The For The Healthcare Field

“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 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.

Many Latinos in the U.S. are descendants of Mexican people who lived in the Southwest when it was taken as plunders of war or acquired in a series of land sales. In many cases, their ancestors became Americans not by their own choice. Almost all other American Latinos or their ancestors migrated here from Latin America in search of a better life and opportunities. As a group, Latinos represent a combination of several ethnic backgrounds, including European,

These religious and spiritual influences play a major role in the Hispanics health, illness and daily life. In much a similar manner, the Native American Indian family adopts the cultural beliefs to associate with illness and health. They believe that a person’s state of exists when he or she exists in harmony with nature and sickness occurs when an imbalance between the natural or supernatural forces and the sick individual exists (Askim-Lovseth & Aldana, 2010). Traditional health believes and practices involving healing ceremonies and rituals restore balance when illness happens. “These can be conducted by their traditional medicine men or women, who are thought to have compelling powers, the ability to read minds, and know-how in concocting medicine, drugs and poisons.” For the white young family, the cultural belief of invincibility and youth are the driving force behind health prevention (Askim-Lovseth & Aldana, 2010). “Focus on the temporary is regularised, while thinking about health is assigned to an adult person where family accountabilities pertain.” Protecting against illness or disease does not feature into their daily lives. Disease or illness is something that is insubstantial and distant, and unimaginable to their young, resilient bodies and thus irrelevant (Edelman & Mandle, 2010).

Currently within the United States one of the fastest growing minority population (Schwartz & Scott, 2012) is the Latinos. In 2010 Census Bureau Brief ( Ennis, Rois-Vargas, & Albert, 2011) it stated how an estimated 15 million Latino individuals were living within the United States, which is approximately about 16% of the entire U.S. population. There is one big problem with addressing the Latino population, and that is the family patterns are either misrepresented or not properly understood, due to the label of Hispanic and Latinos being placed together. These two groups may share the same spoken language of Spanish and have similar cultural ancestry but the diversity among Hispanic and Latinos (Schwartz & Scott, 2012) make generalizations about their lifestyles difficult. The term Hispanic came to be used in the 1970’s by government officials (cdc.gov, 2011) in trying to provide a diverse label on this population that had connections to speaking Spanish and the Spanish culture. Latino became more of a termed to be used when distinguishing between Mexican (Hispanics) and Latinos who descendants from Latin America such as Cuba and Puerto Rico.

I am a Brazilian black male with military experience and diplomatic knowledge who grew up in a low-income household in a developing country. In addition, I have traveled to about 35 countries and am acquainted with people from different socioeconomic backgrounds, religions, ethnic groups and nationalities. These characteristics and experiences allow me to see the world from perspectives that are unusual for most people. Besides being open-minded and non- judgemental toward all my future patients, I personally understand the difficulties faced by people of color, immigrants and individuals from low-income families. In sum, my background and my cultural literacy will allow me to be a sensitive and culturally aware patient-centered care.

Latinos and Hispanics have a long history here in the United States of America. The term “Hispanic” is most often used by the government, which is what will be used through the rest of this document. Hispanics are the fastest growing group in the United States and their numbers will continue to increase as years go by. Mexicans are the largest subgroup of Hispanics making up 66% of the population while the other 34% includes Central and South Americans, Puerto Ricans, Cubans, and other Hispanic origins. California, Texas, and Florida have the highest populations of Hispanics. In regards to health insurance, Hispanics have the highest rates of uninsured in the United States.

Latino/Hispanic Americans cover a much wider demographic then believed. Latino/Hispanic Americans consist of; Mexican, Puerto Rican, Cuban, Guatemalan American to name a few. Latino/Hispanic Americans are the largest ethnic group in the United States. The Latino/Hispanic culture is very different than ours. Their culture differs in economics, politics, family traditions, family structure, religion, education, language, fashion, art, music, dancing, and food. As natural born Americans in the United States it is important for us to learn about the different cultures migrating into the United States. Many United States citizens have a hard time understanding other cultures; being culturally insensitive is a common theme in the United

Hispanics are the fastest growing minority in the United States, and the majority of them are Mexican in origin (Kemp, 2001). The Roman Catholic Church plays a vital role in the culture and daily life of many Mexican Americans. Consequently, healthcare personnel must become culturally competent in dealing with the different beliefs possessed by these individuals. Nurses must have the knowledge and skills necessary to deliver care that is congruent with the patient’s cultural beliefs and practices (Kearney-Nunnery, 2010). The ways that a nurse cares for a Mexican American patient during the process of dying or at the critical time of death is especially important. The purpose of this paper is to examine

This is a narrative of one Mexican American woman’s experiences and her views on the importance of passing down the cultural beliefs of her ancestors. In the section of the country in which I live there is a large population within the community of Mexican American culture. Although I have frequent contact with people of Mexican American heritage either through employment or interaction out in the community, I have a limited understanding of their culture. For this reason, I chose to learn more about the population of people I have frequent contact with and as a professional work with as clients in the field of mental health counseling. The quest of finding someone knowledgeable to discuss the population, their cultural background and some of their necessities, as well as some past experiences, led me towards contacting a church. This took calling two different churches before the person at the second church informed me that I needed to speak with, Mrs. Socorro Garcia head of their Hispanic Ministries. Unfortunately, Mrs. Garcia was on vacation when I called, but I was able to speak with her over the phone the following week, setting up an interview in person at her office a couple days later. This was a relief because I was becoming concerned about locating someone for a personal interview.

A latino is an individual who is born in Latin America. By the word latino, I make reference to the geography of the country and the language spoken being derived from latin and romance. Latinos

Hispanics Americans (Mexicans, Puerto Rican, Cubans and people from Central and South America) are the largest racial and ethnic minority group in the United States. Similar, to other ethnic groups in the country, Latinos are disproportionately affected by multiple social determinants, such as poor living conditions, cultural values, socioeconomic and immigration status to mention a few. Consequently, they exert negatively in the health status of individuals among this unique population(Velasco-Mondragon, Jimenez, Palladino-Davis, Davis, & Escamilla-Cejudo, 2016).

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.

While caring for patients from different backgrounds, I have gained a broader understanding of how different cultures view

Aside from the Giger and Davidhizar Model, I will also be focusing in on Hispanic culture regarding children and families. Some parts of the United States are more diverse than others; however, according to the Economic Policy Institute, by 2043 “nonwhite racial and ethnic groups will make up more than half of the U.S. population” (Wilson, p. 1). This is important as health care workers because our duty is to the patient and not to our beliefs regarding ethnicity. The four nursing guidelines as described by the ANA Code of Ethics are to restore health, prevent illness, alleviate suffering, and promote health. Through these we are called to treat every patient equally and provide them will loving care (Slate,