Socio Cultural Aspects Of Therapeutic Relations

THE IMPACT OF CULTURE ON MENTAL HEALTH AND HOW THIS CAN AFFECT THE RELATIONSHIP BETWEN THE HEALTH CARE PROVIDER AND THE CLIENT

The providers should not just ask a patient where do it hurt, they should also ask why, when, how and what next ( Kandula, 2013). I feel that my doctor, when he asked me what was my treatment plan was using the explanatory model. By doing so it empowered me to be proactive when it comes to my health. This way of thinking and practice will elicit a more complete picture of the individual and their problems. It will also help the provider to see how one’s culture ties into the picture. According to Kandula, 2013 the way a person perceives their life and health is deeply embedded in their culture and hold significant

Cultural aspects of holistic assessment is relevant in the provision of nursing care as it provides the care team with an overview of cultural needs of the patient as well as providing information in which the patients’ health problems have arisen. Culture is defined as values, beliefs, artifacts, behaviors, attitudes and customs influencing and regulating interactions between members of a social group (Stein-Parbury 2010: 91; Johnstone 2006: 67). It is the nurses responsibility to adhere to the ANMC, competency 2.3, ‘accepts individuals/groups to whom care is provided regardless of race, culture, religion, age, gender, sexual preference, physical or mental state’ (ANMC 2006, p. 4). Kozier & Erb (2012: 360) discuss that cultural sensitivity, appropriateness, competency and safety are all factors that are required to be taken into consideration so that the patient can be provided with the best possible health care. Kozier & Erb (2012: 360) also explain that conflicts in health care have been apparent due to cultural misunderstandings. An example of a cultural misunderstanding is the level of pain. In some cultures, it is normal to dramatically express ones level of pain whereas in other cultures people do

Patient centered care is a core component of nursing practice. Understanding and practicing cultural competence is a central element of delivering patient centered care. One approach to understanding other cultures is by utilizing the Purnell Model for Cultural Competence. According to Larry Purnell (2002), cultural competence is defined as “the adaptation of care in a manner that is consistent with the culture of the client and is…a conscious process and nonlinear” (p. 193). In the model, culture is divided into 12 different domains: overview/heritage, communication, family roles and organization, workforce issues, biocultural ecology, high-risk behaviors, nutrition, pregnancy and childbearing practices, death rituals, spirituality, health care practices, and health care practitioner (Purnell, 2002). This model is an excellent framework for assessing and interpreting the cultural complexities of each patient so the best individualized care can be provided. I have used this model and each of its domains in an interview with my friend, Surbhi Patel, in an attempt to further understand her culture.

In the journal, the American nurse today, Cardillo stated that Culture is “an overriding set of beliefs, assumptions, myths, values, tolerated behaviors and learned responses that unite a group.” (2011). Overtime, Canada has become culturally diverse with the high rise in migration. This is a core aspect in the field of Nursing where the importance of culturally sensitive care and client centred care are tremendously emphasized. Hinduism being my own culture, I am now exploring the health practices lifestyle and coping skills of the Christian community, known as the religion of faith.

Great strides have been made in the counseling field to promote multiculturalism, yet it is a complex endeavor and continues to meet challenges in implementation and efficacy. Challenges such as cultural encapsulation, client access to care, implementation of multicultural counseling competencies, and unique issues involved in the practice of counseling a diverse population of clients remains. Research is ongoing to determine the efficacy of culturally adapted treatments in the therapeutic process.

Cultural differences can cause emotional distress among patients and healthcare providers. Effective communication is important in treating patients and promoting their fast recovery. I learned that when two people of different cultures communicate, sometimes a lot of misunderstandings can occur because of the difference in experiences and expectations. As a nurse, I will learn to develop approaches that allow me to recognize and respect the culture of patients from different

Health care practitioners are a major influence on a person’s culture as it pertains to health care. Not only are they a representation of all practitioners to their patient, they are ambassadors for the tools and practices they implement. They are also an educational resource for many patients who will be listening to their advice. This domain is important to me because I am training to become a health care practitioner. Not only will I be representing health care providers, I will be striving to uphold the reputation of Physical Therapy as a practice of medicine. My ability to educate patients and select appropriate treatments will have an affect on my patients physically and culturally. For example a patient who sees a grumpy uneducated therapist now has the mentality and belief physical therapy is an unhappy environment. If this same patient sees an uplifting, educated, and thorough therapist they may think positively of physical therapy.

