Saturday, 6 February 2016

Module 6 - Cultural Health Practices and Beliefs

McCurry, S. (photographer). (n.d.). Untitled digital image of traditional healing [photograph]. Retrieved from http://science.nationalgeographic.com/science/health-and-human-body/human-body/medicines-in-nature/


Transcultural nursing practice is essential in today's westernised healthcare system (Lo, 2012). It provides conscientious awareness to an individual's traditional background, values, faith and cultural customs, and assists with reducing health inequalities to our ethnically diverse multicultural population (Cheraghi, Manookian & Nasrabadi, 2014).
Cultural identities have idiosyncratic ethnic concerns that influence their well-being and mortality, and is capable to manipulate perceptive health requirements and deliverance of health care. Healthcare providers need to respect, comprehend and adhere to cultural beliefs to appropriately deliver holistic healthcare (Leininger, 2002). Addressing ethnic variations (Noels, 2014), cultural dietary requirements or restrictions (Koenig, Dutta, Kandula & Palaniappan, 2012; Ren Chung, Stoel, & Xu, 2011), gender preference (Zisberg, Topaz & Band-Wintershtein, 2015), palliative rituals (Nikora, 2012), and transcultural preferences for medical treatments and procedures (Gray, Szulczewski, Regan, Williams & Pai, 2014; Han, 2013; Bock, 2012) during nursing assessment is vital in becoming culturally competent.
Narayanasamy, A. (Artist). (2002). ACCESS model for transcultural nursing [Table]. Retrieved from http://eds.a.ebscohost.com.ezproxy.cqu.edu.au/eds/pdfviewer/pdfviewer?sid=3f2757ef-04ee-49b4-a5ae-529dded25622%40sessionmgr4003&vid=69&hid=4210. (Original work created 1999)

The ethical standards of 3.2, 4.6 and 8.2 in the Code of Ethics for Nurses in Australia (NMBA, 2010) recognises one's own religious and cultural values may culturally clash, but prejudicial opinions must not be imposed to influence decision-making (Burgess & Murray, 2015). The biomedical dominance and ethnocentrism of Western healthcare (Hunter, Corcoran, Phelps & Leeder, 2012)  need to accept the cultural context and holistic benefice of traditional therapy and Complementary and Alternative Medicines (Vardell, 2015). An interactive learning lesson focused on the cultural end-of-life traditional requirements of a female Indigenous Wiradjuri woman, and acknowledges the importance of cultural sensitivity to alternative spiritual dimensions of healthcare (Nikora, 2012). Integrating Eastern alternative practices of Holism, Humanism, Balance and Spirituality with traditional biomedical practices will incorporate therapeutic balance of psychological, emotional and spiritual factors to produce more transcultural and person-centred beneficial treatment outcomes (Jae-Mahn, 2015).
Self Reflection:  This module has given me an appreciation that every individual is a creation of their culture, and that it is my responsibility as a nurse to ascertain cultural assessment and provide transcultural healthcare to fit cultural expectations in relation to my clients unique ethnic values, beliefs and practices. This will help me in my future clinical practice to be more culturally competent and assist me to be more professionally sensitive to the healthcare needs of my clients.



References:

Bock, G. L. (2012). Jehovah's Witnesses and autonomy: honouring the refusal of blood transfusions. Journal Of Medical Ethics38(11), 652-656.
Burgess, S., & Murray, S. J. (2015). Cutting Both Ways: On the Ethical Entanglements of Human Rights, Rites, and Genital Mutilation. American Journal Of Bioethics, 15(2), 50-51.doi:10.1080/15265161.2014.990167
Cheraghi, M. A., Manookian, A., & Nasrabadi, A. N. (2014). Human dignity in religion-embedded cross-cultural nursing. Nursing Ethics21(8), 916-928 13p. doi:10.1177/0969733014521095
Gray, W. N., Szulczewski, L. J., Regan, S. P., Williams, J. A., & Pai, A. H. (2014). Cultural influences in pediatric cancer: From diagnosis to cure/end of life. Journal Of Pediatric Oncology Nursing31(5), 252-271. doi:10.1177/1043454214529022

Han, C. C. (2013). Do We Need to Consider Ethno-cultural Variation in the Use of Atypical Antipsychotics for Asian Patients with Major Depressive Disorder?. CNS Drugs2747-51.

Hunter, J., Corcoran, K., Phelps, K., & Leeder, S. (2012). The Integrative Medicine Team-Is Biomedical Dominance Inevitable?. Journal Of Alternative & Complementary Medicine18(12), 1127-1132 6p. doi:10.1089/acm.2011.0393
Jae-Mahn, S. (2015). The influence of social context on the treatment outcomes of complementary and alternative medicine: the case of acupuncture and herbal medicine in Japan and the U.S. Globalization & Health11(1), 1-13. doi:10.1186/s12992-015-0103-2
Koenig, C. J., Dutta, M. J., Kandula, N., & Palaniappan, L. (2012). “All of Those Things We Don't Eat”: A Culture-Centered Approach to Dietary Health Meanings for Asian Indians Living in the United States. Health Communication27(8), 818-828 11p. doi:10.1080/10410236.2011.651708
Leininger, M. (2002). Transcultural Nursing: concepts, theories and practice (3rd ed.). New York, NY: McGraw Hill Companies.

Lo, Y. (2012). The importance of transcultural nursing in cancer care. British Journal Of Nursing, S32-7 1p.
Narayanasamy, A. (Artist). (2002). ACCESS model for transcultural nursing [Table]. Retrieved from http://eds.a.ebscohost.com.ezproxy.cqu.edu.au/eds/pdfviewer/pdfviewer?sid=3f2757ef-04ee-49b4-a5ae-529dded25622%40sessionmgr4003&vid=69&hid=4210. (Original work created 1999)
Nikora, L. T. (2012). Final Arrangements Following Death: Maori Indigenous Decision Making and Tangi. Journal Of Community & Applied Social Psychology22(5), 400-413.
Noels, K. A. (2014). Language variation and ethnic identity: A social psychological perspective. Language And Communication35(New perspectives on linguistic variation and ethnic identity in North America), 88-96. doi:10.1016/j.langcom.2013.12.001
Nursing and Midwifery Board of Australia (NMBA). (2008a). Code of ethics for nurses in Australia. Retrieved from http://www.nursingmidwiferyboard.gov.au/Codes-Guidelines-Statements/Professional-standards.aspx
Ren, J., Chung, J., Stoel, L., & Xu, Y. (2011). Chinese dietary culture influences consumers' intention to use imported soy-based dietary supplements: an application of the theory of planned behaviour. International Journal Of Consumer Studies35(6), 661-669. doi:10.1111/j.1470-6431.2010.00959.x
Vardell, E. (2015). Natural Medicines: A Complementary and Alternative Medicines Tool Combining Natural Standard and the Natural Medicines Comprehensive Database. Medical Reference Services Quarterly34(4), 461-470. doi:10.1080/02763869.2015.1082382
Zisberg, A., Topaz, M., & Band-Wintershtein, T. (2015). Cultural- and Educational-Level Differences in Students Knowledge, Attitudes, and Preferences for Working With Older Adults: An Israeli Perspective. Journal Of Transcultural Nursing26(2), 193-201. doi:10.1177/1043659614526252





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