Distinguish the difference of the Health Care Beliefs and Practices Discuss characteristics of culture Utilize the theory of Transcultural Nursing Examine ways in which transcultural nursing can serve as a framework for meeting the learning needs of various ethnic populations. Cultural Characteristics Knowledge of cultural customs enables health care providers to offer better care and help avoid misunderstandings Purnell’s definition of Terms Acculturation Assimilation Culture Competence Cultural awareness Cultural diversity Cultural relativism Ethnic Ethocentrism Ideology Subculture Transcultural Worldview Cultural Care Theory (Madeleine Leininger)
Transcultural Nursing The cultural care theory aims to provide culturally
congruent nursing care through cognitively based assistive, supportive, facilitative, or enabling acts or decisions that are mostly tailor-made to fit with individual's, group's, or institution's cultural values, beliefs, and lifeways" (Leininger, M. M.,1995). Aa substantive area of study and practice focused on comparative cultural care (caring) values, beliefs and practices of individuals or groups of similar or different cultures. 8 Characteristics of Filipinos:
Hospitality. This is one of the most popular qualities of Filipinos.
Respect. This is often observed—not just by younger people—but also by people of all ages Strong Family Ties and Religions Generosity and Helpfulness. Filipinos are generous people Strong Work Ethic Love and Caring Fatalism – “come what may” Crab mentalityFilipinos Health Practice Filipinos Health Practices and Beliefs
•self-medication – over the counter drugs
•home remedies – Chinese oils or ointments •traditional healing techniques – albularyo (Folk healers) •belief in supernatural ailments – faith healers •concept of wind illnesses – Ventosa technique (to treat kabag) •laying of hands •blessing of holy water or oil •psychic surgery •spiritual healing Purnell framework
Primary characteristics of culture
Nationality Race Color Gender Age Religious affiliation Secondary Characteristics of culture SES Physical charcateristics Eduaction status Occupational status Place of residence (urban and rural) Purnell model depicted in a circle: Global society - outermost Community - second sphere Family – third sphere Individual – fourth sphere Nursing Managment of a Culturally diverse Groups
It is necessary to respect each patient's cultural heritage, belifs and
practices A health care provider not fully aware of patient's background, maybe unable to understand many of the patients health belif and practices Lack of knowledge and understanding may unintentionally turn what should be therapeutic experience into degrading humuliating experience for patients When caring for patient be conscious of ethocentism When planning for educational materila for patient whose primary language is not english, must obtian interpreter Purnell 19 assumptions
One culture is not better than another- they are
different The primary and secondary characteristics of culture determine the degree to which one varies form dominant culture Culture has a powerful influence on one’s interpretation of and response to health care Every individual has the right to be respected for his own uniqueness and cultural heritage prejudices or biases can be minimized with cultural understanding caregivers who are intervene in culturally competent manner improve the care of patients and their helath outcome cultural differences often require adaptations to standard professional practices General areas to assess when first meeting with patient the patients perception of helath and Illness His or her traditional remedies and folk practitioner the patient perception of nurses his or her beliefs about teh role of family and family relationship his or her perceptions of and need of emotional support Questions to be use to understand patient perspective of health what do you think caused your problems? why do you think the problems started when it did? which major problems does your your illness cause you? how has being sick affected you? how severe do you think your illness is? Do you see it having a short or long term course? What kind of treatment do you receive? what are the most importnat result you hope to obtain form your treatment what do you fear most about your illness? the following guidelines used regardless of culture identify patient primary langauge. Assess ability to understand, read and speak the language of the nurse observe interaction between the patient and and his family Listen to patient. find out what the patient want differs form what the family wants and how they differ from what you think is appropriate consider the patiet communication abilities and pattern observe behaviour and clarify beliefs and practices that may interfere with the traetment plan become oriented to individual and family sense of time and time frame determine which communication approaches are appropriate with respect assess religous parctices and determine how his or her religous belief influence perceptions of illness and treatment THE END