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Cultural competence is a skill essential to acquire for healthcare providers, especially nurses. Cooperating effectively and understanding individuals with different backgrounds and traditions enhances the quality of health care provided by hospitals and other medical facilities. One of the many cultures that nurses and other health care providers encounter is the American Indian or Native American culture. There are hundreds of different American Indian Tribes, but their beliefs and values only differ slightly. The culture itself embodies nature. To American Indians, “The Earth is considered to be a living organism- the body of a higher individual, with a will and desire to be well. The Earth is periodically healthy and less healthy, …show more content…
They received the title “Native” because they are indigenous to North America; they were the first people inhibiting North America before European settlers arrived and claimed land. The European settlers made treaties of land cession with the Natives to legitimize their land seizure (Spector, 2009). As the White population grew, Native Americans were displaced and pushed westward. Due to the forced westward migration, Most American Indians live in the Western part of America. Today, the largest populations of Native Americans live in Oklahoma, Arizona, California, New Mexico, and Alaska (Spector, 2009). The circumstances the Native American people endured clarify their current issues. American Indians have poor education and a high percent are unemployed when equated to “U.S. all races” (Spector, 2009, p. 205). Many American Indians still live on reservations and work as a …show more content…
Community takes high precedence over self in Native American culture. They are a collectivist culture which means the tribe members will work as a whole to raise children and help one another (Hodgins & Hodgins, 2013, p. 449). Native Americans view many tribe member s as close family. The concept of family “stretches far beyond the concept of the traditional nuclear family in Western culture” (Lettenberger-Klein, Fish, & Hecker, 2013, p. 149). They have many more primary family members than what Western culture families have. They include uncles, aunts, cousins, and grandparents in their primary family (Lettenberger-Klein et al., 2013, p. 150). They all help and respect one another. Elders are significantly respected in Native American culture. They preserve rituals and teach knowledge to the tribe through storytelling. Storytelling is the primary means of teaching tradition from one generation to the next generation (Rybak & Decker-Fitts, 2009, p. 337). Although elders have high respect, most likely the parents and grandparents will not make decisions for the young. Native Americans believe that no person has the right to speak for another (Hodgins & Hodgins, 2013, p. 449). Parents are usually lenient in their child raising practices. For instance, a child can decide if they want to live with an extended family member (Hodgins & Hodgins, 2013, p.
This paper will discuss the Native American culture and briefly review their history, some beliefs and roles in society today. A short description into their culture with References will be used to show how Native Americans have been affected throughout hundreds of years. The trauma this culture endured has created many barriers, yet one often seen today is their extreme problem with the disease of Alcoholism. The Native American culture has gone through endless struggles, which has cost them to lose so much and still continues to impact them today. They are slowly moving back toward getting benefits that should have been available long ago, but in today’s world Native Americans still battle with many barriers not only in society, but in getting appropriate treatment for mental health or addiction issues.
This book addresses one of the common characteristics, and challenges, of health care today: the need to achieve a working knowledge of as many cultures as possible in health care. The Hmong population of Merced, California addresses the collision between Western medicine and holistic healing traditions of the Hmong immigrants, which plays out a common dilemma in western medical centers: the need to integrate modern western medicinal remedies with aspects of cultural that are good for the well-being of the patient, and the belief of the patient’s ability to recuperate. What we see is a clash, or lack of integration in the example of the story thereof. Lia, a Hmong child with a rare form of epilepsy, must enter the western hospital instead of the Laotian forest. In the forest she would seek out herbs to remedy the problems that beset her, but in the west she is forced to enter the western medical hospital without access to those remedies, which provided not only physical but spiritual comfort to those members of the Hmong culture. The herbs that are supposed to fix her spirit in the forest are not available in the western hospital. The Merced County hospital system clashes with Hmong animist traditions.
American Indians have had health disparities as result of unmet needs and historical traumatic experiences that have lasted over 500 hundred years.1(p99) Since first contact American Indians have been exposed to infectious disease and death2(p19), more importantly, a legacy of genocide, legislated forcible removal, reservation, termination, allotment, and assimilation3. This catastrophic history had led to generational historical traumas and contributes to the worst health in the United States.2 American Indians and Alaska Natives (AI/AN) represent 0.9 percent of the United States population4(p3) or 1.9 million AI/AN of 566 federally recognized tribes/nations.5 American Indians/Alaska Natives have significantly higher mortality rates of intentional and unintentional injuries, chronic liver disease and cirrhosis, diabetes mellitus, cardiovascular disease and coronary heart disease and chronic lower respiratory disease than other American.6
Introduction Cultural Competency is fundamentally linked to the principles of social justice and human rights because it provides the nurses with the opportunity to develop interpersonal skills to provide equal care despite one’s cultural background. However, using the principles of social justice and human rights to educate nurses allows them to learn how to negotiate cultural differences. Removing their own cultural filters, and seeing events through the eyes of those who are culturally different, accomplish this. An embedded experience, in which nurses interact with various cultures, would encourage them to adopt cultural competency knowledge (Office of the High Commissioner for Human Rights, 2008). Environmental justice can affect the population’s health.
