The United States is a country of diversity represented by many different cultures. It has been proven that culture has a significant impact on health beliefs and behaviors (Edelman, et al, 2014), therefore it is imperative that health care providers, especially nurses, be culturally competent in their delivery of care. It is not enough to merely be aware of the prominent origins and statistics of different cultures and ethnicities, but rather it is crucial to be inquisitive and focus on the family and individual as practices differ and evolve over time. Rachel Spector developed a Heritage Assessment interview as a useful tool to aid in understanding how strongly an individual or family subscribes to specific cultural traditions and …show more content…
Both her parents were born in this country and English is the primary language. Utilizing the heritage assessment tool, one can deduce that she has a relatively strong identification with traditional heritage. Although she is not in contact with her grandparents, she has a strong base of nuclear family support and asserts that the family will always seek family guidance and support before making critical decisions, including those about health care. Her family mostly utilizes traditional Western remedies rather than natural or herbal remedies, however preventive care is not often sought until an illness or symptoms become more intense. Prayer and religious practice are very important to this family and regarded as crucial for positive health outcomes and recovery. The interviewee asserts that she and her family often seek religious counsel and active Bible reading in times of distress. In this family, traditional foods are often prepared including largely fried foods, potatoes, and minimal vegetables. This correlates with many African-American cooking traditions of overcooking greens and frying foods (Gardner, 2012). According to the interviewee, most members of this family do not actively seek preventive care unless there is a more severe problem. This correlates with other studies regarding health behaviors of this culture. Whether it is due to mistrust or discrimination, African Americans do not always access medical care in a timely, preventive oriented
“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
Health in all cultures is an important aspect of life. A person’s cultural background, religion and/or beliefs, greatly influences a person’s health and their response to medical care (Spector, 2004). These diverse cultures guide decisions made in daily life; what food eaten, living arrangements made, medications taken and medical advice listened to. A nurse must be knowledgeable and respectful of these diverse cultures and understand their importance when providing care. This understanding helps to build a strong nurse/patient relationship, increasing patient compliance, which ensures positive outcomes are met. Patients who are satisfied
The term culture is defined as “the thoughts, communications, actions, customs, beliefs, values, and institutions of racial, ethnic, religious, or social groups” (Potter & Perry, 2013). With the increase of culturally diverse populations in the United States, it is important for nurses to practice cultural competence. Cultural competence is the ability to acquire specific behaviors, skills, attitudes, and policies in a system that permits “effective work in a cross-cultural setting” (OMH, 2013). Being culturally competent is essential because nurses who acknowledges and respects a patient’s health beliefs and practices are more likely to have positive health outcomes (OMH, 2012). Every culture has certain views and attitudes concerning
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
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 &
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.
Today in society there are many diverse culture and ethnic backgrounds, each with their own habits, traditions, preferences, and of these includes health. Different needs of the whole person should be evaluated in detail. This paper will discuss results from three different cultures through the interviewing of them using the Heritage Assessment Tool. It will also review, compare, and address health traditions between the cultures as well as identify common health traditions based on cultural heritage. The purpose is to evaluate and discuss how families subscribe to these traditions/practices, address health
A heritage assessment in nursing is a vital tool to learning about a patient. By finding out about the patient’s family and friends we can learn about their support system. If we learn how close to a culture our patient is this will give us an idea of how true they hold their beliefs or if they have went mainstream with the American culture. Doing interviews with different cultures gives us a look into their personal beliefs and can help nurses to provide better care and teaching to these patients. Some patients we will learn were born in
Nurses have the responsibility of caring for a diverse group of people. These people come from different cultures, races, and religious backgrounds. Religion plays a major role in patient care and has for many years. Cultural competency is a major component of nursing practices. Understanding culture is imperative in knowing what is important to a patient and how to address his or her healthcare needs. Understanding culture is also important when determining what suggestions to make about interventions for treatment. Culture is defined as many people interacting and sharing with one another their patterns of behavior, beliefs and values (Burkhardt, G. & Nathaniel, A., 2014).
The Heritage Assessment Tool can be used as as a reliable tool to assess, health maintenance, protection and restoration of individual cultural beliefs. This evaluation helps meet the needs of different patient populations to provide quality holistic care. The purpose of this paper is to explore the Hispanic, Native American, Chinese, and the author’s own personal
The Purnell Domains of Culture assessment gives a vast amount of information in regards to a persons cultural background, family and heritage that gives care provides a better understanding of their client or clients family. As a future care provider, I took the time to speak to Mrs. Smith about herself and family to gain insight on whom they are as a family and what influences them to be who they are today. Over the course of the domains of culture I have been able to increase my perception of who and what drives this family and how their beliefs came about.
When clinically assessing patients in care settings, it is paramount for health professionals to elicit pertinent information that could be crucial for delivery of care. This is particularly important in the United States because the increasing diversity in racial and ethnic composition of the population has presented cultural challenges that care givers must navigate to provide culturally competent service. Cultural competence during delivery of care requires sensitivity to the cultural, social, and linguistic needs of patients (Betancourt, Green, Carrillo, 2002). As a consequence, care providers need cultural assessment tools that will enable them
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.
Culture is a pattern of behavior and values shared by an ethnic group. Cultural heritage is a set of traditions within the culture that is hand down from the older generation to the younger generation within the family. These traditions influence the family’s decisions in relation to their diet, education, daily living activities, religious beliefs and practices and also health and illness beliefs. In this paper, the author will focus on the usefulness of applying a heritage assessment in evaluating the needs of a person as a whole. Three different cultures including authors will be discussed about the health maintenance, health promotion, and health restoration. The author will also evaluate health traditions which
Today when people move across continents with the help of technology their culture and heritage moves along with them. Almost each and every continent is populated with people from different nations who have diverse traditions and cultures. Thus knowledge of health traditions and culture plays a vital role in nursing. People from different cultures have a unique view on health and illness. Culture-specific care is a vital skill to the modern nurse, as the United States continues to consist of many immigrants who have become assimilated into one culture. I interviewed three families of different cultures: - Indian (my culture), Hispanic and Chinese. Let us see the differences in health traditions between these cultures.