The Phenomena’s That Stayed within The Dressmaker
The Giger and Davihizar Transcultural Assessment Model (GDTAM) identifies six cultural phenomena’s for education. The GDTAM (2002) was made in order to help undergraduate nursing students provide culturally competent care to every individual patient (p. 185). The purpose of this paper is to define the six cultural phenomena’s given by Giger and Davihizar and provide example of each using Lemmon’s (2011) book, The dressmaker of Khair Khana: Five sisters, one remarkable family, and the woman who risked everything to keep them safe. The GDTAM (2002) phenomena’s communication, space, social organization, time, environmental control, and biological variations are illustrated to overcome cultural disparities and provide competent health care (p. 185). Gayle Tzemach Lemmon (2011) reporter from ABC News wrote the book, The Dressmaker of Khair Khana to show the community how a strong women name Kamila with the help of her sisters became an
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Some genetic codes are mood, physical characteristics and diseases. This genetic codes are passed from generation to generation within a culture others are an effect caused by the environment. The biological variations are the beginning point of developing culturally competent care towards the patients (Giger & Davidhizar 2002, p. 187). For example in Afghanistan, during the Taliban ruling many women would give birth at home in their bedrooms due to the lack of female doctors and medical facilities (Lemmon, 2011, p. 142). If women went and stayed at a clinic they had to take their “own food and fill their own prescriptions” making it harder for patients to assist themselves when they are in severe pain (Lemmon, 2011, p. 142). Kamila mentions that most surgeons and doctors performed services without proper medical equipment like “clean water, bandages, antiseptics, or anesthesia” (Lemmon, 2011, p.
In the novel, “The spirit catches you and you fall down”, Anne Fadiman was brilliantly able to capture how communication between other cultures takes place in the medical community. She writes about the experience of a Hmong family, the Lee’s, to portray the dissimilarities between two distinct cultures, Hmong and American. Throughout the novel she takes us on a rollercoaster of a journey as problems arise due to many barriers that naturally occur when collaborating two very divergent ways of life. Unfortunately the journey she takes us on does not come with a happy ending as we all expect. the edifying friction between the young girl’s parents and her doctors caused her to wasted away because of medical conditions, epilepsy and septic shock, which could have been treatable. Nevertheless, although Fadiman’s book depicts an unambiguous state of affairs, it is an eye opener to the nuisance of cultural conflict that can be practical to all circumstances and can be utilized by all nurses to provide cultural competent care.
...the formal and explicit cognitive practice learned through educational institutions. This type of practice is focused on the professional knowledge and care that nurses are taught in a educational establishment. Nurses provide (McFarland and Wehbe-Alamah 2015, p.14).assistive and supportive care for patients, along with the proper training to improve a patient 's health, prevent illnesses, and/or help with the dying. Taking the Culture Care Theory and ethnonursing research methods helps a nurse in the transcultural field provide culturally congruent care. This gives the nurses the ability to expand their knowledges and apply or teach their discoveries when interacting with a variety of diverse cultures. The form to obtain these new discoveries is presented in the most naturalistic and open way possible to keep a comforting relationship between the nurse and patient.
The transcultural theory of nursing strives to bring to light the importance of cultural similarities and cultural differences across human groups. Culture is defined as a set of values, beliefs and traditions, that are held by a specific group of people and handed down from generation to generation. As practicing nurses, we should endeavor to develop understanding of the diversity of patients’ beliefs, values, spirituality and culture as it relates to illness, its meaning, cause, treatment, and outcome. I believe the theory has an adequate foundation on which to build but as with all theories should evolve as the practice of nursing evolves. The ASKED mnemonic has five steps that are a good way for an individual to evaluate their own cultural
Transcultural nursing is a critical component of the nursing profession in an ever-changing culturally diverse world. The patient’s social and cultural dissimilarities are important for the nurse to recognize and acknowledge. This will help to prevent the imposition of the nurse’s beliefs onto the patient. The Japanese culture beliefs are incommensurable to American cultural beliefs in how they approach the process of labor and delivery. Nursing interventions should therefore be reflective and comprehensible to that of the Japanese cultural beliefs.
This essay will focus on outlining the fundamental principles of cultural diversity and how effective nursing interventions are used when providing an adequate amount of care for an individual from a culturally diverse background and how this may collide with the nursing therapeutic engagement. This essay will give the reader an insight upon culture whilst giving a significant explanation of cultural differences within a health setting. The patient’s real name will not be used and will be referred to as Mr. X. This is in line with the Nursing and midwifery Council 2008 (NMC, 2008) requirements to maintain confidentiality at all times.
Issues of culture are often controversial. LaBorde (2010) has noted that culture is always a factor in conflict. Ironically, conflict can provide nurses with an excellent opportunity for developing compassion that will lead nurses unto a place of meeting in which there is a deep respect for differences and equally intentional openness to the possibility of connection. Healthcare practitioners are confronted in a daily basis with the practical manifestation of these issues. In particular, nurses are more confronted by cultural issues than the other healthcare providers because nurses spend majority of their time with patients. However, some nurses are reluctant to confront and discuss the cultural issues because of lack of knowledge in dealing with patients of diverse cultures (Tjale & Villiers, 2004).
Integrating the framework will enable nurses to become culturally competent health care providers. First and foremost, the framework permit patients’ the opportunity to express their concerns and perception of their problem (Campinha-Bacote, 2011). Additionally, it focuses on incorporating the patients beliefs, values, and needs into the plan of care. The framework further give nurses an opportunity to better understand and evaluate their patients’ concerns. Campinha-Bacote (2011) reported that continuous encounters with culturally diverse backgrounds will lead nurses to validate, refine, or modify what they know of existing values, beliefs, and practices of a cultural group. This in turn, will develop into cultural desire, cultural awareness, and cultural knowledge. With the end result, being cultural
As nurses entering the medical field understanding the culture of our patients is crucial to proper care. Each culture has their own set of beliefs and values that are shared among groups of people which influences personality, language, lifestyles, house hold, level modesty, social standings, foods, health treatment and identity. Culture affects how people view health and illness; dictating when, where and what type of medical treatment they will receive and who will be their care provider.
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.
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.
In the clinical setting, nurses are believed to spend the most time with patients. This involves regularly dealing with people coming from different ethnicities and with different cultural practices and beliefs (Brown & Edwards, 2012). Given this cultural diversity, every patient may have his/her own cultural beliefs and practices regarding his/her own health and its treatment which can be similar or different to those ...
This assignment will look at the impact of culture in professional practice and how it will affect patients and their needs in nursing. ‘Culture’ refers to the ways in which people in a given society live together and how they communicate with each other (Hendry,2008). The aspects of culture this assignment will look at are religion, language and gender and how nurses develop cultural competency and cultural sensitivity towards their patients.
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.
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
Madeleine Leininger is a nurse who realized that cultural care was an important concept in nursing. In the 1950s she found that behavioral issues in children stemmed from a cultural basis due to nursing having a lack of knowledge in a variety of cultural awareness (Buschur-Betancourt, 2015). The purpose of this paper is to identify the eight reasons Madeleine Leininger states transcultural nursing is necessary. I will describe the cultural diversity and how it relates to my field of nursing. I will also provide three ways that I have incorporated culturally sensitive care toward my patients.