Copyright © 2010 Wolters Kluwer Health | Lippincott Williams & Wilkins
Chapter 2Chapter 2
Sociocultural Aspects of Maternal and Child Health
Nursing
Copyright © 2010 Wolters Kluwer Health | Lippincott Williams & Wilkins
CultureCulture
• View of the world, set of traditions that specific social group uses, transmits to next generation
Copyright © 2010 Wolters Kluwer Health | Lippincott Williams & Wilkins
Cultural ValuesCultural Values
• Preferred ways of acting based upon traditions
Copyright © 2010 Wolters Kluwer Health | Lippincott Williams & Wilkins
EthnicityEthnicity
• Cultural group into which person was born
Copyright © 2010 Wolters Kluwer Health | Lippincott Williams & Wilkins
TaboosTaboos
• Actions that are not acceptable to culture
– Murder
– Incest
– Cannibalism
Copyright © 2010 Wolters Kluwer Health | Lippincott Williams & Wilkins
Transcultural NursingTranscultural Nursing
• Nursing care guided by cultural aspects, respects individual differences
Copyright © 2010 Wolters Kluwer Health | Lippincott Williams & Wilkins
Transcultural Nursing (cont’d)Transcultural Nursing (cont’d)
See Figure 2.1.
Copyright © 2010 Wolters Kluwer Health | Lippincott Williams & Wilkins
Nursing Process: Respecting Sociocultural AspectsNursing Process: Respecting Sociocultural Aspects
• Assessment
• Nursing diagnosis
• Outcome identification, planning
• Implementation
• Outcome evaluation
Copyright © 2010 Wolters Kluwer Health | Lippincott Williams & Wilkins
Assessing for Cultural ValuesAssessing for Cultural Values
Copyright © 2010 Wolters Kluwer Health | Lippincott Williams & Wilkins
StereotypingStereotyping
• Expecting person to act characteristic way without regard to his or her individual characteristics
Copyright © 2010 Wolters Kluwer Health | Lippincott Williams & Wilkins
Sociocultural Differences: Implications for NursingSociocultural Differences: Implications for Nursing
• Cultural Concepts
– Acculturation
– Ethnocentrism
– Cultural competence
Copyright © 2010 Wolters Kluwer Health | Lippincott Williams & Wilkins
Sociocultural Differences: Implications for Nursing (cont’d)Sociocultural Differences: Implications for Nursing (cont’d)
Copyright © 2010 Wolters Kluwer Health | Lippincott Williams & Wilkins
Sociocultural Differences: Implications for Nursing (cont’d)Sociocultural Differences: Implications for Nursing (cont’d)
• Assessment techniques
• Use of conversational space
• Time orientation
• Work orientation
• Family orientation
Copyright © 2010 Wolters Kluwer Health | Lippincott Williams & Wilkins
Sociocultural Differences: Implications for Nursing (cont’d)Sociocultural Differences: Implications for Nursing (cont’d)
• Male, female roles
• Religion
• Health beliefs
• Nutrition practices
Copyright © 2010 Wolters Kluwer Health | Lippincott Williams & Wilkins
Sociocultural Differences: Implications for Nursing (cont’d)Sociocultural Differences: Implications for Nursing (cont’d)
• Pain responses
– Pain threshold
– Pain tolerance
Copyright © 2010 Wolters Kluwer Health | Lippincott Williams & Wilkins
QuestionQuestion
• Tell whether the following statement is true or false:
• Ethnocentrism is the belief that one’s own culture is superior to all other cultures.
Copyright © 2010 Wolters Kluwer Health | Lippincott Williams & Wilkins
AnswerAnswer
• True
• Rationale: Ethnocentrism is the belief that one’s own culture is superior to all other cultures.
Copyright © 2010 Wolters Kluwer Health | Lippincott Williams & Wilkins
QuestionQuestion
• The nurse hears a teenager in the hospital talking with some of his friends. Which of the following is an example of stereotyping?
A.“The nurses follow the provider’s orders.”
B.“Don’t let the blonde nurse in my room; she is blonde.”
C.“My mom’s food is way better than this place.”
D.“The doctors in this hospital look my age.”
Copyright © 2010 Wolters Kluwer Health | Lippincott Williams & Wilkins
AnswerAnswer
• B. “Don’t let the blonde nurse in my room, she is blonde.”
• Rationale: This is an example of making a judgment based on someone’s appearance and an example of a stereotype.