Wait a second!
More handpicked essays just for you.
More handpicked essays just for you.
How the socio-economic factors influence response to health and illness
Race and social class access to health care in the United States
Socioeconomic status and health care
Don’t take our word for it - see why 10 million students trust us with their essay needs.
In Southeastern Asian cultures, coining is a common home remedy used to relieve colds, headaches, and pain. Coining involve using a coin with balm oil to rub repeatedly on skin causing bruising (Nguyen, 1985). In Western medicine, coining is not view as a health benefit, but as health care providers, it is important to interject different beliefs from patients in which we are caring for. According to my grandma, coining is an effective home treatment that has been passed on for many generations. My grandma explained that when someone has a cold, it means the body has caught the wind, thus, we use coining to help scrape the wind away. Parts of our cultural value include curing ourselves of illnesses naturally and not rely on Western medicine. However gradually, I remember my grandma having frequent doctor visits due to her recurrent illnesses. Although my grandma was compliance with going to the doctors, she was stubborn with taking her medications. It was not until after several visits that the doctor became very adamant that her symptoms would get worst if she continues to refuse her medications. The fear of her symptoms will get worst forced her to cooperate. Although my family’s main health belief was coining; however, they accepted Western medicine when coining wasn’t effective. The roots of the above beliefs and values are influenced by the fact my parents and grandma were raised in Vietnam. Growing up, my grandma lived in poverty as a single mother raising 12 children. She has always been independent with her health and often rely on traditional home remedies. The idea of knowing many cultures shares this mutual health belief; it will definitely affect my nursing practice in the future. The majority of Southeas... ... middle of paper ... ... cultural barriers to care. Journal of General Internal Medicine, 18(1), 44-52. Retrieved from http://proxy.samuelmerritt.edu:2106/pmc/articles/PMC1494812/ Nguyen, D. (1985). Culture shock--a review of vietnamese culture and its concepts of health and disease. The Western Journal of Medicine, 142(3), 409-412. Retrieved from http://proxy.samuelmerritt.edu:2106/pmc/articles/PMC1306060/ Nielsen, A., Knoblauch, N. T., Dobos, G. J., Michalsen, A., & Kaptchuk, T. J. (2007). The effect of gua sha treatment on the microcirculation of surface tissue: A pilot study in healthy subjects. Explore (New York, N.Y.), 3(5), 456-466. doi:10.1016/j.explore.2007.06.001 Uba, L. (1992). Cultural barriers to health care for southeast asian refugees. Public Health Reports (Washington, D.C.: 1974), 107(5), 544-548. Retrieved from http://proxy.samuelmerritt.edu:2106/pmc/articles/PMC1403696/
Racial and ethnic inequalities in healthcare results in non-white patients receiving lower quality care that White patients. Additionally, people who speak limited English encounter more communication issues with doctors and nurses that people whose primary language is English. (AHRQ, 2011). Consequently, as people with chronic conditions utilize more healthcare services, they are more likely to complain of issues with the doctor-patient relationship. They feel as though they are not able to participate in their care, their doctors do not allow them to contribute to their medical decisions and they feel like doctors are not disclosing all information related to care. People who encounter this type of cultural ignorance become dissatisfied with their treatment and overall healthcare experience and are at high risk for negative
As part of my Culture, Health and Illness class, I undertook a critical analysis of the book “The Spirit Catches You and You Fall Down: A Hmong Child, Her American Doctors, and the Collision of Two Cultures” by Anne Fadiman. This book was published in 1997, and documents the struggle of a Hmong family from Laos in communicating with and understanding the American health system.
...uals, even if they don't agree with them. It really falls to nurses to address the situation properly, and effectively ensure that the cultural communication between the doctor and the patient does not break down. Nurses most of all have to communicate with patients in a healing way, even if they do not agree with mystical remedies because the nurse has to recognize that there is nonetheless a function that mystical ritual remedies do serve, even to western medicine: to comfort the patients and their families. Ancient rituals or customs, retained to some extent or respected by western caregivers, can serve to maintain a healing and positive attitude, and as a psycholgocial support which the nurse can provide through respect and symbolic use of non-western cultural myths as a psychological stimulant to assist the healing process and inspire the patient thereof.
The Spirit Catches You and You Fall Down has challenged me to start thinking about different ways to approach cultural barriers. Using the Lee family and Lia as an example, the book identifies the challenges that the family faced over the years and the challenges that the providers experienced as well. As a result, the book highlights the need for cross-cultural communication in medicine, in an attempt to eliminate the barriers faced by both parties.
