Culture Review


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  • USA population is roughly 300 million, so 1/3 has other culture
  • Process, learning and not passing judgement Culturally competent means to continuously strive to work effectively within the client’s cultural context
  • Ukraine – ok for men to hug men and women to hug/touch women. Not OK for women and men to touch in public Asian – formal with bow or not Head nodding and big smile often used when pts don’t understand, especially in cultures where health care providers are respected. They don’t want to offend the nurse.
  • Nurse become patient centered and culturally appropriate Female circumcision
  • Must be creative for hygiene
  • Culture Review

    1. 1. Culture Sandy Warner RNC-OB, MSN
    2. 2. Statistics/FYI <ul><li>100 million people in USA were identified as visible minorities. (2006, census bureau) </li></ul><ul><ul><li>14.7 percent were Hispanic </li></ul></ul><ul><li>In Canada, immigrants growing at 5x rate of general population </li></ul>
    3. 3. Culturally Sensitive <ul><li>Nurses need to appreciate differing health beliefs and practices. </li></ul><ul><li>When nurses adapt, expand and learn, they can become culturally competent. </li></ul><ul><li>Nurses need to be flexible in approach to </li></ul><ul><li>health care. </li></ul><ul><ul><ul><ul><ul><li>(Dean 2010) </li></ul></ul></ul></ul></ul>
    4. 4. Culturally Sensitive cont <ul><li>Health care providers can not become fully competent in a culture other than one’s own. </li></ul><ul><li>Be alert and considerate of other’s views. </li></ul><ul><li>As nurses adapt, can fully meet needs of client in unique population. </li></ul><ul><ul><ul><ul><li>(AWHONN, 2009) </li></ul></ul></ul></ul>
    5. 5. Cultural Awareness <ul><li>Become aware of self </li></ul><ul><li>Explore own beliefs and professional background </li></ul><ul><li>Leads to greater respect and appreciation for values and behaviors of others </li></ul><ul><ul><ul><ul><li>(Dean 2010) </li></ul></ul></ul></ul>
    6. 6. Cultural Knowledge <ul><li>Nurses must be respectful and willing to learn about various cultural practices and beliefs. </li></ul><ul><li>Seek to obtain background knowledge. </li></ul><ul><li>Patient should be first source of information. </li></ul><ul><li>However, don’t stereotype: </li></ul><ul><ul><li>Always be variations </li></ul></ul>
    7. 7. Cultural Skill <ul><li>Collection of cultural data </li></ul><ul><li>Requires effective cultural communication </li></ul><ul><li>Obtaining culturally sensitive physical exam </li></ul><ul><ul><ul><li>(Campinha-Bacote, 2002) </li></ul></ul></ul>
    8. 8. Communication <ul><li>Can be biggest barrier </li></ul><ul><li>Don’t depend on family to interpret </li></ul><ul><li>Follow institution’s policies </li></ul><ul><li>Pay attention to non verbals </li></ul><ul><li>Be aware of touch </li></ul><ul><ul><ul><li>Some cultures physical touch and space very important. </li></ul></ul></ul><ul><ul><ul><li>May need to seek permission before touching. </li></ul></ul></ul>
    9. 9. Western Influence <ul><li>Ethnicity may change, adapt as exposed to Western ways. </li></ul><ul><li>Nurse can be both teachers and learners. </li></ul><ul><ul><ul><li>(Dean, 2010) </li></ul></ul></ul>
    10. 10. Variety of examples <ul><li>Sudan – pregnancy is expectation </li></ul><ul><li>Middle East – pregnancy is special status </li></ul><ul><ul><li>(Iran) </li></ul></ul><ul><li>Indian – Paternal mother is care giver </li></ul><ul><li>Hispanic – use of herbal remedies with pregnancy </li></ul><ul><li>Knowledge base from matriarch </li></ul><ul><ul><li>Hispanic, African-American, Filipino,Asian, Native American </li></ul></ul>
    11. 11. Example cont <ul><li>Arabic – male at birth and will even speak for patient </li></ul><ul><li>Hispanic – if father views mother or baby during childbirth, harm will come to one or both. </li></ul><ul><li>Muslims – very modest </li></ul><ul><ul><li>Prefers no male attendants or health care providers </li></ul></ul>
    12. 12. Expressions of pain <ul><li>Asian – shameful to show pain </li></ul><ul><li>Hispanic – often stoic </li></ul><ul><li>Middle Eastern – verbal </li></ul><ul><li>African American – vocal with pain </li></ul><ul><li>DO NOT STEREOTYPE according to culture. </li></ul><ul><ul><li>Assess each pt as individual </li></ul></ul><ul><ul><li>Continue to be culturally supportive </li></ul></ul><ul><ul><ul><ul><li>(AWHONN, 2009) </li></ul></ul></ul></ul>
    13. 13. Postpartum <ul><li>Some cultures, lasts 40 days. </li></ul><ul><ul><li>Patients only take care of baby. </li></ul></ul><ul><li>Loss of blood is “hot”, post partum should be “cold”. Balance of two extremes. </li></ul><ul><ul><ul><li>Latin America, African, Asia </li></ul></ul></ul><ul><ul><ul><li>Mother needs hot food and conditions </li></ul></ul></ul><ul><ul><ul><ul><li>Bathing discouraged because it cools. </li></ul></ul></ul></ul>
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