When comparing the healing philosophy that underpins healing practices of the indigenous tribes it’s evident that all cultures share similar beliefs.
Through showing the different definitions of health, the authors explain how those different understandings affect patterns of behavior on health depend on different cultures. In addition, an analysis of the models of health demonstrates even western medical approaches to health have different cognitions, same as the Indigenous health beliefs. The most remarkable aspect is a balance, a corresponding core element in most cultures which is an important consideration in Indigenous health as well. From an Indigenous perspective, health is considered as being linked, and keeping the connection is a priority to preserve their health. Consequently, health is a very much culturally determined. Health practitioners should anticipate and respect the cultural differences when they encounter a patient from various cultures. In particular, this article is good to understand why the Indigenous health beliefs are not that different than western medicine views using appropriate examples and comparative composition, even though the implementation the authors indicated is a bit abstract, not
...ative American dialects there is no statement for “religion,” on the grounds that otherworldly practices are a vital some piece of each part of every day life; they are important for the concordance and equalization, or wellbeing, of the singular, family, clan, and community. Mending and love are viewed as one and the same. For some Native American individuals, the idea of wellbeing and health is a physical state, as well as an otherworldly one too. Customary Native American perspectives of mending and wellbeing underscore the need of looking for congruity insider oneself, with others, and with one’s surroundings. A dynamic relationship between the physical and soul world is underscored alongside with significance of looking for congruity and adjust in both. For some Native American individuals, health through deep sense of being is not a piece of life; it is life.
In fact, Native American medicine men belief is firmly grounded in age-old traditions, legends and teachings. Healing and medical powers have existed since the very beginning of time according to Native American stories. Consequently they have handed down the tribe's antediluvian legends, which i...
Many people believe that Native Americans are a disadvantaged group of individuals in many ways. Culturally, in that many of the cultures of the various tribes across the Americas were taken from them by Europeans and their descendants. Socially, in that they are unlike other minorities in the United States because of their extra-constitutional status; and even medically, stemming from the general belief that Natives are at a higher risk for disease than other ethnicities due to tobacco and alcohol use, especially when used together (Falk, Hiller-Sturmhöfel, & Yi, 2006).
Cultural Competence is important for many reasons. First, it can help develop culturally sensitive practices which can in turn help reduce barriers that affect treatment in health care settings. Second, it can help build understanding, which is critical in competence, in order wards knowing whom the person recognizes as a health care professional and whom they views as traditional healer, can aid the development of trust and improve the individual’s investment and participation in treatment. Third, our population in the United States is not only growing quickly but also changing, cultural competence will allow us as educators and healthcare workers keep up wi...
6) "American Indian/Alaska Native Behavioral Health Briefing Book." . U.S. Department of Health and Human Services, n.d. Web. 11 Mar 2014. .
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.
Leininger’s theory of cultural care diversity and universality is about caring, which is the essence of nursing and is recognized in the theory of basic human needs. Her theory incorporates anthropology, which focuses towards caring, culture values, and pattern rather than medical symptoms and treatments. Concepts of Leininger’s theory revolves around caring, which is essential for growth, development and survival. Leininger’s transcultural nursing is our “‘cultural knowledge that is used in our actions to promote positive health behavior among patients and foster culturally sensitive and congruent care’ (Campesino, 2008)” (Posner p.151). Providing client centered care not only enables trust, but also fulfills the patient’s potential health needs and nursing roles with the best outcome. I believe it is important to understand that America has more demands for cultural diversity; therefore, we must be able to meet these demands with the appropriate interventions. Cultural misunderstandings and applying inappropriate interventions become a cultural stress for the nurse-patient relationship; distrust could lead to nurses being unable to collect the necessary information to effectively provide the right care. To understand and respect different religious cultures are also important in the nursing process. This can help nurses to understand and improve quality of
With this new affiliation, I may be taking care of traditional Native American in the near future. Native Americans believe in respecting elders, using active listening, and that autonomy is extremely important. They believe in a universal energy and spiritual balance. Illness occurs if there is a disruption in that balance. The nurse should always discuss cultural needs with every patient and that a medicine man may be requested or seen along with their health care provider. Death is viewed as a natural part of the lifecycle because things only live for a certain amount of time. In order to deliver culturally competent care, nurses must understand and respect cultural differences. As nurses, we cannot let our beliefs and values affect how we treat others. We should strive to deliver culturally competent care to all of our