Based on the compare and contrast of CAMs, determine which model you would implement with your multicultural patients based on at least 3 benefits specific to language, religion, race and ethnicity.
Make at least three recommendations to improve the model and its application based on the identified weaknesses.
At least 3-5 references to support your content of which 2 are from the nursing discipline.
this is a 5-7 page content, with abstract that is APA compliant
I typed out most part of the recording, but there are some parts that I am not sure of, so I highlighted it.
I started the essay, but only 1 paragraph. Just make sure to follow the instructions from the professor.
COURSE EBP ASSIGNMENT #1: Cultural Assessment Interview Report
(20% of course grade)Nursing Cultural Assessment Models Essay
Students are to complete a cultural assessment on an individual.
The individual should not be a 1stor 2nd degree relative, another family member or household member, a close friend, spouse/partner, or classmate. The individual MUST be from a culture different your own.
Prepare the Cultural Assessment Report which includes:
1) With the subject’s consent, tape record the interview using your smartphone (no longer than 20 minutes). The subject’s consent to participate should follow your full name, date, location, and with whom you are interviewing. Afterwards, make notes about the interview which should help with the following section of your cultural assessment.
2) Provide a detailed description of your subject (age, gender, race/ethnicity, religious beliefs/practices, sartorial presentation, mannerisms/behaviors, occupation, family, living situation, etc) along with the environment where the interview was conducted. Your paper should include a vivid and rich description of the subject (2-3 paragraphs). Citations must support your assessment observations, data, and definitions.
3) Discuss the subject’s cultural views about health and illness (2-3 paragraphs).
Hint: use Purnell’s Model of Cultural Competence to structure & guide interview questions
Define and describe the subject’s culture.
How does the subject define health & illness from a cultural lens?
How does the subject define illness from a cultural lens?
What is the evolution and source of knowledge regarding health and illness?
Describe and discuss a specific example of a health belief/practice.
Describe and discuss a specific example of an illness belief/practice.
*a typed transcription of the recorded interview must be submitted with the paper as an appendix.Nursing Cultural Assessment Models Essay
4) Present at least two pertinent findings about the subject’s culture learned during the assessment, e.g. subjective data, objective data (2 paragraphs). Then compare/contrast these findings with your own cultural background (2-3 paragraphs).
5) Provide at least two interventions (strategies) that would be appropriate for nurses to use when treating clients from this culture. These must be referenced with citations from the healthcare literature, e.g. nursing and/or healthcare journals ONLY from 2014-2018, unless a classic citation. Use 6th Edition APA format for the paper. (2 paragraphs)
6) Reflect upon your communication style used during the cultural assessment interview, then identify and discuss two apparent strengths during the interview, and two areas that warrant improvement. (1-2 paragraphs).
7) Conclude your paper with a summary statement of your learning from this assignment.
8) Specifically address psychomotor, cognitive, and affective learning that occurred from completing this assignment.
Purnell’s Model of Cultural Competence for Nursing
Purnell, L. (2002). The Purnell model for cultural competence. Journal of Transcultural Nursing, 13(3), 193-196
Grading Rubric for EBP Project #1 – Cultural Assessment Interview Report
Student Name: ______________________________________________
Subject: yes yes yes I consent to the cultural assessment.
Me: OK, thanks. I’m going to ask you a few questions. First can you tell me how do you define the health from your cultural of lens?Nursing Cultural Assessment Models Essay
Subject: My name is Abosede Thomas. I’m from West Africa in Nigeria and from the Yoruba culture, the Yoruba culture with regards to health assessment is something that it’s working progress there’s a lot of because of there are so many cultures are different in one country with so many ethnic backgrounds. We have different kinds of religious believes there are people who worship thunder and lightning, there are people who worship IN, there are people who are Christians, there are people who are Muslim, and they are people who actually have status that they worship in their bedroom and this been anonymous. I am nurse, a registered nurse and I practiced in Nigeria and I saw a lot of the ill issues tied up with the cultural background in Nigeria. For instance, when a woman is pregnant to have a child and the child dies at birth, when she gets pregnant again, they put marks on that new child hoping that that child does not die again. It’s very difficult for nurses to let them know that is not the same child that’s coming back, they believe is that the same child does died is now reconnected number 1, number 2 this children this same children are turn Abiku, A-B-I-K-U. a child that keep dying so put in marks on her is to indicate that that child that kind of child are not come back to them, a brand new child will come back to them. Another a problem in women’s health is that a woman in my culture Yoruba Y-O-R-U-B-A, when she has a period, It is the husband that keep the date for her, the woman is not allowed to keep a date of period, the husband keeps the date and he is the one that reminds her that when her period is coming, so at time of interview in there in the clinics we see that husbands has to come with the wife because when you ask the wife when was your last period she would turn to her husband who has the date. number 2 family planning is another big issue, because in my culture they don’t believe in it, so of this is from old time, I mean more of recent it’s changed but most of this is still there. the number of children is dictated by the man so you keep getting pregnant until he says o we done. no no sense of birth control and they’re trying to change that with the over population in Africa. Alright so.
Me: OK, so can you tell me how do you define the illness from your culture?Nursing Cultural Assessment Models Essay
Subject: OK, that term illness in my Yoruba culture is address in a different way, when a child is sick, you know up until now there some people they do that, they don’t take the child to the hospital, they take the child to the local doctor who we call babalawo B-A-B-A-L-A-W-O, it is the child it is the babalawo that decides on what herb to put together to heal that child.
Me: Is it similar to Chinese herb?
Subject: in that area, so it is very important this babalawo in each street there’s one babalawo that you can run to. For incident, child has seizure and at the time the child is seizing, they take the child to the babalawo and it will take cow’s urine and give to that child.
Me: Dose Babalawo has some kind of like license or something to practice?
Subject: no license, they don’t have any license but they are authenticated by the community so it will give, unfortunately when you look at the medicine that is been used even in the English terms it does contain some cows urine to heal seizures, this is what they use cow’s urine and they pour it down the throat of that child, and the seizure stops. it does it works it work because I’ve seen it in local villages but what happen is the toxicity in the liver is the problem. that’s what you can’t take up, the liver becomes toxic and that child eventually dies. yes alter recovering from been seizure that you have to deal with the liver issues with toxicity in the liver. Alright, and also when you lose your husband as a woman this shave your head When the husband dies the shave your head, and there some areas in the East, the Igbo I-G-B-O, people they wash the dead body and they use the water to bath the wife, that’s still going on today I can show you that online. They beg the wife to do it because many in many instances they suspect that the wife killed their husbands, many when you lose your husband when you young the suspicion is always on the wife, but look at here, when a man dies who is the first one they suspect, when the woman dies, the first person it suspect is your wife or the male or the husband. Alright, so those are the instances whereby illnesses are treated in a differently.Nursing Cultural Assessment Models Essay
Me: What kind of role does nutrition play on health from your culture lens?