Patients and their families bring culturally specific beliefs regarding the ideas about health and illness, reporting symptoms, expectations for the delivery of health care, and views about medication and treatment. A culturally sensitivity individual recognizes the differences between cultures and accepts them. Healthcare providers are urged to recognize, respect, and integrate clients' cultural beliefs and practices into health prescriptions (Purnell, 2005, p. 8). A failure to appreciate these differences may cause a misunderstanding or miscommunication about healthcare. Language is the foundation for effective nurse-patient relationships and is important for interpersonal and cross-cultural communication.

It is significant for the medical provider to note that each individuals have their own cultural preferences of interactions and roles. The Native People have their own social customs; however some of these are typecasts and might not be as shared and many of the medical provider are familiar with those of their persons. Demonstrate great respect to the elderly. In several cases the elders are not familiarized to the new healthcare facilities, the new environments and noises, the caregivers and types treatment; for various of them it might be their first visit to a medical facility, it is significant to ease their awareness and explicate procedures thoroughly. The Silence is respected and is not certainly a negative behavior. Occasionally the

intentional beneficial implications and health results for individuals of different cultural backgrounds. The model theory developed into some nursing practices referred to as the transcultural nursing, which is a study and practice emphasizing on the comparative cultural care concepts and values, practices, beliefs of groups and individuals sharing a common culture. The goal is to avail culturally specific and universal care practices within the nursing profession to promote the health and well being of the patients. The theory model therefore assesses the cultural set up of a given patient’s background to avail a comprehensive and holistic overview of the client’s environment (Petiprin, 2015). A theory that is most relevant in addressing

Today’s society is a mix of all the nations, languages, traditions, beliefs and cultures. The diversity of values is what makes society stronger, interesting, more or less acceptable to some forms of foreign influence in one way or another. In general, the assimilation process into society goes with an intermittent level of success, cultural differences arise when dealing with certain aspects of life. In healthcare, people are interacting within very close physical distance, discussing intimate health details, present at the at happy (childbirths) or tragic (death) moments, where stress can bring patients and their families to an edge, those deep rooted cultural differences can be seen without any cultural shields.

Therefore, one does not prescribe only to a narrow window, rather they manifest characteristics of numerous different group identities. These influences affect how we perceive, respond to, and retain experiences, thus helping or hindering our environment whether in be at home, work, or in the general public. For this journal, I will focus on some of the social and cultural influences I have personally witnessed in the healthcare setting and my perception of its effect on patient care.

Sample: The participants will be recruited by purposive sampling (Staff at the ED, hip fracture patients and their caregivers). The process of the study will promote the ED’s staff to involve in planning, doing, checking, acting (PDCA) to improve the care in the ED at the secondary hospital by using descriptive observations and in-depth interviews both individual interviews as well as group interviews. Outcome Measures: Patients and family’s satisfaction to service care, waiting time reduction, incident report reduction, and happiness in the work place of the ED staff. Data Collection: The study will use surveys or questionnaires for data collection. Data Analysis: Descriptive statistical and content analysis will use to analyze the

Culture has a great effect on attitudes toward therapy. According to the National Institution of Mental Health each individual or groups of people bring a variation of beliefs to the therapeutic setting such as communicating what issues to report, types of coping styles, social support, and cultural stigma towards mental health. More often it is culture that bears on whether or not an individual will seek help. For example there is a widespread tendency to stigmatize mental illness in Asian countries. People with mental illness are considered dangerous and create social distance and