1. Life Span Chapter 2: Culture

2. Culture Learned patterns of behavior   Thinking  Decisions  Actions

3. What is Culture? Shared – Beliefs – Values – Ideas – Doctrine

4. Culture Health Influences

5. Cultural Awareness

6. CULTURE Values Reaction to Death Male / Female roles Diet Child rearing Pain perception Reaction to Stress

7. Is the USA A.A melting pot B.Salad bowl

8. Heterogeneous Consists of many ethnic groups.

9. Beliefs Truths held by a culture

10. Values Deep feelings that determine what is considered good or bad.

11. Norms Society accepted rules

12. Folkways Greeting customs

13. Laws Written policies enforced by govt.

14. Mores Strong moral beliefs

15. Sanctions Social remedies for violating any norms

16. Symbols Language, gestures, objects used to communicate

17. Race Similar physical characteristics

18. Ethnicity Shared cultural heritage

19. Ethnocentric Belief that your culture is better than another

20. Stereotyping Fixed, over generalized belief about a group

21. Transcultural nursing Cultural competence Cultural awareness Cultural sensitivity

22. Hispanic Largest Fastest growing

23. Hispanic Head of the family… – Man Personal space – Close when talking

24. Hispanic Direct eye contact – Avoided – Evil eye Religion – Strong – Catholic

25. Hispanic Health care – Home remedies – Folk healing – Doctor makes decisions

26. Hispanic Most common disease – Diabetes – Hypertension – Lactose intolerance

27. Native Americans Elders – Respected Talking loud – Rude Eye contact – Unacceptable

28. Native Americans Respect for – The earth Child care – Babies touched less

29. Native Americans Common diseases – Heart disease – Diabetes – Lactose intolerance

30. African Americans Eye contact – Aggressive Family organization – Matriarchal Distrust – Health care

31. African Americans Common diseases – Hypertension – Cancer – Stroke – Diabetes – Kidney disease – Liver disease

32. Europeans Americans Speech – Loud Eye contact – Essential Touching – Less accepted

33. European Americans Common diseased – Cancer – Leukemia

34. Asian Americans Communication – Quiet Eye contact – Disrespectful Touch – Only between same gender

35. Health – Ying / Yang Common disease – Lactose intolerance – Hypertension – Liver cancer – Stomach cancer

36. “A group of people who share and are unified by experiences and background based on such factors as socioeconomic status, religion, education and residence.” A.Culture B.Ethnic group C.Ethnocentrism D.Prejudice E.Race

37. “Belief that their own cultural group’s beliefs and values are the only acceptable ones” A.Culture B.Ethnic group C.Ethnocentrism D.Prejudice E.Race

38. “Is the learned behavior, values, beliefs, norms, and practices shared by a particular group of people that guide their thinking, decisions and actions” A.Culture B.Ethnic group C.Ethnocentrism D.Prejudice E.Race

39. “The act or state of holding unreasonable preconceived judgments or convictions.” A.Culture B.Ethnic group C.Ethnocentrism D.Prejudice E.Race

40. 5. “To identify differences in physical characteristics, such as skin color, eye shape and bone structure.” A.Culture B.Ethnic group C.Ethnocentrism D.Prejudice E.Race

41. Culture / Race / Ethnic group / Prejudice Culture: – “Is the learned behavior, values, beliefs, norms, and practices shared by a particular group of people that guide their thinking, decisions and actions” Race: – “To identify differences in physical characteristics, such as skin color, eye shape and bone structure.” Ethnic group: – “A group of people who share and are unified by experiences and background based on such factors as socioeconomic status, religion, education and residence.” Prejudice – “The act or state of holding unreasonable preconceived judgments or convictions.” Ethnocentrism: – “Belief that their own cultural group’s beliefs and values are the only acceptable ones”

42. Nation of origin: Asian Communication – National - dialects – Silence / Non-verbal Space – Non contact Time – Present

43. Nation of origin: Asian Social Orientation – Family: hierarchical – Community > self Environmental control – Traditional medicine Biologic Variations – Liver & stomach CA; HTN; lactose intolerance

44. Nation of origin: African Communication – Dialects Space – Close personal space Time – Present over future

45. Nation of origin: African Social Orientation – Many single parents – Large extended family – Church Environmental control – Traditional medicine Biologic Variations – Sickle cell anemia; HTN; lactose intolerance, Stomach CA

46. Nation of origin: European Communication – National + English Space – Noncontact; Aloof Time – Future over present

47. Nation of origin: European Social Orientation – Nuclear family Environmental control – Modern medicine Biologic Variations – Breast CA; heart disease; Diabetes

48. Nation of origin : Native American Communication – Tribal – Silence and body language Space – VERY important Time – Present

49. Nation of origin: Native American Social Orientation – FAMILY – Respect & traditions Environmental control – Traditional healing Biologic Variations – Heart disease, diabetes, Cirrhosis of the liver

50. Nation of origin: Hispanic Communication – Spanish/Portuguese Space – Touch Time – Present

51. Nation of origin: Hispanic Social Orientation – Family nuclear + extended Environmental control – Traditional medicine Biologic Variations – Diabetes, lactose intolerance

52. “People of every culture have the right to have their cultural values known, respected, and addressed appropriately” The nurse must be … – Sensitive – Aware – Respectful

53. 6 cultural characteristic Communication Space Social orientation Time Environmental control Biological variations

54. Religious Care Consideration Islam: – Prayers – washing, privacy – Caregivers same gender – Food: Do not eat pork or alcohol – Fasting: Ramadan

55. Religious Care Consideration Judaism – Sabbath (Friday night – Saturday night) avoid activities – Food: Kosher (not milk + meat); NO PORK

56. Religious Care Consideration Hinduism – Vegetarian – No BEEF – (Cows are sacred)

57. Religious Care Consideration Catholic: – No meat on Friday – Religious icons – Anointment for healing, and when death imminent

58. Religious Care Consideration The Church of Jesus Christ of LDS/Mormon – No tea, coffee, alcohol – Wear special underclothing

59. Methodist – On request clergy anoint with oil Lutheran – On request clergy anoint with oil

60. Religious Care Consideration Assemblies of God – May seek divine healing thought prayer and laying on of hands

61. Religious Care Consideration Jehovah’s Witness – No blood transfusions – Do not observe national / religious holidays

62. Religious Care Consideration 7 th day Adventist – No caffeine, pork, shell fish, – Many vegetarian – Sabbath is on Saturday

63. Religious Care Consideration Christian Science – Gen. do not seek traditional medical treatment – Avoid immunizations on religious grounds

64. Cultural influences Technological Religious & philosophical Kinship and social Cultural values and life- ways Political and legal Economic Educational

65. Homework Read – Key words – Learning objectives – Review questions Lecture notes

66. Test Reading & lecture