Haitian Culture: Impact on Nursing Care
The Republic of Haiti is in the western part of the island of Hispaniola in the West Indies. It is densely populated and has the lowest per capita income in the western hemisphere (Kemp, 2001). The population of more than seven million is made up of mostly descendents of African slaves brought to the West Indies by French colonists. The horrible conditions in Haiti, such as crushing poverty, unemployment and illiteracy, and high rates of acute and chronic illnesses and child and infant mortality, result in the illegal immigration of many Haitians to the United States, France, and other countries in Western Europe. Most immigrants are adults and teens who leave Haiti in tiny boats, despite the risk of drowning and other hazards. According to Pan American Health Organization (PAHO) 2001 statistics, the number of refugees has declined to several thousand per year since the early 1990’s.
Nearly all Haitian immigrants entering the U.S. are poorly educated, illiterate, and speak only Creole, which is seldom seen in written form. Creole is a “pidgin” language, meaning it is a simplified form of a base language with parts of other languages added. These types of languages were frequently used by sailors, pirates, and other trade people to accommodate the span of communication needs they faced. Haitian Creole is thought to have been derived by combining various native African dialects with the French language of their owners. Very few Haitians (10%) can actually speak French, and one’s ability to do so is seen as an indicator of social class. Because of Haitian views that Creole is the language used by the poor and uneducated, many will claim to be able to speak French and become insulted if it is suggested that they speak Creole. This can pose a problem for the healthcare worker trying to find a way to communicate. Often the only interpreters available to a family are their children who have learned English in schools here. This can create conflict within the family therefore a facility provided interpreter usually produces a better outcome. Written materials are often of no use to the Haitian immigrant.
Socioeconomic status plays a huge part in how Haitians identify themselves, and influences their actions greatly. Many Haitians wil...
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...of exercise. These factors all contribute to the young life expectancy of about 49 years (World Health Organization, 2001).
When caring for a client of Haitian descent, it is important to be mindful of language and education level, religious and cultural beliefs, and traditional health maintenance practices that may be incompatible with modern medicine. The healthcare provider should respect these cultural differences and be accommodating whenever possible to promote the spiritual and physical well-being of the client.
References
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San Francisco: UCSF Nursing Press.
Pan American Health Organization (1999). Haiti: Country health profile.
Accessed 6/28/04.
Spector, R.E. (2003). Cultural diversity in health and illness (6th ed).
Upper Saddle River: Prentice Hall.
World Health Organization (2001). Healthy life expectancy rankings.
Accessed 6/28/04.
I know numerous East Africans and other minorities who fear and put off going to the hospital or clinic simply because they feel no one truly understands them on a more personal level and that their needs can’t and won’t be met entirely. According to the American Medical Association over 55% of health care providers agreed that, “minority patients generally receive lower quality health care” due to the lack of cultural competence. Those of different cultural backgrounds feel uneasy due to communication barriers and the lack of cultural competency amongst some health care providers. As a Somali-speaking nurse, I feel Somali patients, along with those of varying cultural backgrounds would be able to establish that sense of ease that’s needed when entering a health care facility or without having to feel the shame of having an interpreter hear about their personal health issues. According to Hospitals in Pursuit of Excellence,
My cultural identity, is Haitian American. My parents come from a country of beautiful landscape and valleys of the hidden treasures of knowledge, diverse people, and rustic towns. My parents walked up steep plateaus for water, laid in grassy plains for peace, and dive into the sea for cooling in Haiti’s humid heat. Although, I come from a culture of deep history, the first country to gain independence in the result of a successful slave rebellion, my parents knew the plague of suffering Haiti’s battle with will not recover through the poverty, unemployment, and illiteracy. As Haiti fought through its demons, my parents fought to provide plentiful opportunity for their family and immigrated to the United States of America.
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situation I mentioned above. In my future nursing practice, I hope to become more confident with working amongst other health care professionals and advocating for my client when he or she is not able to. As a nurse, I am ethically responsible to do this, and I hope to create a relationship with my client where he or she trusts my judgments in making informed, educated decisions. Powers (2005) summarizes that “…ethical thinking can become a way of life that nourishes and encourages tact and attentive thoughtfulness in all human relationships” (p. 37). I hope to grow into a nurse who is able to question the situation, find a solution, and consult with other professionals in order to make the change occur. This will help me maintain relationships with my clients, and coworkers that I will be working with.