Subject: Nutrition plays a very important role in treating illnesses in my culture Yoruba, there some foods that the the will avoid while they are sick with a certain illness, for instance when a woman has a period, she must avoid foods that are very high in carbohydrate she will eat more protein as liqiu as they are, they know that protein will replace the blood that the women loses, OK when you are, when you lose your husband, nutrition they stops you, the woman only eat once a day, mainly because they feel like for the loss of your husband you are griffin and you should be fasting, fasting is a common way in my thing, on my culture to deal with issues, issues like this where husband dies you lose a child, that you have to fast sometimes for a whole 30 days, so that they believe that you suffer along with a person that you lost. Now in the another situation if you are an alcoholic they will encourage you, like people who drink too much we all know they don’t eat enough, so they will encourage them to eat foods that are high in vitamin B, such as beans, legumes any food that has something with beans, black beans, red beans for people who drink a lot who have alcohol as an illness. Alright.Nursing Cultural Assessment Models Essay
Me: what kind of communication is exhibited between the healthcare professionals and patients?
Subject: Communication between healthcare professionals and patients in my culture is a little bit difficult, because like I said from the beginning the man holds the power, the woman does not talk much, she is not allowed to talk much about herself. She supposed to allow their husband to express her. OK and this creates problems because what, how do you feel as a woman there some things you as a woman don’t tell your husband, but you feel so it creates problem more problem for the healthcare professionals because many times we have to actually visit the home to find out, yeah what is going on, you would not you may not be able to get enough because the woman is not allowed to talk too much or when they get home the man will do what
Me: Is this still happen in here, in America? Like when Nigeria women goes to hospital, the husband is answering all the questions?
Subject: No no no, it doesn’t happen much in America, because the woman just wouldn’t tell you. But we in America, we like for instance me with 50 years of experience as a nurse, I always senses if I meet an African woman who is like that I always make a visit to the home because when she sit down there not talking, that the husband is the only one talking, I immediately know something is wrong they are practicing what they do back home here, there some like that they don’t let the wife do what they need to do, they just, you know, they just, they they let them suffer in silence because the man wants to be in control it doesn’t happen much here but is still happening back in my country.Nursing Cultural Assessment Models Essay
Me: Are there any healthcare practices that may different from the ones you are used to in the America?
Subject: For health practices that are different from my culture to the America, there are many many many ones but me as maternal child health nurse, I noticed that here we use sanitary napkins over there they use towels. We cut towels and the woman use it but the sanitary that is very that is not sanitary, because those towels may also cause infections leading to illnesses like PID pelvic inflammatory disease, OK another practice over there is the practice that when you have and infraction that needs treatment you use the herbs there’s a lot of different herbs that they use for headache they have a herb, for you know my grandmother kept a whole list of different plants in her backyard that she will use instead of going to the doctor.Nursing Cultural Assessment Models Essay
Me: yeah, same as Chinese, Chinses use herb more than the medications
Subject: We use a lot, we don’t us tablets we don’t use medications they don’t believe in it, if you constipated grandma will go to the backyard and pick up some of the herbs and make a soup she’ll make you drink it and before you know it you going to the bathroom, if you have a urinary tract infection they would do the same thing, you know they will take stuff like those cranberries crush them and make you eat them, you know so there’s a lot, they also including sexually transmitted diseases which you I know is there they know how to treat it with the herb instead of penicillin VK, yeah they have herb for all that, OK, one of the hearth practice that you didn’t ask me is that the fact that there is what you call polygamy, where come from where a man has many wives so as such illnesses especially sexual transmitted can be transmitted within 4 or 5 wives that belong to 1 man.
Me: Is there still one man with many wives in your country now?
Subject: they still have it, so in that village that particular community will have all of them will have to take the herbs to get a kill, including the man. so they find out what most of the time with epidemiology we are not able to find the source because there are 5 wives and if one is unfaithful, the rest of them can catch that is what epidemiology is about starting of certain group. So you know it’s very difficult for healthcare professionals.Nursing Cultural Assessment Models Essay
June 14, 2008
Abstract 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). Nursing Cultural Assessment Models Essay
With Hindi as the client’s native language, Mrs. P and the brother can only speak Hindi, compared to the mother and father who can both read and speak the native language.
Socioeconomic Considerations With occupation and education, the client’s dad has a master’s in business and works for Gateway computers. The client’s mom has a degree in psychology and is a housewife, and the younger brother has degree from UCSD for management science and economics and works at Boeing. As for Mrs. P, the client works as a teacher, having earned a bachelor’s degree in business administration from the University of California, Riverside, and Mr. P works as a neuro-surgeon, with a bachelor’s degree in cellular and molecular biology and in computer engineering, and masters in computer engineering. Receiving no financial assistance, the client seemed satisfied in the current socioeconomic class of upper middle class because there are no plans of changing job.
I was born and raised in the Philippines. I identify myself with the Filipino culture. I chose to learn about the Mexican culture, so I have interviewed my coworker. The interview was focused on the meaning of food in their culture and its impact on their health.
When asked about the meaning of food, Estella and Betty both associated it with family gatherings, holidays, and celebrations wherein food brings people together. They celebrate Christmas, Quinceneras (when a girl is considered a young woman on her 15TH birthday), and weddings. Most of their meals include beans, rice, and either corn or flour tortillas. Tamales are commonly served during their celebrations because they have been their traditional food for…show more content…
They want their kids’ abdomen to appear full, which implies looking “healthy.”Nursing Cultural Assessment Models Essay In my opinion, this belief may interfere with health promotion because it conflicts with what health advocates consider healthy or unhealthy. When asked if there are any enzyme deficiencies or food intolerances commonly experienced with their culture, Estella and Betty said that there is no common food intolerance that they are familiar with. Lactose intolerance is not common in their group, but a gastrointestinal problem, such as gastritis, is common because most of the dishes are spicy.
Here in California, there are several Mexican supermarkets that offer almost all of the basic and essential products in making or preparing the dishes common for this culture. This is an advantage for Mexicans that reside here in California. The interviewees also mentioned that in other states, Mexican food products are scarce making it difficult for some of them to prepare the meals that they are used to eating.
