SEI scores for our subjects ranged from 15—the score for private household servants, solderers, and shoe machine operators—to 82—the score for pharmacists, postsecondary teachers, and petroleum engineers—and had a median of 23—the score for light truck drivers, animal caretakers, and parking lot attendants. We classify these themes under 4 major topics—treatment wishes, expression of treatment wishes, advance directives, and decision-making about terminal care. Tables 2 — 4 provide a sample of quotes for each theme.
Selected Patient Education Resources How culture influences health beliefs All cultures have systems of health beliefs to explain what causes illness, how it can be cured or treated, and who should be involved in the process. The extent to which patients perceive patient education as having cultural relevance for them can have a profound effect on their reception to information provided and their willingness to use it.
Western industrialized societies such as the United States, which see disease as a result of natural scientific phenomena, advocate medical treatments that combat microorganisms or use sophisticated technology to diagnose and treat disease.
Other societies believe that illness is the result of supernatural phenomena and promote prayer or other spiritual interventions that counter the presumed disfavor of powerful forces. Cultural issues play a major role in patient compliance.
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. There are several important cultural beliefs among Asians and Pacific Islanders that nurses should be aware of.
The extended family has significant influence, and the oldest male in the family is often the decision maker and spokesperson.
The interests and honor of the family are more important than those of individual family members. Older family members are respected, and their authority is often unquestioned. Among Asian cultures, maintaining harmony is an important value; therefore, there is a strong emphasis on avoiding conflict and direct confrontation.
Due to respect for authority, disagreement with the recommendations of health care professionals is avoided.
However, lack of disagreement does not indicate that the patient and family agree with or will follow treatment recommendations. Among Chinese patients, because the behavior of the individual reflects on the family, mental illness or any behavior that indicates lack of self-control may produce shame and guilt.
As a result, Chinese patients may be reluctant to discuss symptoms of mental illness or depression. 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.
In Vietnamese culture, mystical beliefs explain physical and mental illness. Health is viewed as the result of a harmonious balance between the poles of hot and cold that govern bodily functions.
However, it is possible to accept assistance if trust has been gained. Russian immigrants frequently view U. The Russian experience with medical practitioners has been an authoritarian relationship in which free exchange of information and open discussion was not usual. As a result, many Russian patients find it difficult to question a physician and to talk openly about medical concerns.
Patients expect a paternalistic approach-the competent health care professional does not ask patients what they want to do, but tells them what to do.
Although Hispanics share a strong heritage that includes family and religion, each subgroup of the Hispanic population has distinct cultural beliefs and customs. Older family members and other relatives are respected and are often consulted on important matters involving health and illness.
Hispanic patients may prefer to use home remedies and may consult a folk healer, known as a curandero. Many African-Americans participate in a culture that centers on the importance of family and church.
There are extended kinship bonds with grandparents, aunts, uncles, cousins, or individuals who are not biologically related but who play an important role in the family system.
Usually, a key family member is consulted for important health-related decisions.CULTURAL BELIEFS AND HEALTH PRACTICES Men-Jean Lee, MD Director, Division of Maternal Fetal-Medicine Use of Community Health WorkersUse of Community Health Workers • Members of minority communities can be used to reach out and provide direct services and • Culture-specific attitudes and values must be.
Mar 18, · Patient safety is being seen as an increasingly important topic in the healthcare fields, and the rise in numbers of patient safety incidents poses a challenge for hospital management. In order to deal with the situation, it is important to know more about health care professionals’ attitudes.
How does culture affect healthcare? An attitude of openness and acceptance will do wonders. these tools will help you gain a greater appreciation for how the patient understands their health/illness with regard to culture, preferred healer and interventions, traditional health practices, and communication patterns.
Analyze cultural attitudes, beliefs, and practices of mental health Hs culture & pysch discussion 10 & 11 PLEASE WRITE OUT ALL THE QUESTIONS IN BOLD AND ANSWER ACCORDINGLY. Introduction Culture exerts a major influence on the identification, labeling, course, and outcomes of maladaptive behaviors.
Culture provides context for abnormal behaviors. The concept of culture as distinct from race/ethnicity has been proposed as a better explanation for differences in health behavior and health outcomes. 12 The definition and conceptualization of culture varies across disciplines.
CULTURAL BELIEFS AND HEALTH PRACTICES Men-Jean Lee, MD Director, Division of Maternal Fetal-Medicine cultural awareness knowledge and skillscultural awareness, knowledge, and skills • Promotes changes in staff behavior and patient-staff interactions • Culture-specific attitudes .