What Culture And How Their Culture Affects Their Healthcare

“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

Nurses must consider the cultural health practices when assessing patients. The Culture Care Theory is essential and must be incorporated into other nursing theories as understanding cultures and cultural practices will enable nurses to think critically and function at full capacity when interacting and creating treatment plans for patients in a diverse environment.

The classic definition for culture was proposed by Tylor (1871/1958) and still commonly cited: Culture is “that complex whole which includes knowledge, belief, arts, morals, law, custom, and many other capabilities and habits acquired by man as a member of society” (p. 1). This definition focuses on attributes that are acquired through growing up or living in a particular society, rather than through biological inheritance (Kottak, 2002). In Giger and Davidhizar’s (1991) Model for transcultural care, culture was defined as a patterned behavioral response that develops over time as a result of imprinting the mind through social and religious structures and intellectual and artistic manifestations.

Communication with the American Indian culture can vary from different tribe types. Some of the most important aspects to note is that this culture tends to use many anecdotes or metaphors to discuss their health issues (Galanti, 2008). Sam D. Gill (1983) author of Native American Traditions writes about communication, noting, “Even ordinary daily speech is colored by complex and sophisticated principles of construction and usage, which often reflect world view and religious

1. Describe personal attributes you possess or life experiences you have had that will enable you to better understand patients with a culture different from your own. Please include your self-reflection on how this experience has changed your insights, beliefs, and/or values. (1000 characters)

My life experiences with different cultures began in my hometown, when Prairie Island Tribal Council members educated students about their culture through lectures, dance, and band performances. This allowed me to appreciate my Mdewakanton classmates’ culture. My exposure to different cultures expanded during an internship at a medical examiner’s office, because death is universal. I learned being culturally respectful and sensitive begins by listening to their stories and experiences before answering their questions honestly and reassuring them the deceased would be treated with respect. As I traveled to rural Honduras on a medical brigade and as a student studying abroad in Italy and Germany, I realized by listening and observing without judgement, I began to understand the cultures. In addition, I discovered generalizations of a culture give an incomplete view and I cannot assume I understand a culture. Instead, individuals are unique based on experiences as well as their culture.

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

One of the most apparent cultural differences is one’s biological variations. This refers to growth patterns, physical characteristics, disease prevalence, and resistance to disease. In health care there is a baseline for cultural and ethnic groups, however, it is important to view everyone as an individual. Culturally appropriate care is an ever changing process. Nurses should always be sensitive to their patients and remember that if nothing else they need to treat them with respect (Davidhizar, Giger, pg. 121).

There are multiple key components to providing a comprehensive cultural assessment. The first to consider is the patient’s biocultural variations and cultural aspects of the incidence of disease. A patient’s identified culture, ethnicity, and race can make a person more susceptible to certain diseases (Andrews & Boyle, 2016). The second component is communication. A patient’s preferred language should be identified, as well as his or her style of non-verbal language, and if an interpreter is needed (Andrews & Boyle, 2016). Third, the patient’s cultural affiliations should be identified. It is important to ask what culture the patient identifies with, and where the patient has lived throughout his or her life (Andrews & Boyle, 2016). The fourth concept is cultural sanctions and restrictions. This is information on the patient’s

Culture competence is a quality that any nurse should have. The article that I decided to research refers to the impact that language and different cultures have on a patient’s health. It is the duty of health care professionals to attempt to learn about different cultures and to be sensitive to the way patient’s feel about their beliefs. Once the nurse understands a patient’s

Recognizing that ethnic identity is only one facet of diversity. My clinical practices involve serving many individuals who have diverse personal and cultural identities. During case conceptualization I routinely ask clients to describe their own values and perspectives to add to my understanding while increasing their comfort. As I serve an increasingly diverse population, keen observation and feedback from clients will continue to illuminate pathways to expanding my awareness and understanding. I see no end to my professional journey to provide culturally responsive

In any case, providing competent care to a patient of a different culture must first start with an understanding of the culture itself (Potter & Perry, 2011). Culture is

The purpose of the Giger and Davidhizer Model is to diminish the ethnocentric viewpoint and to help people realize that there is no one correct way of doing things. Communication Communication is perhaps the most important cultural phenomenon when it comes to caring for patients. It is “the means by which culture is transmitted and preserved” (Davidhizar & Giger, 2002, p. 1).

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.

Assess for and adapt care to address the needs of patients’ cultural, language, ethnic, or spiritual needs.