Culture is one of the most important determining factors in healthcare preferences and practices. Thus, the need for transcultural nursing is undeniable. “Transcultural nursing requires sophisticated assessment and analytic skills and the ability to plan, design, implement, and evaluate nursing care for individuals, families, groups, and communities representing various cultures” (Andrews and Boyle, 2008, p.4). In order to effectively practice transcultural nursing, one must first understand the need for cultural competence. It is vital for nurses to have a desire to become culturally aware, culturally knowledgeable, culturally skillful, and to seek cultural encounters. Cultural desire is the stimulator in the eruption of the process of cultural competence and the nurse must seek and be open to learn and accept others, understand the process is lifelong, and set aside personal feelings to effectively treat unique patients (Campinha-Bacote, J, 2003). The Giger and Davidhizar (2002) Transcultural Model is a helpful tool that addresses and effectively treats patients who have different cultures. The model takes into consideration 6 important phenomena.Nursing Cultural Assessment Models Essay
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Communication keeps culture alive by verbal and nonverbal means; it is one of the biggest obstacles in healthcare. Nurses ask questions to determine patient’s views on illness, causes, and possible treatments. They listen and interpret their patient’s level of understanding and ability to follow through with treatment. Also, nurses interact with the patient’s family. Communication varies from culture to culture. Americans are expected to speak Standard English; however, it varies based on region, ethnicity, and social class (United States, 2001). Americans use a variety of nonverbal communication. Eye contact, which is viewed as a sign of trust and honesty, between patients and healthcare professionals is the norm. Expression of emotion varies in American culture. Americans use a combination of verbal language, body language, and gestures. Americans are often straightforward and rather demanding. Unlike Americans, Asians rarely complain. Silence and withdrawal may be the only indication of a problem. Asians tend to not ask for anything, accept pain, and remain stoic (Fernandez V. & K., 2008, Asian Community). Many Asians don’t engage in eye contact with powerful persons; the avoidance of eye contact shows respect and reverence (Non-Verbal Communication, p.4). Asians speak more than 100 languages; they vary based on the geographic regions they descend from (Asian Americans, p. 2). Arab Muslims usually cooperate by answering questions, listening, and following directions until they see improvement. They believe their expression, such as pain, should be quickly met with response (Fernandez V. & K., 2008, The Middle Eastern Community). The Arabic language uses devices that outmatch reality and is not very direct or explicit (Ayish, 2003). Hispanics are very emotionally expressive. Effective communication with Hispanics is not based on just speaking their language; cultural rules allow for certain discussions with certain people (Fernandez V. & K., 2008, The Hispanic American Community). Eye contact is expected on the nurse’s part but will not necessarily be reciprocated (Andrews & Boyle, p.25). Nurses, if available, should undergo cultural competency training. Berln and Fowkes’ LEARN Model can assist; LEARN, represents the process of listening to the patient, explaining your view, acknowledging differences and similarities, recommending and negotiating a plan (Campinha-Bacote, J.,2003). Nurses should enlist the help of trained interpreters, preferably of the same gender, mature, and of no relation to patient; if there is no interpreter, the following but not limited to, is necessary: politeness, slow and concise speaking, simplicity, pantomime, validation of understanding, and instructions in the proper sequence (Andrews & Boyle, p.29).Nursing Cultural Assessment Models Essay
Space is also important when dealing with various cultures. Nurses are required to interact with patients, often invading personal space. Giger and Davidhizar (2002) state:
Territoriality refers to feelings or an attitude toward one’s personal area. Each person has their own territorial behavior. Feelings of territoriality or violation of the client’s personal and intimate space can cause discomfort and may result in a client’s refusing treatment or not returning for further care. (p. 185)
Americans tend to require a need for personal space. When family and friends are near, Americans tend to be relaxed; however, when a stranger or mere acquaintance invades space, it can become uncomfortable. Asians prefer a great amount of social distance. Many prefer minimum physical contact with acquaintances; excessive contact is viewed as inappropriate. Unlike Americans, who believe touch is a sign of friendliness, Asians view the head as a personal area that contains the seat of the soul and it should not be touched. Arab Muslims seem to require the least amount of space. It is not uncommon for people from the Middle East to stand closely when conversing. However, gender can play a role; Muslim woman may become distraught when a male, even a healthcare professional, stands or sits near her; Arab Muslims expect females to tend to females and males will care for males. Hispanics, unlike Americans, are use to standing or sitting near people they are not well acquainted with (Non-Verbal Communication, p.3). Hispanics and Arab Muslims may unintentionally invade nurse’s space as a means of getting closer and more comfortable (Andrews & Boyle, p.26). Nurses should take the patient’s lead; if the patient seems to gravitate towards you or initiates touch, then it is acceptable to do the same. At all times respect the patient and boundaries.Nursing Cultural Assessment Models Essay
When dealing with patients, there must be consideration of social organizations or what role the patient’s culture plays in his or her life. Family members are often the providers of a patient’s eating habits, sick role behaviors, and medications used. Americans view family as a vital part of their healthcare plans. It is common for Americans to be visited and supported by family; they often discuss and make important decisions. Asians are concerned with family interdependence over independence; family usually likes to assist with patient care. In some Asian cultures, some members, such as men and elders, dominate and consider women and children inferior (Galanti, 2005). Arab Muslims regard family as the foundation of their society. The husband answers questions, makes all major decisions, and gives consent. Often times, Arab Muslims don’t believe in divulging family history. The family cares for the ill. (The Middle Eastern Community). Hispanics have large families who visit for long hours as a way to demonstrate their love and genuine concern. Often times, decisions are made by the entire family or designated members (Galanti, 2003). Religious and spiritual beliefs are important factors during illness, recovery, and death. In the United States, most people consider themselves Christians; Catholics singly dominate, but the Protestant groups combined outnumber them. Americans include religious practitioners such as priest, ministers, and rabbis as well as nontraditional leaders during health related situations. Americans include religious objects, such as the Bible, and also rituals, such as communion. Death and end of life choices are also influenced by religion and practices; typically, Americans consider death a sad and somber time. Asians are host to numerous religions; Christian, Muslim, Buddhism, and Hindu are just a few. Many Asians believe in bad spirits; infants attract them and induce death. If the illness is thought to be caused by spirits, healers are sought (Asian Community). Arab Muslims are usually of the Islamic faith and pray 5 times a day to the Holy Land, Mecca. Muslims recharge their spiritual battery during the month of Ramadan; fasting from dawn to sunset accompanies. Arab Muslims often read from the Al Quran (The Middle Eastern Community). Nursing Cultural Assessment Models Essay Hispanics are usually Catholics with the recent emergence of Pentecostals. Shrines and religious objects are common in practice. Health is viewed as God’s gift and should be revered (The Hispanic Community). Nurses must be accommodating to patient’s families and the value placed on family within cultures. Nurses must be sensitive to religious beliefs or practices and must not impose personal beliefs. Seeking knowledge is essential. However, exposure to diverse cultures is one the best learning mechanisms.
