A Brief Look at Pacific Islanders

“Health is influenced by culture and beliefs” (NRS-429V, 2011, p. 1). In order for the nurse to properly care for the patient, she must know and understand the patient’s culture. “Cultural care is a comprehensive model that includes the assessment of a client’s cultural needs, beliefs, and health care practices” (NRS-429V, 2011, p. 1). It is not enough to just know where the patient lives or where he came from. The nurse must embrace the concept of cultural competence and cultural awareness. This requires not only the awareness of the cultural beliefs and values of their patients, but also

The effective patient-centered, culturally competent, holistic care can be provided only by culturally competent nurses, able to “recognize and understand the differences in their culture and the culture of others; to respect other 's values, beliefs, and expectations.”(Edelman, Kudzma, Mandle, 2014). In order to provide quality, safe and efficient care and meet patient 's needs, nurses must expand their cultural knowledge, be aware about patient 's culture, and have “an honest desire to disregard personal biases and to treat every person with respect.“(Edelman, Kudzma, Mandle, 2014). The Heritage Assessment Tool (HAT) was introduced by Rachel Spector in 2000. This tool assists “to determine both inter and intra-ethnic group differences in respect to a given heritage and also to traditional health and illness beliefs and practices:” (Spector). The HAT is a combination of twenty nine questions, aimed to gather information from different families: about the family members, place of birth, relationship within the family, language, beliefs, traditions and etc. The information, gathered during the HAT interviews, is useful to understand more about the patient 's culture, beliefs, traditions, spiritual beliefs, patient 's understanding of health and illness before starting the care and developing an individual care plan related to health maintenance, health protection with health restoration. According to R. Spector, being “culturally sensitive, culturally appropriate, and

Health in all cultures is an important aspect of life. A person’s cultural background, religion and/or beliefs, greatly influences a person’s health and their response to medical care (Spector, 2004). These diverse cultures guide decisions made in daily life; what food eaten, living arrangements made, medications taken and medical advice listened to. A nurse must be knowledgeable and respectful of these diverse cultures and understand their importance when providing care. This understanding helps to build a strong nurse/patient relationship, increasing patient compliance, which ensures positive outcomes are met. Patients who are satisfied

The, “Sorrow of the Lonely and the Burning of the Dancers”, is a ethnography written by anthropologist Edward Schieffelin, derived from his fieldwork with the Kaluli people of Papua New Guinea. The main focus of the book of the book is how many of the fundamental notions that are implicit in Kaluli culture are found in the Gisaro ceremony, which Schieffelin uses as, “a lens through which to view some of the fundamental issues of Kaluli life and society” (p1).

Culture is a very important aspect for health care professionals to examine when interacting with their clients. By having an understanding of different cultural practices, a clinician can more effectively treat a patient. Kagawa-Singer, M. & Kassim-Lakha, S. (2003) theorizes that patients resist lifestyle changes, and culture forms lifestyle. Therefore, if physicians attend to the influence of culture on health behavior, outcomes of medical care might well be improved.

Showing support and respect for cultural health beliefs creates a better interpersonal relationship between patient and physician. When implementing a wellness plan for the patient to follow the physician should take into consideration the beliefs of the patient. Health care providers should seek and obtain knowledge of their patient’s diverse cultures. Obtaining the knowledge of other cultures can be an valuable skill.

As nurses, we adjust our care accordingly to each patient. It is vital that we not only assess our patients physically, but assess all aspects of their lives, including their cultures. For this paper I will discuss the key components of a comprehensive cultural assessment. I will also choose two of the key components and discuss my own culture and how it affects my attitude to culturally diverse care. Last, I will identify two nursing diagnoses that would relate to a patient with a culture other than my own, as well as give proper interventions.

Patients and their families bring culturally specific beliefs regarding the ideas about health and illness, reporting symptoms, expectations for the delivery of health care, and views about medication and treatment. A culturally sensitivity individual recognizes the differences between cultures and accepts them. Healthcare providers are urged to recognize, respect, and integrate clients' cultural beliefs and practices into health prescriptions (Purnell, 2005, p. 8). A failure to appreciate these differences may cause a misunderstanding or miscommunication about healthcare. Language is the foundation for effective nurse-patient relationships and is important for interpersonal and cross-cultural communication.

Cultural/Ethnic groups are what make up this great world. In this paper, I will be writing about Native Hawaiians. The depth and knowledge in which I had about the Native Hawaiian before this paper, was very limited, but in my research I found a wide variety of information regarding this cultural group. It is a very complex and beautiful culture. In this paper I will address the history, migration and attending behavior, reflecting skills and relationship skills in the Native Hawaiian culture.

There are more resources out farther west that we are excluding from our imperialism. Islands in the pacific have rich untouched resources that we can be taking advantage of. Not only resources but land that we can protect are our country from with military bases scattered across the pacific. Our enemies will have an extremely hard time getting through the minefield of military bases. With these resources and advantages. We could have a huge growth in economy and power. As a country, we should seriously consider moving further west beyond the coast because we would get rich untouched resources, military advantages, and have a huge growth in power and money.

How might cultural differences influence communication, by values, beliefs and assumption? When providers are working with someone from another culture, these decisions may be influenced by assumptions and stereotypes about people from that culture. If assumptions are wrong, a person’s health can be seriously jeopardized. When a healthcare provider sees only stereotypes and the individuals, the results can lead to miscommunication that will have a major impact on treatment and care decisions. As, a provider we need to know our own family traditions, and biases. What I recommend may come from my own values and may not match up to their values, the person I am providing care for. So, I believe we need participate in culture programs such as, cultural awareness, cultural competency, or

Hawaii Culture I chose Hawaiian culture because when people thing of Hawaii a lot of times we think hula skirts, hula dancers, or the beach. I had this image of dancers and a tropical get away. I am interested in the background of their culture and the different traditions that get Hawaii to where it is today. I have been asking myself many questions such as: Who founded or first landed in Hawaii?

Racial and ethnic diversity within the United States has grown rapidly over the last several years and is expected to continue to grow. According to Pardasani & Bandyopadhyay (2014), "racial/ethnic minorities, now roughly one-third of the U.S. population, are expected to become the majority in 2042, with the nation projected to be 54 percent non Caucasian" (p. 90). Nurses are caring for patients who come from diverse racial, ethnic, religious and socioeconomic backgrounds in health care settings across the United States. Therefore, it is the nurse 's responsibility to provide culturally competent care to patients, in turn providing high quality care. According to deChesnay and Anderson (2016), cultural competence is a way of providing care that takes into account cultural differences between the nurse and the patient, while meeting the health needs of the patient" (p. 33). It 's an ongoing process for nurses, which involves accepting and respecting cultural differences and not letting your own personal views and beliefs influence how you care for your patients. There are many ways to provide culturally competent care to patients, especially those from vulnerable populations. According to Douglas et al. (2014), guidelines for providing culturally competent nursing care include having knowledge of cultures, obtaining education and training in culturally competent care, performing critical self-reflection, providing cross cultural communication, advocating for patients

The early 22nd century, September 21, 2114, would mark the start of a new age within the Pacific region, for better or for worse. For more than a quarter of a century the Northern Mariana Covenant had expanded and integrate various tribes and islands within Micronesian region, however to the East the islands of Polynesia had done the same and they were a growing superpower in the Pacific with a majority of their resources and weapons being derived from prewar military caches.

In any case, providing competent care to a patient of a different culture must first start with an understanding of the culture itself (Potter & Perry, 2011). Culture is