul values and beliefs”
Cultural preservation and maintenance
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
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
Test your knowledge on formulating culturally responsive treatment plans that are mutually acceptable to both patients and nurses. This quiz will help you understand the importance of cultural competence in healthcare settings.
Make Your Own Quizzes and Flashcards
Convert your notes into interactive study material.
Get started for free
