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Transcultural Nursing

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					Transcultural Nursing
Major Factors in Transcultural
Nursing
n   Beliefs about illness, causes and cures
n   Nutrition and dietary practices
n   Disorders specific to a particular ethnic group
n   Religious beliefs about illness and death
Asian Americans Demographics
n   4.3% of U.S. population (12.5 million)
n    Asian Indians projected to become the
    dominant ethnic group within the next decade
n   2050 ethnic/racial groups will comprise close
    to 50% of U.S. population
Asian Religions
n   Christianity-Philippines
n   Islam-Middle East Asia
n   Hinduism-India
n   Buddhism-throughout Asia
n   Judaism-Israel
n   Taoism-China
n   Shamanism-Thailand
n   Shinto-Japan
    Examples of Asian Healthcare
    Beliefs
n   Yin and yang balance
n   Respect for physician
n   Limited concept of mental illness
n   Traditional self-care, self-medication, self-
    dosing
n   Fearful of blood work, excessive testing,
    surgery
More Asian cultural health
care belief examples
n   Self-restraint-may refuse pain medicine out of
    courtesy
n   Do not touch the head-private and personal
n   Modesty
n   Eye contact
n   Fasting (Ramadan)
n   Visiting hours-large groups of family members
n   Birthing beliefs
Examples of Asian Healthcare
Practices
n   Coining (Caogio)
n   Cupping (Giac)
n   Steaming (Xong)
n   Acupuncture
n   Patent Medicines
What is the role of the
nurse?
n   Provide care that is congruent with cultural
    values, beliefs and practices
n   Perform transcultural assessments (communication,
    personal space, diet, religious beliefs, social orientation, what
    interventions have they already done?)

n   Develop culturally competent interventions
n   In-service staff on cultural competency
n   Include teaching of transcultural nursing in
    school curriculum
Example of culturally sensitive
interventions:
n   Arrange nursing care so that it does not
    interrupt prayer session
n   Try to schedule medication administration so
    that it does not interfere with fasting
n   Try to accommodate dietary needs specific to
    culture
n   Learn about alternative/complimentary
    medications
Have I ASKED Myself the
Right Questions?
n   A-wareness: Am I aware of my personal biases and prejudices
    towards cultural groups different than mine
n   S-kills: Do I have the skill to conduct a cultural assessment and
    perform a culturally-based physical assessment in a sensitive
    manner?
n   K-knowledge: Do I have the knowledge of the patient’s world
    view ?
n   E-ncounters: How many face-to-face encounters have I had
    with patients from diverse cultural backgrounds?

n   D-esire: What is my genuine desire to “want to be” culturally
    competent?
“Women who teach nursing in India
must know the languages, the
religions, superstitions and customs
of the women to be taught…
        Florence Nightingale, 1894

				
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posted:6/27/2014
language:English
pages:11