Handbook for Culturally Competent Care (eBook)
361 Seiten
Springer-Verlag
978-3-030-21946-8 (ISBN)
This concise, easy-to-read book tackles the potentially awkward subject of culture in a direct, non-intimidating style. It prepares all health professionals in any clinical setting to conduct thorough assessments of individual from culturally specific population groups, making it especially valuable in today's team-oriented healthcare environment. The book is suitable for healthcare workers in all fields, particularly nurses who interact with the patients 24 hours a day, every day of the week.
Based on the Purnell Model for Cultural Competence, it explores 26 different cultures and the issues that healthcare professionals need to be sensitive to. For each group, the book includes an overview of heritage, communication styles, family roles and organization, workforce issues, biocultural ecology, high-risk health behaviors, nutrition, pregnancy and child bearing, death rituals, spirituality, healthcare practices, and the views of healthcare providers. It also discusses the variant characteristics of culture that determine the diversity of values, beliefs, and practices in an individual's cultural heritage in order to help prevent stereotyping. These characteristics include age, generation, nationality, race, color, gender, religion, educational status, socioeconomic status, occupation, military status, political beliefs, urban versus rural residence, enclave identity, marital status, parental status, physical characteristics, sexual orientation, gender issues, health literacy, and reasons for migration. Each chapter offers specific instructions, guidelines, tips, intervention strategies, and approaches specific to a particular cultural population.
Dr. Larry D. Purnell is Emeritus Professor from the University of Delaware where he coordinated the graduate programs in nursing and healthcare administration and taught culture. His Model, the Purnell Model for Cultural Competence has been translated into Arabic, Czech, Flemish, Korean, French, German, Japanese, Persian, Portuguese, Spanish, and Turkish. His textbook on Transcultural Health Care won the Brandon Hill and American Journal of Nursing Book Awards. Dr. Purnell has over 100 refereed journal publications, 100 book chapters, and 14 textbooks, including updated editions. He has made presentations throughout the United States as well as in Australia, Colombia, Costa Rica, England, Denmark, Italy, Korea, Panama, Russia, Scotland, Spain, and Turkey. He is the U.S. Representative to the European Union's Commission on Intercultural Communication resulting from the Salamanca, Sorbonne, Bologna, and WHO Declarations. He has been on the International Editorial Board, for six journals. Dr. Purnell is a Fellow in the American Academy of Nursing, a Transcultural Nursing Scholar, Luther Christman Fellow, and is on the Rosa Parks Wall of Fame for Teaching Tolerance.
Dr. Eric A. Fenkl, an Associate Professor of Nursing, received his PhD in Nursing from the University of Wisconsin. Dr. Fenkl's research interests include the cultural aspects of HIV/HPV prevention and related disease among LGBT populations with a particular emphasis on MSM and ethnically diverse populations. Dr. Fenkl has been the Co-PI on two large grants from the Center for Substance Abuse Prevention, SAMHSA. One to develop a program focusing on HIV/STD and substance abuse prevention for minority LGBT students on campus and a second one to implement a program for outreach in the greater Miami metropolitan area specifically for at-risk minority MSM. Dr. Fenkl has presented at numerous national and international conferences and has published widely in peer-reviewed journals globally. Dr. Fenkl's teaching is focused on the facilitation of cultural competence in advanced practice nursing.
