Transcultural nursing assessment of an east Asian.

1. 4th March
2021
Transcultural Nursing
Assessment of an
Indian
Melody Taylor
Tasheka Hylton
Peta Gaye-Rodney
Daphnie Rolle

2. Background Information
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3. Malayali Indian
Interviewee Name: Sally Doe
Age : 55
Gender: Female
Medical diagnosis: Asthma.
Mrs. Doe is a 55-year-old Malayali
Indian female born in India. Mrs. Doe is
Married with three children and lives
with her husband and children.
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Communication
Native Language
Language
• Mrs. Doe can effectively speak, read and
write in the English language
• Malayalam
Malayalam is a Dravidian language
spoken in the Indian state of Kerala and
the union territories of Lakshadweep and
Puducherry by the Malayali people

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Communication
• Mrs. Doe preferred to be
addressed with the
appropriate honorific that
depicts her marital Status
(Mrs.).

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Communication
Non-verbal Communication
• Mrs. Doe Maintained a steady eye
contact through out the interview.
Eye contact is a must when talking with one
another and others in her culture they are
very stern on eye contact, it shows a sign of
respect.
• Indians prefer not to touch people when it
can be avoided, but they may touch
someone's arm or hand when speaking so
long as they are the same gender.

7. Social
Organization
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Country
• Country of birth- India
• Years in the Bahamas- 11 years
• Mrs. Doe grew up in a suburban setting.
• Ethnicity- Malayali
• Occupation in both present and native country
– Nurse

8. Social
Organization
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Religion
• Mrs. Doe practices Christianity.
• Christianity is one of the many religions
followed in India
• It encompasses various traditions within it.

9. Social
Organization
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Family
• The family is an important institution that plays
a central role in the lives of most Indians.
• The interests of the family usually take priority
over those of the individual.
• Individuals tend to act in the best interest of
their family’s reputation, as the act of an
individual may impact the perception of the
entire family

10. Social
Organization
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Marriage
• Mrs. Doe is married to man also of Indian
descent.
• Arranged marriages are nearly always
influenced by social class considerations.
• Regardless of how one finds a spouse, the
family is almost always consulted in the
marriage process.

11. Social
Organization
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Household Structure
• Mrs. Doe states that in her culture her
husband is the patriarch of the home.
• He monitors all finances and makes most
major family decisions.
• The matriarch makes the decisions within
the household. Daughters are taught to
model their mothers.
• Women should not question or challenge
their husbands’ authority in any way

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Space
Greetings
• Mrs. Doe was generally respectful of the personal
space of others personal space and kept at least
an arm's length of distance during interactions.
• In Indian culture females may also stand further
away from those who are of the opposite gender.
• For intimate relationships, they believe in private
marriages. Not a lot of public display of affection.
• Social is very friendly, open – however, they will
be reserved until trust is established.
It is generally appropriate for men
and women to shake hands.
However, it is sensible to wait for a
woman to extend her hand first.
Some men and women may not wish
to touch a person of the opposite
gender.
Personal Space

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Food Family history of
disease
• Mrs. Doe follows a diet that is low
beef and other cow bi-products and
pork. Consuming mostly grains and
vegetables
• She believes the food intake
directly correlates with one’s whole
health.
• Mrs. Doe has no known family
history of disease.
Biological Variations

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• Skin Color: Brown Skin
• Hair Type: Dark and Wavey
Biological Variations

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Environmental Control
• Mrs. Doe states that her
asthma was just something
that she was born with.
• She states that her asthma
causes her to have shortness
of breath.
• She believes her illness is
serious and thinks that she
will have it for the entirety of
her life
• Mrs. Doe is currently on
medication to manage attacks
of shortness of breath.

16. Environmental
Control
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Healing Practices
• Mrs. Doe practices prayer and meditation as
healing practices from her religion.

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Diseases and Disorders of India
• Cardiovascular diseases
• Respiratory diseases
• Tuberculosis
• Tumors and malignant
• Digestive diseases
• Fever and infections (especially
malaria)
• Unintentional Injuries
• Diarrheal Diseases
Environmental Control

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Beliefs of Major Life Events
Marriage
• Marriage is a gift from God,
one that should not be taken
for granted. It is the right
atmosphere to engage in
sexual relations and to build a
family life. Getting married in
a church, in front of God, is
very important. A marriage is
a public declaration of love
and commitment.
Environmental Control
Birth
Baptism welcomes the child
into the Church and removes
from the baby original sin. All
the elders of the family is to
be present for this event
Death
It is believed that after
the body dies, the soul
is judged, the
righteous and free of
sin enter Heaven.
However, those who
die in unrepented
mortal sin go to hell.

19. Time
• Mrs. Doe believes that she must live in the moment and plan
for the future.
• She affirms that lateness and appointment missing are not
acceptable.
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20. Summary Of Encounter
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 This cultural assessment was done on Mrs. Doe on the 1st of February 2021. This interview took place in a
clean quiet area with little to no distractions. Mrs. Doe was very cooperative with giving information.
 The level of confidence going onto the assessment was high due to being equipped with the Giger and
Davidhizar trans-cultural assessment tool. Having reviewed the information on the tool it heightened the
fluidity and ease of question giving. Also due to a high level of familiarity with the interviewee it made the
whole interview process feel more relaxed.
 One strength of this interview was the ability to engage in conversation and document findings without
causing awkward pauses during the assessment.
 One weakness faced during this interview would be not being able to fully mask facial expressions when
something was said that was majorly different from our own Bahamian culture.
 In order to improve those negative reactions to foreign cultures, one must become self aware and gain
knowledge of different cultures. It is crucial that nurses understand their personal values, culture, and
biases, as well as those of other cultures and ethnicities

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The health care environment today results in a great need for cultural
diversity, presently nurses are faced with uncertainty, unknown
boundaries and unfamiliar cultural practices. Some ways to improve
cultural sensitivity are:
• To avoid Making Assumptions about unfamiliar cultures. This can
lead to a collapse of trust and rapport between the nurse and patient
and decrease treatment acceptance.
• Learn About Other Cultures when the whole patient is considered,
including their family, their everyday life, and their culture the full
potential of health care is achieved. Making an effort to learn about
different cultures will further the understanding of that cultures beliefs
and allows one to be more cognizant of that cultures needs and
reasoning.
Ways to Improve Cultural Sensitivity

22. THANK YOU!
GROUP 1