...August 31, 2012 Heritage Assessment Tool: Evaluation of different Cultures and Individual Views of Health The Heritage Assessment Tool can be used as as a reliable tool to assess, health maintenance, protection and restoration of individual cultural beliefs. This evaluation helps meet the needs of different patient populations to provide quality holistic care. The purpose of this paper is to explore the Hispanic, Native American, Chinese, and the author’s own personal cultural beliefs from perspectives of health traditions, maintenance, promotion and restoration of health. The objectives are to identify different families and the own common health traditions based of the cultural heritage. Evaluate and discuss how the families ascribe to traditions and practices. The evaluation of these different cultures reveal similarities and differences in traditions that may help provide holistic optimal health delivery. The definition of cultural awareness is an individual’s awareness of their understanding between themselves and other backgrounds, attitudes to health and specific cultural values (Cultural awareness, n.d). Cultural competence refers to knowledge and skills that must be obtained to care for culturally different backgrounds (Spector, 2008). The Heritage Assessment Tool (HAT) , is a check list used by professionals to gain knowledge of patients culture and beliefs prior to initiating care (Spector 2000). In combination with questions that relate to...
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...Heritage Assessment The heritage Assessment Tool is a questioner design to assist individual to determine his or her ethnic, religious and cultural background in relationship with health, illness and diseases. Heritage and culture are different just like individual fingerprint. When looking at someone’s heritage and tradition, it consists of methods used to maintain health, protect health, and restore health. These concepts deal with person’s physical, mental and spiritual belief. Every individual has their own heritage, and this is very different among different cultures. ( Spector 2009). Heritage assessment tool in combination with questions relating to health and illness belief and practices was helpful in helping individuals remember events in their childhood and also the influence of culture and belief relating to health and illness practices. To summarize heritage assessment tools, people have diverse beliefs about health, Illness, disease, birth and death, which are directed by culture. Heritage assessment is an important step towards building understanding of cultural competency. It is a phenomenon that recognizes diversity, both in linguistic and cultural adeptness by the health care provider. A person’s culture, beliefs, heritage, and language have a substantial impact on both the patient and the health care provider within the health care system (Spector 2009). The question in heritage assessment...
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...Heritage Assessment Tool Stacey Howard Grand Canyon University 4/20/2014 Heritage Assessment Tool The Heritage Assessment Tool is useful in determining how connected an individual is to their specific culture which enables the culturally competent practitioner to identify health traditions, evaluate needs, and create appropriate plans for health maintenance, protection and/or restoration of the patient. Heritage and culture are interchangeable words that represent the concept of learned or inherited thought processes, ideas, and traditions that have been passed down from parentage, nationality and/or ethnicity. It is important for the practitioner to understand the beliefs of their patient to better facilitate treatment compliance and enhance rapport with the patient and family. As noted by Edelman, Kudzman & Mandle (2014), culture has an impact on a person’s health, healing, perceptions of wellness versus disease and attitude towards health practitioners. Many times important revelations regarding the patient’s health practices, traditions, and perceptions are gleaned not from the patient answering direct assessment question but from their relaxed conversation, ramblings, and casual remarks. The patient will not feel comfortable to converse with a practitioner they don’t trust or have a rapport. It is through cultural sensitivity, competence and appropriate assessment that practitioners are able to develop the trust and rapport needed to assist them...
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...Heritage Tool Assessment Grand Canyon University Culture and Cultural Competency in Health Promotion Heritage Tool Assessment There are challenges with cultural diversities and competencies in the United States, as we have grown into a melting pot of many different cultures and ethnicities. Nurses make a positive difference in a patient’s life every day by providing high quality healthcare. But now, in the 21st century, nurses are providing that quality within an increasingly multicultural society. Doctor Madeline Leininger, founder of the field of transcultural nursing, says that when providing culturally competent patient care, it must be customized to fit the patient’s own cultural values, beliefs, traditions, practices and lifestyle. ((Leininger, & McFarland, 2006). The heritage assessment tool helped me to identify that families with diverse cultures have different perceptions on wellness and disease. Using this assessment tool, can help the healthcare provider determine how to care for their patient based on their cultural needs, it will also help identify the approach that needs to be made in teaching, health maintenance, health protection and health restoration as the provider can use the results as a baseline for treatment. The basis of this paper is to familiarize myself with the Native American, African American, and Hispanic cultures. The heritage assessment tool helped me to determine the needs of the whole person based on their beliefs and practices. As I...
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...Cultural heritage is an expressions developed by a community and passed through generation to generation including practices, customs, objects, places and values. (ICOMOS, 2002). Cultural Heritage is ones unique and unbreakable bonds to the root, it defines who they are and where their origin lie. Health care has to be specific with patients need and patients traditional and cultural values should be consider. Individuals here in United States came from different cultures, however they still sustained their deep culture, believes and tradition. To deliver high quality health care services to a wide diverse population, it is important to be culturally competent. In the United States where a big part of the population are immigrants coming from all over the world (Edelman, Kudzma, & Mandle, 2014). This is where the Heritage Assessment Tool (HAT) becomes very appropriate. Heritage assessment is the most useful tool in the health care. It can provide better understanding of our patient’s culture. It help assessing one’s religious, ethnic and cultural heritage along with health traditions. With adequate knowledge, the health care provider will know how best to balance medical practice with the traditions patients holds (Spector, 2009).This will ensure that there is a balance and understanding between traditional and modern culture. Health care providers should respect the traditions and values of their patient and make sure to consider patient preferences and their needs. PAKISTANI...