Preface 5
Contents 7
Introduction 18
Chapter 1: Transcultural Diversity and Health Care 20
1.1 The Need for Culturally Competent Health Care 20
1.2 Variant Characteristics of Culture 22
1.3 Reflective Exercises 24
Bibliography 25
Chapter 2: The Purnell Model for Cultural Competence 26
2.1 The Purnell Model 27
2.1.1 Assessment Guide 27
2.1.2 Domains and Concepts 28
2.1.2.1 Overview and Heritage 28
2.1.2.2 Communications 29
2.1.2.3 Family Roles and Organization 29
2.1.2.4 Workforce Issues 29
2.1.2.5 Biocultural Ecology 29
2.1.2.6 High-Risk Health Behaviors 30
2.1.2.7 Nutrition 30
2.1.2.8 Pregnancy and Childbearing Practices 30
2.1.2.9 Death Rituals 30
2.1.2.10 Spirituality 30
2.1.2.11 Health-Care Practices 30
2.1.2.12 Health-Care Practitioners 31
2.2 Purnell Cultural Assessment Tool 31
2.3 Reflective Exercise 36
Chapter 3: Barriers to Culturally Competent Health Care 38
3.1 Language and Health Literacy 39
3.2 Availability 40
3.3 Accessibility 41
3.4 Affordability 41
3.5 Appropriateness 41
3.6 Organizational Accountability 42
3.7 Adaptability 42
3.8 Acceptability 42
3.9 Awareness 43
3.10 Attitudes 43
3.11 Approachability 43
3.12 Alternative Practices 44
3.13 Additional Services 44
3.14 Reflective Exercises 44
Bibliography 45
Chapter 4: People of African American Heritage 46
4.1 Overview and Heritage 46
4.1.1 Communications 46
4.1.2 Family Roles and Organization 47
4.1.3 Workforce Issues 48
4.1.4 Biocultural Ecology 49
4.1.5 High-Risk Health Behaviors 51
4.1.6 Nutrition 51
4.1.7 Pregnancy and Childbearing Practices 52
4.1.8 Death Rituals 53
4.1.9 Spirituality 54
4.1.10 Health-Care Practices 55
4.1.11 Health-Care Providers 56
4.2 Reflective Exercises 57
Bibliography 58
Chapter 5: People of American Indian/Alaskan Native Heritage 59
5.1 Overview and Heritage 59
5.1.1 Communications 60
5.1.2 Family Roles and Organization 61
5.1.3 Workforce Issues 62
5.1.4 Biocultural Ecology 62
5.1.5 High-Risk Behaviors 63
5.1.6 Nutrition 64
5.1.7 Pregnancy and Childbearing Practices 64
5.1.8 Death Rituals 65
5.1.9 Spirituality 65
5.1.10 Health-Care Practices 65
5.1.11 Health-Care Providers 66
5.2 People of Navajo Heritage 66
5.2.1 Communications 67
5.2.2 Family Roles and Organization 68
5.2.3 Workforce Issues 69
5.2.4 Biocultural Ecology 70
5.2.5 High-Risk Health Behaviors 71
5.2.6 Nutrition 72
5.2.7 Pregnancy and Childbearing Practices 72
5.2.8 Death Rituals 73
5.2.9 Spirituality 75
5.2.10 Health-Care Practices 76
5.2.11 Health-Care Provider 77
5.3 Reflective Exercises 78
Bibliography 79
Chapter 6: The Amish 80
6.1 Overview and Heritage 80
6.1.1 Communications 81
6.1.2 Family Roles and Organization 82
6.1.3 Workforce Issues 82
6.1.4 Biocultural Ecology 83
6.1.5 High-Risk Health Behaviors 84
6.1.6 Nutrition 84
6.1.7 Pregnancy and Childbearing Practices 84
6.1.8 Death Rituals 85
6.1.9 Spirituality 85
6.1.10 Health-Care Practices 86
6.1.11 Health-Care Providers 87
6.2 Reflective Exercises 88
Bibliography 88
Chapter 7: People of Appalachian Heritage 89
7.1 Overview and Heritage 89
7.1.1 Communications 90
7.1.2 Family Roles and Organization 91
7.1.3 Workforce Issues 91
7.1.4 Biocultural Ecology 92
7.1.5 High-Risk Health Behaviors 93
7.1.6 Nutrition 93
7.1.7 Pregnancy and Childbearing Practices 94
7.1.8 Death Rituals 95
7.1.9 Spirituality 95
7.1.10 Health-Care Practices 96
7.1.11 Health-Care Providers 97
7.2 Reflective Exercises 98
Bibliography 98
Chapter 8: People of Arab Heritage 99
8.1 Overview and Heritage 99
8.1.1 Communications 100
8.1.2 Family Roles and Organization 100
8.1.3 Workforce Issues 102
8.1.4 Biocultural Ecology 103
8.1.5 High-Risk Health Behaviors 104
8.1.6 Nutrition 104
