Understanding a Bias, it is preference to favor one over another. Bias can be conscious and non-conscious. It can be positive or negative (Ryan. V. & Saha. S, 2011). I believe that I form my bias between the younger and older generation regarding beliefs, politics, or values. I am mindful that I incline to blame it on the generation gap whenever I see there is a conflict between older and younger generation. Second, I think people with mental illnesses are dangerous and should be avoided.
I was born and raised up in Nepal. My father is a retired British army officer and my mother is a housewife who has no formal education. Nepal is a country where access to better healthcare and related information is very limited. The majority of the population
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However, I was not surprised that the mental health IAT result predicted that I am moderately implicitly think people with mental health illness are dangerous. As I had mentioned above that the culture believes that mental illness is an evil eye, nobody talks about this to outside people. This beliefs and values still live within the older generation of my family. To share my personal story, my brother-in-law was mentally unstable and depressed. Even though my sister and her families knew his condition, they denied medical help. In addition, they felt embarrassed and scared to admit his condition openly. Because of the beliefs and cultural norm, he was denied of a medical help. At the end he committed a suicide. It was very painful to see my families’ grief and how it affected their health later …show more content…
For example, in my past work experience, one of the Hispanic teen patient was admitted into the hospital for abdominal pain. During education on diet regimen, patient became upset because I was teaching him to avoid spicy foods, chilies, lemons, etc. and consume healthy diets. The patient replied “I’m Mexican, it doesn’t mean I eat spicy foods”. Another example, a Vietnamese adult patient did not sign a consent form and her surgery was on hold for three days. The patient requested to wait for her grandfather to arrive from overseas to consent for her. I understood that in Asian culture, high value is placed on the decision of elders, the role of eldest male or female in families, or roles and expectation of children within the family (Galanti, 2008, page 31-33).
As a primary care nurse practitioner, my cultural bias could affect to some extent on delivering care to these populations, both good and bad. But, understanding about cultures and beliefs and learning to deliver a culture sensitive care every day is one of the ways I can become more effective. In addition, the suicidal event of my brother- in- law gave me the strength to raise an awareness of the risks related to mental diseases and the importance of early
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
For a very long time, mental health was a disease people would not dare speak about. The stigma associated with mental health meant that it was viewed as a curse or simply poor upbringing. Crazy, right? (Pardon the pun). Although it’s not seen as a curse by us in this generation any more, many people with mental health issues still have to face ignorance, prejudice and discrimination from our society just because of their lack of understanding or reluctance to try and understand. Be that as it may, these attitudes directly impact upon how and if people choose to seek help, making the negative and ignorant opinions and attitudes of others potentially dangerous to many individuals and the people around them.
Culture care is grounded within one’s worldview, which is shape by social structure factors such as religion, economics, cultural values, environmental context, ethnohistory, and language (Alligood, 2014; Sitzman & Eichelberger, 2015). Moreover, culture care share similarities and differences related to health and well-being, how individual deal with disability and death, as well as, when to seek relief from illnesses or distress. As culture plays a vital role in health care seeking habits and decision making, it is imperative for nurses to fully understand cultural knowledge. With increase cultural knowledge, nurses are better able to implement care plans that are beneficial to the patient with respect to their beliefs, values, and cultural
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.
Mental illness misconceptions construct stigmatization within society. There are many source of mental illness stigma from inadequate information, media, religion, and ethnicity. In their article “Wearing the Label of Mental Illness: Community-Based Participatory Action Research of Mental Illness Stigma”, by Jean Theuer, Nicole Jean-Paul, Kristi Cheyney, Mirka Koro-Ljungberg, and Bruce Stevens illustrate that inadequate information and the media construct negative stereotypes while religion and ethnicity are conciliators of mental illness. The authors conduct a study which focuses on the community level and examines how community member experience stigma associated with mental illness. And what occurs when an individual is labeled with mental illness. The study identified four sources of mental illness stigma. One, inadequate information, leads to dependents on stereotypes. One interviewee explains that “there’s no good place to get information about it in daily life unless you seek it out. I mean no one ever sits down and talks to you about it in school”. Two, the media contributes to negative stereotypes about mental illness. Since Interviewees could not find adequate information about mental illness. They rely on the media as a source of information. Some interviewees did know that the media illustrate the stereotypic mental illness. Emphasizing the high frequency of characters with severe mental illnesses than compared
I cannot agree more with her and the experience presented here is not restricted in the U.S. The implicit bias in health care cause similar problems in Japan as well. This quote realized me that I do have prejudices and stereotypes toward some people. I cannot help regret some disrespectful behaviors based on my bias toward patients I attended as a physician past six years. Knowing the idea of implicit bias and its possible consequenses in health care circumstances, I could have made more reliable and productive relationship with some of "difficult" patients who were often misunderstood by our colleagues.