Understanding a cultures notion of time elapsing, specific periods, and clock time are
necessary for effective healthcare. Cultures may be past, present, or future oriented. Americans use time to provide order. Americans expect care at designated times; appointments are a prime example. Americans are future oriented; they believe they can manipulate the future by taking certain actions. Americans tend to be proactive; the focus is optimism, coping strategies, and preventive measures. Americans often demonstrate this orientation through self examinations, check-ups, and staying informed about healthcare advances. Asians tend to have a past orientation. They prefer to adhere to traditional methods and treatments; they are apprehensive about new innovations. Recently however, Asians are shifting towards future orientation (Galanti, 2004). Arab Muslims are present oriented and are neglectful of preventive measures. They may be late or not attend appointments at all (The Middle Eastern Community). Hispanics also focus on the present. They believe the future arrives in its own time and thus the notion that one cannot be late exist (Galanti, 2004). Nurses must explain the importance of time regarding life processes while being respectful and mindful of cultural views. Nurses should try to refrain from making time oriented promises that can’t be kept.Nursing Cultural Assessment Models Essay
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Environmental control or the attempt to control nature affects patient’s health practices, values, and the definitions of health and illness (Giger, & Davidhizar, 2002). Americans believe nature can be controlled. Americans equate the body to a machine; if it’s broken, allow healthcare professionals to fix it (Galanti, 2004). Americans conform to the Western biomedical model which defines health as the absence of disease or the signs and symptoms of disease. The holistic paradigm exists in Asian cultures; it deals with the concept of yin and yang, in which forces of nature must be balanced to produce harmony (Andrew & Boyles, 69). Asians tend to view people as part of nature. The land is a resource used to treat disease; herbal remedies are common (Galanti, 2004). Arabs believe the key to good health is personal hygiene and a healthy diet. “They place a high value in modern Western medicine and have confidence in the medical profession” (The Middle Eastern Community). Hispanics believe natural forces are not in their control and preventative measures are not often taken. (Galanti, 2004). Their system, the Curanderismo, combines spiritualistic, homeopathic, and scientific elements; curandero or holistic healers are utilized (The Hispanic Community). Nurses should become familiar with factors. Nurses should not dismiss patient’s view of their power and accountability or lack thereof.Nursing Cultural Assessment Models Essay
Biological variations exist between races; some groups are sensitive to certain medications, have metabolic differences, and are prone to certain diseases or factors that can affect healthcare. African Americans are three times more likely to get tuberculosis than whites; they also have higher rates of hypertension. Sensitivity to cardiovascular effects from Propranolol occurs more in Asians than Whites. Ethnic minorities, such as Hispanics, have higher HIV rates (Giger and Davidhizar, 2002). Middle Easterners or Arab Muslims have a lower percentage of sweat chlorides (Andrews & Boyle, 54). The list of variations is broad and extensive. “Accurate assessment and evaluation of clients require knowledge of normal biocultural variations among healthy members of selected populations” (Andrews & Boyles, 49). Nurses must acquire skills that will allow the recognition of variations.
A nurse must always remember that the focus should remain on the patient’s well being and recovery. It is necessary to understand that individuals will never be the same. A patient’s health status and treatment is directly influenced by their culture and it is this reasoning, which has been proven through testing and the development of theories that has led to the conclusion that culture cannot and will not be ignored. “Human diversity makes tolerance more than a virtue; it makes it a requirement for survival” (Dubos). Healthcare will not suffice without negotiation, adjustment, and respect of differences. Transcutlural concepts in nursing care have made cultural competency an expected standard and it is the duty of every nurse to help maintain this standard.Nursing Cultural Assessment Models Essay
CULTURAL ASSESSMENT Cultural Assessment June 14, 2008 Abstract 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.Nursing Cultural Assessment Models Essay
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. 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 & Lancaster, 2006, p. 90) to help understand client’s perspectives of health and illness and discuss culturally appropriate interventions. In this paper, the author will demonstrate how nurses can utilize a cultural heritage assessment tool to help develop a cultural competent nursing care plan, which can be referred to in Appendix A and B.
By culturally assessing client, nurses will be able to identify the needs of culturally diverse individuals and find out if what’s important to the culture is really important to the person in terms of specific health needs. Introduction In order to deliver nursing care to different cultures, nurses are expected to understand and provide culturally competent health care to diverse individuals. Nurses must find out about people’s traditions, ways of life, and beliefs about health care so that the appropriate interventions can be planned and implemented to produce culturally positive health outcomes (Stanhope & Lancaster, 2006).Nursing Cultural Assessment Models Essay
By being aware of the client’s cultural beliefs and knowing about other cultures, “nurses may be less judgmental, more accepting of cultural differences, and less likely to engage in the behaviors that inhibit cultural competence” (Stanhope & Lancaster, 2006, p. 84). Most importantly, nurses must listen to the client’s perceptions of problems and work together to develop suggestions and recommendations for managing those problems.
Therefore, cultural assessments tools have been developed and are available to help assist nurses integrate “professional knowledge with the client’s knowledge and practices to negotiate and promote culturally relevant care for a specific client” (Stanhope & Lancaster, 2006, p. 82). Part I: Cultural Assessment of Client A cultural nursing assessment is recognized as a “systematic way to identify the beliefs, values, meanings, and behaviors of people while considering health history, life experiences, and the social and physical environments in which people live” (Stanhope & Lancaster, 2006, p. 5). For this reason, cultural assessments are an essential component in providing quality care to diverse individuals of different cultures. For this reason, the author used the cultural heritage assessment tool to help assess the ethnic culture of Mrs. P. Referring to Appendix A, the outline shows the interview questions and answers collected by the author per Mrs. P. Reassuring the confidentiality of the client’s interview, utilization of the cultural heritage assessment tool enabled the author to gather, classify, and analyze the culture of an American Hindu Indian.Nursing Cultural Assessment Models Essay
Brief History of Ethnic and/or Racial Origins The client evaluated by the author was a 35 year old female named Mrs. P who lives in Poway, California. The immediate family composition consists of a wife and a husband who just recently got married. In regards to the client’s cultural background, the ethnic culture that Mrs. P identified with was an American Hindu Indian. Born and raised in Poway, California, Mrs. P’s father and the grandparents from the father and mother’s side were born in Punjab, India, while the mother was born in Utter Pradesh, India.
