NU304- Transcultural Nursing
January 24, 2011
Health Promotion Strategies
Nurses are here to educate, to help people obtain the skills to maintain their health. As nurses, we attempt to help people to empower themselves, focusing on helping people to advocate for their own wellness. (WP, n.d.) states that “Health promotion is the provision of information and/or education to individuals, families, and communities that-encourage family unity, community commitment, and traditional spirituality, that make positive contributions to their health status. Health promotion is also the promotion of healthy ideas and concepts to motivate individuals to adopt healthy behaviors” (para.1). Implementing Health Promotion Strategies
There are many ways that health promotion strategies could be implemented based on cultural considerations. Using the holistic approach we will address health promotion through cultural, spiritual, physical, and emotional considerations. (Giger & Davidhizar, 2008) “Nurses must keep in mind that a treatment strategy that is consistent with the client’s beliefs may have a better chance of being successful” (p. 130). Addressing a patient’s medical history is just one step in this process. We need to look at how long a person has been in this country, especially in terms of language barriers and the need for interpreters. Creating supportive environments that give continuity of care can help alleviate patients’ fears. There are other cultural and spiritual factors that need to be considered as well, such as some cultures unique bond with wellness and nature. It is important to make sure that you explain what you are doing when you touch, get close, or use a lot of eye contact with patients, as some cultures are noncontact oriented. (Giger & Davidhizar, 2008) “People from a contact group may perceive people from a noncontact group as being shy, uninterested, cold , and impolite” (p. 447). The need may arise for pictures or drawings to help with the plan of care for those that don’t read or write. Cultural Factors that Could Impact Health
In this paper, the main cultural group is Chinese Americans. (Zhan, n.d) “The author identifies major factors affecting Chinese immigrants’ health seeking behaviors and decisions that include, but are not limited to, language barriers, lack of knowledge about American society and its healthcare system, different cultural assumptions about health and illness, stereotypes, inter-generational conflict, and discrimination” (p. xiv). These ideas give us a starting point to establish a good health assessment. (Giger & Davidhizar, 2008) states “Some Chinese Americans hesitate to ask questions when they do not understand: therefore, after rapport has been established, the nurse should elicit and encourage Chinese Americans to verbalize their feelings and ask questions…In addition, the nurse should avoid using negative questions to elicit responses because negative questions are comprehended differently in the Chinese language…Showing respect, demonstrating empathy, and being nonjudgmental can help establish rapport with Chinese American patients” (p. 447). It is important to address whether a patient understands what you are saying, because you may think they understood, but unless you ask you will not know for certain. Virtual Family
The Lin family consists of three children, Hao, Lan, and Ai-shi, and their mother Mei. They do have a father, but he has gone back to China and is not returning to be with his family. The Lin family is Buddhist, but they do not actively participate in their religion. (Zhan, n.d) “The moral framework of Buddhism demands a holistic, humanistic, and organic view of life and death. Buddhists believe a person represents a psycho-physical totality of the human being consisting of many lifetimes, including rebirth and Karma after death. Understand the Buddhist...