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 …show more content…
These programs have demonstrated positive outcomes and improvements in health management. The Pili Ohana Project was created and responsible for working towards a metabolic health fairness and equity within Hawaii. The project was established by a community-academic partnership and guided by the principles of participatory and social action theory. The PILI Project developed community-empowered programs focused on addressing the body weight and diabetes management within the Native Hawaiian population. It adapted weight management and obesity prevention lifestyle intervention into a three-month intervention to achieve weight loss with a focus on sedentary lifestyles, diet and stress management. Once the participants complete the three month program, they participate in a six month follow up program to maintain their progress. Despite being originally established to tackle the issue of reduction of excessive weight loss, the PILI project also provide significant intervention in ensuring the maintenance of a healthy body weight and Basal Metabolic Rate levels while addressing other issues such as diabetes. The Project also emphasized on the comprehensive community assessment by applying a socio-ecological framework. The socio-ecological model used by PILI assisted the Native Hawaiian community partners to create capacity within their jurisdictions and …show more content…
This was a pilot program, which was community based. This health program decided to come up with an idea that would help in reducing this threat amongst the native Hawaiians. The process had to apply eight main procedures especially in theories in clinical intervention, health promotion and health education. The eight processes included role modeling, community-wide intervention, transition diet, whole-person approach, cultural sensitivity, group ohana support, dietary clinical intervention and non-calorie restricted obesity protocol. This idea was introduced to the Hawaiians to help them learn the appropriate healthy culture amongst the natives. The measures to solve problems with obesity were revealed. Among the processes to curb these issues were to find a way of reducing weight without calorie limitations in the body, therefore adding low energy density foods using traditional Hawaiian food such as taro, poi, fern shoots, seaweed, yams, breadfruit, chicken and fish. The Waianae Diet Program received support mainly from the WCCHC, the Honolulu Poi Company and the Kahumana Farm and Community Center. It introduced basic innovations, which were concerned with improving the cultural sensitivity of the people on matters of health through education and promotions (Beckham et al.,
The objectives for the Healthy People 2020 program include desired progress in nutrition and weight issues, and there are few communities in the country that do not need to pay a significant amount of attention to these problems (Healthy People, 2012). New Jersey is actually faring better than many states across many indicators, including overall obesity, however overweight and obesity as well as the behaviors that place people at risk for developing obesity are still major problems for adults and for children in communities across the state (CDC, 2012; Manalapan Board of Health; New Jersey Department of Education, 2010). Addressing childhood obesity in a manner that corrects problems from the outset and that teaches preventative methods in a proactive attempt to reduce both childhood and adult obesity levels is a key concern of Manalapan Township, specifically, and this issue is examined further in the following pages.
One of the more serious problems that the Southeast Queens Community is facing is obesity. Obesity has led to many other health concerns in this community such as Type 2 diabetes , heart disease, stroke, and even certain cancers. This presentation looks into who is at risk, and why? And what can be done to help this community.
Theories of transcultural nursing with established clinical approaches to clients were founded in the mid-1960s and are an essential aspect of healthcare today. The ever-increasing multicultural population in the United States poses a significant challenge to nurses providing individualized and holistic care to their patients. Accurate assessments identify factors that define transcultural nursing and analyze methods to promote culturally competent nursing care.” (Maier-Lorentz, 2008)
In general, Native Hawaiians and Pacific Islanders (NHPI) bear a disproportionately higher prevalence of many chronic medical conditions, such as cardiovascular disease, diabetes, and obesity, collectively known as cardiometabolic disorders (Mau et al., 2009). Native Cardiovascular disease (CVD), which includes coronary heart disease (CHD) and stroke, is the leading cause of death and disability in the world (WHO, 2012). This is consistent with Native Hawaiians having a higher prevalence in different types of CVD and its various risk factors. Among CVD risk factors, hypertension is the most common (Kaplan & Opie, 2006; Pieske & Wachter, 2008). The high rate of hypertension among NHPP may be explained in part by the high rate of obesity and other factors that affect blood
Obesity is associated with sever chronic diseases such as Type-II diabetes, hypertension, heart disease, cancer, osteoarthritis and other health problems (Cook). Native Hawaiians have a higher percentage of adults with obesity than other racial groups (Cook). In 2007, Native Hawaiians had the highest percentage adult obesity percentage than any other ethnicity at a shocking 43.5%. Obesity among the Native Hawaiian population can be due to many factors. One factor being their genetic and cultural influences.
