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Application of Transcultural Nursing

Application of Transcultural Nursing

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Published by: Dennis Nabor Muñoz, RN,RM on Jul 11, 2011
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12/08/2013

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PROFESSIONAL EXPEREINCE IN THE COMMUNITY SETTING ATBULUAN DISTRICT HOSPITAL AND RURAL HEALTH UNIT, 2009.
DENNIS N. MUÑOZ, P.T.R.P., R.N., R.M.
ARMM remains at the bottom from other regions of the country in terms of healthconditions of its constituents.
Maguindanao
is recognized lacking of sophisticated healthfacilities, manpower and financial support that shall cater the suppose to a more than four (4)millions population of the region. Further, the problems have been aggravated and troubled bythe prevailing peace and order situation in the area.Since July 2008, more than 300 residents of the Municipality of Buluan Maguindanaoprovince, that have been displaced by the on-going war between the Philippine governmentmilitary and the rebel forces of the Moro Islamic Liberation Front and worst case is, the internalpolitical conflict between two dominant tyrants and lords of power in the region leading to amore troubled health condition of the locality.Let me first describe the picture of the Filipino-Muslim inhabitants of the locale of Buluan, followed by the health and cultural implications of the muslim practices in the area, aswell as theoretical application of Leiningers theory.Different inhabitants in Mindanao result in big differences of practices and beliefs.Discrimination is common and this happens everywhere. Despite this, Lumads, CatholicChristians, and Muslims are free to express their beliefs and practices. Lumads have notsuccumbed to the modern ways of living. Up to this day, they prefer to live in themountainsides of Mindanao, living the traditional life. Their beliefs can be seen through theornaments of every woman and the woven dresses they wear. They believe in spirits and gods.Theres a god for land, another for water, another for harvest, to name a few. For them, themountain is sacred. Death and illness or bad faith is believed to be the gods way of showinganger. Offering of live animals like pigs and chicken are common during tribal ceremonies for agood harvest, health and protection, and thanksgiving.Mindanao is one large community of diverse people. Understanding one anotherregardless of his or her religion or belief is best because we are all children of God, each createdunique. Respect, understanding, and appreciation of differences are important.The Muslims in the locale were truly faithful and religious like Christian, believing inmonotheism. The place of worship and meditation is in the
mosque
. Congregational prayer istraditionally done every Friday. They follow the
ive pillars o
Islam
, which requires them topray five times a day. Another global practice of Islam is the Ramadan, where Muslims abstainfrom food, drink, and sex. However this practice is not binding to all Muslims; on occasions,pregnant women and old folks Muslims are exempted from doing such religiosity due to somehealth related reasons and as part of being adherent to the sacred words and writings in theHoly Quran.
Idl 
e Fetre
is a major Muslim prayer practiced signifying the end of Ramadhan.
Idl 
e
 
 A
dha
 
is prayer and celebration practiced by muslims Hadji (referring to a male) and Hadja(referring to a woman) who went to Holy Land in Mecca.As a nurse, it is our morale and humane act to understand cultural diversity as to theway Muslims wore clothes especially among women. Indeed, it has major implications to theirpractices that women has to wear malong or abaya, a kind of Islamic clothing and thewearing of hijab- a fine veil or head dress to cover the hair, cheek and neck of a woman is amust. Therefore, it is important that male or female nurse to be very careful not to reprimandthem to remove such clothes unless otherwise it interfere the initiation of care duringemergency situations and or for the purpose of maintain sterility and safety.The old Muslim folks are considered the leader, and the source of wisdom, they are themost respected group since their influence to the tradition is so strong and inviolable. Theycongregate during occasions which require celebration and conventions of the elders, relativesand clans. Some Muslim traditions have health implications and ceremonial practices that havebeen rooted since immemorial remain a practice even up to modern days.To mention the few, here are some of those traditions I encountered during my periodof exposure and immersion in a Muslim community of Buluan Maguindanao such as
alilang
-the form of Muslim wedding,
and 
u
li 
 
- a muslim ceremony that may be associated tocommemoration of death or burial of their love ones;
S
agayan
or B
agipa
- another traditionalreligious ceremonials and celebrations are conducted for the purpose of driving spirits and actof healing for those who are sick, ill and spiritual possession where the officiated by aTaligamut or the quack doctor;
M
a
u
u
din
N
abhi 
 
  this is a time Prophet Mohammadannounced to his followers of faith in Islam where all young Muslims have to baptized, this iscalled 
 A
n
iyak 
or
ab
u
ngawan
, as mentioned in their local dialect, accompanied by
c
ir
c
um
c
ision
among young males. Therefore, circumcision has its religious significance as partof tradition and for the purpose of health and sanitation.The traditional health faithful and practitioners remain another challenge on my part ascommunity health nurse and as DR Nurse before. Let me compare Modern day westernMedicine man from a traditional practioner and their corresponding designations astraditionalist practioner:
aliga
mut 
- A male
q
ua
ck
do
ct
or
 
alian
  a female midwife or a nurse
Pakayan
or Du
ka
  a Witch who makes love potion, magic spells and witchcrafts
Pagala
m
a
an
  clairvoyant, mystic or fortune teller
Impli
c
a
t
ions o
 
k
nowing
t h
e pa
t
ien
t
s
c
ul
t
ure as si
t
ed
romabove examples

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