ISBN-10:
0763756504
ISBN-13:
2900763756504
Pub. Date:
01/07/2010
Publisher:
Jones & Bartlett Learning
Cultural Competencies For Nurses: Impact On Health And Illness

Cultural Competencies For Nurses: Impact On Health And Illness

by Linda Dayer-Berenson
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  • Product Details

    ISBN-13: 2900763756504
    Publisher: Jones & Bartlett Learning
    Publication date: 01/07/2010
    Edition description: 1E
    Pages: 346
    Product dimensions: 6.00(w) x 1.25(h) x 9.00(d)

    Table of Contents

    Acknowledgments xi

    Preface xiii

    Unit 1 1

    Chapter 1 Birth of Transcultural Nursing to Current Theories and Conceptual Models for Cultural Diversity 9

    Chapter Objectives 9

    Introduction 10

    Population Growth 12

    Bicultural/Multicultural 12

    Acculturation 13

    Other Areas of Diversity 14

    Overview of Conceptual Models for Cultural Diversity 14

    Nonnursing Models for Cultural Assessment 18

    Selected Nursing Models for Cultural Assessment 18

    Summary 32

    Chapter 2 Culture 41

    Chapter Objectives 41

    Introduction 42

    The Sick Role and the Need for Cultural Sensitivity 43

    Primary and Secondary Characteristics of Culture 44

    Subcultures 45

    Impact of Culture and Ethics 46

    Culture and Mental Health 47

    Race and Ethnicity 49

    Ethnocentrism 52

    Generalizations and Stereotyping 54

    Cultural Mismatch and Cultural Pain 56

    Culture and Its Impact on the Patient Role 56

    Cultural Formulation and Culture-Bound Syndromes 57

    Cultural Differences in Mortality and Morbidity 57

    Impact of Gender 58

    Impact of Lesbian, Gay, Bisexual, and Transgender 61

    Homophobia and Incidence of Discrimination 62

    The Importance of Acceptance 63

    Summary 64

    Chapter 3 Global Diversity 69

    Chapter Objectives 69

    Introduction 70

    Cultural Diversity Defined 71

    Cultural Factors Impacting the Clinical Relationship 71

    The Importance of Striving for Understanding 73

    Language Barriers 74

    Proper Use of Interpreters 75

    Cultural Humility 76

    Impact of Diversity 77

    Culturally Discordant Care 80

    Health Disparities 80

    Impact of Diversity on Diagnosis and Treatment 81

    Barriers to Health Care 82

    Ethnopharmacology 83

    Reasons for Health Disparities 83

    Global HealthcareDisparities 84

    Global Diversity-The Role of Nursing 85

    Culture of Poverty 86

    United States 87

    United Kingdom 88

    Australia 92

    Canada 93

    South Africa 94

    Recommendations 94

    Summary 95

    Chapter 4 Organization of Healthcare Delivery in the21st Century 101

    Chapter Objectives 101

    Introduction 102

    National Standards: Culturally and linguistically Appropriate Services 103

    Standards of Care: Institute of Medicine 103

    Identified Barriers that Contribute to Healthcare Disparities 107

    Clinical Uncertainty 109

    Biases 110

    Role of Education 110

    Impact on Public Health 111

    Discrimination and Equitable Quality Healthcare Delivery 112

    Ethics 112

    Crossing the Quality Chasm 114

    Multidisciplinary and Interdisciplinary Teams 118

    Need to Improve Diversity of Nursing and Healthcare Workforce 119

    Impact oh Provision of Primary Care by Nurse Practitioners 121

    Opportunities for Nurses to Attain Cultural Competency Certification 123

    Future Research 123

    Summary 124

    Unit 2 129

    Chapter 5 Black Americans 133

    Chapter Objectives 133

    Introduction 134

    Historical Background 135

    Statistics 137

    Blacks and the US Healthcare System 139

    Definition of Health and Illness 140

    Traditional Healing Methods 141

    Current Health Problems 143

    Disparities 146

    Mistrust of the Healthcare System 147

    Barriers to Care 148

    Impact of Communication 150

    Impact of Time and Space 151

    Impact of Environment 152

    Impact of Biologic Variations 153

    Impact on Social Organization 158

    Impact on Faith and Spirituality 158

    Summary 159

    Chapter 6 Hispanics/Latinos 167

    Chapter Objectives 167

    Introduction 168

    Terminology: Latinos or Hispanics? 168

    Background 169

    History of Hispanics in the United States 170

    Mexican Americans 170

    Puerto Ricans 188

    Cuban Americans 194

    Central Americans 195

    Dominican Americans 195

    South Americans 196

    Consequences of Immigration to the United States for Hispanics 196

    Summary 196

    Chapter 7 Asians/Pacific Islanders 201

    Chapter Objectives 201

    Introduction 202

    Background 202

    Chinese Americans 204

    Korean Americans 220

    Cambodian Americans 225

    Vietnamese Americans 229

    Asian Indian Americans 232

    Japanese Americans 235

    Filipino Americans 236

    Pacific Islander Americans 239

    Summary 239

    Chapter 8 Native Americans 245

    Chapter Objectives 245

    Introduction 246

    Historical Background 246

    Variables Impacting Degree of Acculturation 250

    Definition of Health and Illness 250

    Specific Nursing Considerations 251

    Traditional Health Beliefs 252

    Impact of Communication 256

    Impact of Time and Space 257

    Impact of Social Organization 258

    Biologic Variations 259

    Impact of Faith and Spirituality 260

    Navajos 262

    Alaska Natives/American Eskimos 264

    Summary 268

    Chapter 9 Whites (Non-Hispanic) 273

    Chapter Objectives 273

    Introduction 274

    Historical Background 274

    Settlers of the New World 275

    Mass Migration of the1820s to the 1880s 276

    Projections 278

    Irish Americans 282

    Italian Americans 288

    Appalachians 291

    TheAmish 294

    Roma (Gypsies) 298

    Jewish Americans 300

    Russian Americans 306

    Summary 315

    Glossary of Additional Cultural Terms 321

    Appendix 329

    Background 329

    Principles of Muslim Faith 330

    Muslim Health Beliefs 330

    Important Nursing Implications 330

    Index 333

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