Holistic and Transcultural Nursing

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Holistic and Transcultural Nursing

Concepts and Definitions


Philosophy of human being:
• Physical, biological
• Spiritual
• Social (moral, value)
• Psychological (emotional, mental)
• Cultural
• Environmental
Human aspects related to health status
Human Approach
Policy

Institutional/
organizational

Interpersonal

Individu
Local vs Global Value
• Policies have shifted between phases of assimilation,
integration, multiculturalism, mainstreaming, to inclusiveness
and being united in diversity, emphasize the importance of
valuing differences, and utilizing the cultural knowledge and
skills of people from different backgrounds.
Model Review
• Leininger's Sunrise Model
• Giger & Davidhizar's Transcultural Assessment Model,
• Campinha-Bacote's or Punells’ Cultural Competence Model
Theory to Implication

Theory Model Implication


Cultural Competence
(process)
• Developing an awareness of one’s own beliefs to other
backgrounds.
• Demonstrating knowledge and understanding of the client’s
culture.
• Accepting and respecting cultural differences
• Adapting care to be congruent with the client’s culture
(Mattson, 2000).
Cultural competence
(outcome)
• Respect for each person
• Fairness for each person
• Benefits for all
Skill needed
Skill needed (Andrews & Boyle 2008).
• Cultural self-assessment, enables nurses to develop an
awareness of their own cultural values, attitudes, beliefs, and
practices.
These insights enable one to overcome ethnocentric
tendencies and cultural stereotypes.
Skill needed
• Cross-cultural communication, to examine the ways in which
people from various cultural backgrounds communicate with
one another.
Non-verbal communication will be evaluated through
gestures, body movements, posture, tone of voice, and facial
expressions, use of silence, eye contact, touch, space, distance,
and facial expressions.
Nurse-Patient Relationship
(Failure Relationship)

Nurse
Culture imposition

Patient
Culture shock
Bisa diingat!
Budaya itu
• Dipelajari (bukan diturunkan)
• Diwariskan dari satu generasi ke generasi
• Melalui simbol
• Dinamis dan adaptif
• Menyeluruh
• Bersifat etnosentris
Seven Components of Culture
1. Technological factors
2. Religious and philosophical factors
3. Kinship and social factors
4. Cultural value and life ways
5. Political and legal factors
6. Economical factors
7. Educational factors
In other references, technology will be combined with economy,
thus, the seventh component is language.
Cultural and Spirituality
Spirituality:
• Certainty and uncertainty of life
• Goals or purposes of life
• Inner resources for life adaptation
• Inferior relationship with Allah or other ‘Gods’
Assessments of Seven Components
• Assessment is requirement for implementating the nursing
care related treatment, therapy, nutrition, motivation to
comply, role of peer/family.
Conclusion
A culturally competent nurse views all
patients as unique individuals and realizes
that their experiences, beliefs, values, and
language affect their perceptions of clinical
service delivery, acceptance of a diagnosis,
and compliance
References
• Cockerham, WC (1978) Medical Sociology. Prentice Hall. New
Jersey, pp: 3-17, 65-86, 87-114, 156-195
• Foster, G.M & Anderson, B.G. (diterjemahkan oleh Suryadarma,
P.P & Swasono, M.F.H.) Antropologi Kesehatan. Universitas
Indonesia. 1986, hal: 1-96, 121-207, 243-262, 311-330
• Eisenberg, L. and Kleinman, A. (1981) The Relevance of Social
Science for Medicine. D. Reidel Publishing Company.
Holland.pp: 111- 164, 241-253, 307-329
• Helman, CG (2000) Culture, Health, and Illness. Fourth edition.
Butterworth-Heinemann. Oxford. pp: 1-31, 108 – 127, 265 - 271

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