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Heritage Assessment
Grand Canyon University: NRS-429
September 9, 2016
Heritage Assessment
Each ethnicity has its own unique characteristics and knowledge from religion, language, food, art, music, and social traits; this is their cultural make- up. This Heritage tool is used to obtain a small fragment of family history, to help analyses their culture. The three people interviewed with the Heritage tool are from three distinctively different backgrounds. The first is from the rural Midwest, second is from Barbados and the third is from.
This tool was useful in helping to get a better appreciation of the needs of our multicultural patient population. This tool is helpful to us as nurse, because it allows us to deliver a more culturally
acceptable care to our patients. For us to be culturally we should have knowledge of five cultural areas; Cultural awareness, cultural knowledge, cultural skills, cultural encounters, and cultural desire/needs. Cultural knowledge is learning new information about other cultural groups. Cultural skills are how quickly you can learn the cultural data. Cultural encounters involve wanting to engage with people from other cultural backgrounds. Cultural desire/needs are how open and accepting you are of other cultures. Knowing the heritage and culture varies from patient to patient, that is why it would be beneficial to add a Heritage tool to the patient's assessment forms (Jarvis, C., 2012). The first person interviewed was Born in Indianapolis, IN. and raised in a small rural farming community in that state. His health care practices have been to follow the recommended guidelines of a yearly physical and lab work (White, M.A., personal communication, September 9, 2016). As well as receiving all recommended immunizations, healthy eating and exercise (Wellness, UCR). He uses home remedies along with over the counter (OTC) medications when he becomes ill. Only seeing his Primary Care Physician (PCP) as a last resort. The second person interviewed is form Skeenes Hill, Barbados, in the Caribbean Islands. He moved to the United States with his parents and grandparents when he was three years old. The settled in New York City, New York, where he and his sisters attended public schools. They believe that health care involves the whole family. Religion and home remedies are a large part of their health care beliefs. They practice Catholicism and Baha'i and pray is the first step in health care for him and his family. They only see a doctor as a last resort (Gordon, T., personal communication, September 9, 2016). They believe in immunizations and wellness screenings. The Caribbean region was the first place in the Americas to eliminate poliomyelitis and indigenous measles and rubella (Theodore-Gandy & Barclay, 208). The third person interviewed is from The use of the Heritage tool is important for helping to deliver care that is more culturally sensitive to our patients. Some of the disparities in the health care system can be attributed to the lack of cultural sensitivity. We as have to be aware of our own heritage and we must be willing to learn more about others heritages in order to be more effective in our careers and to provide the best possible care to our patients.
“Tracing a single Native American family from the 1780’s through the 1920’s posed a number of challenges,” for Claudio Saunt, author of Black, White, and Indian: Race and the Unmaking of an American Family. (pg. 217) A family tree is comprised of genealogical data that has many branches that take form by twisting, turning, and attempting to accurately represent descendants from the oldest to the youngest. “The Grayson family of the Creek Nation traces its origins to the late 1700’s, when Robert Grierson, a Scotsman, and Sinnugee, a Creek woman, settled down together in what is now north-central Alabama. Today, their descendants number in the thousands and have scores of surnames.” (pg. 3)
Lasch-Quinn, Elisabeth. "Family." Encyclopedia of American Cultural and Intellectual History. Ed. Mary Kupiec Cayton and Peter W. Williams. New York: Charles Scribner's Sons, 2001. Student Resources in Context. Web. 6 Mar. 2014.
Conversely, the most recent period of genealogical study has embraced a more inclusive agenda. A renewing of history from the bottom up has taken hold and influenced modern American genealogical studies. Furthermore, the field has become increasingly commercialized. Moreover, modern influences in the field led to the popularization of websites such as ancestry.com and “novelized histories” like the television series Roots. These mechanisms bring once neglected people groups to the
McClimens, A., Brewster, J., & Lewis, R. (2014). Recognising and respecting patients ' cultural diversity. Nursing Standard (2014+), 28(28), 45.
Upon initial research of the rich heritage of California the two minority groups that stood out as especially influential in historic California and today’s society are the Native Americans and Hispanic Americans. To better understand and identify with these minority groups we must identify the common themes within their day to day life. By researching each culture’s common family traditions, religious beliefs, arts & entertainment, and language one can gain a greater appreciation of many different kinds of people, and in turn have more effective relationships in a multicultural society.
