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spirituality in nursing
the role of culture in health care delivery
religious considerations in health care
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Culturally competent cares in the medical field can make a huge difference in the satisfaction and the healing of patients who are guests in the facilities that we will be at. In central Minnesota we have the privilege of having many different cultures in a small area. With many people immigrating here from their homeland it is important, as health care professionals, to have an understanding of the many different beliefs and traditions that we may come across in our personal and professional lives.
The Somali population has seen a significant rise in the number of individuals that are now living in central Minnesota. Most of the Somali population is of the Islamic faith. I would like to explain some of the differences in the Islamic beliefs and traditions on death and dying, why it is important to know about the differences, and what we can do it help ensure that we do not impede on the beliefs when we are talking care of individuals of the Islamic faith.
Family is very important in the Somali social structure. Their family lineage is only based on the paternal side. “Traditionally, the father has been the decision-maker and wage earner for the family. He interacts with society outside of the home.”(Children’s) When interacting with a Somali family it is appropriate to direct the questions to the male if he is present, if not, and asking or explaining information about children, the mother can be addressed because she is the one responsible for the upbringing of the children. Elders are respected in the community and it is customary to address them as aunt or uncle, even if they are not related. Because of this it is very important to make sure that they are responsible for the person if emergency consent is needed.
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...and cultural influences that the patient follows. A good nurse is someone who is willing to learn about the patients and their beliefs in order to make their experience the best that it can be. The patients will appreciate the efforts of the staff if they try to follow their beliefs as best they can.
Works Cited
Children’s. (n.d.). Somali Culture and Medical Traditions 1. Somaliland Cyberspace homepage. Retrieved August 1, 2011, from http://www.mbali.info/doc326.htm
Kemp, C., & Rasbridge, L. (2001). Culture and the end of life. East African cultures: part I, Somali. Journal of Hospice & Palliative Nursing, 3(2), 59-61. Retrieved from EBSCOhost.
Sheikh, A. (1998). Death and dying- A Muslim perspective. Journal of the Royal Society of Medicine, 91, 138-140 Retrieved Aug.1 2011. From http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1296563/pdf/jrsocmed00027-0028.pdf
When considering “the four primary dimensions of care for those who are comping with dying,” both similarities and differences can be found between African-American cultural beliefs and what have been considered traditional American cultural beliefs when making end of life decisions. Although both cultures share a physical need to have their bodily needs met, they differ on how physical distress is viewed. American culture often wants to minimize the distress and discomfort felt as a way of coping. However, some cultures may ignore the natural desire to minimize discomfort (Corr, 2009). The African-American culture is one such culture. African-Americans who are making end of life decisions of...
As a nursing student, I have had some exposure to death during patient care. My first encounter with direct death was witnessing a patient after attempted resuscitation efforts die in the emergency department. As I observed others reactions, I noticed I was the only one who seemed fazed by the preceding events and the end result, although I didn’t show it outwardly. During my Aging and End of life clinical rotation, I have been exposed to a near death experience with a family and I had the rewarding experience of forming a relationship with the patient’s wife during the short hour I was in their home. From reading the accounts in this book, it confirmed to me the importance of catering to the needs of the family and the dying as an important issue to address as they are critical to overall care.
Puchalski, C. M., Dorff, D. E., Hebbar, B. N., & Hendi, Y. (2012). Religion, spirituality, and end of life care. RELIGION, SPRITUALITY, AND END OF LIFE CARE. Retrieved from http://www.uptodate.com/contents/religion-spirituality-and-end-of-life-care?source=search_result&search=Religion%2C+spirituality%2C+and+end+of+life+care&selectedTitle=1%7E146#
For this essay I have chosen to discuss the Asabano of Papua New Guinea and how they have dealt with death before and after accepting Christianity. I will be addressing this topic in such a way that is true to the Asabano traditions and beliefs. As their practices with regards to how they had approached their deceased are very closely related to their beliefs in ancestral powers, magic, and witchcraft, and had an immense impact on their lives.
In the United States and worldwide people have different culture, beliefs and attitude about death. Over the past years, death is an emotional and controversy topic that is not easy to talk about. Everyone have a different definition of what is death and when do you know that a person is really dead. In the book Death, Society, and Human Experiences by Robert J. Kastenbaum demonstrates that you are alive, even when doctors pronounce you dead.
