Post on 07-Apr-2018
8/3/2019 Socio-Cultural Aspects of Maternal and Child Nursing
1/14
Socio-Cultural Aspects of
Maternal and Child Nursing
8/3/2019 Socio-Cultural Aspects of Maternal and Child Nursing
2/14
CHANGING CULTURAL CONCEPTS
Acculturation
Assimilation
Ethnocentrism
8/3/2019 Socio-Cultural Aspects of Maternal and Child Nursing
3/14
TECHNIQUES OF SOCIOCULTURAL ASSESSMENT
1. Communication Patterns
2. Use of Conversational Space
3. Time Orientation
4. Work Orientation5. Family Orientation
6. Male and Female Roles
7. Religion8. Health Beliefs
9. Nutrition Practices
10.Pain Responses
8/3/2019 Socio-Cultural Aspects of Maternal and Child Nursing
4/14
COMMUNICATION PATTERNS
Not only what people say, but also how theysay it.
Language barriers can be particularlysignificant for people whu must give health
histories when they or their child is ill.
Touch is a form of communication.
People looking at one another when talkingis also culturally determined.
In many intances, written communication iseven more problematic than oral
communication
8/3/2019 Socio-Cultural Aspects of Maternal and Child Nursing
5/14
IMPROVING HEALTH CARE WHEN CLIENTS HAVELIMITED ENGLISH PROFICIENCY
Many people can speak a second language better than they can
read it. Assess the clients reading level and rewrite informationat an easier reading level if necessary.
Ask na interpreter to translate material into the familys primary
language.
Be certain that rooms in your health care agency, such asbathrooms, are labeled with international symbols.
Learn a few phrases, such as Good Morning or This wont
hurt, from other languages, and use them in interactions with
clients.
Use hand gestures or draw a figure, if need be, to communicatebetter. Imparting health information is what is important for safecare, not worrying how you look.
When using an interpreter, do not ignore the person seeking
health care in preference to the interpreter.
8/3/2019 Socio-Cultural Aspects of Maternal and Child Nursing
6/14
USE OF CONVERSATIONALSPACE
People of different cultures usethe space around them
differently. Being aware that use of space
is culturally determined helpsyou to respect the use of spacefor clients.
8/3/2019 Socio-Cultural Aspects of Maternal and Child Nursing
7/14
TIME ORIENTATION
Time is Money
Another way the timeorientation differs is in whethera culture concentrates on the
past, present, and future.
8/3/2019 Socio-Cultural Aspects of Maternal and Child Nursing
8/14
WORK ORIENTATION
Everyone should be employedproductively and that work should
be a pleasure and valued in itself
Other cultures do not value work in
itself but see it only as a mean toan end.
8/3/2019 Socio-Cultural Aspects of Maternal and Child Nursing
9/14
FAMILY ORIENTATION
Family structure and the roles of family
members may be culturally determined.
In most cultures, the nuclear family ismost common.
Identifying the family decision-maker is
also important, because this role canvary greatly from family to family.
8/3/2019 Socio-Cultural Aspects of Maternal and Child Nursing
10/14
MALE AND FEMALE ROLES In most cultures, the man is the dominant figure.
It is important to evaluate male and femaleroles, because knowing the identity of thedominant person in the household also helps
you to understand the imapct of illness on thefamily.
In most hospitals today, the nursing staffexpects the father to play an active role duringlabor and during a child hospital stay.
Awareness that male roles differ from country tocountry can help you find a middle ground for
male participation in labor and child care.
8/3/2019 Socio-Cultural Aspects of Maternal and Child Nursing
11/14
RELIGION
Religion is culturally-determined, althoughthere are wide variations in what religionspeople practice.
Because religion guides a persons overall
life philosophy, it influences how he or shefeels about health and illness, birth and
death
8/3/2019 Socio-Cultural Aspects of Maternal and Child Nursing
12/14
HEALTH BELIEFS
Health beliefs are not universal. People from some cultures may receive
more comfort from a spiritualist or witch
doctor than from their physician or nursepractitioner.
Understanding different beliefs allows you to
understand cultural differences and to workout mutual goals, even when the patients
views are not those you would choose foryourself or for a member of your family.
8/3/2019 Socio-Cultural Aspects of Maternal and Child Nursing
13/14
NUTRITION PRACTICES
Foods and their methods of
preparation are stronglyculturally related.
8/3/2019 Socio-Cultural Aspects of Maternal and Child Nursing
14/14
PAIN RESPONSES
A persons response to pain is both
individually and culturally determined.
A persons culture dictates attitudes toward
pain and the proper response to pain.
Caring for a person having pain can beproblematic when the caregivers concept of
proper responses to pain differs from the
patients.
Because there are so many possibleresponses to pain, it is important to assess
each person individually.