The main idea behind this discussion board is to plan care for patient with diverse background different from mine, describe components of conducting a comprehensive cultural assessment on Latino Americans, reflection of my own culture and how it impacts my attitude toward providing culturally diverse care, and creating of two nursing diagnosis that reflect cultural
Cultural genograms are useful in expanding one’s awareness of the effects of culture on an individual. In turn, this can aid in understanding how other people are a product of his or her culture as well. Cultural genograms are a beneficial tool in providing culturally competent care in nursing. It is essential to remember that there is not an individual culture that is considered to be correct or the standard, but that every culture has a unique view on practices in life. Being culturally sensitive is a critical element in providing culturally competent care.
While on the job, we may encounter patients who adopt many different cultures, they have different beliefs, needs, and concerns. Therefore, as a nurse we need to build our awareness about preferences of care of the multicultural patient population. Patients with Korean background may have many different insights while receiving western treatments. There are those from North or the South Korea, and they both have significant difference in the way they perceive illness or react to discomfort. Most patients we see are usually those who emigrate from South Korea. Patients with Korean culture may define health and illness in different ways. Therefore, practicing a culturally congruent care and adopting a concept to ensure that it will be achieved
These differences in origin accounts for diversity in socio-cultural backgrounds and nurses must develop the knowledge and the skills to engage patients from different cultures and to understand the beliefs and the values of those cultures (Jarvis, 2012). If healthcare professionals focus only on a narrowly defined biomedical approach to the treatment of disease, they will often misunderstand their patients, miss valuable diagnostic cues, and experience higher rates of patient noncompliance with therapies. Thus, it is important for a nurse to know what sociocultural background a patient is coming from in order to deliver safe an effective
Providing culturally competent care is a vital responsibility of a nurse’s role in healthcare. “Culturally competent care means conveying acceptance of the patient’s health beliefs while sharing information, encouraging self-efficiency, and strengthening the patients coping resources” (Giddens, 2013). Competence is achieved through and ongoing process of understanding another culture and learning to accept and respect the differences.
Everyone in the world belongs to a subculture. Each subculture has its own sets of traditions, relics, and artifacts. Relics and artifacts are symbolic, material possessions important to one's subculture. Relics are from the past; artifacts are from the present. These traditions, relics, and artifacts help shape the personalities of individuals and how they relate with others. Individuals know about these items through storytelling in the subculture. Families are good examples of subcultures. My family, a middle-class suburban Detroit family of Eastern European heritage, has helped shape who I am through story telling about traditions, artifacts, and relics.
Culture is one of the most respected pieces of a person’s life, as it leads and directs their every day living, but also how they view life as a whole picture. We all have the right to our own perspectives and beliefs. Attributing factors could be family upbringing, education, marrying of a spouse, or even worldly travels and experiences. Jarvis (2012), acknowledges that culture involves a persons beliefs, values, and thoughts while implementing their race, ethnicity, and religion. The ability to learn about ones culture, and accommodate them in times of illness and challenges, is a special characteristic. This is an attribute that many accomplished nurses have because of Madeleine Leininger’s Theory of Culture Care Diversity and Universality.
Transcultural nursing requires us to care for our patients by providing culturally sensitive care to 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 define 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 to my nursing practice.
As a nurse strive to provide culturally sensitive care, they must recognize how their client's and their perceptions are similiar as well as different. Nurse enhance their ability to provide client-centered care by reflecting on how their beliefs and values impact the nurse-patient relationship. To provide appropriate patient care, the nurse must understand her/his culture and that of the nurse profession. Cultural biases can be particularly difficult to identify when the nurse and client are of a similar cultural backgroup. When we recognize and know a culture, we will know what is right for our patient, and thus may impose our own values on the client by assuming our values are their values. Recognizing differences a present an opportunity not only to know the other, but also to help gain a greater sense of self. In this paper, I will explain more about diversity and cultural competence in case study.
Characteristics can be as diverse as ethnic background, language spoken, gender status, physical appearance, race, and religion to name a few. Migration from various countries is creating a diverse population with different cultures and languages within the United States. Due to these cultural differences and lack of knowledge, disparities are increasing. Studies have shown that both language barriers and lack of cultural customs can hinder the services provided to the patient by the healthcare worker (Renzaho, Romios, Crock, & Sonderlund, 2013). This study provided a positive outcome when communication and cultural mutual understanding took place and patients had a more positive health outcome. It is very important that nurses are diversified in various cultures in order to better care for our patients. According to Mareno and Hart (2014), cultural competency has become one of the core values being taught in nursing programs. Their study showed that the perceived level of cultural awareness and skills among the nurses provided was low. Awareness and knowledge levels increased with higher education. It was highly recommended that self-awareness exercises be incorporated into the nursing course and continued to be addressed during the remaining curriculum until