Case Study V. Adam Of The Amish Community

During clinical time in the nursing program there are many opportunities for students to explore their new found nursing skills. While engaging in patient care responsibilities there are many languages, customs, values, lifestyles, beliefs, and behaviors that will differ from their own. Each patient may need healthcare providers to consider certain aspects in order to provide culturally competent care. There are many cultures that have migrated to the United States over the years including the people of Haiti. There are many aspects of their healthcare ideals that may need to be considered while providing healthcare in the hospital setting. This cultural assessment will consider the healthcare matters of an 81-year-old woman on the

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

Evaluation of how family subscribes to these traditions and practices is offered in detail, while offering insight and/or reflection.It is essential for nurses to provide culturally sensitive care to each and every patient in order to establish repor and maintain a safe working relationship with each individual. To provide culturally sensitive care to a nurses patient’s he or she must first assess their own beliefs, values, and culture at large. The nurse can do this by using the Heritage Assessment Tool. This tool shows the nurse how important their heritage is to them and if they have adopted their ways of life from their family’s history and influence. This gives the nurse a starting point

The United States is a diverse accumulation of cultural backgrounds which can often set the stage for feelings of confusion, anger, mistrust, and a host of other emotions when dissimilar cultures disagree. Cultural competence in nursing can help eliminate these barriers and provide a platform for nursing to follow in the quest to understand a patient's culture and background. When a nurse takes the time to learn about a given culture prior to providing care, it conveys she respects the patient's right to their beliefs, customs, and culture. It does not necessarily mean the nurse agrees with their practices but

“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

When caring for a Native American patient, it is imperative that the nurse provide culturally competent care. In this scenario, there are two main dimensions along which cultural tensions between the patient and the nurse can arise. The first pertains to the actual practices and values of Native American culture, which may be at odds with the practices and values of dominant healthcare institutions. The second is both broader and more subtle: it pertains to the historical relationship of the Native American people and the

Who is the person the nurse is caring for? Where is that person from? Does this person speak English, or understand what the caregiver is saying? What is this person’s cultural background? What are the health beliefs of this person, what are their illness beliefs and practices? These questions are answered differently depending upon the person and their heritage. As healthcare providers it is important to have a broad knowledge base in regards to different cultures and people’s practices to deliver effective health care. In 2006, the population of

The United States is constantly changing and with it there are bound to be changes in how we care for our patients. Nurses must be diligent and learn about their patients and the individual’s cultural values. The Health Assessment tool is important in learning about a patients way of life and preferences on how the want to be treated. According to Leininger (1991), “health refers to a state of well-being that is culturally defined, valued, and practiced, and which reflects the ability of individuals (or groups) to perform their daily role activities in culturally expressed, beneficial, and patterned lifeways” (Creasia & Friberg, p. 109). This is essential to avoid conflict and stereotyping, and help with increasing dialog that can help the healing process.

The care needs of patients continue to change, as the United States population becomes more diverse. Nurses will be required to be more knowledgeable and respectful of the differences in cultural and religious beliefs as this diversity continues. The American Nurses Association (ANA) states, “knowledge of cultural diversity is vital at all levels of nursing practice…nurses need to understand: how cultural group groups define health and illness; what cultural groups do to maintain wellness; what cultural groups believe to be the causes of illness; and how healers cure and care

Being able to provide culturally competent care is a lifelong skill that improves a human life (Leininger, 1988). Learning about cultural difference as well as talking to the patient in order to learn more about his or her believe in practice may help provide cultural care. Caring for different cultures give the nurse a chance to learn about that patient’s cultures and values. The nursing care provider must provide trust, advocacy and privacy to the patient. Promoting health, wellness, preventing illness, and assisting in the healing and recovery process is the end result for every culturally sensitive nurse (Leininger, 2000).

In the case regarding the Amish community, a court case against Amish parents (Wisconsin v. Yoder), the Amish parents used the First Amendment under the free exercise clause to protect their religious belief that children do not need a “formal high school education beyond eighth grade”(Fossey and Eckes, 2015, p. 73). Or the case regarding Locke v Davey, in which the argument was about scholarship money could not be used for ministry program. The supreme courts decided that it did not violate the free exercise clause of the first amendment and left it for the discretion of the state. In the case of gay rights coalition of Georgetown University law center v. Georgetown University. Apparently, this student organization (LGBT) wanted to exercise

the undeniably assorted, multicultural population in the United States is putting forth new difficulties in the arrangement of cultural care by nurses in general. An immediate relationship exists between a patients way of life and their well being; of the numerous factors known to impact health beliefs and practices, culture is a standout amongst the most compelling. In the event that the arrangement of the most ideal care to all patients is the objective, nurses must have aptitude and ability in the conveyance of culturally proper and cultivation equipped nursing care. Each nurse must play a dynamic part in getting a data base whereupon to build up a social competency. The capacity to convey nursing care that will permit powerful communications

Leininger’s CCDU and sunrise model depict nurses bridging generic folk practices and professional nursing. Furthermore, nurses are with patients 24 hours a day, 7 days a week, creating the potential for rendering culturally congruent care that enhances health care outcomes. It is of extreme importance to promote cultural

In today's society, the role of nurses has also expanded into one more area: cultural advocacy. What this means is that nurses must not see patients as a homogeneous group of ill individuals. Rather, they must see patients as humans who each come with their own rich history and culture. Being a cultural advocate means that patients are attended to in a manner that does not trivialize their customs and their views on how their care should be delivered. Religious and ethnic customs are respected by the nurse who fosters cultural advocacy because he or she believes that these things are part of what makes up the entirety of a patient, and is therefore a crucial aspect to address in providing holistic

The Amish are a secluded religious group with the majority living in Ohio, Indiana, and Pennsylvania. They avoid modernization and the typical American lifestyle. This writer is from Indiana and remembers seeing a slow moving large black object early one morning moving across an interstate overpass. It was beautiful and fascinating as the giant horse was solid black, the carriage was black and the gentleman was wearing all black. The sun was just rising and it woke this writer up while driving with heavy eyes. This paper seeks to explore Amish cultural values, beliefs, and attitudes in order to provide culturally competent nursing health care. It is imperative for nurses to provide culturally competent care because nurses serve as patient advocates. This role includes respecting the rights and dignity of all patients. Nurses are not necessarily as culturally diverse as the populations they serve, so it is important to learn about different cultures such as the Amish.