Throughout time, the role of the nurse has become very complex, and consists of much more than performing a specific set of learned skills. The nursing profession is constantly evolving in response to ever-changing expectations and developments. One such development is the need to provide culturally competent care in today’s diverse and multicultural communities. An awareness of cultural diversity is fundamental for any nurse in order to meet the health needs of every patient. Nurses need to acknowledge that each patient should be assessed individually for cultural differences. The American Nurses Association (ANA) indicates that nurses should understand how cultural groups understand life processes, how they define health and …show more content…
Their tribal headquarters is located in Towaoc, Colorado, but members also reside in portions of southeast Utah and northern New Mexico, also known as the Colorado Plateau (Southern Ute, n.d). Known to be aggressive and warlike, the Utes were hunters and gatherers who moved around depending on the season as well as their need for a sufficient water supply. In 1988, the Colorado Ute Settlement Act brought an end to their water problems, creating a system that brought in water for drinking and irrigation (Culture History, n.d). This helped to promote a healthier economy for the tribe as well as serve the needs of the people living there. Handcrafted beadwork and pottery are a big part of the culture of the Ute Mountain Ute, as are tribal celebrations throughout the year. Every spring, the Utes gather together to take part in the Bear Dance, where they recognize the “awakening of nature and the appearance of a bear from his hiding place” (Cultural History, n.d). Other important traditions for the Utes include the Sun Dance (performed mid-summer) and regular purification ceremonies (sweat lodges).
Health Seeking
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Her grandfather is the tribal healer in her community, and she was able to provide quite a bit of information regarding the health practices of her culture. Much of the information I found online was confirmed to be true and still a valuable part of the Ute philosophy. For example, her grandfather frequently leads sweat lodge ceremonies, not only in Towaoc, but also in Ute communities around northern New Mexico. In these, he helps others repair damage done to their bodies, minds, and spirits. Another aspect she confirmed was that many older people on the reservation seek out the medicine man for their problems, rather than go to a “white doctor”. She explained that they don’t like to go to the local health care center or hospital because they are expected to talk about their issues. The Ute culture is very stoic and non-communicative, and not very likely to ask for help. They may also be suspicious of modern healthcare, which is often not endorsed by the medicine man. However, she did tell me that the younger generations are learning that they need to ask for assistance, and realize that their culture tends to make very poor lifestyle choices. In Towaoc, the Ute Mountain Ute Health Center offers primary health care for all ages, and focuses on education about poor diet, sedentary lifestyle and substance abuse. This information was a bit different than what I found online, but overall,
In a healthcare setting you will see different cultures that will come and go. It is very important to know how to deal with each culture so that you can help them while still making sure they are comfortable. Native Americans have many different characteristics because of the different tribes from all over the world. Healthcare providers should be familiar with them so they know how to distinguish them if needed. While knowing their characteristics they should also know how to interact with Native Americans as well since their culture is a lot different than ours, we want to make sure that we don’t disrespect them.
Another critical element is the difference of the two culture in addressing illness. The Hmongs have a Shaman who comes in their home, spends time with the family and the patient. Shamans treat their patient’s spirit as well as the body and can make an immediate diagnosis. The American medical system very different in so many aspects that Fouya and Nao Lee is having a difficult time accepting
Having been born and bred outside the United States, the city I grew up was more influenced by the people of India rather than Native people. Therefore, I began to search the Internet for Native tribes where I came across the Duwamish tribe. The Duwamish tribe lived in Seattle, Washington from the past 10,000 years, making them one of the oldest Native tribes that we know of in the entire world. Today, the Duwamish tribe are one of the few federally recognised Native tribes. In this research project I intend to gain a better understanding as to how a Native tribe that has existed since the glacier age has escaped being eradicated through both wars and disease.
To improve health outcomes in the Doomadgee community, it is crucial to address the social, historical, and political factors that have led to health inequities. One approach to achieving this is through the principles of culturally safe health care. Culturally safe health care refers to health care that is respectful, inclusive, and appropriate for Indigenous Australians and their communities. Two principles of culturally safe health care that could have been utilized to improve Betty Booth's health outcomes are the principle of cultural responsiveness and the principle of
The Navajos have a strong family support system that is essential in improving their health status. It is encouraging to see other family members caring for the sick because we lack that aspect in today’s society. Family involvement within the Navajo culture might be something that we need to intergrade in our society. The Navajos extended family focuses on helping one another grow, collaborate on resources and contribute in daily life occurrences (Giger & Davidhizar, 2013).
