Filipino Americans come from a self-governing country called the Philippine Islands. The Philippine Islands can be found in the Pacific Ocean southeast of China. “More than 7000 islands compose the Philippine Archipelago;” (Giger, 2013). Although, the 2 largest islands of Luzon and Mindanao make up most of the total land. The landscape of the islands consists of mountains and hills; they also are composed of volcanos. According to Giger (2013), Filipino Americans may be considered to be mild and kind, they are also submissive by nature because their desire to have a mutual balance between nature and people. They often appear guarded, being either aggressive or assertive; consequently they are often misunderstood and mislabeled as having …show more content…
For nurses to provide safe and culturally proficient care, there must be an understanding of the patient’s cultural needs. This may be achieved through communication. “Filipino Americans tend to use tone of voice to emote or to romanticize the language” (Giger, 2013). They pay attention to not only what you say but the tone of your voice and volume. Raising one’s voice implies arrogance while a gentle tone indicates a confidence. An excellent way to learn how they communicate is to observe how they interact with each other in places such as social settings, listening carefully also helps. Filipinos show their interest in you by asking you personal questions. They also give people nicknames and if you refuse to use the nickname you may seem snobbish or unfriendly. Some do’s and don’ts of non-verbal communication are avoid pointing your finger, it is considered to be rude. If a person touches your arm while they are talking to you, they are comfortable with you (Francia, …show more content…
Filipino American have strong emotion for their families and limit their personal space. They will often have the entire family in a hospital room, usually real close to the bed. Their family can consist of mother, father, siblings and children; but often they will include grandparents, uncles, aunts, and cousins. The caring nurse does not see this as too many people in the room but uses the family members as an advantage, by educating them to help the patient return to optimal health. Social organization. Birthing rituals of the Filipino are a little different than in the US. For example, for the last two months of a pregnancy, sex is forbidden and considered a taboo. Some foods are also taboo, such as squid and prunes because, they believe they will “make the baby wrinkled…and tangle the baby’s cord inside the mother” (Griger, 2013). If a patient is diagnosed with a disease, the family is usually consulted first. The family will decide to tell the patient or to protect the patient; however, a Filipino patient will want to die with dignity at
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
In every culture health play an essential part of life but means to achieve that healthy being may vary from one country to another depending on their belief system. It is important that professional healthcare providers obtain a proficiency in different cultures and respect these customs as they may influence patient’s behaviors towards receiving care. Birthing is a very important stage in the life of a Vietnamese woman . the Vietnamese culture is very diverse as many of their cultural practices have been influenced by the country’s’ strategic located between china and India. The Vietnamese people religiously observe their traditions and beliefs especially in pregnancy and during and after delivery.
Over the years, I have developed a stable cultural sensitivity aptitude. I find it is most important to take cues from the patient and their families on how to care for them. As well as to ask the patient what is most important to them and how I can best serve them. In his article, Collins (2015), states that “improved health outcomes are achieved when culturally competent nurses acknowledge the patient’s culture care values and preferred care practices, and incorporate into the professional plan of care the patient’s generic care wishes” (p. 11). I have encountered a few situations which make me most uncomfortable, families not wanting the patient to know the severity of their illness, and obvious servitude behaviors toward the females to name a couple. When these occur, I have found the inclusion of the charge nurse, the physician and social services can lessen the negative outcomes in these situations. My goal is to assure the patient is cared for in a manner that is most comfortable to them and satisfies their needs to ensure a speedy and comprehensive recovery. Another practice in my own career has been to share the cultural information gathered with oncoming shifts of care givers, the charge nurse and
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.
Communication between human can be divided into two types, verbal and non-verbal. Verbal communication is communication based on the words. Because there is no such thing as a Puerto Rican language, official languages in this country are Spanish and English, with the proviso that the first one is the primary language used both in families and in formal situations. Therefore, it often happens that even after arriving in the US, Puerto Ricans English is less fluent. Sometimes that equal fluency in both languages reaches new generation.
