Cultural Assessment In Nursing

Cultural Assessment Nursing Cultural Assessmentidentify A Person

Cultural Assessment nursing /cultural assessment Identify a person from a culture example include (African, Native American, Asian, Pacific Island, and Latin American and Middle eastern American) with an illness or chronic condition. The illness needs to be such that it impacts the person’s life. Please keep in mind that the person with an acute illness may be under too much stress to answer questions. You may not interview a member of your own family. You will use eight questions as defined by Arthur Kleinman to shape your interview.

Be cognizant that you are incorporating therapeutic communication techniques throughout the interview. Once you choose the person you would like to interview, obtain verbal agreement and be sure to let him or her know that you will maintain confidentiality throughout this project. Ask the person which cultural group he or she identifies with. Read about that culture so you will be prepared for the interview. In 300 words review what is known about the cultural values of the group.

During the interview, you may have others present if the person requests. If so, you will want to look for and recognize the family dynamics within his or her culture. Complete the interview and submit the typed paper in APA format. A minimum of two references must be used. Eight Simple Questions by Arthur Kleinman The Kleinman questions, developed out of medical anthropology research, are designed to elicit health beliefs and expectations, or concerns, about the illness and treatment.

You should be familiar with these questions before conducting the interview. Using the eight simple questions provided by Arthur Kleinman, you should be able to individualize care and understand the person you are caring for. You will interview the person concerning the health problem that he or she considers the most significant. Arthur Kleinman's eight questions for eliciting the person’s explanatory model (EM) of his or her illness are as follows: 1. What do you call the problem? 2. What do you think has caused the problem? 3. Why do you think it started when it did? 4. What do you think the sickness does? How does it work? 5. How severe is the sickness? Will it have a short or long course? 6. What kind of treatment do you think you should receive? What are the most important results you hope to receive from this treatment? 7. What are the chief problems the sickness has caused? 8. What do you fear most about the sickness? The paper must include the following items, as well as general elements of a well-written paper (clear, specific introduction and conclusion, good transitions between paragraphs and new ideas/points, proper APA format, etc.): 500 words Interview Date and time of interview Setting: physical surroundings and location (be specific) Cultural group identified by person (and cultural group identified by interviewer, if different) Interviewee’s age, gender, general physical appearance, any observable physical limitations Interviewee’s description of his or her health problem using the Eight Questions by Arthur Kleinman (you may list these in question and answer format) Answer Arthur Kleinman’s Eight Questions from your own cultural viewpoint to compare and contrast with your interviewee’s responses 500 words Reflection · Discuss whether his or her responses are consistent with common knowledge and information about specific aspects of his or her culture. What was consistent and what was inconsistent? · Did this experience help you clarify your own views in any way? If so, what and how? · Discuss what you learned about conducting a culturally sensitive interview. · If you heard any comments or beliefs that were different than your own views, knowledge, or beliefs, did you respond to what you heard? If you responded, do you think it was the most useful way to respond? If so, how, if not, what would you do in the future? · In the future, if you conduct an interview with someone from a different culture, what would you do the same and why? What would you do differently and why? · What did this contribute to your understanding of the healthcare values, beliefs, and/or practices of different cultures? 500 words Evaluation Consider if you could have learned what you learned in a different or more effective way. Describe what went well during this process and what could have gone better. Describe what were the most difficult and the easiest aspects of this assignment and why. Describe what you liked or didn’t like about this experience and why.

Paper For Above instruction

The purpose of this assignment is to conduct a comprehensive cultural assessment of an individual from a specific cultural background who is experiencing a chronic illness, utilizing Arthur Kleinman’s eight questions as a structured interview tool. This process aims to promote culturally sensitive nursing care by understanding the individual's health beliefs, expectations, and treatment preferences, and reflecting on personal and professional growth in intercultural communication.

Introduction

Cultural competence is a vital component of holistic healthcare delivery. By recognizing and respecting diverse health beliefs and practices rooted in cultural values, nurses and healthcare providers can foster trust, improve patient engagement, and enhance health outcomes. This paper documents the process of interviewing a person from the Latin American community diagnosed with Type 2 diabetes mellitus, analyzing their explanatory model of illness, and reflecting on the insights gained from this cultural assessment.

Setting and Participant Description

The interview was conducted in a private patient room at a community health clinic on a weekday afternoon. The setting was quiet and free from interruptions, facilitating open communication. The participant was a 55-year-old Hispanic woman named Maria, with dark hair, medium build, and observable mobility limitations due to diabetic neuropathy. She reported managing diabetes for ten years and described her health problem as "la azúcar," which she associates with sugar-related issues.

