When I return to my New Mexican community as a midwife, I hope to influence practice through improving cultural competence in birth, improving health literacy in pregnancy/birth, and through increasing education and awareness of childbirth (natural childbirth, and other birthing options) and nutrition/exercise during pregnancy.
As a native New Mexican woman with many different ethnic and cultural backgrounds (Hispanic, African American, Native American), I feel I can influence Midwifery practice in New Mexico. New Mexico is a state with deep cultural roots and traditions. Often providers are aware of their patients’ cultural practices but are unaware of how to incorporate them into the patient’s care. Culturally competent care should be emphasized
I have always been interested in women’s health and after taking a course at Cal called Evolutionary Medicine I was introduced to what a Doula was. Since then I have been interested in the work that doulas do as I believe that providing support and care for pregnant women is pivotal for both the baby and mother’s health. My goal is to learn how to help support a mother by gaining the necessary clinical skills. I also wish to exercise my ability to speak Spanish and am particularly eager to be able to work with Latina women. I am excited to be a part of a team and to be in an environment that allows me to really learn about female prenatal/postnatal care and everything in between. I realize that the work will be challenging but I am excited
The increasing population of immigrants in the United States has contributed to health disparities in the health care system. Cultural competence can remove health disparities by eliminating personal biases, and treating every person with respect. Simply recognizing and accepting different cultures is not enough, one must be able to consistently recognize and understand the differences in order to be culturally competent. Knowledge and culturally competent practices are a must for nurses to deliver quality care in our rapidly changing multicultural world (Edelman, 2014 p. 25).
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.
In this discussion, a Hispanic or Latino group is considered. While the statistic is not available for the city of Cleveland, in Ohio this group represents a 3.7% of the total population as of July 1, 2016 (USCB, 2018). The Hispanic/Latino group represents people from Cuba, Latin America, Mexico, Puerto Rico, Caribbean and other Spanish cultures, regardless of race (Juckett, 2013). While a treatment plan in hospitals is the same for all the patients, the perception varies in different ethnic groups or races. Thus, a health care provider need to be aware of Hispanic/Latino cultural beliefs and implement this knowledge into a daily routine.
The Eastern Roman Empire, also known as Byzantine Empire, was superior to its Western partner. Christianity was the sole religion and was practiced throughout the Byzantine Empire. Trade had a dominant role on the economy of the Eastern Roman Empire. Their strong military and defensive strategies had a huge role on their longevity. The Eastern Roman Empire was more successful than its Western counterpart due to various factors including religion, economy, and longevity.
“Americans can take come pride in the fact that attaining what the medical profession calls “cultural competency” is a goal of most health care institutions. However, achieving this goal in today’s health care environment, filled with diverse patient and provider populations, is no easy task. American hospitals are increasingly being staffed by and serving diverse populations. This creates the ideal breeding ground for conflict and misunderstanding among the staff and inferior patient care” (Galanti, 2011). To gain a more thorough understanding of this concept, I will be giving four examples or viewpoints that are completely different, when looking at the Hispanic belief against the Native American point of view.
In order to deliver nursing care to different cultures, nurses are expected to understand and provide culturally competent health care to diverse individuals. Culturally competent care is tailored to the specific needs of each client, while incorporating the individual’s beliefs and values (Stanhope & Lancaster, 2006, p. 90). By being culturally competent, nurses are able to help improve health outcomes by using cultural knowledge and specific skills in selecting interventions that are specific to each client (Stanhope & Lancaster). Therefore, nurses “should perform a cultural assessment on every client with whom they interact with” (Stanhope &
Application of the Transcultural Analysis to an American Indian culture is accomplished through known cultural beliefs and practices. However, it is important to note that while each culture may have defining characteristics, family and individual practices may vary. To be an effective provider implementation must be tailored to individual needs. Starting with cultural awareness and building a care plan fit for the individual is ideal in the healthcare setting.
