Here are three examples from my career that show how deeply culture impacts medical care: Communication and ongoing education are essential to promoting cultural awareness and providing culturally sensitive care. 1. Realizing how culture can influence a person’s perceptions of health and medicine can really make a difference in understanding a person’s medical needs and how to communicate with them. Routine and accepted US health care system processes, structures, and norms may be unfamiliar to patients … Family and Community Why culture makes a difference in care. After a lot of introspection and discussion with her family and religious community, it became clear this really was her fully informed wish, so the medical team respected her decision. Back in Morocco, they wouldn’t consider leaving a sick relative alone in a hospital room. not allowing a child to eat heated foods when they have certain illnesses), could be the acceptable practice of your patient’s culture. Religion’s influence on patient care is expressed in prayer requests, in clinician-chaplain collaborations, and through health care organizations’ religious accommodations for patients and staff. But to outsiders, the customs and ways of life of different cultures are often obvious—and sometimes strange. It includes people’s beliefs, values, behaviors, and ways of understanding their world. Margaret Mead described it best when she explained the core value of anthropology: “to make the familiar strange, and the strange familiar.”. Eventually, it seems to me we should be making our way into the living room, but for some reason we aren’t. Practices that might be considered unethical to an autonomous American (e.g. Cultural and religious background influence an individual's attitudes, behaviors, and beliefs toward health, illness, and the provision of healthcare may present obstacles to the healthcare this population receives. Learn about the cultural traditions of the patients you care for. Here's an example from my own experience: I’m in Japan for a conference and I arrive at the house of my hosts. Culture, Belief and Health. Canada’s health system has been shaped by the mainstream beliefs of historically dominant cultures. In medicine, managing cultural differences—including customs—is essential to providing high-quality health care. • Integrates cultural beliefs into health care practices – Hot and Cold theory in Hispanic and Asians – Ancestor Worship in Asians – Jehovah’s Witness and blood products – Bereavement and pregnancy loss in all cultures – Vaginal bleeding in Jewish culture. Jehovah’s Witnesses usually decline transfusion of whole blood or blood components. Cultural awareness—on the part of both practitioner and patient—is key to identifying cultural barriers to medical care. We stand and exchange pleasantries for quite a while. Despite national health programs in the United States to eliminate the transmission of HBV infection, the Hmong continue to experience a higher rate of infection and a lower screening rate. Native Americans also place great value on family and spiritual beliefs. As you work to develop cultural awareness for yourself and your patients, use this checklist to make sure you’re able to understand and negotiate any cultural differences that may directly impact care. Was muss man nach der Bruststraffung für die Nachbehandlung beachten? Cultural awareness requires us to step back and look at ourselves as if through a stranger’s eyes, and to open our minds to different ways of doing things. Anmelden, Interdisciplinary collaboration, patient education. Cultural aspects common to Native Americans usually include being oriented in the present and valuing cooperation. How strange to them that I would walk off the street into a house without removing my dirty-soled shoes. Related: 7 Important Elements Of An Inspiring Nursing Career Cultural awareness is the ability to perceive our own cultural beliefs, values, and customs, and to understand how they shape our decisions and behavior. Against this background we consider the role played by culture and belief and how they can impact on patient outcomes. Cultural bias may result in very different health-related preferences and perceptions. Whether and how religion and spirituality training are critical components of students’ and clinicians’ development of cultural humility is explored in this month's issue. Ask the patient and family open-ended questions to gain more information about their assumptions and expectations. This choice is not due to perceived risk but is based on interpretation of biblical texts. Culture is largely invisible to people who share it. Diets also are a large influence on many cultures and beliefs, which can lead to problems regarding healthcare treatment. We also observed plenty of dietary customs from various cultures: Kosher, Halal, and vegetarian menus, seaweed soup being served to Korean women after giving birth, and attention paid to the hot and cold properties assigned to various foods in traditional Chinese healthcare. A patients might need special accommodations to be made with their food, and potential medications, to make sure they fall in line with their beliefs. I notice people glance at my feet occasionally and look uncomfortable. Culture influences patients' responses to illness and treatment. For the provider of health information or health care, these elements influence beliefs and belief systems surrounding health, healing, wellness, illness, disease, and delivery of health services. The hospital had a Sabbath elevator (so no one had to do the work of running the elevator on the Holy Day), and healthcare professionals and patients were not supposed to make physical contact across gender lines.
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