8.1.7 Pregnancy and Childbearing Practices 105
8.1.8 Death Rituals 106
8.1.9 Spirituality 107
8.1.10 Health-Care Practices 108
8.1.11 Health-Care Providers 110
8.2 Reflective Exercises 110
Bibliography 110
Chapter 9: People of Brazilian Heritage 112
9.1 Overview and Heritage 112
9.1.1 Communications 113
9.1.2 Family Roles and Organization 114
9.1.3 Workforce Issues 115
9.1.4 Biocultural Ecology 115
9.1.5 High-Risk Health Behaviors 116
9.1.6 Nutrition 117
9.1.7 Pregnancy and Childbearing Practices 118
9.1.8 Death Rituals 118
9.1.9 Spirituality 119
9.1.10 Health-Care Practices 119
9.1.11 Health-Care Providers 121
9.2 Reflective Exercises 121
Bibliography 122
Chapter 10: People of Chinese Heritage 123
10.1 Overview and Heritage 123
10.1.1 Communications 124
10.1.2 Family Roles and Organization 125
10.1.3 Workforce Issues 126
10.1.4 Biocultural Ecology 127
10.1.5 High-Risk Health Behaviors 128
10.1.6 Nutrition 128
10.1.7 Pregnancy and Childbearing Practices 129
10.1.8 Death Rituals 130
10.1.9 Spirituality 130
10.1.10 Health-Care Practices 131
10.1.11 Health-Care Providers 132
10.2 Reflective Exercises 132
Bibliography 133
Chapter 11: People of Cuban Heritage 134
11.1 Overview and Heritage 134
11.1.1 Communications 134
11.1.2 Family Roles and Organization 135
11.1.3 Workforce Issues 136
11.1.4 Biocultural Ecology 137
11.1.5 High-Risk Health Behaviors 137
11.1.6 Nutrition 138
11.1.7 Pregnancy and Childbearing Practices 139
11.1.8 Death Rituals 140
11.1.9 Spirituality 140
11.1.10 Health-Care Practices 141
11.1.11 Health-Care Providers 143
11.2 Reflective Exercises 144
Bibliography 144
Chapter 12: People of European American Heritage 145
12.1 Overview and Heritage 145
12.1.1 Communications 145
12.1.2 Family Roles and Organization 146
12.1.3 Workforce Issues 147
12.1.4 Biocultural Ecology 148
12.1.5 High-Risk Health Behaviors 148
12.1.6 Nutrition 149
12.1.7 Pregnancy and Childbearing Practices 149
12.1.8 Death Rituals 150
12.1.9 Spirituality 150
12.1.10 Health-Care Practices 151
12.2 Reflective Exercises 152
Bibliography 153
Chapter 13: People of Filipino Heritage 154
13.1 Overview and Heritage 154
13.1.1 Communications 154
13.1.2 Family Roles and Organization 156
13.1.3 Workforce Issues 157
13.1.4 Biocultural Ecology 158
13.1.5 High-Risk Health Behaviors 159
13.1.6 Nutrition 159
13.1.7 Pregnancy and Childbearing Practices 160
13.1.8 Death Rituals 161
13.1.9 Spirituality 162
13.1.10 Health-Care Practices 162
13.1.11 Health-Care Providers 164
13.2 Reflective Exercises 164
Bibliography 165
Chapter 14: People of German Heritage 166
14.1 Overview and Heritage 166
14.1.1 Communications 166
14.1.2 Family Roles and Organization 168
14.1.3 Workforce Issues 169
14.1.4 Biocultural Ecology 169
14.1.5 High-Risk Health Behaviors 169
14.1.6 Nutrition 170
14.1.7 Pregnancy and Childbearing Practices 170
14.1.8 Death Rituals 171
14.1.9 Spirituality 171
14.1.10 Health-Care Practices 172
14.1.11 Health-Care Providers 173
14.2 Reflective Exercises 173
Bibliography 173
Chapter 15: People of Guatemalan Heritage 174
15.1 Overview and Heritage 174
15.1.1 Communications 174
15.1.2 Family Roles and Organization 176
15.1.3 Workforce Issues 176
15.1.4 Biocultural Ecology 177
15.1.5 High-Risk Behaviors 178
15.1.6 Nutrition 178
15.1.7 Pregnancy and Childbearing Practices 179
15.1.8 Death Rituals 179
15.1.9 Spirituality 180
15.1.10 Health-Care Practices 180
15.1.11 Health-Care Providers 182
15.2 Reflective Exercises 183
Bibliography 183
Chapter 16: People of Haitian Heritage 184
16.1 Overview and Heritage 184
16.1.1 Communications 184
16.1.2 Family Roles and Organization 186
16.1.3 Workforce Issues 187
