Native American Culture

Superior Essays
Native American Culture and Health Care
Bryan Stull
West Virginia University-Parkersburg
Nursing 234

Native American Culture and Health Care
According to Jean Giddens (2013), “culture is defined as a pattern of shared attitudes, beliefs, self-definitions, norms, roles, and value that can occur among those who speak a particular language or live in a defined geographical region.” There are several different types of cultures that exist in the world. Each culture has its own belief on medical practices and rituals. For purposes of this paper, the author will focus on the Native American culture.
When a nurse has a patient that is of a different culture, it is important to include that patient’s cultural beliefs into the nursing care. Including
…show more content…
Native Americans have healers called shamans or medicine men. According to Potter, P., Perry, A., Stockert, P., & Hall, A (2013), the shaman performs “a combination of prayers, chants, and herbs to treat illnesses caused by supernatural, psychological, and physical factors.” If a nurse is caring for a Native American patient in the Emergency Department, it is appropriate to ask if the patient has a shaman when obtaining a history on the patient.
Some Native American cultures believe in a Medicine Wheel. According to Thomas Armstrong (2012), “the stages of life in Native American traditions are sometimes represented through the Medicine Wheel, a cross within a circle that indicates the Four Directions: East, South, West, and North. The symbolism that is usually described goes as follows: East-birth, childhood; South-youth, growing up; West-aging, mature adulthood; North-wisdom, death.” The concept of the Medicine Wheel is that it represents the life cycle and with death, there is also birth and
…show more content…
One theory why Native Americans are prone to mental health illness is because the Native Americans live in a stressful environment. According to Jens Manuel Krogstad (2014), “Native Americans have a higher poverty and unemployment rate when compared with the national average.” Living in poverty and being unemployed can cause a great deal of stress. According to Halter, M. J. (2014), “negative feelings are not expressed freely, pain is kept as silent as possible.” As a result of not being able to express feelings freely, the culture is at a higher risk for mental illness. As a nurse caring for a Native American patient, one intervention the nurse could implement is to establish a good rapport with the patient. One way of accomplishing this intervention would be to realize the cultural beliefs such as not shaking hands or staring into the eyes. A second intervention could be to allow the patient to express feelings freely when family is not around. This intervention is about getting the patient’s trust also. A third intervention could be to maintain a healthy physical distance, several feet is usually a comfort zone for Native Americans. If the patient is paranoid or not trusting the nurse, then this intervention could help with getting rapport and making the patient feel

Related Documents

  • Superior Essays

    When working as a nurse it is important to be aware of these problems because it frames how the patient should be treated (Sherwood 2013, p. 28-40). As taking a patient’s history is such an important part of their experience in the healthcare system, it is important we understand and reflect on the history of Indigenous people to help us become more culturally safe in the way we work (Sherwood 2013, p. 28-40). By placing more focus on addressing the health of Indigenous people and their needs it will help the healthcare system become more culturally safe as well as help us improve our nursing practice (Australian Law Reform Commission…

    • 754 Words
    • 4 Pages
    Superior Essays
  • Improved Essays

    Culturally Safe Practices

    • 573 Words
    • 3 Pages

    1. What is cultural safety? Cultural safety was devised by Irihapeti Ramsden, a Maori student nurse, during the 1980’s in New Zealand for Maori nurses and patients who were experiencing culturally inappropriate health services. Today, the concept of cultural safety is an evolving term which refers to a holistically safe environment whereby the professional worker delivers personal care in diverse communities by acknowledging the uniqueness of each service user’s personal, social, and cultural wellbeing. Culturally safe practices include recognising and respecting the cultural identities, needs, and wants of individuals.…

