Follow the advice given by patients about appropriate ways to facilitate communication within families and between families and other health care providers. However, flowchart models based on such relationships can be useful for specifying hypothesized cross-level influences.
As an example, a nurse might learn that a patient participates in folk medicine, which incorporates certain unfamiliar healing rituals, or promotes the ingestion of an array of plant-based concoctions as mixed and prescribed by a healer.
American health professionals who are unaware of this traditional practice may mistake it for physical abuse, and in fact, there have been many cases of parents being arrested for employing a folk remedy that is culturally appropriate and designed to help their children.
Few studies have examined the full range of determinants of home care specified in the social-ecological framework. While the strength of this cultural expectation may be waning and may vary across groups defined by socioeconomic statusit gives a feel for the subtle but powerful influence of culture.
In this approach, key determinants of acceptance of Internet monitoring of health status among patients with cardiac disease included perceived usefulness of the technology performance expectancyperceived ease of use effort expectancyand the perceived sense that others would use such a technology in similar circumstances subjective norm.
Often there is as much diversity within ethnic groups as between them. Acceptance becomes a powerful tool, but one that demands solidarity between nurse and patient. The policy level includes constraints on home care involving program eligibility and insurance. Older family members and other relatives are respected and are often consulted on important matters involving health and illness.
The conscientious nurse can affirm, respect, and nurture all patients through deliberate awareness, acceptance, and asking. Clinicians diagnose and treat disease abnormalities in body structure or functionbut patients suffer illness, in which symptoms carry social significance and force changes in social function.
While women are more likely to be stereotyped as dependent, which is more closely linked to issues like depression. Illness depends on social status and systems of meaning used to understand symptoms.
Culture includes many elements, including language, customs, beliefs, traditions, and ways of communicating. The significance of this dimension of home care should not be underrated.
Encourage them to communicate those needs to you as they happen to arise. A simple example can be seen in ideas about gender and height. One study showed that a group of Cambodian adults with minimal formal education made considerable efforts to comply with therapy but did so in a manner consistent with their underlying understanding of how medicines and the body work.
The value of this approach is its ability to show how actions in one domain depend on, or may influence, actions in another domain; thus, changes in the individual domain may depend on changes in family or social relationships.
The elicitation of home care culture described above can be used to identify subcultures and also differences across cultures. The extended family has significant influence, and the oldest male in the family is often the decision maker and spokesperson.
Sensitive cultural care is not just a phenomenon that takes place when occasionally encountering foreigners in the hospital or providing care to someone of a different religion.
Some sub-populations of cultures, such as those from India and Pakistan, are reluctant to accept a diagnosis of severe emotional illness or mental retardation because it severely reduces the chances of other members of the family getting married.
Families differ in the degree to which they reorganize themselves and their living spaces to accommodate care for the disabled or medically unstable Albert,with different tolerance for disorder and different strategies for reducing such disorder Rubinstein, Some of these differences are due to patient illness, personality, socioeconomic class, or education, but the most profound differences may be cultural.
A growing body of research suggests that expectations regarding care differ across cultures Sommer et al. Strategies that you can use in working with patients from different cultures as displayed in Table Russian immigrants frequently view U.
Such concordance may be more important for more generalized trust in communication with physicians or satisfaction with health services overall Sohler et al.
This approach to culture does not involve differences among ethnicities or people who speak different languages but rather the operation of culture in Page Share Cite Suggested Citation: In this sense, cultural, social, and community environments must also be considered as human or ergonomic factors relevant to the adoption and successful use of home care technologies.
When in doubt, the best way to provide sensitive care to patients of diverse cultures is to ask. Although Hispanics share a strong heritage that includes family and religion, each subgroup of the Hispanic population has distinct cultural beliefs and customs.
Cultural competence refers to a set of congruent behaviors, attitudes, and policies that enables nurses and other health care professionals to work effectively in cross-cultural situations. Such expectations have frequently created barriers to care that have been compounded by differences in language and education between patients and providers from different backgrounds.
Adaptation of homes for advanced medical technologies. Usually, a key family member is consulted for important health-related decisions. Cultural aspects common to Native Americans usually include being oriented in the present and valuing cooperation.
Among Asian cultures, maintaining harmony is an important value; therefore, there is a strong emphasis on avoiding conflict and direct confrontation. Arranging optimal home care in this case may be complicated and require exquisite skill in bridging cultures.
To examine the effect of cultural, social, and community environments on home care, I begin with a brief treatment of the social-ecological model as it applies to these home care environments.
Often there is as much diversity within ethnic groups as between them.Culture impacts the ways in which people communicate as well as the strategies they use to communicate. The different life experiences people have based on cultural norms also affect the interpretation they have of messages delivered by others.
Culture forms a paradigm through which a person views or experiences the world. Understanding how social, structural, psychological, and cultural factors affect physical health and being sensitive to these factors can make an important difference in health outcomes.
Beliefs affect how and from whom a person will seek care, how self-care is managed, how health choices are made, and often, how a patient responds to a. To examine the effect of cultural, social, and community environments on home care, I begin with a brief treatment of the social-ecological model as it applies to these home care environments.
I focus particularly on culture as it may be relevant to home care, the least studied of these elements. Jul 16, · Understanding a patient’s culture, background, and family history is important. But it is also important that we educate our patients, particularly those from different cultures or those who speak different languages.
Through the Mayor’s Office, I help teach immigrants basic health literacy at several branches of the Queens Library. How Do Cultural Differences Affect Your Ability To Educate Patients About Disorders Of The Gastrointestinal And Genitourinary Systems Nursing Sonja R. Lopez Treasure Valley Community College Cultural competence is obtaining cultural information and then applying that knowledge.
Jul 16, · How Cultural Background Affects Health. By Tara Parker-Pope Understanding a patient’s culture, background, and family history is important. But it is also important that we educate our patients, particularly those from different cultures or those who speak different languages.
(East) Indian who trained in India and now.Download