Florida National University ?Culture Family and Community in Health Discussion Culture, Family, and Community Read chapter 11 of the class textbook and re

Florida National University ?Culture Family and Community in Health Discussion Culture, Family, and Community

Read chapter 11 of the class textbook and review the attached PowerPoint presentation. Once done, answer the following questions;

1. How can you apply cultural concepts to provide nursing care to families, communities, and the aggregate group?

2. Assess and discuss factors that influence the health and illness of groups.

3. Identify and discuss interventions that are culturally sensitive and relevant to address the health concerns of a refugee population.

4. Describe four cultural concepts and discuss how they can be used to provide transcultural nursing care to families and community aggregates.

APA format between 700-800 words, 2 references Chapter 11:
Culture, Family, and Community
Copyright © 2016 Wolters Kluwer Health | Lippincott Williams & Wilkins
Community-Based Settings #1
• An understanding of culture and cultural concepts
contributes to the nurse’s knowledge and facilitates
culturally competent nursing care in community-based
settings.
• Nurses are moving from acute care to community-based
settings.
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Community-Based Settings #2
• Concepts such as partnership, collaboration,
empowerment, and facilitation now form the basis for
community-based nursing practice with individuals, families,
and aggregates in the community.
? An aggregate is a collection of people who can be
thought of as a whole simply because they happen to be in
the same place at the same time.
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Community-Based Settings #3
? Community-based collaborative action research
(CBCAR) is an approach for nurses to partner with
communities to address health issues.
? Care that is not congruent with the client’s value system
is likely to increase the cost of care because it
compromises quality and inhibits access to services.
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Overview of Culturally Competent Nursing
Care in Community Settings
? The use of cultural knowledge in community-based
nursing practice begins with a careful assessment of
clients and families in their own environments.
? Cultural data are discussed with the client and family to
develop mutually shared goals.
? Nurses must take into account the diverse cultural factors
that will motivate clients to make successful changes in
lifestyle and behavioral modifications.
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A Transcultural Framework
? Cultural/social/ecological approach:
o Nursing focus is on the community as client.
o A cultural/social/ecological framework facilitates a
view of the community as a complex collective yet
allows for diversity within the whole.
o Assists the nurse to identify values and cultural
norms of a community.
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Question #1
? Is the following statement true or false?
? The goal of practicing in a culturally sensitive manner is
to provide care that the client, family, and health care
providers are in agreement with.
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Answer to Question #1
? True
? Rationale: The use of cultural knowledge in communitybased nursing practice begins with a careful assessment of
clients and families in their own environments. Cultural
data that have implications for nursing care are selected
from clients, families, and the environment during the
assessment phase and are discussed with the client and
family to develop mutually shared goals.
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Cultural Issues in Community Nursing
Practice #1
? Cultural influences on individuals/families:
o Family roles, communication, decision making
o Health beliefs/practices, alternative therapies
o Patterns of daily living
o Social networks
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Cultural Issues in Community Nursing
Practice #2
? Cultural influences on individuals/families (cont.):
o Identification with a cultural group, language
o Nutritional practices
o Religious preferences
o Culturally appropriate behavior styles
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Cultural Issues in Community Nursing
Practice #3
? Cultural factors within communities:
o Influence of demographics on health care; the United
States is more diverse; morbidity/mortality rates
o Subcultures in the United States and diversity within
them
o Refugee and immigrant populations, asylees
? Dinka community
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Cultural Issues in Community Nursing
Practice #4
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Cultural Issues in Community Nursing
Practice #5
? Cultural factors within communities (cont.):
o Maintenance of traditional cultural values and
practices, assimilation, acculturation, integration
o Access to health and nursing care for diverse cultural
groups:
? Economic status
? Discriminatory factors
? Geographic location
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Question #2
? Is the following statement true or false?
? Assimilation and acculturation can be defined as the
process by which individuals shed their traditional
culture and lifestyle and embrace and adapt to their
new culture—something all successful immigrants and
refugees experience.
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Answer to Question #2
? False
? Rationale: The terms assimilation and acculturation
refer to ways in which immigrants and refugees adapt and
change over time. These terms may imply giving up one’s
traditional culture for the dominant culture. Integration,
incorporating some aspects of the new culture while
maintaining cultural traditions and values, may better
describe a successful immigrant or refugee experience.
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Assessment of Culturally Diverse
Communities #1
? The community nursing assessment often focuses on a
broad goal, such as improvement in the health status of
a group of people.
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Assessment of Culturally Diverse
Communities #2
• Basic Principles of Cultural Assessments:
1. All cultures must be viewed in the context in which
they have developed.
2. The meaning and purpose of the behavior must be
interpreted within the context of the specific culture.
3. There is such a phenomenon as intracultural
variation.
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Assessment of Culturally Diverse
Communities #3
? Cultural competence in health maintenance and
health promotion:
o Cultural competence in community settings begins
with anticipatory planning.
o Cultural sensitivity, the ability to be aware of the
needs and emotions of others, is essential to meeting
health needs that exist within diverse cultural groups.
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Assessment of Culturally Diverse
Communities #4
• Cultural competence in health maintenance and
health promotion (cont.):
? Requires knowledge about:
? Family systems
? Coping behaviors
? Lifestyle practices
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Assessment of Culturally Diverse
Communities #5
? Cultural competence in primary, secondary, and
tertiary preventive programs:
o The major aim of community-based preventive
programs is to reduce the risk for the population at
large, rather than to prevent illnesses in specific
individuals.
o In their daily practice, community nurses are often
involved in activities related to all three levels of
prevention.
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Assessment of Culturally Diverse
Communities #6
? Cultural Competence in primary, secondary, and
tertiary preventive programs (cont.):
o Primary—prevent the occurrence of an illness,
disease, or health risk
o Secondary—early diagnosis and appropriate
treatment of a condition or disease
o Tertiary—rehabilitation and the prevention of
recurrences or complications
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Question #3
? The community health nurse should target certain high-
risk behaviors for change during pregnancy, such as
smoking, using drugs, consuming alcohol, and
maintaining poor nutritional habits. Which of the
following levels of prevention does this demonstrate?
A. Primary
B. Secondary
C. Tertiary
D. Assessment
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Answer to Question #3
? A. Primary
? Rationale: A program of primary prevention would focus
on preventing infant morbidity and mortality and other
health problems in mothers and their infants.
? Early prenatal care may enhance pregnancy outcome
and maternal health by assessing risk, providing health
advice, and managing chronic and pregnancy-related
health conditions.
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