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Kinney.genevieve daub.katharyn ancheta-rushton.angelina

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2008 Perinatal

2008 Perinatal


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  • 1. “Culture Care Meanings of Child Bearing and Child Rearing Health Care Practices of Native Hawaiian, Filipino, and Micronesian Families Residing on the Island of Hawaii”
  • 2. Introduction Genevieve Kinney, Ph.D., CTN Katharyn F. Daub, Ed.D. CTN, CNE Angelina Ancheta Rushton, BSN, CHPN University of Hawaii at Hilo
  • 3. Historical Research Background Recognition of Momi Kamau/Public Health Funding Recognition of Research Consultants/Study Participants Purpose of Ethnonursing Research Study Ethnonursing Research Methods Use of Dr. Leininger’s Culture Care Diversity and Universality Theory Use of Dr. Leininger’s Sunrise Conceptual Research Enabler (see handout) Entry into Communities: Consent Forms: Key and General Informants Dr. Leininger’s Three Nursing Modalities (see handout)
  • 4. Presentation I: Genevieve Kinney, Ph.D., CTN
  • 5. Ethnohistory of Native Hawaiian Culture Kanaka Maoli Kumulipo (handout) Lokahi Capt. Cook’s Arrival 1778 Economic/Social Changes: 19th/20th Centuries Native Hawaiians-2007
  • 6. Demographic Data 10 key Informants ( 8 Wahine-2 Kane) 20 General Informants (18 Wahine-2 Kane) Age of Informants 18-70 yrs. Residency in Hawaii- 5-8 years Ethnicity-Part Hawaiian
  • 7. Caring Themes Care means protection/safety of mother and unborn child Care means ‘ohana (family) expressions of aloha Care means respecting traditions Care means being cared for by respectful and concerned nurses
  • 8. Care Means Protection & Safety Of Mother & Unborn Child Use of Exercise/ocean activities Use of pule (prayer) Use of ti leaf/Hawaiian Salt Use of lomi (massage)
  • 9. Care Means Protection & Safety Of Mother & Unborn Child Eating special foods
  • 10. Care Means Protection & Safety Of Mother & Unborn Child Seeking Healers/Western physicians
  • 11. Care Means ‘Ohana (Family) & Expressions of Aloha Respecting Advice from Kupuna (elders) Family Support during pregnancy Family presence during labor, hanau (birth)
  • 12. Care Means Respecting the Traditions Caring for the placenta Naming the infant Blessing of infant Use of lomi for infants One year birthday Teaching correct protocols (respect for kupunas)
  • 13. Care Means Respecting the Traditions Use of singing (mele) hula/ocean
  • 14. Care Means Respecting the Traditions Eating poi, limu
  • 15. Care Means Respecting the Traditions Teaching correct protocols (respect for kupunas)
  • 16. Care Means Having Nurses Who Are Concerned, Respectful & Competent Perceptions of good caregivers Perceptions of incompetent caregivers
  • 17. Presentation II: Angelina A. Rushton, BSN, CHPN Hospice of Hilo Partners in Hope, Support, and Comfort
  • 18. Ethnohistory of Filipino Culture Location: South East Asia, surrounded by water One of the largest archipelagos- 7,107 islands, only 1,190 are inhabited. Major islands are Luzon, Mindanao, and Visayan region Known as “Pearl of the Orient” 55 languages and 142 dialects National Language is “Filipino” The 3rd largest English-speaking country in the world. Value family kinship, respect for elders, education, hospitality, “pakikipagkapwa” (being one with others), “bayanihan” (helping one’s own people)
  • 19. Bayanihan (Capture on a road in Samar, Philippines)
  • 20. Demographic Data 10 Key informants 20 General Informants Ages 23-81 yrs. Old 2 male participants Ethnicity- Filipinos Informants speaks Ilocano and/or Tagalog
  • 21. Caring Themes Identified By Filipino Informants 1. Care means listening (respect) to elders. 2. Care means preserving healer rituals 3. Care means family support and obligations 4. Care means patience with non-English speaking clients.
  • 22. Care means listening (respect) to elders. Respecting Elders Use of Special Food Avoiding Special Food
  • 23. Amulets (“Anting-anting”) Amulets are used on adults, children, and infants for good luck, to drive bad spirits away, and to protect against misfortune.
  • 24. Amulets/Vendor
  • 25. Care Means Preserving Healer Rituals. Use of Albularyo/ Hilot (Faith healers) Use of herbs/ oil/ amulets Bathing Everyday Respecting Elder’s advice.
  • 26. Care Means Family Support and Obligations. Providing Traditional Healing Practices by the Elders Seeking Caring Ways.
  • 27. Care Means Patience With Non-english Speaking Clients. Providing Translator Showing Affection Talking Story Respecting Traditional Healing Ways
  • 28. Presentation III: Kay Daub, Ed.D., CTN, CNE
  • 29. “Culture Care Meanings of Child Bearing and Child Rearing Health Care Practices of Native Hawaiian, Filipino, and Micronesian Families Residing on the Island of Hawaii” By: Katharyn F. Daub, RN , EdD, Associate Professor of Nursing University of Hawaii at Hilo
  • 30. Ethnohistory Of Micronesian Culture
  • 31. Demographic Data 10 Key informants 20 General Informants Ages 21-70 yrs old 4 Male participants Ethnicity
  • 32. Caring Themes Care means seeing the medicine man Care means eating healing foods Care means family presence & concern Care means being attentive to privacy
  • 33. Care Means Seeing the Medicine Man Use of healing remedies Use of coconut Use of massage Swimming/water
  • 34. Care Means Eating Healing Foods Pandanus Coconut Milk Ulu breadfruit
  • 35. Care Means Family Presence & Concern Receiving Protective Care from Family Elder Care
  • 36. Care Means Being Attentive to Privacy Need for Privacy Same gender preferred related to care
  • 37. Conclusion Comparative Analysis of the three study groups Dr. Leininger’s 3 Modalities of Care Decisions and Actions
  • 38. Mahalo