CULTURE AND ETHNICITY

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CULTURE AND ETHNICITY
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Why Culture?

• US demographics rapidly changing
• Longstanding health disparities

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Terms to Know and Understand

• Culture
• Subculture
• Ethnicity
• Race
• Enculturation
• Acculturation
• Assimilation
• Biculturalism

• Transcultural Nursing
• Ethnocentrism
• Discrimination
• Cultural Imposition
• Cultural Assessment

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Components of Cultural Competence

• Cultural awareness
• Cultural knowledge
• Cultural skills
• Cultural encounters
• Cultural desire

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Cultural Conflicts

• Ethnocentrism
• Cultural imposition

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Cultural Healing Modalities and Healers

• Externalizing systems
• Internalizing systems
• Naturalistic practitioners
• Personalistic practitioners

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Cultural Assessment

• Goal
• to generate from clients themselves significant
  information and understanding that will enable
  the nurse to implement culturally congruent care.

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Cultural Assessment Components

• Ethnic heritage and ethnohistory
• Biocultural history
• Social organization
• Religious and spiritual beliefs
• Communication patterns
• Time orientation
• Caring beliefs and practices
• Experience with Professional Health Care

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Critical Thinking Exercise One

• You were about to begin giving a male Arabic
  Muslim his morning care when he stated, I dont
  want a bath now. He got annoyed when you tried
  explaining that you have to do it at this time.
  Before you left the room, he asked you to leave a
  basin of water and towel by his bedside. He also
  asked you to get his small rug from his closet.

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Questions

• How would you respond to the client?
• What might be the reason for his refusal and
  annoyance?

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Critical Thinking Exercise Two

• A 50-year-old Chinese woman is hospitalized with
  a respiratory condition. She insisted that you
  give her warm water and rub her back with Tiger
  balm liniment. When her lunch came, consisting
  of a turkey sandwich, tossed salad, and milk, she
  asked that you take it back.

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Questions

• How would you respond to the clients requests?
• What is the significance of her requests?
• Why did she refuse her lunch?

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Critical Thinking Exercise Three

• You are assigned to a 60-year-old Indian Hindu
  widow who is admitted with chest pain and
  shortness of breath. The client recently arrived
  from India to visit her son and pregnant
  daughter-in-law. She can speak only Gujarati and
  understands very little English. She is
  accompanied by her son.

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Questions

• What areas would you include in your focused
  cultural assessment?
• How would you communicate with the client?
• Identify ways to preserve and/or accommodate the
  clients culture.
• What aspects of the clients life way may need
  repatterning?