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
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 &
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.
Leininger (1988) defined nursing as a transcultural phenomenon requiring knowledge of different cultures to provide care that is congruent with the clients’ life ways, social structure, and environmental context. This definition from the founder of transcultural care would support applying a cultural sensitive nursing care in the clinical setting, and highly linked to her definition of transcultural nursing as a legitimate and formal area of study focused on culturally based care beliefs, values, and practices to help cultures or subcultures maintain or regain their health (wellbeing) and face disabilities or death in culturally congruent and beneficial caring ways (Leininger, 1970, 1978, 1995). Moreover Leininger summarized the process of applying transcultural care as providing care that fits with cultural beliefs and life ways. From a professional perspective, it refers to the use of emic (local cultural knowledge and life ways) in meaningful and tailored ways that fit with etic (largely professional outsiders’ knowledge), in other words care should be individualized according to patient’s culture to promote holistic and effective nursing care.
Severe health risks such as hypertension, stroke, high cholesterol levels, heart disease, and depression are some of the major health issues that continue to rise in American Indian youth. American Indians who are overweight during their teenage years are seventy-percent more likely to find themselves as obese adults who have a myriad of health issues and are overall unhealthy (Torgan, 2002). Understanding the primary drivers for obesity in Native American teenagers would allow American Indian tribes to dispense the appropriate literature, programs and resources necessary to usher in a healthier change for their teenagers who are overweight or are currently
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
Madeleine Leininger’s cultural care theory is one of the most influential modern day theories in nursing. Leininger describes her theory as one that is cultural sensitive that is tailored to address patients of different cultures, backgrounds, or origins. Leininger develops the cultural care theory due to the fact that she believes that nurses are caring for their patients as a one hat fits all, and not taking into consideration the patient 's background or their culture.
“Health is influenced by culture and beliefs” (NRS-429V, 2011, p. 1). In order for the nurse to properly care for the patient, she must know and understand the patient’s culture. “Cultural care is a comprehensive model that includes the assessment of a client’s cultural needs, beliefs, and health care practices” (NRS-429V, 2011, p. 1). It is not enough to just know where the patient lives or where he came from. The nurse must embrace the concept of cultural competence and cultural awareness. This requires not only the awareness of the cultural beliefs and values of their patients, but also
The nursing profession has a long history of assessing and placing patient needs first when giving care. The tenets of nursing practice include meeting those needs using individualized care by collaborating with the patient, family, and health care team members. (American Nurses Association, 2010). The concept of transcultural nursing aligns with these tenets because it calls on nurses to provide patient-centered care by taking into account the patient’s background, beliefs, culture and values. In this paper, I will identify the factors that made it necessary to develop the transcultural nursing theory, describe the meaning of diversity and its relationship to the field of nursing, and explain three ways that I provide culturally sensitive care to my patients.
There are many desired outcomes and goals for improvement. These include decreasing the obesity rates in adults. The community will receive regular checkups for preventive diseases. Also, during these checkups, education about obesity prevention and other disease risks associated with this. The goal for nutrition and weight status (obesity) to promote health and reduce chronic disease risks are through eating healthy diets and achieve and maintain a healthy body weight. Reducing the proportion of adults who are obese in Twin Falls by 10% by being more active and eating healthy diet by promoting and active ad healthy lifestyle. In five years the rate of obesity will be reduced by 10% improvement. Also