    • 573 Words
    • 3 Pages
    Improved Essays
  • Superior Essays

    The need for Knowledge of Culture was great even from the beginning for this family. The first cultural competency refers to the Nurse gaining understanding of the perspectives of traditions, values, practices and family systems of the culturally diverse populations for whom they provide care, as well as knowledge of the complex variables that affect their achievement of health and well being. The most important piece of this book is cultural understanding. The book shows the conflict of two cultures, Hmong and American that ended in medical struggles for Lia Lee. An understanding of medical practices and religious beliefs prove to be obstacles for all involved in Lia’s care.…

    • 1576 Words
    • 7 Pages
    Superior Essays
  • Superior Essays

    Alvord’s methods for demonstrating cultural competence are powerful and effective. They aim to treat patients to lead a balanced life, as respect for cultural differences aids in preventing an imbalance among the mind, body, and soul (Alvord & Van Pelt, 2000). In our progressively diverse society, reduction of ethnocentric thinking could vastly improve public health, as patients would be treated as the unique individuals they are. In implementing effective communication, providers can utilize active listening to learn more about the cultural desires and boundaries of the patient. Providers can subsequently show respect for the culture and build the trust of the patient.…

    • 1956 Words
    • 8 Pages
    Superior Essays
  • Improved Essays

    The purpose of Leininger’s theory was to obtain knowledge and understanding of various cultures, comparing their similarities and differences, and appropriately integrating these factors into nursing care (Leininger, McFarland, 2006). The goal of culturally competent care and cultural congruence in practice is to aid in the maintenance or restoration of health and wellbeing, as well as other stages of life such as death and dying (Leininger, 2007). It is through the Culture Care theory that one can learn various cultural factors affecting the execution of care such as socioeconomic status, environment, language, world perspective, and pertinent historical events within a culture (Leininger, McFarland, n.d.). Leininger proposes that it is not enough to know the cultural practices among groups of people but it is of utmost importance to modify the nursing plan of care for the client, thus making the Culture Care theory an essential application in all realms of healthcare (Leininger, 2007). Definitions and Major Concepts There are several major concepts that can be derived by Leininger’s Culture Care theory.…

    • 1642 Words
    • 7 Pages
    Improved Essays
  • Improved Essays

    A cultural encounter is the act of directly interacting with patients from culturally diverse backgrounds (Honner & Hoppi, 2004). There are two goals of cultural encounters. One goal is to generate a wide variety of responses to promote verbal and nonverbal communication accurately and appropriately in each culturally different context. The second goal is to continuously interact with patients from culturally diverse backgrounds which assists in validating, modifying existing values, beliefs, and practices about a cultural group. The outcome would be the provision of healthcare to the patient based on cultural desire, cultural awareness, cultural skill, and cultural knowledge (Campinha-Bacote, 2011).…

    • 700 Words
    • 3 Pages
    Improved Essays
  • Decent Essays

    Response # 2 Hello Florence Enabulele, I enjoyed reading your post. I concur with you that health care seeking or justifiable life-practices and shared activities that will enable the healthy state of human vary from one person to another and from culture to culture. The Native American tradition values the tribe and extended family before self, and the community concerns habitually have significant effects on the individual. According to Schim, Doorenbos (2011); Purnell (2013), culture bring forth the context for every healthcare perspectives, all through the human lifespan.…

    • 188 Words
    • 1 Pages
    Decent Essays
  • Great Essays

    Conducting cultural assessments on each individual patient is a necessity in nursing. This paper will describe some of the key components of conducting a comprehensive cultural assessment. I will also choose two of the listed components and reflect on my own culture and how it could possibly impact my attitude toward a patient of a different culture. Lastly, I will create two nursing diagnoses, for a patient who comes into a physician’s office that I work for, with a newly diagnosed problem. These diagnoses will reflect cultural diversity that might pose a barrier to communication with this patient.…