I am truly touched by your story. You demonstrated the therapeutic use of yourself and applied cultural competency in the caring process. I can say that the ability to deliver nursing care that allows effective interaction and communication from diverse cultures, races, and ethnic backgrounds is cultural competency at its best.
Because of the cultural traditions, aside from her treatment at Merced Community Medical Center, they utilized traditional healing methods. This was because her parents and the Hmong culture believed that they needed to call her soul back. Through the Lee’s story, Fadiman highlights the dangers of a lack of cross-cultural communication in the medical
In other words, to be culturally competent, professionals must provide superior, respectful medical care to all patients. This must start with building an understanding of basic philosophies and value systems of different population groups. This is especially critical in the nursing field where much time is spent providing hands on care with each patient. A nurse must be sensitive to language differences, social cues and personal lifestyle choices
The biggest challenge is overcoming these barriers due to the lack of available resources and strong religious beliefs that affects their health promotions. It is imperative that Appalachia gets public assistance on preventative care and education to encourage better health conditions. The Health Wagon founded in 1980 to provide free health care to medically under-served people in the mountains of Southwest Virginia in Central Appalachia Wagon, which operates as a mobile health clinic that provides comprehensive primary health care services and emphasizes on education and prevention care (Gardner, Gavaza, Meade, & Adkins, 2012). This gives hope of achieving health success among the Appalachian culture with programs geared toward preventative treatment and education
Cultural competence is much more than awareness of cultural differences, as it focuses on the capacity of the health system to improve health and wellbeing by integrating the understanding and appreciation of different cultures. To become more culturally competent, a health service or professional or system needs to value diversity, have the capacity for cultural self-assessment, be conscious of the dynamics that ,occur when cultures interact institutionalise cultural knowledge, adapt service delivery so that it reflects an understanding of the diversity between and within Cultures. Equity of Australian healthcare access is important for all Australians and is difficult to achieve when access issues are not addressed. As well as these issues, some patients from a culturally and linguistically diverse background experience discrimination from the system of health care due to their country of origin, cultural background, and religious beliefs. Healthcare professionals need to recognise this potential and be prepared to advocate for their patients when necessary to ensure adequate care.
The Choctaw people were once a prosperous Native American tribe in the United States of America that settled in more than 50 villages in an area now known as Georgia, Alabama, Louisiana and Southern Mississippi.. The tribe believed that their people were created from a large mound in their territory known to them as the mud of Nvnih Waiya (“Choctaw”). Their society and culture was deeply rooted in agriculture. On their fertile lands in Mississippi the Choctaw grew crops of corn, beans, and pumpkins. Their culture is filled with capacious beliefs and traditions surrounding child birth, medical care, spirituality, and death.
Cultural awareness allows a nurse to develop interventions that will decrease the health disparities with this cultural group. A nurse that strives in building a nurse/patient relationship that focuses on facts, spending time to understand their true illness, and seeks the opinions and advice of the family will overcome a history of mistrust with outsiders (Giger, 2013, p. 264). A second nursing intervention would be to provide dietary education and changes to their diet to decrease and treat problems associated with high blood pressure and diabetes. The biggest challenge to implementing these goals is the limited time to educate and teach these health illiterate individuals of the factors contributing to disease and health problems. This cultural group has limited knowledge and understanding of medical explanations of how illness occurs or how to prevent cardiovascular illness or diabetes (Giger, 2013, p.
In many tribes, including the Cheyenne and the Sioux, the Medicine Man also had the role of the head warrior or war chief which made him the most influential man of the tribe The Native American Plain Indians performed a range of ceremonies but that holds most significance was the Sundance ceremony. Which featured a structure with a central pole signifying the sun, from which the young men hung themselves by their nipples. The was signified as a time of renewal for the tribe, people and
If nurses lack of understanding regarding community demographics and cultural differences, they can have unintentional bias, and stereotype patients due to a lack of awareness of the cultural demographics of the community they serve (Camphinha-Bacote, 2011). Cultural competence is the understanding of different cultures and how that impacts the provision of patient care. Cultural competence in nursing is defined as one willingness or the desire to understand a patient’s culture, the ability to learn about a defined cultures belief system, and to work effectively as a healthcare provider understanding the dynamics of the patient’s culture as it relates to their relationships and care (Kardong-Edgren et Al.,
There are various Native American Tribes that have had a cultural influence in Arizona in the 21st Century. An ideal example of one of these tribe is known as the Navajo Tribe. By nature, these tribes are quite interesting to outsiders due to the fact that almost everything they do has a deeper meaning. In the upcoming paragraphs the following will be discussed: origins, language, art, education, government, religion, and legends. In addition, the contributions of notable Navajo individuals will be explored.