The Giger And Davidhizar Transcultural Model

The United States is a nation of immigrants; they have virtually every culture of the world within its borders. Due to this reason, there must be a certain level of cultural competency within its people. A comparison and contrast will be made to compare the Hispanic cultural views on medical care to the American cultural views toward medical care. I chose to explore Hispanic culture because of my background but most importantly due to its richness of unique characteristics. I will provide an overview on how heredity, culture, and environment can influence behavior in the medical office. Furthermore, I will express my opinion about why a medical assistant,

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.

A lack of cultural competency by physicians in the U.S. that fail to take into account sociocultural differences between themselves and their patients, produces many barriers to health that are negatively affecting Hispanics and their families (including immigrants and their American born children). These cultural barriers caused by differences in language or culture lead to miscommunications, noncompliance/partial compliance to medications and health promotion strategies, and misunderstandings that can lead to a misdiagnosis or inadequate treatments that fail to meet Hispanics unique needs. Consequently, the barriers Hispanics face in the U.S. health care system is forcing them to seek dangerous alternative forms of treatment (e.g., folk medicine),

The Heritage Assessment Tool can be adopted as a dependable tool to gauge, health maintenance, restoration and safeguard of personal, cultural beliefs. The adoption of health assessment tool helps meet the prerequisites of diverse patient populations to offer quality all-inclusive care. The following paper reviews the assessment of three culturally dissimilar families, and demonstrate how a nurse would continue with health promotion centred on the variances in health traditions between the three cultures. The three cultures include Hispanic culture, Native American Indian culture and White American culture. The objectives of this essay are

Cultural competence can be defined as using the ability of one’s awareness, attitude, knowledge and skill to effectively interact with a patient’s many cultural differences. Madeline Leininger, a pioneer on transcultural nursing describes it this way; “a formal area of study and practice focused on comparative human-care differences and similarities of the beliefs, values and patterned lifeways of cultures to provide culturally congruent, meaningful, and beneficial health care to people” (Barker, 2009, p. 498). The importance of cultural diversity in healthcare allows for the delivery of appropriate cultural autonomy. Showing respect for others will lead to trust between nurse and

With the large increase multicultural population in the United States, nurses encounter patients with differences in healthcare beliefs, values and customs. To provide adequate nursing care, nurses must be aware of these differences. They must respect and acknowledge the patient’s culture. To do this, nurses need education on cultural competence to ensure patient satisfaction and better patient outcomes.

Statistics show that the Columbus, Ohio metro area is becoming more diverse. Even though the majority of the population is made up of Whites, that percentage is decreasing while the percentage of Blacks, Latinos and Asians is increasing (Diversity Data, 2012). I work in an outpatient unit that serves a diverse patient population, and Leininger’s concepts of transcultural nursing highlight the importance of learning about the cultural influences that affect the health and wellness of ethnic populations (Andrews & Boyle, 2016). Transcultural nursing addresses cultural influences such as values, beliefs, and behavior and examines how they affect health and wellness. In this paper, I will discuss perceptions of health and illness in the Hispanic community, examine the overarching issue presented in a video that I reviewed, discuss what can be done to overcome the issue in the video, and share a barrier that I experience in my nursing practice and how I overcome the barrier.

It is essential when entering health care as a professional nurse to realize that health care workers, doctors, nurses, and other health care providers, form their own culture with their own beliefs and attitudes about the care that’s delivered and the patients whom they serve. Because there are significant barriers to health care for Hispanics, particularly those that are Mexican-American, in order to provide culturally competent care, the professional nurse must implement effective communication, convey respect to the patient, and take a thorough health history from each patient. The purpose of this paper is to discuss the background of the Mexican-American Hispanic patient, compare and contrast their culture to the culture of those that work in health care in the United States, and recommendations for the professional nurse using Purnell’s Cultural Theory for support and a reflection on Wellness Day for Health Promotion focusing on Hispanic heritage including Curanderismo.

Throughout this paper I will be referencing the Giger and Davidhizar Transcultural Assessment Model. Communication, space, social organizations, time, environmental control, and biological variations are the six cultural dimensions of the model. Acknowledging the pertinence and utilizing the principles of a tool such as this is important when performing an assessment on your patient because of the significant effect culture has on the patient themselves and the health care plan. To quote the ANA Code of Ethics, it is our duty as nurses to, “practice with compassion and respect for the inherent dignity, worth, and uniqueness of every individual.” (American Nurses Association, 2015)

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.

The development of the Giger and Davidhizar Transcultural Assessment Model (GDTAM) came about because of nursing students’ need to provide culturally diverse care for patients. The model acknowledges that each culture is individually unique and assesses them according to six phenomena: communication, space, social organization, time, environmental control, and biological variations. In this model “nurses must use transcultural nursing knowledge as a skill and an art to provide care to diverse populations in a culturally appropriate and competent manner” (Sagar, 2012, p. 57). It goes on to discuss how the model sees cultural competence as “a dynamic process implemented by an individual or health care agency by using significant interventions based on the client’s ‘cultural

This paper explores the Jewish culture and end of life within the Jewish culture. It will focus on the Giger and Davidhizar’s Transcultural Assessment Model, which has six phenomena’s; communication, space, time, environmental control, biological variation and social organization. This model will provide a framework to assess the Jewish culture and their beliefs during the transition period of end of life. This paper will discuss two implications of nursing care. From those implications, a culturally appropriate nursing intervention will be discussed.

Throughout this paper I will be pulling information from the Giger and Davidhizar Transcultural Assessment Model. It is pertinent for health care workers to be familiar with this model because of the growing affects that culture has on a patient’s view of disease prevention and health restoration. This model focuses on six cultural phenomena: communication, time, space, social organization, environmental control, and biological variations. It is important for nurses to utilize this tool while performing assessments on patients because of the substantial effects that each one has on a patient’s perspective. Every person is unique and knowing that no one perspective is universal will aid the nurse in treating each patient with culturally competent care.

The Transcultural Assessment Model, developed by Giger and Davidhizar (2006), focuses on assessment and intervention from a transcultural nursing perspective. In this model, the person is seen as a unique cultural being influenced by culture, ethnicity, and

Leininger’s Transcultural Nursing theory is defined as a humanistic and scientific area of formal study and practice in nursing that is focused on the comparative study of cultures (Denisco & Barker, 2016). Transcultural nursing goal is to provide culturally specific care that is in agreement with the patient’s cultural values, beliefs, and practicies (Denisco & Barker, 2016). I would apply this theory during the time with Mrs. Hernandez.