    • 2071 Words
    • 9 Pages
    Great Essays
  • Improved Essays

    It is evident that cultural competency is a vital concept in providing holistic nursing care; however, only Habjan et al. (2012) mentioned the need for improved cultural competency. We can become more culturally aware in our nursing practice through additional education regarding the various cultural beliefs, a more comprehensive history of the client and their specific values and beliefs, or more involvement from other multidisciplinary teams, such as spiritual care. It is important to ask the patient or even their family if there are cultural beliefs that we should be aware of in order to enhance their wellbeing and make a difference in their experiences with the health care system. A lack of cultural competency could lead to health adversities.…

    • 729 Words
    • 3 Pages
    Improved Essays
  • Superior Essays

    "Cultural relativism is an undeniable fact", Jack Donnelly postulates in his journal entitled, "Cultural Relativism and Universal Human Rights" (Donnelly, J); the axiom rings true not only inside anthropology, but inside the emergency room, whenever two cultures clashes and "the conflict [becomes] confined to differences in belief systems" (Fadiman, A). One example that comes to mind in the recent decades is the confrontation between the Lee family and a public hospital in Merced, California, where Hmong child Lia Lee was diagnosed with epilepsy and then became collateral damage in a cultural clash between Hmong holistic/spiritual medicine and Western medicine. Within the span of a few years, the Lee family were offered little to no support…

    • 1667 Words
    • 7 Pages
    Superior Essays
  • Improved Essays

    Understanding a patient’s culture is very important when it comes to caring for the patient. As a nurse, you need to know how that person feels towards certain topics. For example, pharmacological and non-pharmacological interventions, end of life care, and dietary measures. The nurse needs to be able to promote the most optimal and culturally competent care they can. The Hindu culture has a very specific belief system when it comes to healthcare modalities.…

    • 647 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    CH.9) In the United States, the currency that is considered valuable would be checks, cards, and dollar bills. However, checks and cards are the same as dollar bills, but in a bank account. Money is any item that is long-lasting and scarce, which is the characteristics that a dollar bill has. In other cultures, there were other items that were scarce, including shells.…

    • 1640 Words
    • 7 Pages
    Improved Essays
  • Improved Essays

    With the up rise of many long term illness ascending in today’s world, it seems no one is exceptional from the obvious, especially the aging population. The increase populations of aging seniors around the world display unpredictable challenges, which includes rising diseases, increase expenditure on health within long and short term care (Bloom, Canning, & Lubet, 2015). No matter of the country or cultural difference one may come from, the wishful thinking for longer life span is their parents, grandparents, and their loved ones, which is inevitable. Different countries in the world have their perspective on ways of caring for the elderly or seniors, whether it is through health care policies, practices, mandates, or cultural beliefs and practices.…

    • 1244 Words
    • 5 Pages
    Improved Essays
  • Improved Essays

    Introduction Culture is a subjective topic comprised of vast characteristics which include attitudes, beliefs and ideologies. It is difficult to measure it in an objective and tangible way as it influences individuals lifestyles, personal identity and their relationship with others, both with and within their cultures. (Papadopoulous, 2006) The knowledge base, attitude, skills, etc nurses have to acquire to interact and communicate with people of different cultures, nationalities and backgrounds different to their own and may have specific barriers like language, issues due to religious beliefs, etc, is when Nurses have to apply cultural competence, to be flexible and provide an unbiased health service regardless of their background.…

    • 918 Words
    • 4 Pages
    Improved Essays
  • Great Essays

    Culture affects every aspect of a person’s life: how they interact with others, how they express emotions, and how they view healthcare. As stated by nurse anthropologist, Madeleine Leininger, in her transcultural nursing theory, nurses must seek to understand other cultures to provide care that is congruent with a patient’s cultural values and practices (Berman and Snyder, 2012, p. 449). Leininger asserts that culturally competent care positively impacts patient’s satisfaction and compliance. Many hospitals and nursing schools provide education to their employees and students to develop cultural awareness and confidence in caring for culturally diverse patients. The research discussed in this paper seeks to discover the effects cultural sensitivity…

    • 1155 Words
    • 5 Pages
    Great Essays