The Hmong people, an Asian ethnic group from the mountainous regions of China, Vietnam and Laos, greatly value their culture and traditions. The film “The Split Horn: Life of a Hmong Shaman in America” documents the seventeen year journey of the Hmong Shaman, Paja Thao and his family from the mountains of Laos to the heartland of America. This film shows the struggle of Paja Thao to maintain their 5000 year-old shamanic traditions as his children embrace the American culture. Moreover, the film shows that one of the major problems refugees like Paja Thao and his family face upon their arrival to the United States is conflict with the American medical system. Despite the dominant biomedical model of health, the film “The Split Horn” shows that
According to Penner et al. (2013), there are various causes of healthcare disparities, such as socioeconomic status; this results to poor healthcare services for people with low socioeconomic status, as people with low pay find it difficult to leave their work to seek healthcare help, or to afford healthcare insurance (p.4). The second cause is language proficiency. The language barriers faced by the immigrant plays a role in the healthcare disparities among the racial or ethnic minority patients. Another cause is health literacy. The levels of the health literacy among the foreign born individuals can be influenced by their higher level of distrust of the healthcare providers and healthcare system than they have towards Caucasian people. This, in turn, leads them to seek healthcare information less often than their Caucasian counterparts, thus hindering the provision of quality services, as well as limiting the foreign patients’ ability to manage their health conditions effectively. The foreigners’ failure to easily accept the information provided to them by healthcare providers puts them at risk. Disentangling the role of health literacy in racial healthcare disparities from the effects of racial attitudes and beliefs is often hard (Penner et al,
Jean Giddens (2013) defines culture as “a pattern of shared attitudes, beliefs, self-definitions, norms, roles, and values that can occur among those who speak a particular language, or live in a defined geographical region.” (Giddens, 2013). A person’s culture influences every aspect that person’s life. Beliefs affected by culture include how someone interacts within the family, how to raise children, the types of foods eaten, the style of clothes chosen, which religion is practiced, and the style of communication (including verbal, and body language, slang used etc.) (Giddens, 2013). In addition to these beliefs, health care practices are also affected by culture. The cause
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
There are cultures that have very different views on things such as family dynamics and health care than what I’m used to. For example, there are some cultures that do not believe in seeking healthcare when they are ill or receiving medications or blood if needed. However, my family always believed in taking us to the doctor and taking medications when we were ill. There are also some cultures that have very large families that they are very close to however I always had a small close-knit family. I am able to see how these different scenarios could affect the nursing care provided by assuming that other people and families have the same beliefs that my family had growing up. However, this is why it is important to ask questions and do research about a particular culture before making assumptions. I also believe it is very important to avoid assuming that all cultures are the same just because they are of a certain culture or ethnicity. Beliefs and rituals can differ amongst people of the same community. Therefore, it is essential to get to know your patients and have an understanding of their beliefs as an
233). She studied anthropology and applied the research findings in nursing. Later, she developed the theory of “culture care diversity and universality” from her personal experience as a nurse and other factors that influenced such as ethnic conflicts, commuting, and technology changes. It is illustrated and described by the Sunrise four-level model, and it is labeled as “an enabler” (Masters, 2014, p. 69). The first level represents a “worldview”, the second level presents “knowledge concerning individuals and groups”, the third level includes “specific features of care in the system”, and the fourth level is “specific nursing care” (Masters, 2014, p. 69; Jarošová, 2014, p. 47). The main purpose of this theory is “to generate knowledge related to the nursing care of people who value their cultural heritage” (McEwen & Wills, 2014, p. 233). The major concepts in this theory include: culture, culture care, and diversities and similarities and sub-concepts include care and caring, emic view (language expression, perceptions, beliefs, and practice), and etic view (universal language expressions beliefs and practices in regard to certain phenomena) (McEwen & Wills, 2014, p. 233). The base knowledge
Bentancourt et al. (2005) allows asserts that there are three distinctive reasons why cultural competency is so very important for the American healthcare system. American is composed of a very diverse population, which mean healthcare providers will continual be exposed to treating individuals from various backgrounds and from various cultures; their beliefs regarding their health or healthcare may range widely. When patients have a deficiency in the English language, proper healthcare delivery becomes increasingly more difficult as they will present symptoms in the syntax of their culture and their first language. Also, research shows the communication between the patient and their provider directly correlates to their satisfaction as well as their responsiveness or willingness to follow the health provider medical instructions; this ultimately affects the patient’s health outcome (Bentancourt et al., 2005). It’s fair to say that a successful health outcome is also contingent upon the interaction of the health provider and patient. Reports generated by the Institute of Medicine (IOM) – “Crossing the Quality Chasm and Unequal Treatment, confirms that cultural competence that focuses on the care of patient through
“An individual’s culture shapes how he or she understands, seeks, reacts to, and expresses feelings about health care throughout the continuum of wellness, including presickness, sickness, and recovery” (Marzilli, 2014, p. 230). Understanding how culture can impact a patient, their needs, and beliefs can improve patient outcomes and improve satisfaction rates.
Cultural blindness can lead to misconceptions and the inability to treat patients efficiently. Culture, religion, beliefs, values, social economic standings, education, mentality, morals, and treatment are all different from person to person, community, and groups. These barriers can be overcome by treating each patient as a unique individual and seeking to learn about cultural beliefs and differences, without reservations or pre-judgments but with an open and willing mind. These inhibiting barriers can be crossed through acceptance and commonality can be established. Through Patient-centered communication and attentiveness to the patients’ interpretation, discussion of lifestyle and treatment choices in an open and non-judgmental manner, and understanding of patient views, concerns and information needs can lead to cultural sensitivity and appreciation (Dean, R,
Lipson, J.G. & Dubble, S.L. (Eds). (2007). Culture & clinical care. San Francisco, California: The Regents, University of California.
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.