Coming from India, the client’s parents has lived in the United States for 14 years. Living in Poway since then, Mrs. P grew up in a rural setting and lived with the parents and younger brother until recently moving out when the client got married. With Hindi as the client’s native language, Mrs. P and the brother can only speak Hindi, compared to the mother and father who can both read and speak the native language. Socioeconomic Considerations With occupation and education, the client’s dad has a master’s in business and works for Gateway computers.Nursing Cultural Assessment Models Essay
The client’s mom has a degree in psychology and is a housewife, and the younger brother has degree from UCSD for management science and economics and works at Boeing. As for Mrs. P, the client works as a teacher, having earned a bachelor’s degree in business administration from the University of California, Riverside, and Mr. P works as a neuro-surgeon, with a bachelor’s degree in cellular and molecular biology and in computer engineering, and masters in computer engineering.
Receiving no financial assistance, the client seemed satisfied in the current socioeconomic class of upper middle class because there are no plans of changing job. Currently owning a home with 4 bedrooms, 3 bathrooms, a living room, dining room, loft, and patio, the living arrangements for Mrs. P appear sufficient for a future family to live in. Value Orientation According to Mrs. P, respect for elders, a good education, good family background and connections, religion, and good ethics for society, are values that are held highly within the family’s culture.Nursing Cultural Assessment Models Essay
Education and a highly held position in a career are very important because these values determine an individual’s status in society. Examples include doctors and engineers. Obviously, success is pertinent within the Indian culture. Indians are known for their hard work, vitality and dynamism. However, although looked as highly important, the family’s overall impression of these values do not define who a person is; these values are appreciated. Growing up, Mrs. P learned that every action requires thinking because any decision might have a negative effect on the family, and how society will react.
Family reputation is very important and in the Indian culture, individuals must be careful not to do anything to put down the family name. The Indian culture is very family-oriented, which is why family comes first. In health and in sickness, the family takes care of each other. Cultural Sanctions and Restrictions According to the client, there are no cultural sanction and restrictions that the client is aware of. For the most part, Mrs. P believes that since the parents were open-minded to the fact of living in the United States, a strict Indian culture was not experienced during childhood.Nursing Cultural Assessment Models Essay
The parents understood what kind of environment the children were in and did not expect Mrs. P and the brother to be restricted to an Indian lifestyle. Communication As far as communication is concerned, Mrs. P informed the author that communication involves all members of the family, friends, and community. However, the Indian culture affects the way individuals communicate with family and friend by restricting certain topics when inappropriate. For example, foul language or sexual topics may be considered unacceptable to discuss in front of parents.
For the most part, Mrs. P’s family does get along well, which is evident by the client’s close relationship with immediate and extended family members. With such open communication to some extent and having great family relationships, Mrs. P maintains contact with all members of the family and takes the time to visit family every few weeks. Health-related Beliefs & Practices & Nutrition Health-related beliefs and practices generally emphasize taking care of the health of all members in the family. According to Mrs.
P, health-related beliefs and practices are related to nutrition. The only information that the client provided to the author was that Hindus perceive some foods as “hot” and some are “cold”, and therefore, should only be eaten during certain seasons and not in combination. There are different perceptions of “hot” and “cold” foods depending on the region of where individuals are from. From these perceptions, foods are thought to affect body functions. In the client’s case, Hindus love to cook and eat traditional dishes that are perceived as healthy.Nursing Cultural Assessment Models Essay
From raima, cholay, and saag, these Indian dishes are usually made by the client’s mother because Mrs. P does not usually make the traditional cultural dishes. As far as any specific dietary restrictions, eating meat is not considered good, but some individuals within the culture still eat meat. With Mrs. P, the client strives on well-balanced meals and does not follow the ideas of hot and cold foods. The only cultural diet that is followed is not eating meat. Cultural Aspects of Disease Incidence In regards to aspects of disease, the client’s culture customs and eliefs often contribute to the decision for medical care and choice of healthcare services. Supernatural forces and excess in human needs are recognized to contribute to illness and disease, regardless of station in life. For example, the client gives that example of eating too many sweets will cause round worms and that too much sexual activity can be associated with tuberculosis. Even more so, if a disease is sexually related, the occurrence of such diseases is looked upon as disrespectful if unmarried. In addition, diarrhea can be caused by a variety of improper eating habits.Nursing Cultural Assessment Models Essay
As a result, cultural treatments that may be used include homeopathic medicine, herbal remedies, mixing religion and medicine, and observing the individual within a natural environment. In the client’s case, a health problem that is currently affecting the family is high blood pressure. Religious Affiliation According to Mrs. P, the client’s religious preference is Hinduism, which is the same religion for Mr. P and all members of the immediate family. Religious beliefs and practices include believing in reincarnation and in many gods, and occasionally attending a temple.
However, the client does not belong to a religious institution nor is an active member of any religious or ethnic organization. Yet, the client does practice the Hinduism when with the family. In the author’s opinion, the client expressed ideas for becoming more involved with participating in religious or spiritual activities. As for the neighborhood, there are diverse backgrounds of different ethnic cultures and religions within the community. Developmental Considerations The only achievements and tasks fulfilled by the client’s family include having both children graduate from college and finding successful careers.Nursing Cultural Assessment Models Essay
With having such high values in education and career, the author is not surprised that the parents consider graduation and a new job as very important achievements that a family member can accomplish. Even more, in the client’s sake, getting married, starting a new job, and moving into a new home were life changing fulfillments that the client has longed to achieve. As far as failures and achievements, being Indian has affected the fulfillment of achievements and perspectives of failures by placing the pressure to always be “on top of [the] game. Competition is what brings out the best in people and achieves the best results. Growing up, the client was always encouraged to excel. The expectations of families towards children were very high. With Mrs. P, the client strived to be the best because expectations were high and from the author’s point of view, the client has done very well to be at the point where the client is. Since the client’s family first start, the only health and health-related events and experiences that Mrs. P has gone through is dealing with the removal of cataracts in client’s father’s eyes.Nursing Cultural Assessment Models Essay
Fortunately for Mrs. P, there have been no immediate deaths or births have taken place since the client has been born. Since the client’s the new marriage life, no health related events has occurred. Part II: Self Assessment Health-related Attitudes regarding this Cultural Group From the author’s self assessment about health-related attitudes regarding Indians, the author presumed that the most Indians are prone to respiratory infections such as tuberculosis and pneumonia, hypertension, nutritional deficits, and high risk behavior such as alcoholism and cigarette smoking.