Going to a different country or area of the world can open up anybody’s eyes to see that culture makes a huge impact on the understanding and practices of healthcare that seem to be so common to other areas of the world. When a person lives in one country their whole life, that person may not realize how different the life they live is from someone in a foreign country. If a person is going to receive treatment from someone with a different cultural background, they should be expected to get treatment to respects their own culture. Massachusetts College of Pharmacy and Health Sciences having such a diverse variety of students has their own cultural competency definition that states “effectively and comfortably communicate across cultures with patients of differing backgrounds, taking into account aspects of trust in order to adopt mutually acceptable objectives and measures”. In the book Dancing Skeletons: Life and Death in West Africa by Katherine Dettwyler, the issue of culture and healthcare are greatly prevalent. Katherine Dettwyler herself goes to West Africa as an anthropologist and her horizons are broadened when during her research she comes in contact with how much culture has an impact on healthcare and everyday life.
Culture care is grounded within one’s worldview, which is shape by social structure factors such as religion, economics, cultural values, environmental context, ethnohistory, and language (Alligood, 2014; Sitzman & Eichelberger, 2015). Moreover, culture care share similarities and differences related to health and well-being, how individual deal with disability and death, as well as, when to seek relief from illnesses or distress. As culture plays a vital role in health care seeking habits and decision making, it is imperative for nurses to fully understand cultural knowledge. With increase cultural knowledge, nurses are better able to implement care plans that are beneficial to the patient with respect to their beliefs, values, and cultural
An individual’s culture and belief may significantly impact the type of services they require. In addition, it may affect the time, place, and method in the delivery of health care
Various advocates have made changes towards Special Education over the past hundred years. These changes have made substantial improvements in Special Education, but could also be seen as challenges. As a preschool teacher in an inclusive classroom, I have personally seen the improvements and setbacks these changes have made for my students with disabilities and their families. In this essay, I will be discussing specifically the changes made in Early Childhood Special Education. There are three changes that I will discuss; changes made to the Individuals with Disabilities Education Act (IDEA), Least Restrictive Environments (LRE) in an early childhood setting, and Early Intervention Programs (EIP).
As a working nurse on an acute behavioral health unit, emergency department, case management, cultural awareness is crucial when treating a diverse population of patients. According to the U.S. Department of Health and Human Services Office of Minority Health (OMH), cultural competence is, “is a set of behaviors, attitudes, and skills that enables nurses to work effectively in cross-cultural situations” (Garcia, 2007, p. 1). It is important for nurses to deliver culturally competent and appropriate care to patients due to the perpetually growing culture of diversity. My workplace is located in Orange, California. Demographically, the city is made up of 47 percent Caucasian, 38 percent Hispanic, 11 percent Asian/Pacific Islander, 1 percent Black, and 3 percent other races. I am an American-Filipino, born and raised in California, and identify with the 11 percent Asian/Pacific Islander group. It is necessary that working nurses have cultural awareness and the skills necessary to service patients of any race or ethnicity. We can do this by educating ourselves and being mindful of all different cultures.
Transcultural nursing requires us to care for our patients by providing culturally sensitive care over a broad spectrum of patients. The purpose of this post is to describe cultural baggage, ethnocentrism, cultural imposition, prejudice, discrimination, and cultural congruence. I will also give an example of each term to help you understand the terminology related to nursing care. I will definite cultural self-assessment and explain why it is valuable for nurses to understand what their own self-assessment means. Finally, I will describe the five steps to delivering culturally congruent nursing care and how I have applied these concepts in my nursing practice.
Understanding cultural differences not only improves the effectiveness of the treatment the patient receives, it is also help the nurse to prevent negliency of care. It is impostant to maintain a curiosity about each patient no matter how much we know abouth that person's culture.
Ysseldyke, J. and Algozzine, B. Special Education: A Practical Approach for Teachers. 3rd.ed. Boston: Houghton Mifflin Co., 1995.
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