Culture and Nursing

1. Culture and Nursing Li Xiaohan Nursing School China Medical University

2. Unit1: Introduction of culture Unit2: Culture and nursing

3. Introduction of culture • Culture • Culture shock

4. Culture (1) Concept (2) Model (3) Characteristics (4) Classification (5) Function

5. Concept of culture 1) Definition of culture 2) Aspect of culture

6. Definition of culture Culture is a summation of survival style formed in some given group or social life and possessed by their members.

7. Three aspects • Matter culture • Spiritual culture • Manner culture

8. Culture model 1) Definition 2) Content

9. Definition Culture model is a special form and structure that is a combination of all culture contents in a society

10. Contents • Symbol • Matter particularity • Art • Science • Convention

11. 6) Family and social system 7) Manner 8) Government 9) War

12. Characteristics of culture • Supernatural and beyond individual • Zone and beyond zone • Era and beyond era • Symbolization and transfer

13. Classification of culture • Hard culture • Soft culture

14. Function of culture a) To be a indication of dividing line among societies or nationalities b) To make a society have behavioral criterions

15. (3) To make social solidarity (unity) have a important foundation (4) To shape social human beings

16. Culture shock • Definition • (2) Reasons • (3) Stages • (4) Manifestations • (5) Influencing factors • (6)Prevention

17. Definition Culture shock is a confusion in thinking and syndrome of mental tension in psychological aspect produced by a person who lives in a cultural environment and firstly arrives in an another cultural environment.

18. Reasons Main element: A person arrives in a strange environment from a familiar environment suddenly

19. Obstacle on communication • Difference on activities of • daily life • Isolation • Customs • Attitudes and beliefs

20. Stages • Exciting stage • Consciousness stage • Changing stage • Acceptance stage

21. Manifestation • Anxiety • Fear • Depression • Desperation

22. Influencing factors • Individual’s heath status • Age • Pre-experiences in adapting life changing

23. Prevention • To be familiar with the culture model in a new environment ahead (2)To contact with the culture model actively in a new cultural environment

24. Prevention • (3) To look for (search) powerful • support systems: • normal supportive systems • informal supportive systems

25. Culture and nursing • The influence of cultural background upon nursing • Leininger’s Transcultural nursing theory • The principles of cultural nursing • The strategies of cultural nursing

26. The influence of cultural background upon nursing • Cultural background influences • the reasons of producing diseases. value concept, attitude or life style in culture may influence the occurrence of some diseases

27. (2) Cultural background influences patients’ reaction to diseases. 1) Gender 2) Educational background 3) Family’s support

28. (3) Cultural background influences patients’ manner of seeing a physician 1）Religious conception 2) Economic condition

29. (4) Culture influences a person’s cognition to death 1）Chinese traditional culture of emotional state on death 2）Chinese traditional behavioral culture on death

30. Leininger’s Transcultural nursing theory • The formation of the theory • Basic content of the theory • Goal of the theory

31. Basic content of the theory (1) Cultural care is a necessary qualification to the survival of human being (2) The nationalities with different culture in the world have the universality (commonness) and speciality of culture care. (3) Culture care is divided into general care and professional care.

32. Goal of the theory To provide the nursing care corresponding to culture for the health of individual, family and colony.

33. The principles of cultural nursing (1)principle of comprehension (2)principle of education (3) principle of mobilization

34. (4) Principle of giving suggestions (5)Principle of wholeness

35. Strategies of cultural nursing • The nursing strategies of meeting patients’ cultural needs • The nursing strategies that help patients to adapt hospital’s cultural environment.

36. Strategies of meeting patients’ cultural needs 1)To understand patients’ behavior of seeing a physician 2)To identify patients’ reaction to disease. 3) To establish a nurse-patient relationship adapted to cultural phenomena

37. strategies that help patients to adapt hospital’s cultural environment • To help patients to be familiar with the environment of hospital as soon as possible • To establish a good relationship between nurse and patient.

38. 3) To respect patients’ habits and customs a. Diet b. Special taboo c. National convention

39. 4) To seek supportive system 5) To pay attention to the diversity on value conception 6) To follow the principles of cultural nursing