To be perfectly honest, the main assumption that the author had in regards to this cultural groups is that individuals of the Indian culture prone to strive dietary restrictions, which lead to a number of health problems. In addition, having had an Indian roommate, the author believed that individuals of this culture hold strong cultural beliefs and values because of the parents. Parents have a strong hold in the way Indian children think and behave. From family, friends, school, and community relationships to sexual activities, education, and work, Indians are expected to be smart, careful, and successful in all aspects of life.Nursing Cultural Assessment Models Essay
In the author’s opinion, such values and beliefs definitely influence and contribute to the health-related attitudes held by author because American Indians’ physical, psychological, social, and spiritual dimensions of life can eventually affect the health of these individuals. Evaluation of Author’s Values, Beliefs, & Practices In regards to the author’s values, beliefs, and practices, much of what has been embedded into the value and belief system of the author, including lifestyle practices, has been due to family, friends, and personal experience.
From respect, obedience, and honesty, to work, education, religion, rationality and practicality, and the quality of life and health, the author strives to maintain a positive outlook in life, believes that hard work and determination will lead to a successful career, marriage, and family upbringing, and appreciates life and all the fortunate blessings that are often taken for granted like ambulation, breathing, and a healthy, loving family. Family, school, health, and religion are the most important values that the author holds.Nursing Cultural Assessment Models Essay
As a Catholic, the author believes that God has a plan for everything and whether life experiences are good or bad, God has a reason. Although the author does not religiously attend Church, prayer is often performed at home and at school. With school, education is an important aspect to a successful career. In the author’s opinion, knowledge is pertinent to success. Even more so, being aware of beneficial and risky lifestyle practices are necessary to maintain a healthy life. Such practices include exercise, a well-balanced diet, no smoking or drugs, and safe sexual practices.
Obviously, values, beliefs, and practices may affect the physical, psychological, social, and spiritual dimensions in life. However, being only 25 years old, the author is aware that there is still so much more to learn about life. Therefore, the author remains open to new ideas and opportunities so that additional knowledge, mistakes, achievements, and failures will continue to add to the author’s life experiences. How might Author’s values, beliefs, & practices affect Delivery of Nursing Care to this Culture Group?Nursing Cultural Assessment Models Essay
The author’s values, beliefs, and practices may affect the delivery of nursing care to this culture group with the inability to empathize and understand complaints and concerns about health which leads to inaccurate assumptions about patient needs and creates assumptions that may impose ideas and interventions that may be unacceptable to the plan of care. Being unable to step outside the author’s box of values, beliefs, and practices may prevent the author from learning about another culture.
As a result, the overall affect of delivering nursing care for this culture group is making incorrect assumptions about the needs of the clients and developing a care plan that may serve no benefit in improving the quality of life. Part III- Developing a Plan of Care After culturally assessing Mrs. P, the author identified the client’s readiness for enhanced religiosity. With a new marriage, a new house, and a new job, the client expresses concern that being away from the parents may lead to decreasing active lifestyle of practicing the beliefs and practices of the Indian culture.Nursing Cultural Assessment Models Essay
Even more so, the client acknowledges and expresses a desire to maintain the beliefs, values, practices that the parents have taught. Being married to a husband who does not actively practice the Indian culture, along with dealing with the expected stressors of being a new wife, taking care of a new house, and starting a new job, Mrs. P. strongly believes that maintain the values and practices of the Indian culture may be an effective coping strategy that Mrs. P is willing and ready to do. Obviously, Mrs. P. recognizes the importance of the Indian culture and is ready to enhance what had been taught to cope with the new life changes.
Referring to Appendix B, the author’s goal for the client includes verbalizing the willingness to seek help to regain desired religious beliefs and practices and acknowledging the need to strengthen religious affiliations and become involved in spiritually based programs. These two goals seem appropriate for the client because if Mrs. P is willing to seek help with maintain the Indian culture and acknowledges the need for additional resources to participate in religious activities; the client can enhance religiosity within the newly accepted life transitions.Nursing Cultural Assessment Models Essay
Therefore, the interventions that the author has planned include determining the spiritual state/motivation for growth by ascertaining religious beliefs of family of origin and climate in which client grew up, discussing client’s spiritual commitment, beliefs and values, assisting the client to integrate values and beliefs to achieve a sense of wholeness and optimum balance in daily living by exploring connection of desire to strengthen belief patterns and customs of daily life, and encouraging participation in religious activities, worship/religious services, reading religious materials, etc and provide referral to community sources.
In the author’s opinion, the overall plan of care has been adapted to the specific ethnic or cultural beliefs of Mrs. P because the plan addresses the cultural needs of the client. The interventions are client-centered and do not force any assumptions or beliefs of the author or of any other culture. The client has control of the care given. Even more so, communication, education, and religion being incorporated into the plan of care which were what the client expressed as the values and beliefs that are recognized as important. Hence, keeping what is important to the client.Nursing Cultural Assessment Models Essay
Conclusion To review, nurses must be able to provide culturally competent care to diverse individuals of different cultures. Culturally competent care can be accomplished by utilizing cultural assessment tools to better understand clients and other cultures in the community. Assessing the culture of an individual is an essential component in providing quality nursing care. In order to provide culturally diverse care, nurses need to take the time to learn about each client: who the client is, what the client feels and, most importantly, what the client needs.
By doing so, nurses will be able to tailor a plan of care that implements interventions that are best appropriate to a client’s specific need, delivering quality nursing care, especially when of a different culture. References Doenges, M. , Moorhouse, M. , & Murr, A. (2006). Nurse’s pocket guide: Diagnoses, prioritized interventions, and rationales (10th ed. ). Philadelphia, PA: F. A. Davis. Stanhope, M. & Lancaster, J. (2006). Foundations of nursing in the community (2nd ed). St Louis, MO: Mosby, Inc. Appendices Appendix A Cultural Assessment of Client I.Nursing Cultural Assessment Models Essay
Brief History of Ethnic and/or racial origins of the cultural group with which the client identifies Q1. What ethnic culture do you identify with? A1. American Indian. Q2. Can you describe a brief history of your ethnic culture? A2. Okay. Q3. Where were your parents born? Where did they grow up? A3. India – Punjab (dad) mom – U. P (Utter Pradesh) Q4. Where were your grandparents born? A4. India Q5. Mother’s parents? A5. Punjab – India Q6. Father’s parents? A6. Punjab – India Q7. How many siblings do you have? A7. 1 younger brother. He is 28 years old.
