Joyce Giger and Ruth Davidhizar created the Giger and Davidhizar Transcultural Assessment Model (GDTAM) in 1988. The GDTAM provides a framework for the nursing student to fully assess and best provide care to culturally diverse patients. The GDTAM is composed of six categories, each with its own subsets. The categories are communication, space, social organization, time, environmental control, and biological variations (Giger & Davidhizar, 2002). The purpose of this paper will be to assess the Jewish Orthodox culture using the Giger & Davidhizar Transcultural Nursing Framework; identifying nursing implications regarding end-of-life and suggesting possible interventions.
Communication
Communication …show more content…
More specifically, internal stimuli to a foreign effector would necessitate a reaction by the person to restore his/her sense of control. In health care, this could translate to a person deciding to fight an illness. Conversely, if an externally focused person feels that their environment or health has changed due to a power out of their control, they are more likely to accept that change without begrudging and might view the seeking of curative health care as hopeless (Giger & Davidhizar, 2002).
Biological Variations
Different cultural groups tend to translate to different racial groups. Different racial groups have different genetics and these can affect what diseases they are more or less susceptible to. Furthermore, disposition towards a disease or illness might also be determined by the environment of their origins (Giger & Davidhizar, 2002).
Assessment of the Jewish Culture
Communication
Jewish people have a strong preference for formal communication and respectfulness. A Jew is typically warm and welcoming with a healthy yearning to learn. Within the bounds of nonverbal communication a male Jew will not make physical or eye contact with a woman, excepting his spouse and children (Semans & Fish, …show more content…
Being a ‘good Jew’ is vitally important to those who follow the Jewish faith; yet, the definition of such a view is very personal. Even still, there is a general sharing of beliefs that focus on the simple platitude of doing the right thing and giving of yourself by caring for the well-being of those in your local and global community (Semans & Fish, 2000).
Time
Historical evolution of the Jewish faith is grounded in their ancestors; an obligation to the promotion of their legacy in future generations is integral to the continuity of the faith. Despite adversity, Jews have thrived while facing oppression. Adversity has been the progenitor to the thriving of Judaism and has contributed to the feelings of obligation to Jewish families to pass the traditions on to their children (Semans & Fish, 2000). Environmental Control
Illness and disease. Contrary to the American value which raises the quality of life as the primary deciding factor when discussing end-of-life decisions, Jews believe that the commandment to preserve life and the body for God supersede such considerations. Jewish scripture mandates that to rely upon Godly interventions, or miracles, is not allowed. However, holistic therapies such as adornments, prayer, healing touch, and incantations (non-witchcraft) used as supplements to medical therapy are