To start implementing this framework, one need to understand and acknowledge that every patient is not only different from one another, but a unique individual. Assumptions and stereotypes about a specific cultural group must be avoided, along with personal biases (Murphy, 2011). Furthermore, actively listening and fully engaging patients’ can improve nurse-patient communication and enhance patient outcome.
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.
“Cultural awareness is the foundation of communication and it involves the ability of standing back from ourselves and becoming aware of our cultural values, beliefs and perceptions (Quappe, 2007). It is important to be aware of what culture your patient is from because than the nurse can give the patient and family the care that is not offensive o their beliefs. Cultural sensitivity Cultural sensitivity is experienced when neutral language–both verbal and nonverbal–is used in a way that reflects sensitivity and appreciation for the diversity of another. It is conveyed when words, phrases, categorizations, etc. are intentionally avoided, especially when referring to any individual who may interpret them as impolite or offensive (Giger, 2006). Being sensitivity to ones cultural is imperative, this allows the patient and or family to feel more comfortable and have their personal beliefs be respected. Different forms of cultural sensitivity include choice of words and language used while talking to a patient, the use of space while communicating, as well as who in the family to talk to and how to address patients and family. Cultural competence is a combination of the skills, knowledge and attitudes that are needed to deliver the proper excellent care to a diverse population. Cultural competence is relevant in order to be able to give
...ulture is changing, Hmong are not all the same, importance of family, privacy issues, mental health issues, and small talk is important (Barrett et al., 1998, 181-182) . Overall, Barrett and others concluded that in order to improve interaction between patient and doctor all they have to do is follow these easy steps. First, is to be kind and have a positive attitude towards the patient and interpreter. Second, learn about each other’s cultures prior to meeting, to better understand each other. Third, better explain diagnosis and treatment options to patients. Fourth, improve translation providers need to get better interpreters who could concisely explain the consultation. Fifth, involve the family to make more thorough decisions. Sixth, respect patient’s decisions and there are still other alternatives to improve interaction (Barrett et al., 1998, 182-183).
By understanding the way a culture factor influences nursing care, we are able to improve our teachings, improve understanding and provide overall better care for a healthier outcome for our patients. An example of this could be having a staff member that is bilingual or teaching materials written in a different language. According to Andrews & Boyle (2016), the first step is for the nurse to do a self-assessment of themselves in order to identify their beliefs toward people with different backgrounds, which will provide clarification of possible unknown behaviors. The second step is to set goals for the patient and those involved with the patient’s care.
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 ...
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.
Characteristics can be as diverse as ethnic background, language spoken, gender status, physical appearance, race, and religion to name a few. Migration from various countries is creating a diverse population with different cultures and languages within the United States. Due to these cultural differences and lack of knowledge, disparities are increasing. Studies have shown that both language barriers and lack of cultural customs can hinder the services provided to the patient by the healthcare worker (Renzaho, Romios, Crock, & Sonderlund, 2013). This study provided a positive outcome when communication and cultural mutual understanding took place and patients had a more positive health outcome. It is very important that nurses are diversified in various cultures in order to better care for our patients. According to Mareno and Hart (2014), cultural competency has become one of the core values being taught in nursing programs. Their study showed that the perceived level of cultural awareness and skills among the nurses provided was low. Awareness and knowledge levels increased with higher education. It was highly recommended that self-awareness exercises be incorporated into the nursing course and continued to be addressed during the remaining curriculum until
In the United States today, a nurse is more likely to encounter patients who speak a language that is different from their own. This kind of intercultural difference poses a formidable communication challenge, as one’s ability to communicate will depend on whether one can understand one another's verbal and nonverbal codes (Jandt, 2012).
The Philippine islands are located in Southeastern Asia, between the Philippine Sea and the South China Sea, east of Vietnam. The country is made up of about 7000 islands, only 2000 of those islands are inhabited. The population of the country includes about 84,619,974 people. The people of this country are all very close to their families. They work together to make the income that their family needs to survive. Sometimes th...