I am 35 years old. Q8. What setting did you grow up in? urban or rural? A8. I’ve lived in Poway, California, all my life. I love it here. My area looks more rural than urban. There is a lot of open land and green grass. We’re near the mountains so we are pretty far from the city life. Q9. What is your native language? A9. Hindi Q10. Do you speak this language? A10. Yes, everyone in my family can. Q11. Do you read your native language? A11. No, just my parents. Q12. Was your original family name changed? A12. No. Well, I just recently got married, so I carry my husband’s name now.Nursing Cultural Assessment Models Essay
Q13. How old were you when you came to the US? (if applicable? ) A13. I was born in U. S. A. My parents, on the other hand, came about 14 years ago. Q14. Who lived with you growing up? A14. Parents and brother II. Values Orientation Q1. What does your culture value? A1. Respect for elders, good education, good family background and connections, and good ethics for the society. Religion is also important. Our culture strives on hard work, vitality, and dynamism. Q2. Compared to western culture, how do you value achievement, materialism, ducation, work, equality, understanding of the environment, rationality and practicality, orderliness, and the quality of life and health? (in terms from your culture, if different? ) A2. I value all these things, especially education and high status in career is important. The type of careers you do are also very important and sets your status in society (doctors and engineers looked upon highly). Growing up, I learned the reputation was highly looked upon so whatever I did, I had to think before I act. Q3. How does your family value these things? A3.
My family believes these are also all important, but they do not see these things as items that define a person, but they do appreciate these things. For the most part, upholding the family name and image in society is an important aspect in our culture because family comes first. My family is very family-oriented and respect is expected within our immediate and extended relationships. III. Cultural Sanctions and Restrictions Q1. Any cultural sanctions and restrictions? A1. None that I am aware of. If there were, I certainly was not informed. I guess because my parents do not carry the Indian culture as strict as other families.Nursing Cultural Assessment Models Essay
They try to be very open-minded to living in the United States and understanding the kind of environment that me and my brother live in. IV. Communication Q1. How does your family communicate with each other? A1. We talk to everyone, openly and respectfully. We talk to family, friends, and the people of the community. Q2. How does culture affect the way you communicate to family and with friends? A2. Certain things might not be accepted to be talked about in front of parents such as foul language or sexual topics. Q3. Does your family get along? A3. Definitely!
Family is very important, unless something is inappropriate or unacceptable, then that causes problems. But for the most part, being close to family is an essential aspect of our culture. Q4. Have you or do you maintain contact with: Q4a. Aunts, uncles, cousins? Brothers and sisters? Parents? A4a. Yes, especially since I moved out of the house. I try to remain in close contact with everyone. Q5. Did most of your aunts, uncles and cousins live near your home? A5. Yes Q6. How often did you visit family members who lived outside of your home? A6. Every few weeks V. Health-related beliefs and practices Nursing Cultural Assessment Models Essay
Q1. Does your culture believe in traditional health beliefs or practices? A1. Much of what we believe in is related to nutrition. What we eat affects the way we function. For example, some foods are “hot” and some are “cold”, and therefore, should only be eaten during certain seasons and not in combination. Depending on what region individuals are from, different families have a different perspective of “hot” and “cold” foods. Hindus love to cook and everyone has their own perception of healthy foods, so individuals usually cook dishes that they believe are nutritional to how one may function.
Q2. Do you follow any traditional health beliefs or practices? A2. No, not really. I eat whatever my mom used to cook for me. But now that I moved out, I cook whatever I have in the fridge. I don’t really believe in the hot and cold stuff. Q3. Do you do anything to keep healthy or prevent illness? A3. Just eat right and workout. I try to eat well-balanced meals and exercise. VI. Nutrition Q1. Do you prepare foods special to your ethnic background? If yes, describe. A1. I don’t make them since I don’t know how, but my mom makes many different dishes and I enjoy eating them. rajma, cholay, saag) Q2. Are there specific dietary restrictions in your culture? A2. Eating meat is not considered good in our culture, but people still eat it. I, on the other hand, have kept that dietary restriction so I don’t eat meat. VII. Socioeconomic considerations Q1. What is your family’s occupation and education? A1. Well, my dad has masters in business and he works with Gateway computers. Mom is a housewife; brother works at Boeing and got a degree from UCSD for management science and economics. Q2. Do you receive financial assistance? A2. No Q3.Nursing Cultural Assessment Models Essay
Are there any plans of changing jobs to earn a little more income? A3. Well, I just recently got hired as a teacher and I have no plans for changing my career any time soon. Honestly, my husband makes money that is definitely sufficient for our income, and I am very fortunate to find a successful man. Q4. Do you own or rent a house? A4. Eventually, we plan to own the new house we just moved into. Q5. How are living arrangements? A5. We currently own a home with 4 bedrooms, 3 bathrooms, a living room, dining room, loft, and patio. I love it here. We’re the only ones living in the house right since we just moved in.
So there is a lot of privacy and a lot of space. We are ready to start a family. XIII. Organizations providing cultural support Q1. Are there any organizations that provide cultural support for you or your family? A1. No, but I’m very interested in finding out every since I got married. XIV. Educational background Q1. Describe your educational background? And your husband? A1. I have a BS in Business Administration and my husband has a bachelor’s degree in cellular and molecular biology and in computer engineering, and masters in computer engineering. Q2.Nursing Cultural Assessment Models Essay
Describe your parent’s educational background? A2. Dad – masters in business, mom has degree in psychology XV. Religious affiliation Q1. What is your religious preference? A1. Hinduism Q2. Describe your religious background, beliefs, and practices. Does your family attend Church? A2. Believe in reincarnation and many gods, occasionally attend a temple. For the most part, since I’ve moved out and my husband is not that religious, I tend to practice Hinduism at home and when I’m with my family. My parents strive on religion and since I’ve moved out, I feel like I am not as active as I used to be.
Q3. Is your boyfriend/girlfriend the same religion as you, if any? A3. Yes, husband is same religion, but he doesn’t really practice any religious or spiritual activities. Q4. Is your girlfriend/boyfriend the same ethnic background as you? A4. Yes, he is also an American Indian Q5. Do you live in a neighborhood where the neighbors are the same religion and ethnic background as yourself? A5. No, diverse backgrounds in our apartment complex Q6. Do you belong to a religious institution? A6. No, but I think it would be great if I was. Q7. Would you describe yourself as an active member?Nursing Cultural Assessment Models Essay
A7. No. But again, I think being newly married; I think that being religious and spiritual may be a good thing. It’s hard to find the time to participate in religious or spiritual activities, but being a new wife with a new home and job, I think it would be good for me. Q8. How often do you attend your religious institution? A8. Very rarely anymore. I used to with my parents. Q9. Do you practice your religion in your home? A9. Yes Q10. Are your friends from the same religious background as you? A10. No Q11. Are your friends from the same ethnic background as you?