The health care system in the U.S. is used less than its full capacity by Hispanic women, especially after recent migration to the U.S. Among recent immigrants, protective factors such as traditions, health values and behaviors are shown to guard and strengthen health. Safeguards to health deteriorate sharply as they acculturate to U.S. society ((Sanchez-Birkhead, 2010).
I chose this article because I find it interesting and of great help to any nursing and health care professional; I am Hispanic myself and constantly looking for better ways to help my community. I personally see my grandmother struggling whenever she needs to see her physician, as she sometimes does not understand what him and his staff are telling her. On another note nursing is an ever changing career and the Hispanic culture is growing at an enormous rate, becoming culturally competent does not only provide the patient with good care but can make the nurses’ job easier and more rewarding. I do feel that there should be more research on this subject; the best way to learn about a patient’s cultural beliefs is to ask the patient. I think that the population that the author intended to target is health care professionals; however, I know that any immigrant can benefit from reading this article.
This is the beginning of the mother’s involvement with the midwife. This is an opportunity for both parties to establish a personal relationship, partnership. This is where education exchange can occur, recognition of responsibilities, options and choices are determined which are supported and discussed with the mother and her supporters. (Pairman, 2010, pg. 431-432)
This means recognizing each woman’s social, emotional, physical, spiritual and cultural needs. It also acknowledge that a woman and her newborn baby does not exist independently of the woman’s social and emotional environment. This includes incorporating an understanding in assessment and provision of health care (Yanti et al., 2015). The fundamental principles of women-centred care ensures a focus on pregnancy and childbirth as the start of family life, not just as isolated clinical episodes. These motherhood phases take into complete account the meaning and the values of each woman. Providing women centred care helps women make an informed choices, being involved in and having control over their own care, this also includes their relationship with their midwives (Johnson et al., 2003). This demonstrates that midwives are able to attend for women during pregnancy, childbirth and in early parenting years. In addition to this, midwives also provide education for women in order to have a healthy lifestyle (Woods et al.,
When the majority of the population is exposed to the words, “the Amazon”, through some form of written or spoken communications, most likely their initial, instinctive response is to visualize the Amazon rainforest as it is portrayed by a staggering amount of both past and present media outlets. This portrayal tends to be one consisting of a vibrantly colored rainforest, brimming with an abundance of diverse and exotic flora and fauna, and, a thriving and well-balanced collection of ecosystems which is, frankly, not even remotely accurate to the actual Amazon rainforest. Behind its deceptive facade endorsed by television, books, and occasionally even news, the Amazon rainforest occupies many dark truths relevant to degradation of the state of the earth’s various ecosystems and environments. Over the last several decades the Amazon has undergone numerous dramatic and, in fact, damaging changes all of which have been attributed to the area’s extensive deforestation.
The day of the dead is known as an extraordinary occasion every year to respect the dead, including gatherings, feasts, unique foods, melodies and parades. To add, in many societies this holiday brings the living and the dead together, for an awesome banquet, to recall the departed and to appease them for one more year. This love towards the spirits is an antiquated and widespread practice, and it proceeds in numerous parts of the world (Guiley, 1956).The Chinese, who glorify their ancestors, perform unique services in spring, summer and autumn to free mankind's two souls: incorporeal and corporeal. The incorporeal soul is requested to express unique thoughts towards the deceased relatives, and the corporeal soul is disheartened from rousing
Two years ago, I was introduced to midwifery when my brother and his girlfriend were considering options for the impending birth of my nephew. Since that time, everything I’ve pursued and studied has helped bring me a step closer to becoming a midwife myself. I find pregnancy, childbirth, and babies to be the most fascinating things in the world. I spend heaps of time independently researching different aspects of childbirth. Last year, I wrote a research paper on the differences between home births and hospital births, and I’m currently working on a podcast about home births and the role midwives play. There's so much knowledge out there that I was oblivious to; once I figured out that pregnancy, birth, and even postpartum care need not be