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
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.
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).
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.
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
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
Transcultural nursing requires us to care for our patients by providing culturally sensitive care over 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 definite 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 in 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 ...
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
As a nurse, I am obligated to care for all cultures, and try to understand their values, beliefs, spirituality, gender roles, and language. Cultures can range from different families, environments, disabilities, or even genders. It is a very broad topic, and I hope to recognize these cultures in my nursing career. Some barriers may exist that can make it challenging to work with people of a different culture, but it is possible to overcome these with the resources within the health care system. The Health Policy Institute identifies that “[t]he goal of culturally competent health care services is to provide the highest quality of care to every patient, regardless of race, ethnicity, cultural background, English proficiency or literacy” (“Cultural Competence”, 2004). Additionally, cultural competence is an ongoing process that involves both the client, and health care professional to work together that best suits the client’s
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
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.
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.
People with a mental illness are often feared and rejected by society. This occurs because of the stigma of mental illness. The stigma of mental illness causes the perception of individuals with mental illnesses to be viewed as being dangerous and insane. They are viewed and treated in a negative way. They are almost seen as being less of a human. The stigma affects the individual with a mental illness in such a cruel way. The individual cannot even seek help without the fear of being stigmatized by their loved ones or the general public. The stigma even leads to some individuals developing self-stigma. This means having a negative perception of one’s self, such as viewing one’s self as being dangerous. The worst part is that the effects of
Cultural competence can be defined as using the ability of one’s awareness, attitude, knowledge and skill to effectively interact with a patient’s many cultural differences. Madeline Leininger, a pioneer on transcultural nursing describes it this way; “a formal area of study and practice focused on comparative human-care differences and similarities of the beliefs, values and patterned lifeways of cultures to provide culturally congruent, meaningful, and beneficial health care to people” (Barker, 2009, p. 498). The importance of cultural diversity in healthcare allows for the delivery of appropriate cultural autonomy. Showing respect for others will lead to trust between nurse and patient which in turn improves healing and health.
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.