The Spirit Catches You and You Fall Down: A Hmong Child, Her American Doctors, and the Collision of Two Cultures shares the journey of cultural illiteracy from the Hmong and American side. Fadiman states, “In 1995, for the first time, the national guidelines for training psychiatry residents stipulated that they learn to assess cultural influences on their patients’ problems,” (Fadiman 270). Though the unfortunate events that occurred were definitely able to avoid now, at the time, there was no standard set of actions and procedures to take in order to provide the best health care to different cultures. Fadiman truly succeeded in showing the reader that good intentions and compassion must be weighed more heavily when analyzing events and the consequences must be met with an objective eye.
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.
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 article Issues and Controversies says, "Throughout most of human history, people with mental illness were ostracized, isolated, and persecuted." ( Infobase,1) This belief system can give causation of mental illness in different cultures and such influences in a community will always be in a negative manner. Various societies struggle with the notion of mental health. The standards of every culture believe to be considered normal, natural, or healthy. These views lead to disagreements about the causes, diagnosis, and the treatment of the disorders. Many people with mental problems are discriminated against because of their mental disorder. Mental illness and stigma refers to the view of the person with mental illness as having undesirable traits. Stigma leads to negative behavior, stereotyping, and discriminatory behavior towards the person with mental health issues. This stigma causes the affected person to experience denial or shame of their condition. Perceived stigma can result in the patient being scared to seek help. Stigma can be divided into two perspectives, public and self stigma. Upadhyay says, "Public stigma occurs when the general
Why is there a cloud of judgment and misunderstanding still surrounding the subject? People with a mental disorder or with a history of mental health issues are continually ostracized by society. This results in it being more difficult than it already is for the mentally ill to admit their symptoms to others and to seek treatment. To towards understanding mental illness is to finally lift the stigma, and to finally let sufferers feel safe and accepted within today’s society. There are many ways in which the mentally ill are degraded and shamed.
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
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.
The World Health Organization (WHO) estimated that one in every four people suffer from a mental health issue at some point in their lives, yet only two thirds of those people seek help. Why? The answer is simple; these victims get stigmatized for admitting they have a problem. But what is stigma? Well, stigma is defined as: “a mark of disgrace associated with certain circumstances.” stigma is most notable for people going through mental health issues, like anxiety, depression and ADHD, among other disorders. The stigma associated with mental health is affecting societies and communities in negative ways and should be actively combated by governments, NGO’s, and people. However, this issue is controversial, as many skeptics claim that mental disorders do not exist. However, they have been proven wrong. Stigma is a barrier for treatment and is harmful to society, as well as being a sign of a toxic community.
This notion is supported by “members of the National Alliance for the Mentally Ill” who, when surveyed in a study, “consistently cited media sources as the perpetuators of mental illness stereotypes and stigma” (Diefenbach 183). The fact that the stigmas most commonly illustrated on television programs are also the ones held by society, further solidifies this cause-and-effect relationship. These stigmas include ideas that those who suffer from mental illnesses are “bizarre or dangerous...different from the rest of the population, potentially uncontrollable and threatening” and that “mental illness ends in tragedy...such as suicide” (Henson 556), all of which are presented by television programs for the sake of earning viewers. Even “the term ‘mental illness’ itself engenders fear and stereotypes of chronic disability” (Henson 555), once again proving that society 's discussion of this topic is not only inaccurate, but it is also offensive and detrimental to those suffering from various mental health issues. For instance, stigmas have the ability to prevent those with disorders from seeking treatment or even render them unable to realize that they suffer from a mental illness or require treatment in the first place. In addition, they allow for both prejudice and