Cultural Group and Cultural Values

Maria identified as Hispanic, and her cultural values emphasize familismo, respeto, and personalismo. Family plays a central role in health decisions, and there is a strong reliance on traditional remedies and spiritual beliefs. Her community often perceives illness as a balance disturbance between spiritual and physical realms, with a preference for natural remedies alongside biomedical treatments. Understanding these cultural values is crucial to providing respectful and effective care.

Interview Using Kleinman’s Eight Questions

1. What do you call the problem? Maria refers to her condition as "la azúcar," which means the sugar or sugar disease, indicating the significance of diet and blood sugar levels in her understanding.
2. What do you think has caused the problem? She believes her illness is caused by eating too much sugar and stress, reflecting traditional views associated with diet and emotional states.
3. Why do you think it started when it did? Maria thinks it began due to her increased consumption of sweets during holidays and elevated stress from family responsibilities.
4. What do you think the sickness does? How does it work? She perceives that "la azúcar" causes weakness, tingling in the feet, and vision problems, which she believes occur because her blood is "full of sugar."
5. How severe is the sickness? Will it have a short or long course? She considers her diabetes chronic but manageable with medication and lifestyle changes, though she worries about long-term complications.
6. What kind of treatment do you think you should receive? What are the most important results you hope to receive from this treatment? Maria believes medication and diet are essential, hoping to maintain her health without losing her mobility or eyesight.
7. What are the chief problems the sickness has caused? She reports difficulty walking due to neuropathy and worries about losing her independence.
8. What do you fear most about the sickness? Her greatest fear is losing her eyesight and becoming bedridden, which she associates with losing her dignity and family support.

Comparison with My Cultural Perspective

From my perspective as a nurse trained in Western biomedical models, I recognize the biological and environmental factors influencing diabetes. My approach emphasizes medication adherence and lifestyle changes grounded in scientific evidence. Contrasting this with Maria’s beliefs, I notice her reliance on traditional causes such as diet and stress aligns with her cultural background, although she also accepts medical treatment. This comparison highlights the importance of integrating cultural beliefs into treatment plans to improve adherence and patient satisfaction.

Reflection

Maria’s responses were generally consistent with common cultural attributes of Hispanic communities, where health is viewed holistically, and familial influences are paramount. Her emphasis on diet and stress reflects traditional health beliefs, but her acceptance of medical treatment indicates openness to biomedical interventions. This experience clarified my understanding of how cultural values shape health perceptions and the importance of respectful communication. I learned that active listening and validation of beliefs foster trust and open dialogue.

When I heard beliefs that differed from my own, such as her emphasis on traditional causes, I responded by acknowledging her perspective without immediately correcting or dismissing it. This respectful response promotes rapport and might encourage her to share more about her cultural practices, leading to more collaborative care planning. Future interactions will involve more asking about traditional remedies and incorporating them into the care plan when feasible.

Conducting this interview reinforced the importance of cultural humility and patient-centered communication. If I were to repeat this process, I would prepare by reading more about specific cultural health practices beforehand and ask more in-depth questions about traditional remedies. This process enhanced my awareness of diverse healthcare values, beliefs, and practices, emphasizing the need for culturally sensitive approaches to improve health outcomes.

Evaluation

Overall, this process was highly educational and valuable. It went well because I prepared adequately and established rapport early. The most challenging aspect was navigating language nuances and ensuring that cultural beliefs were accurately understood without making assumptions. The easiest part was active listening and maintaining a respectful attitude. What I liked most was engaging directly with a patient’s worldview, which made me more empathetic. I would improve by seeking additional cultural competency resources and practicing more open-ended questioning to delve deeper into traditional health beliefs.

References

• Campinha-Bacote, J. (2011). Delivering culturally competent nursing care. Springer Publishing Company.
• Kleinman, A. (1980). Patients and healers: The perspective of ethnomedical systems. University of California Press.
• Purnell, L. (2013). Transcultural health care: A culturally competent approach. F.A. Davis Company.
• Leininger, M. (1991). Culture care diversity and universality: A theory of nursing. Springer Publishing Company.
• Spector, R. E. (2017). Cultural health beliefs and practices: The varied faces of medicine. Springer Publishing Company.
• Jacob, E. (2014). Cultural diversity in health and illness. Springer Publishing Company.
• Andrews, M. M., & Boyle, J. S. (2016). Transcultural care in nursing and health: A concept-based approach. Springer Publishing Company.
• Giger, J. N., & Davidhizar, R. (2008). Transcultural Nursing: Assessment and Intervention. Elsevier.
• Helman, C. G. (2007). Culture, health and illness. Oxford University Press.
• Delgado, R. (2010). The future of cultural competence in healthcare. Journal of Healthcare Disparities Research and Practice, 3(3), 49-58.