16.1.4 Biocultural Ecology 188
16.1.5 High-Risk Health Behaviors 189
16.1.6 Nutrition 189
16.1.7 Pregnancy and Childbearing Practices 190
16.1.8 Death Rituals 192
16.1.9 Spirituality 192
16.1.10 Health-Care Practices 193
16.1.11 Health-Care Providers 195
16.2 Reflective Exercises 196
Bibliography 196
Chapter 17: People of Hindu Heritage 197
17.1 Overview and Heritage 197
17.1.1 Communications 197
17.1.2 Family Roles and Organization 198
17.1.3 Workforce Issues 199
17.1.4 Biocultural Ecology 200
17.1.5 High-Risk Health Behaviors 200
17.1.6 Nutrition 201
17.1.7 Pregnancy and Childbearing Practices 202
17.1.8 Death Rituals 203
17.1.9 Spirituality 205
17.1.10 Health-Care Practices 205
17.1.11 Health-Care Providers 207
17.2 Reflective Exercises 208
Bibliography 208
Chapter 18: People of Hmong Heritage 209
18.1 Overview and Heritage 209
18.1.1 Communications 210
18.1.2 Family Roles and Organization 212
18.1.3 Workforce Issues 213
18.1.4 Biocultural Ecology 213
18.1.5 High-Risk Health Behaviors 215
18.1.6 Nutrition 215
18.1.7 Pregnancy and Childbearing Practices 216
18.1.8 Death Rituals 216
18.1.9 Spirituality 216
18.1.10 Health-Care Practices 217
18.1.11 Health-Care Providers 217
18.2 Reflective Exercises 218
Bibliography 218
Chapter 19: People of Iranian Heritage 219
19.1 Overview and Heritage 219
19.1.1 Communications 220
19.1.2 Family Roles and Organization 221
19.1.3 Workforce Issues 223
19.1.4 Biocultural Ecology 223
19.1.5 High-Risk Health Behaviors 224
19.1.6 Nutrition 224
19.1.7 Pregnancy and Childbearing Practices 225
19.1.8 Death Rituals 226
19.1.9 Spirituality 227
19.1.10 Health-Care Practices 227
19.1.11 Health-Care Providers 229
19.2 Reflective Exercises 229
Bibliography 230
Chapter 20: People of Japanese Heritage 231
20.1 Overview and Heritage 231
20.1.1 Communications 231
20.1.2 Family Roles and Organization 233
20.1.3 Workforce Issues 234
20.1.4 Biocultural Ecology 234
20.1.5 High-Risk Health Behaviors 235
20.1.6 Nutrition 235
20.1.7 Pregnancy and Childbearing Practices 236
20.1.8 Death Rituals 237
20.1.9 Spirituality 238
20.1.10 Health-Care Practices 238
20.1.11 Health-Care Providers 240
20.2 Reflective Exercises 240
Bibliography 240
Chapter 21: People of Jewish Heritage 242
21.1 Overview and Heritage 242
21.1.1 Communications 243
21.1.2 Family Roles and Organization 244
21.1.3 Workforce Issues 244
21.1.4 Biocultural Ecology 245
21.1.5 High-Risk Health Behaviors 246
21.1.6 Nutrition 246
21.1.7 Pregnancy and Childbearing Practices 248
21.1.8 Death Rituals 249
21.1.9 Spirituality 251
21.1.10 Health-Care Practices 253
21.1.11 Health-Care Providers 254
21.2 Reflective Exercises 254
Bibliography 255
Chapter 22: People of Irish Heritage 256
22.1 Overview and Heritage 256
22.1.1 Communications 256
22.1.2 Family Roles and Organization 257
22.1.3 Workforce Issues 258
22.1.4 Biocultural Ecology 258
22.1.5 High-Risk Health Behaviors 259
22.1.6 Nutrition 259
22.1.7 Pregnancy and Childbearing Practices 260
22.1.8 Death Rituals 260
22.1.9 Spirituality 261
22.1.10 Health-Care Practices 261
22.1.11 Health-Care Providers 262
22.2 Reflective Exercises 263
Bibliography 263
Chapter 23: People of Korean Heritage 264
23.1 Overview and Heritage 264
23.1.1 Communications 264
23.1.2 Family Roles and Organization 265
23.1.3 Workforce Issues 266
23.1.4 Biocultural Ecology 267
23.1.5 High-Risk Health Behaviors 267
23.1.6 Nutrition 268
23.1.7 Pregnancy and Childbearing Practices 268
23.1.8 Death Rituals 269
23.1.9 Spirituality 270
23.1.10 Health-Care Practices 270
23.1.11 Health-Care Practitioners 270
23.2 Reflective Exercises 271
Bibliography 271
Chapter 24: People of Mexican Heritage 272