A11. No XVI. Cultural aspects of disease incidence Q1. What does your culture believe in when it comes to aspects of disease? A1. Disease and illness is often thought be caused by our culture’s customs and beliefs. From supernatural forces to having excess human needs, individuals can be affected regardless of education and status in life. Some examples I can give you is eating too many candies can lead to ringworm, excessive sexual activity can cause tuberculosis, and diarrhea can be caused by not eating a well-balanced diet. Q2. Any cultural treatments? A2.Nursing Cultural Assessment Models Essay
Some like homeopathic medicines, herbal remedies, others like to mix religion with medicine and observe the patient with the natural environment. Q3. How does your culture view the occurrence of diseases? A3. If it’s a sexual disease it can be looked upon as disrespectful if you are unmarried. Q4. Are there any health problems that could affect your family now? A4. High blood pressure XVII. Biocultural variations Q1. Are you any other culture besides Indian? A1. No. Full American Indian. XVIII. Developmental considerations Q1. Describe family achievements and tasks fulfillment since your family’s start? A1.
My parents’ best achievement, as they always tell me, was having me and my brother. Other than that, my family has not had significant achievements. With a stable career and a good neighborhood, my parents have had a good life without changing their line of profession or participating in life-changing events. However, me and my brother graduated from college and have found successful careers. Even more so, I just recently got married and my parents are very proud of me to have found such a good man at the right time. Q2. How has your culture or ethnic identify affected fulfillment of achievements or failures?Nursing Cultural Assessment Models Essay
A2. Growing up, my parents always encouraged me to excel. The expectations of each member were high. From work to school to even household chores, my parents expected the best out of me. In our culture it is expected to always be at the top of your game. This makes you want to always strive for the best and reach for the stars. Q4. From your family’s first start, what health and health-related events and experiences have happened? A4. Well, since I got married, there haven’t been any significant health-related experiences to note. Yet, during my family’ first start, my dad recently had his cataracts taken out.
Other than that, I have been blessed with a healthy family for the most part. Appendix B Plan of Care |Interventions |Rationales | |A. Nurse will determine spiritual state/motivation for growth by |A. Early religious training deeply affects children and is carried on | |ascertaining religious beliefs of family of origin and climate in which|into adulthood. Any conflict may family’s beliefs and client’s current | |client grew up. |learning may need to be addressed. | | | |B. Discuss client’s spiritual commitment, beliefs and values. |B. Enables examination of these issues and helps client learn more about| | |self and what he or she desires. | | | | |C. Nurse will assist client to integrate values and beliefs to achieve |C.Nursing Cultural Assessment Models Essay
Becoming aware of how these issues affect the individual’s daily life| |a sense of wholeness and optimum balance in daily living by exploring |can enhance ability to incorporate them into everything he or she does. | |connection of desire to strengthen belief patterns and customs of daily| | |life. | | | | | |D.
Nurse will enhance optimum wellness by encouraging participating in |D. Encouragement allows individual to pursue what he or she wants and | |religious activities, worship/religious services, reading religious |referrals allow clients to become aware of what options are available. | |materials, etc and provide referral to community sources. | | ———————– Nursing Diagnosis:
Readiness of Enhanced Religiosity related to life changes secondary to getting married, a new house, and a new job AEB by client’s desire to strengthen religious belief patterns and customs that had provided comfort in the past, request for assistance to increase participation in religious beliefs through prayer, and requests for referrals to religious affiliation Nursing Cultural Assessment Models Essay
The world is slowly turning into a multicultural society and as a result, there is a huge need for nurses to adequately prepare for and adapt to this diverse society. The nurses are required to conduct comprehensive cultural assessments and avail culturally competent healthcare to this diverse society. Culturally competent health is designed to meet the specific needs of every a patient incorporating the individual’s values and beliefs. Various cultural assessment models have been developed in an effort to create this type of care. In this particular research, I used the Andrews and Boyd trans-cultural nursing assessment guide for families and individuals.
I use the model on a family of Egypt immigrants who came into the country about a decade ago. The family came into the country after the father was recruited to come and work as medical doctor here. He came with his young g wife and his two daughters. I chose him to be the subject of my research and he provided me with a host of information that enabled me to come to a comprehensive understanding of the Egyptian culture. For this particular assignment, I am to use his initials M.A.Nursing Cultural Assessment Models Essay
Communication – M.A primary language is Arabic although he is now fluent in English. He was particularly very excited to be part of my research. His quality of voice was reasonably high and his speech was clear only displaying little traces of the Arabic accent. He was also very talkative. If he was ever silent, it was only for a very short time. He also constantly made use of non-verbal cues including gestures and facial expressions. He maintained straight eye contact throughout the entire interview.
Space factors- M.A degree or level of comfort with respect to space hugely depends on the other person in question. If it’s a family member or friend, space is usually not a big issue. However, if it is strange or an unfamiliar person or a person who is not really well known, then he may exhibit suspicious feelings, get uncomfortable and probably move away. M.A states that back in Egypt, people are usually very close but this is not the case in the United States where people share different faiths. He is of the opinion that this closeness is brought about by a common faith (Islam) shared by most society members. Touching is also an important space aspect. Egyptians do not touch unless it is deemed absolutely necessary.
Social organization- M.A attends an Egyptian Get Together party that takes place very month at the local town hall. He tells me that all Egyptians are very social people who like getting together and having fun. M.A says that family is the most important thing in an Egyptian’s life. He says that he would do anything for his family. Most Egyptian men are the breadwinners of their families while their wives are home makers. However, this is not the case because his wife is an accountant at a local firm and their home is taken care of a by an employed housekeeper. MA family is Islamic and the family is members of local mosque where they attend the Friday prayers.
Bicultural variations- M.A are an Arabic Egyptian. As a result, he has a light toned complexion and a dark hair texture. Like many Arabs.Nursing Cultural Assessment Models Essay
Environmental control- M.A has several cultural beliefs about humanity’s ability to plan some activities that can control acts of nature. For instance, he is of the belief that he if he abides by a specific Egyptian diet; he will not have certain ailments. He however admits to have lost some of his beliefs once he emigrated from Egypt. Additional he shares the belief of predestination. This is the belief that God is in complete control of everything.
Time constraints- M.A’s main focus is on the present. He is not too worried about the future. Although he is generally concerned with aspects such the welfare of his children’s education and health, he is not too worried about the future. Additionally, MA admits that he has a tendency of having a leisurely pace and he in fact late for most of his appointments.Nursing Cultural Assessment Models Essay
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