According to a study, many difficult cultures have the tendency to establish their methods of coping, whether it is through religion, culture, or/and personal ideologies (Chen, 2012). Mourning and burial ceremonies play a pivotal role for Lossography due to individuals having the ability and liberty to express melancholy and sometimes jubilation during the times they once had with their loved one. These types of beliefs and practices used as coping mechanisms can be very meaningful and profound for the comfort of the individual who’s going through a mournful experience (Chen, 2012). These types of coping mechanisms is important for Lossography, due to the fact that individuals are able to convey emotions through traditional practices, archaic arts and crafts, and spiritual rituals to fully find meaning with the death of their loved one. In addition, having established beliefs can definitely change the perception of what death signifies based upon religious and cultural expectations of the afterlife. However, not all cultures and religions put much emphasis into the afterlife. For instance, the monotheistic religion Judaism does not contain any interpretation of what happens after someone dies. Judaists believe that nothing happens after death, death is considered a taboo and not something that is commonly talked about for these religious individuals. Lossography, in religion may take on many forms for how death is perceived and for what actions can people take to ensure that their death will bring them to a place of peace, joy, and everlasting life. Lossography regarding religion, gives individuals hope that death is not the end, it gives them hope that knowing that person may not be here with us in the flesh, but that person is somewhere smiling down. Lossography in religion,
Americans at the end of their lives no longer have this sense of continuity and stability. Rituals today are as likely to include tubes and noisy machines, artificial ventilators and unpleasant drug regimens bringing as many unpleasant side effects as health benefits. Many times the dying languishes in a hospital bed, surrounded not by the comforts of home and family but rather by sterility and bright lights, strangers and hushed voices. Death is no longer a mysterious part of a cherished tradition but a terrifying ordeal to be postponed as long as possible, an enemy that must be fought off at all costs.
John L McIntosh. (2003) . Handbook of Death and Dying. Volume 1: The Presence of Death. Thousand Oaks, CA: Sage Reference.
A cultural assessment interview is very important when taking care of patients or their families who may be from a different culture than the nurse’s. In order to be able to better take care of a patient, we first need to know their own interpretation of disease and illness within their cultural context, values, and beliefs. Since I am Indian and my culture is a mix of the Indian cultural beliefs and my religion Islam, I was looking forward to this interview so that I am able to learn more about different cultures using my assessment.
Kübler-Ross, Elisabeth. On Death and Dying: What the Dying Have to Teach Doctors, Nurses, Clergy and Their Own Families. London: Routledge, 2009. Print.
To conclude, difference and diversity in relation to a ‘good death’ are important to forming guidance to fully understanding what is defined in creating a good death. A method in which can be taken and used for gaining equality for all, regardless of age, sex or religious beliefs or financial status. Furthermore, what everyone will perceive as a ‘good death’ will differ, with no definition as to which is right or wrong. everyone has the right to die with dignity and respect, peacefully with minimal suffering surrounded by people they
The nurse becomes the confidant, the guide through the darkness, a source of comfort for those experiencing the trauma of losing a child. To successfully fulfill these nursing roles, in addition to roles that must be fulfilled to meet other patient’s needs, one must acknowledge their own definition of death and educate themselves on cultural and societal norms associated with death and dying. It is important to identify one’s own definition of death and dying but also understand that one’s preference does not define the death experience for others. The individuality and uniqueness of each death experience means that one definition of death may be hard for one to accomplish. It is important to maintain an open mind, nonjudgmental spirit, and impartiality for the cultures and practices of others surrounding death and dying. A culturally competent nurse is not only responsible for acknowledging the cultural norms of others but also respecting and educating themselves about the death rituals of their patient’s culture and providing the family with as many resources to safely and effectively fulfill their cultural practices. Education is empowering for the nurse who is navigating the death and dying process. Education often supplements ones credibility with the dying patient and their family which can ease overall anxiety and further promote ones role as a patient advocate and provider of
There are numerous cultures in this planet today; however the Jewish view of death makes this culture unique from the rest. Jewish death and mourning rites have two basic principles: kevod ha-met, respectful treatment of the dead, and kevod he-chai, consideration for the feelings of the living. These two principles are highly regarded by the Jewish community (Kolatch 7-8).
The concept of human mortality and how it is dealt with is dependent upon one’s society or culture. For it is the society that has great impact on the individual’s beliefs. Hence, it is also possible for other cultures to influence the people of a different culture on such comprehensions. The primary and traditional way men and women have made dying a less depressing and disturbing idea is though religion. Various religions offer the comforting conception of death as a begining for another life or perhaps a continuation for the former.
The subject of death and dying is a common occurrence in the health care field. There are many factors involved in the care of a dying patient and various phases the patient, loved ones and even the healthcare professional may go through. There are many controversies in health care related to death, however much of it roots from peoples’ attitudes towards it. Everyone handles death differently; each person has a right to their own opinions and coping mechanisms. Health care professionals are very important during death related situations; as they are a great source of support for a patient and their loved ones. It is essential that health care professionals give ethical, legal and honest care to their patients, regardless of the situation.