Purnell Model: a View on Asian Indian Culture Values. Essay

Cultural competence in nursing is imperative for effective patient care. A nurse must know his or her own values and beliefs as well as knowing about a patient cultural practices in relation to healthcare. Cultural competence is defined by some as: “the learned, shared and transmitted values, beliefs, norms and lifeways of a particular group that guides their thinking, decisions and actions.” Also it is noted that an important change to this definition is “the recognition of the dynamic,

Adapting to different cultural beliefs and practices requires flexibility and a respect for others view points. Cultural competence means to really listen to the patient, to find out and learn about the patient's beliefs of health and illness. To provide culturally appropriate care we need to know and to understand culturally influenced health behaviors. However, becoming culturally competent is a much more daunting task. Culture (and ethnicity) often influences a patient’s perceptions of health and illness. Therefore, if healthcare providers appear insensitive to cultural diversity, their actions may negatively affect the quality of the healthcare that they provide.

Cultural competency is the capacity of people or services to include ethnic/cultural considerations into all aspects of their work related to health promotion, disease prevention and other and other healthcare interventions (Cultural competence is important for several reasons, (Purnell, 2008a).First, it can contribute in the development of culturally sensitive practices which can reduce barriers that effect treatment in healthcare settings. Second, it can promote understanding, which is detrimental in cultural competence assessment, to know whom, the individuals known as the primary care provider and whom they view as the primary healer, can attribute to the promotion of trust and increase the person’s interest in participating

America is melting pot; there are an enormous variety of cultures and ethnicities represented in our general population. This population diversity is also reflected in healthcare participants. With the diverse amount of backgrounds, there also becomes a need for transcultural health care and acknowledging that not every culture views

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.

The United States of America, otherwise known as the “melting pot”, is just that, a country that has

The final cross cultural difference I will discuss is the collectivist culture of India versus the individualistic culture of the United States. India is more of a collectivist culture, whereas the U.S. is strongly individualistic. The family is at the center of Indian society, which is largely patriarchal. Several generations of a family are brought together to live in one household. The hierarchical nature of the Indian culture extends into the family as well, where the head of the family makes the key decisions for the household (Kumar, 2005). An Indian’s primary loyalty usually lies with their family rather than with their

Therefore, cultural heritage is the main factor in economic, social, and health promotion of people. Every culture has their own beliefs, values, and perceptions on health and illness. Then, it is imperative for health care providers to assess a cultural heritage on each patient in order to deliver meaningful care for that patient. By using the heritage assessment tool, the three interviewed families revealed some similarities and differences among their health traditions.

As a health care professional, we are faced with caring for patients of different cultural and ethnic background. Researching and learning about the patient’s culture values, beliefs and practices is essential and remarks the ability to provide quality health care for the patient. “Organizations and individuals who understand their clients’ cultural values, beliefs, and practices are in a better position to be coparticipants with their clients in providing culturally acceptable care” (Purnell & Paulanka, 2008, p. 2). After completing the cultural competence checklist, I was able to identify some of my responses to the patient cultural values and belief practices. I will describe a summary of my assessment results, analyze

After completing the “cultural competence checklist: personal reflection designed by T.D. Goode” for the first time, I was not surprised by my results. The results were a reflection of my personal understanding how culture impacts holistic care and my continuous need to improve my care. I have strived to become non-judgmental. I work to not let my personal beliefs and values influence my nursing care on decisions. When I practice this philosophy it provides better patient outcomes and promotes an improved understanding of cultural differences. This also enhances a safe and caring environment. “It is important for health care providers to recognize that care must be individualized and considerate of the cultural. Racial, and ethnic identity of the patients and their families” (Broome, 2006, p. 486) .There is much diversity in the beliefs and practices of the Indian culture and we should grant these individuals complete freedom to practice their personal cultural variations and the religion they choose.

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

Culture has been found to play a monumental role in the manifestation of healthcare seeking behaviours. We have viewed the studies highlighting culture from two perspectives, that being individualistic and collectivistic cultures. Within the collectivist cultures factors such as family attitudes and opinions and relationships matter a lot. Factors such as joint family structure, role of other family members do influence health seeking behaviours among individuals (Ghosh, Chakrabarti, Chakraborty & Biswas, 2013; Shaikh & Hatcher, 2004). Thaker (2008) attempted to understand the role of culture in the health related behaviours of older Asian Indian immigrants. An analysis of the findings also addressed three cultural values that influenced these immigrants’ health behaviors: Establishing a personal relationship with their healthcare professional, high level of family involvement during treatment and also daily maintenance of health, and valuing alternative medicine. These studies show that factors such as patriarchy, joint family structure, roles of elderly family members do influence the possibility of seeking adequate health care services.

     This patriarchal role of males in the Indian family allows for all the power to be placed on the father of the household. This power can be abused which I would assume happens with the children in these families. The oldest male child has the authority to boss around his other siblings, and in the death of his father he then becomes the leader of the household. This could lead to many harsh or unfair ruling by older siblings or by other members of society. This would lead for the younger sibling to have to adjust greatly as they grow into adulthood. These rules that govern Indian household are often strict and are always final. This is accepted by all.

India is a nation of many different individuals, each with their own beliefs and way of life. The different beliefs that are held by these people and the traditions they follow can have a significant impact on how they view modern healthcare. The beliefs and moral values which are a part of human nature can have positive impacts on an individual, but can also bind them and cause negative impacts on mental and physical health (Worthington & Gogne, 2011). It is necessary for health professionals to be aware of the cultural beliefs and influences so that they can effectively provide healthcare services. A lack of cultural competence in care leads to poor patient outcomes, low compliance, and higher disparities regardless of the services and systems available ("Diversity & Cultural Competency in Health Care Settings").

When the average American thinks of Indian family society, we probably have a rough idea. Usually, envision a ragged group of people who are squatting in mud houses. While the structure of the American family and Indian may be different, the roles of each member of the family are rather similar.