My Nursing Ethic

In 1988 Giger and Davidhizar created their Transcultural Assessment Model (TAM) to facilitate “…the discovery of culturally sensitive facts… (and) provide culturally appropriate and competent care.” (Giger & Davidhizar, 2002) The TAM was developed for an undergraduate nursing curriculum to train students to assess and provide care for patients that are culturally diverse. This paper will employ the six cultural phenomena defined by TAM to assist in identifying cultural attributes of Mexican Americans that should be considered by nurses in assessment and care.

Hispanics are the largest and fastest growing ethnic minority group, estimated to be 54 million living in the United States of America. (Office of Minority Health and Health Equity). They work very hard to make both ends meet and also to stay in good health. They are relatively as a source of cheap labor in the American labor market This paper will dwell more on the Hispanic current Health status, how health promotion is described by the group and what health disparities exists for this group.

The Centers for Disease Control (CDC) (2015) provided an overview of the Hispanic population, in which they reported the Office of Management and Budget’s (OMB) categorization of the population. Specifically, OMB defines Hispanics as a population which comprises of Cubans, Mexicans, Puerto Ricans, South and Central Americans as well as people from other Spanish cultures (CDC, 2015). According to a report compiled by the CNN Library (2015), Hispanics are the largest minority group in the United States. In fact, the size of the Hispanic group in the United States is only second to the size of the Hispanic group in Mexico. The report further explained that there were approximately 54 million Hispanic people in the United States by 2013. The number showed a 2.1% increase in the Hispanic population between 2012 and 2013 (CNN Library, 2015). The total Hispanic population in 2013 constituted about 17% of the United States total population. Gonzalez-Barrera and Lopez (2013) inferred that people of Mexican origin constituted the largest number of Hispanics in the United States. They maintained that there were approximately 33.7 million Hispanics from Mexico in the United States by 2012 (Gonzalez-Barrera & Lopez, 2013). The Mexican-Hispanics population is represented by people who are born in the United States and immigrants from Mexico.

Approximately 1 in 6 individuals are Hispanic in the United States, and the population is expected to grow to 1 in 4 by 2035 (CDC, 2015). Given that, Hispanics are the biggest minority group in the US (CDC, 2015). The leading cause of death among the Hispanic population is heart disease and cancer responsible for around 2 out of 5 deaths (CDC, 2015). Hispanics have a 50% greater chance of death resulting from diabetes or liver disease than whites (CDC, 2015). Additionally, there are 3 times as more uninsured Hispanics than whites (CDC, 2015). According to the US average, whites are 15 years older than the Latino population, so prevention will greatly benefit the health of the Latino population (CDC, 2015).

Iannotta, Joah G. Emerging Issues in Hispanic Health: Summary of a Workshop. Washington, D.C.: National Academies, 2002. Print.

Socioeconomic factors, social environment, lifestyle behaviors and access to preventive health-care services contribute to health disparities in the Hispanic community (CDC.gov, 2004). Lack fluency with the English language and differences in cultural attitudes between the U.S. health-care system and Hispanic patients also contribute to health disparities.

The Hispanic community in the largest minority in the USA and the fastest growing, it is also one with a high incidence of preventable diseases such as Diabetes, periodontitis, colorectal cancer and HIV. Obesity and teen age pregnancy are significantly more prevalent in Hispanic/Latino population as well. Rate of vaccination is also below that of the majority of the population. Addressing their health care makes good public health and economic sense.

The information cited in this paper provides an insight into the health disparities that exist in the Hispanic population. It shows that Hispanics have increased rates of health problems when compared to other racial groups in the United States. These disparities have been shown to be connected to socioeconomic status. The information cited in this paper show that Hispanics have lower socioeconomic status than whites and their low socioeconomic status is implicated as a risk factor for health status. Furthermore, Hispanics face increased barriers to accessing care, receive poorer quality care, and ultimately experience worse health outcomes. For example, Hispanics have higher morbidity rates for diabetes, obesity, cancer, asthma and proliferative

Getting a disease is far more a bigger concern than dying itself. The Hispanic culture tends to have own set on

Young Hispanic children experience multiple disparities in health status, insurance coverage, barriers to healthcare access and the quality of health care received. There have been multiple studies that have researched racial/ethnic disparities among adults, however few studies have examined the racial/ethnic disparities in the health care of children. The United States is experiencing a demographic surge in minority children, particularly among the youngest age groups. "Estimates indicate that, by 2030, there will be more minority children than non-Hispanic white children" (Flores, Olson & Korman, 2004, p. 192). This alarming statistic has caused a national concern. This paper will discuss the

However, there is special group which highly requires health care, Hispanic women. National studies indicate, “Mexican immigrant women tend to

Their specific motivation, however, can be traced back to two significant gaps in the literature. According to their comprehensive review of the literature, Hamilton et al. found that the place of birth and the arrival cohort for Hispanic immigrants in the US have been largely neglected. "These migrants," they argue, "come from a diverse set of countries and have migrate to the United States under vastly different political, social and economic contexts, which could produce immense birth-country and arrival-cohort health variation among Hispanic immigrants, dimensions of health most previous studies ignore" (473). In addition to setting out to fill the aforementioned gaps, they also clearly present two major hypotheses that they intend on testing in their

(2009). Research Participant Recruitment in Hispanic Communities: Lessons Learned. Journal Of Immigrant And Minority Health, 13(2), 352-360.

Hispanics are the largest and fastest growing ethnic minority group and there are estimated to be about 54 million living in the United States (Office of Minority Health & Health Equity, YEAR). The Hispanics are a minority group that struggle every day to survive, to provide for their families, to stay healthy and to live quality lives. This paper will discuss the Hispanics current health status, how health promotion is defined by the Hispanics and what health disparities exist for the Hispanics. Lastly, this paper will discuss the three levels of health prevention and their effectiveness given the unique

Growing up in Arizona, I was surrounded by a wealth of cultural experiences and traditions from the people of Mexico. When I turned 18, I graduated from high school and moved to Southern Arizona to attend college in the city of Tucson. Located approximately 45 minutes north of the US-Mexico border, the City of Tucson had a high percentage of people of Hispanic descent, with a bulk having undocumented immigrant or refugee status. Throughout college, I spent time volunteering at a community Emergency Department halfway between Tucson and the closest bordering city, Nogales. My time volunteering in this ED was particularly a unique experience that exposed me to the health care disparities faced by immigrants and refugees of Mexico, and the issues faced by health care providers treating these patients.