24.1 Overview and Heritage 272
24.1.1 Communications 272
24.1.2 Family Roles and Organization 273
24.1.3 Workforce Issues 274
24.1.4 Biocultural Ecology 274
24.1.5 High-Risk Health Behaviors 275
24.1.6 Nutrition 275
24.1.7 Pregnancy and Childbearing Practices 276
24.1.8 Death Rituals 277
24.1.9 Spirituality 278
24.1.10 Health-Care Practices 278
24.1.11 Health-Care Providers 280
24.2 Reflective Exercises 280
Bibliography 281
Chapter 25: People of Polish Heritage 282
25.1 Overview and Heritage 282
25.1.1 Communications 283
25.1.2 Family Roles and Organization 284
25.1.3 Workforce Issues 285
25.1.4 Biocultural Ecology 285
25.1.5 High-Risk Behaviors 286
25.1.6 Nutrition 286
25.1.7 Pregnancy and Childbearing Practices 287
25.1.8 Death Rituals 288
25.1.9 Spirituality 288
25.1.10 Health-Care Practices 288
25.1.11 Health-Care Providers 290
25.2 Reflective Exercises 290
Bibliography 291
Chapter 26: People of Puerto Rican Heritage 292
26.1 Overview and Heritage 292
26.1.1 Communications 292
26.1.2 Family Roles and Organization 294
26.1.3 Workforce Issues 295
26.1.4 Biocultural Ecology 296
26.1.5 High-Risk Health Behaviors 296
26.1.6 Nutrition 297
26.1.7 Pregnancy and Childbearing Practices 302
26.1.8 Death Rituals 303
26.1.9 Spirituality 303
26.1.10 Health-Care Practices 304
26.1.11 Health-Care Providers 305
26.2 Reflective Exercises 306
Bibliography 306
Chapter 27: People of Russian Heritage 308
27.1 Overview and Heritage 308
27.1.1 Communications 308
27.1.2 Family Roles and Organization 309
27.1.3 Workforce Issues 310
27.1.4 Biocultural Ecology 310
27.1.5 High-Risk Health Behaviors 311
27.1.6 Nutrition 311
27.1.7 Pregnancy and Childbearing Practices 312
27.1.8 Death Rituals 312
27.1.9 Spirituality 313
27.1.10 Health-Care Practices 313
27.1.11 Health-Care Providers 314
27.2 Reflective Exercises 315
Bibliography 315
Chapter 28: People of Somali Heritage 316
28.1 Overview and Heritage 316
28.1.1 Communications 317
28.1.2 Family Roles and Organization 318
28.1.3 Workforce Issues 319
28.1.4 Biocultural Ecology 319
28.1.5 High-Risk Health Behaviors 320
28.1.6 Nutrition 321
28.1.7 Pregnancy and Childbearing Practices 322
28.1.8 Death Rituals 322
28.1.9 Spirituality 323
28.1.10 Health-Care Practices 323
28.1.11 Health-Care Providers 325
28.2 Reflective Exercises 325
Bibliography 326
Chapter 29: People of Turkish Heritage 327
29.1 Overview and Heritage 327
29.1.1 Communications 328
29.1.2 Family Roles and Organization 329
29.1.3 Workforce Issues 330
29.1.4 Biocultural Ecology 331
29.1.5 High-Risk Health Behaviors 332
29.1.6 Nutrition 332
29.1.7 Pregnancy and Childbearing Practices 334
29.1.8 Death Rituals 335
29.1.9 Spirituality 335
29.1.10 Health-Care Practices 336
29.1.11 Health-Care Providers 337
29.2 Reflective Exercises 338
Bibliography 338
Chapter 30: People of Vietnamese Heritage 339
30.1 Overview and Heritage 339
30.1.1 Communications 339
30.1.2 Family Roles and Organization 341
30.1.3 Workforce Issues 342
30.1.4 Biocultural Ecology 343
30.1.5 High-Risk Health Behaviors 344
30.1.6 Nutrition 345
30.1.7 Pregnancy and Childbearing Practices 346
30.1.8 Death Rituals 348
30.1.9 Spirituality 349
30.1.10 Health-Care Practices 349
30.1.11 Health-Care Providers 352
30.2 Reflective Exercises 353
Bibliography 354
Glossary 355
| Erscheint lt. Verlag | 29.6.2019 |
|---|---|
| Sprache | englisch |
| Themenwelt | Medizin / Pharmazie ► Pflege |
| Sozialwissenschaften ► Politik / Verwaltung | |
| ISBN-10 | 3-030-21946-1 / 3030219461 |
| ISBN-13 | 978-3-030-21946-8 / 9783030219468 |
| Haben Sie eine Frage zum Produkt? |
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