Jehovah's Witness Patient

The classic definition for culture was proposed by Tylor (1871/1958) and still commonly cited: Culture is “that complex whole which includes knowledge, belief, arts, morals, law, custom, and many other capabilities and habits acquired by man as a member of society” (p. 1). This definition focuses on attributes that are acquired through growing up or living in a particular society, rather than through biological inheritance (Kottak, 2002). In Giger and Davidhizar’s (1991) Model for transcultural care, culture was defined as a patterned behavioral response that develops over time as a result of imprinting the mind through social and religious structures and intellectual and artistic manifestations.

In taking care of a patient, it is important for nurses to respect the patient, their beliefs, and their right to autonomy. Provision One in the Code of Ethics states “the nurse practices with compassion and respect for inherent dignity, worth, and unique attributes of every person” (ANA, 2015, p. 7). With a Jehovah’s Witness patient, the nurse must first acquire information regarding their religion and how it may impact their care and their wishes related to their healthcare. Once their patient’s beliefs are noted and understood, the nurse must establish a professional and therapeutic relationship with their patient without bias to their religion and the associated beliefs. The duty to act without bias can be found outlined in Provision 1.2 (ANA, 2015).

It is not always easy to decide about the care of a patient, because the patient’s cultural beliefs do not always coincide with the beliefs of the nurse. Ephesians 4:2 in “Be completely humble and gentle; be patient, bearing with one another in love” (English Standard Version). God has loved us unconditionally from the beginning of time, and has always been patient with us. It is time that humans show the love that God has for us onto others and respect one another no matter the differences. This paper will discuss the importance of respecting another person’s culture, what stigma is and whether if Lia’s family viewed her that way, brief history of the Hmong, the preventions that could have taken place, and how to incorporate

Cultural competence can be defined as using the ability of one’s awareness, attitude, knowledge and skill to effectively interact with a patient’s many cultural differences. Madeline Leininger, a pioneer on transcultural nursing describes it this way; “a formal area of study and practice focused on comparative human-care differences and similarities of the beliefs, values and patterned lifeways of cultures to provide culturally congruent, meaningful, and beneficial health care to people” (Barker, 2009, p. 498). The importance of cultural diversity in healthcare allows for the delivery of appropriate cultural autonomy. Showing respect for others will lead to trust between nurse and

Giger and Davidhizar’s Transcultural Assessment Model is a valuable and functional assessment tool that evaluates the different cultural variables and how those variables effect health, illness and behaviors (Giger, 2013). This philosophy considers the uniqueness of each individual, understanding that the individual is unique, a product of their culture, religion, environment socioeconomic status and diversity. Giger and Dividhizar propose that, as health care providers, we need an acute awareness of the ethnicity and culture of each individual, having the knowledge and understanding to care for them as

Nurses have the responsibility of caring for a diverse group of people. These people come from different cultures, races, and religious backgrounds. Religion plays a major role in patient care and has for many years. Cultural competency is a major component of nursing practices. Understanding culture is imperative in knowing what is important to a patient and how to address his or her healthcare needs. Understanding culture is also important when determining what suggestions to make about interventions for treatment. Culture is defined as many people interacting and sharing with one another their patterns of behavior, beliefs and values (Burkhardt, G. & Nathaniel, A., 2014).

Cultural diversity in the medical field is, at times, greatly hindered because of religious beliefs, language barriers, and the hierarchies of diverse cultures and these have the propensity to affect the continuity of care for the patients. “Every person has different aspects that constitute their identities, according to how they see themselves….This means that seeing an individual in terms of

Many studies about Jehovah Witnesses state that they are the strictest religion out there. They have rules that should be followed or the person ends up condemned. They do not believe in other religions whatsoever, in any shape or form. Jehovah Witnesses God’s name to them is Jehovah. The sociological concepts discussed will be social class and norms, a function and a dysfunction of Jehovah Witness religion, a symbolic ritual, and an aspect of this religion that entails conflict.

The Giger and Davidhizar cultural assessment in 1988 in response to there being only a few cultural assessment tools and increased amount of nursing students providing care to more diverse patients (Sagar, 2012, p. 57). The model has six cultural phenomena: biological variations, environmental control, time, social orientation, space, and communication. These phenomena are the basis of the model and help guide nurses through important cultural considerations.

The Giger and Davidhizar Transcultural Assessment Model assesses six factors common to all cultural groups. These factors are communication, space, social organization, time, environmental control and biological variations (Giger, 2013). In an effort to learn how to identify individuality of a person within a cultural framework different from my own I have used this tool to perform a transcultural assessment of C.H. an African American woman. The following assessment provides a description of the subject, U.S.Census data of the identified culture of the subject, data in relation to the factors of the assessment and evaluation of my personal thoughts prior to performing the assessment.

The development of the Giger and Davidhizar Transcultural Assessment Model (GDTAM) came about because of nursing students’ need to provide culturally diverse care for patients. The model acknowledges that each culture is individually unique and assesses them according to six phenomena: communication, space, social organization, time, environmental control, and biological variations. In this model “nurses must use transcultural nursing knowledge as a skill and an art to provide care to diverse populations in a culturally appropriate and competent manner” (Sagar, 2012, p. 57). It goes on to discuss how the model sees cultural competence as “a dynamic process implemented by an individual or health care agency by using significant interventions based on the client’s ‘cultural

Cultural competence is focused on learned behaviors and actions and can be pertain and individual, organization or policy (Oelke, Thurston, & Arthur, 2013). Ideally, a healthcare providers’ practice would only be influenced by the individual patient and/or the community of which the patient resides. But in reality, the healthcare providers’ practice and care is influenced by many entities, such as the

Jehovah’s Witnesses are a people known widely throughout the world. They are well-dressed people who come knocking at your door on different occasions offering religious literature for sale or trying to introduce their beliefs through carefully prepared conversation. People young, old, rich, poor, well educated and non-educated have embraced them. Their enthusiasm as proclaimers of God’s Kingdom has impressed even their harshest critics. Their love toward one another makes some non-witnesses hope and pray that more people would act in that manner. Yet, some may still wonder, who really are the Jehovah’s Witnesses? What is their history, their practices and their beliefs? Why are they the most attacked new religious

Throughout this paper I will be pulling information from the Giger and Davidhizar Transcultural Assessment Model. It is pertinent for health care workers to be familiar with this model because of the growing affects that culture has on a patient’s view of disease prevention and health restoration. This model focuses on six cultural phenomena: communication, time, space, social organization, environmental control, and biological variations. It is important for nurses to utilize this tool while performing assessments on patients because of the substantial effects that each one has on a patient’s perspective. Every person is unique and knowing that no one perspective is universal will aid the nurse in treating each patient with culturally competent care.

The Transcultural Assessment Model, developed by Giger and Davidhizar (2006), focuses on assessment and intervention from a transcultural nursing perspective. In this model, the person is seen as a unique cultural being influenced by culture, ethnicity, and