Haitian Culture: Impact on Nursing Care
The Republic of Haiti is in the western part of the island of Hispaniola in the West Indies. It is densely populated and has the lowest per capita income in the western hemisphere (Kemp, 2001). The population of more than seven million is made up of mostly descendents of African slaves brought to the West Indies by French colonists. The horrible conditions in Haiti, such as crushing poverty, unemployment and illiteracy, and high rates of acute and chronic illnesses and child and infant mortality, result in the illegal immigration of many Haitians to the United States, France, and other countries in Western Europe. Most immigrants are adults and teens who leave Haiti in tiny boats, despite the risk of drowning and other hazards. According to Pan American Health Organization (PAHO) 2001 statistics, the number of refugees has declined to several thousand per year since the early 1990’s.
Nearly all Haitian immigrants entering the U.S. are poorly educated, illiterate, and speak only Creole, which is seldom seen in written form. Creole is a “pidgin” language, meaning it is a simplified form of a base language with parts of other languages added. These types of languages were frequently used by sailors, pirates, and other trade people to accommodate the span of communication needs they faced. Haitian Creole is thought to have been derived by combining various native African dialects with the French language of their owners. Very few Haitians (10%) can actually speak French, and one’s ability to do so is seen as an indicator of social class. Because of Haitian views that Creole is the language used by the poor and uneducated, many will claim to be able to speak French and become insulted if it is suggested that they speak Creole. This can pose a problem for the healthcare worker trying to find a way to communicate. Often the only interpreters available to a family are their children who have learned English in schools here. This can create conflict within the family therefore a facility provided interpreter usually produces a better outcome. Written materials are often of no use to the Haitian immigrant.
Socioeconomic status plays a huge part in how Haitians identify themselves, and influences their actions greatly. Many Haitians wil...
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...of exercise. These factors all contribute to the young life expectancy of about 49 years (World Health Organization, 2001).
When caring for a client of Haitian descent, it is important to be mindful of language and education level, religious and cultural beliefs, and traditional health maintenance practices that may be incompatible with modern medicine. The healthcare provider should respect these cultural differences and be accommodating whenever possible to promote the spiritual and physical well-being of the client.
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The Dominican Republic is a country appealing to the Haitians, because that is the nearest to them and can have better quality of life. But, in recent years we have seen a massive immigration from Haiti to Dominican Republic. These leads us to ask, what are the reasons which the people of Haiti are fleeing their country. These factors are: to escape of the poverty, deficiency of basic services and lack of jobs. Due to the scarcity of resources, lack of access to basic services and lack of job opportunities, many haitian families have been used as a defense mechanism traditional your transfer to the Dominican Republic to have access to health care services, public schools or work in the agricultural
I know numerous East Africans and other minorities who fear and put off going to the hospital or clinic simply because they feel no one truly understands them on a more personal level and that their needs can’t and won’t be met entirely. According to the American Medical Association over 55% of health care providers agreed that, “minority patients generally receive lower quality health care” due to the lack of cultural competence. Those of different cultural backgrounds feel uneasy due to communication barriers and the lack of cultural competency amongst some health care providers. As a Somali-speaking nurse, I feel Somali patients, along with those of varying cultural backgrounds would be able to establish that sense of ease that’s needed when entering a health care facility or without having to feel the shame of having an interpreter hear about their personal health issues. According to Hospitals in Pursuit of Excellence,
The increase and changing demography in the United State today, with the disparities in the health status of people from different cultural backgrounds has been a challenge for health care professionals to consider cultural diversity as a priority. It is impossible for nurses and other healthcare professionals to learn and understand theses diversity in culture, but using other approaches like an interpreter is very helpful for both nurses and patients. In this paper of a culturally appropriate care planning, I will be discussing on the Hispanic American culture because, I had come across a lot of them in my career as a nurse. The Hispanic are very diverse in terms of communication and communities and include countries like Mexico, Cuba, Puerto Rico, South and Central America, and some of them speak and write English very well, some speaks but can’t write while some can’t communicate in English at all but Spanish.
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Haiti is drenched in poverty, corruption, and lack of education. Due to these aspects Haiti is “the least developed country in the western hemisphere”. With only one-third of suitable land...
situation I mentioned above. In my future nursing practice, I hope to become more confident with working amongst other health care professionals and advocating for my client when he or she is not able to. As a nurse, I am ethically responsible to do this, and I hope to create a relationship with my client where he or she trusts my judgments in making informed, educated decisions. Powers (2005) summarizes that “…ethical thinking can become a way of life that nourishes and encourages tact and attentive thoughtfulness in all human relationships” (p. 37). I hope to grow into a nurse who is able to question the situation, find a solution, and consult with other professionals in order to make the change occur. This will help me maintain relationships with my clients, and coworkers that I will be working with.
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
My cultural identity, is Haitian American. My parents come from a country of beautiful landscape and valleys of the hidden treasures of knowledge, diverse people, and rustic towns. My parents walked up steep plateaus for water, laid in grassy plains for peace, and dive into the sea for cooling in Haiti’s humid heat. Although, I come from a culture of deep history, the first country to gain independence in the result of a successful slave rebellion, my parents knew the plague of suffering Haiti’s battle with will not recover through the poverty, unemployment, and illiteracy. As Haiti fought through its demons, my parents fought to provide plentiful opportunity for their family and immigrated to the United States of America.
Various advocates have made changes towards Special Education over the past hundred years. These changes have made substantial improvements in Special Education, but could also be seen as challenges. As a preschool teacher in an inclusive classroom, I have personally seen the improvements and setbacks these changes have made for my students with disabilities and their families. In this essay, I will be discussing specifically the changes made in Early Childhood Special Education. There are three changes that I will discuss; changes made to the Individuals with Disabilities Education Act (IDEA), Least Restrictive Environments (LRE) in an early childhood setting, and Early Intervention Programs (EIP).
As a working nurse on an acute behavioral health unit, emergency department, case management, cultural awareness is crucial when treating a diverse population of patients. According to the U.S. Department of Health and Human Services Office of Minority Health (OMH), cultural competence is, “is a set of behaviors, attitudes, and skills that enables nurses to work effectively in cross-cultural situations” (Garcia, 2007, p. 1). It is important for nurses to deliver culturally competent and appropriate care to patients due to the perpetually growing culture of diversity. My workplace is located in Orange, California. Demographically, the city is made up of 47 percent Caucasian, 38 percent Hispanic, 11 percent Asian/Pacific Islander, 1 percent Black, and 3 percent other races. I am an American-Filipino, born and raised in California, and identify with the 11 percent Asian/Pacific Islander group. It is necessary that working nurses have cultural awareness and the skills necessary to service patients of any race or ethnicity. We can do this by educating ourselves and being mindful of all different cultures.
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
Understanding cultural differences not only improves the effectiveness of the treatment the patient receives, it is also help the nurse to prevent negliency of care. It is impostant to maintain a curiosity about each patient no matter how much we know abouth that person's culture.
Ysseldyke, J. and Algozzine, B. Special Education: A Practical Approach for Teachers. 3rd.ed. Boston: Houghton Mifflin Co., 1995.
Special education is such a broad and sensitive topic to talk about as well as the several issues that come with the Special education topic. And although there are a variety of issues, such as: special education children being accepted, segregated from their peers, the financial ability to support many special education programs, and the fact that a lot of teachers are not properly certified and do not know how to handle special needs children; there are also many resolutions. Special education Awareness, peer understanding, support from the local and state government, proper teacher certification, and most importantly social unity and understanding amongst peers are all a part of this controversial issue and they will also help maintain and resolve the growing concerns in the Special education programs and the children.