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Chapter 6: Transcultural Perspectives in the Nursing Care of Children

Copyright © 2016 Wolters Kluwer Health | Lippincott Williams & Wilkins

Copyright © 2016 Wolters Kluwer • All Rights Reserved

1

Children in a Culturally Diverse Society #1

Cultural survival depends on the transmission of values and customs from one generation to the next.

Culture influences child growth, development, health, and illness.

Copyright © 2016 Wolters Kluwer • All Rights Reserved

Children in a Culturally Diverse Society #2

Copyright © 2016 Wolters Kluwer • All Rights Reserved

Children as a Population

Elements to consider:

Racial and ethnic composition

Poverty

Children’s health status

Growth and development

Infant attachment

Crying

Copyright © 2016 Wolters Kluwer • All Rights Reserved

4

In all cultures, infants and children are valued and nurtured because they represent the promise of future generations.

Parental cultural beliefs and practices influence behaviors and interventions.

Culture-Universal and Culture-Specific Child Rearing #1

Copyright © 2016 Wolters Kluwer • All Rights Reserved

5

Culture-Universal and Culture-Specific Child Rearing #2

Culture influences child rearing:

Nutrition: feeding and eating behaviors

Sleep

Elimination

Menstruation

Parent–child relationships and discipline

Child abuse

Gender differences

Copyright © 2016 Wolters Kluwer • All Rights Reserved

6

Culture-Universal and Culture-Specific Child Rearing #3

Copyright © 2016 Wolters Kluwer • All Rights Reserved

7

Question #1

Is the following statement true or false?

Differences between boys and girls are generally subtle, first appear at puberty, and exert minimal influence on adult roles within a culture.

Copyright © 2016 Wolters Kluwer • All Rights Reserved

8

Answer to Question #1

False

Rationale: Differences between boys and girls appear early in life and form the basis for adult roles within a culture.

Copyright © 2016 Wolters Kluwer • All Rights Reserved

9

Health and Health Promotion #1

Parents might persist with culturally based beliefs and practices even when scientific evidence refutes them.

The family is the primary health care provider for infants, children, and adolescents.

Copyright © 2016 Wolters Kluwer • All Rights Reserved

10

Health and Health Promotion #2

Influencing factors:

Illness

Health belief systems

Biocultural influences on childhood disorders

Immunity, intermarriage, ethnicity, race

Beliefs regarding causes of chronic illness/disability

Special health care needs of adolescents

Copyright © 2016 Wolters Kluwer • All Rights Reserved

11

Question #2

Is the following statement true or false?

Illness is viewed by many cultures as a form of punishment.

Copyright © 2016 Wolters Kluwer • All Rights Reserved

12

Answer to Question #2

True

Rationale: A family and/or child with a chronic illness or disability may believe that they have been cursed by a supreme being, have sinned, or violated a taboo.

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13

Culturally Competent Nursing Care for Children and Adolescents #1

Nursing Assessment of the Family

Cultural background

Family belief systems

Mother may be most influential

Family structures

Nuclear, single-parent, blended, extended

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14

Culturally Competent Nursing Care for Children and Adolescents #2

Nursing Interventions

Physical care/hygiene

Communication

With child and family

Evaluation of the nursing care plan

Ask questions to determine if mutual goals were established

Copyright © 2016 Wolters Kluwer • All Rights Reserved

Question #3

Is the following statement true or false?

All family members of a cultural group follow the culture of the larger group.

Example: All Chinese North American children show respect for authority, have polite social behavior, and a moderate-to-soft voice.

Copyright © 2016 Wolters Kluwer • All Rights Reserved

16

Answer to Question #3

False

Rationale: Each family modifies the culture of the larger group in ways that are uniquely its own.

Individual differences, changing norms over time, the degree of acculturation, the length of time the family has lived in a country, and other factors account for variations from the stereotype.

Copyright © 2016 Wolters Kluwer • All Rights Reserve


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