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...RUNNING HEAD: CULTURAL COMPETENCY ASSESSMENT TOOL. Review of The Heritage Assessment Tool; A Cultural Competency Assessment Tool. Devin Rodriguez Grand Canyon University Literature Review Introduction The Heritage Assessment Tool is a simple form compromised of 29 questions that is used for identifying how a person views themselves; this tool is utilized for cultural competency in care of the individual (Spector, 2000). The questions focus on where your family originated, the size of your family and setting of your childhood. Family dynamics, religious preferences of self and family, participation in ethnic and religious activities, and language (Spector, 2000). This assessment tool has high face validity and questions are simple for the client to understand and answer the questions being asked of them. Abilities of the assessment tool based on three volunteer survey participants. The three individuals that completed the Assessment tool for this review was a Hispanic man 41 years of age, a 25 year old female of Caucasian background, and a 18 year old African American. Two of the individuals are geographically located in Arizona at this point in their life, one is located in Texas. None of the participants were born outside of the United States. Participant One The first participant was the 41 year old male of Hispanic background, he identified he was adopted and has no contact with his birth mother. He had 2 brothers and 3 sisters in his adoptive family....
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...B O X 6 – 1 Heritage Assessment Tool Note: The greater the number of positive responses, the greater the person’s identification with a traditional heritage. The one exception to positive answers is the question about family name change. This question may be answered negatively. 1. Where was your mother born? United States 2. Where was your father born? United States 3. Where were your grandparents born? (1) Your mother’s mother? United States (2) Your mother’s father? United States (3) Your father’s mother? United States (4) Your father’s father? United States 4. How many brothers 2 and sisters 1 do you have? 5. What setting did you grow up in? Urban X Rural Suburban 6. What country did your parents grow up in? Father United States Mother United States 7. How old were you when you came to the United States?native 8. How old were your parents when they came to the United States? Mother native Father native 9. When you were growing up, who lived with you? Mother, Step-father 10. Have you maintained contact with a. Aunts, uncles, cousins? (1) Yes X (2) No b. Brothers and sisters? (1) Yes X (2) No c. Parents? (1) Yes X (2) No d. Your own children? (1) Yes X (2) No 11. Did most of your aunts, uncles, cousins live near your home? (5) Yes (2) No X 12. Approximately how often did you visit...
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...The transformation of nursing is important to our profession to improve patient quality care for all Americans. The following paragraphs will be discussing the Institute of Medicine Report 2010 addressing higher levels of education, Leadership and the inclusion of nursing in primary care. EDUCATION Since the passage of the Affordable Care Act 2010, the U.S. healthcare system has significantly changed moving away from hospital-or healthcare provider-centric model to a patient-family-centered model. As the care shifts into communities and public health settings, nurses will need very different skill sets and knowledge. Holmes(2011). The Institute of Medicine clearly recommends life-long learning due to the complexity of healthcare. Nurses need to commit to continuing their education and earning advanced degrees to effectively be a part of a collaborative partnership with all healthcare team members to provide the highest quality care and patient outcomes. Nurses who are well educated will understand the concepts of collaboration, leadership, and patient safety. This would involve a smooth transition from an associate’s degree to a baccalaureate degree. The IOM recommends increasing Holmes(2011) According to the IOM report 2010, nurses should work within their organization to promote institutional policies that allow nurses to practice to the full extent of their education and training to meet the recommendations of removing scope-of-practice barriers. The Geisinger Health...
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...Heritage Sways Healthcare Perception Cynthia K. Martin Grand Canyon University: NRS 429V Family Centered Health Promotion November 09, 2013 Cultural beliefs are the foundation of an individual, families, and communities that persuasively influences the standards by which they reason and behave in every aspect of their life. Therefore, as healthcare providers, it is imperative that we consider a patient’s cultural heritage when assessing them from a holistic approach and planning for a desirable healthcare outcome. Madeliene Leininger brought to the forefront the concept of transcultural nursing which was founded on “the belief that optimal health for all is an essential cultural value” (Edelman & Mandle, 2010) and further declared that “our rapidly growing multicultural world makes it imperative that nurses understand different cultures to work and function effectively with people having different values, beliefs, and ideas about nursing, health, caring, wellness, illness, death and disabilities” (Edelman & Mandle, 2010). The Heritage Assessment Tool The Heritage Assessment Tool is useful for gaining understanding of the patient in regard to how intricately they are ingrained in their culture and sets the stage for determining how they perceive health maintenance, health protection, and health restoration through open ended questions. This tool not only affords a course by which communication of beliefs, values, tradition, and...
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...THE HERITAGE ASSESSMENT TOOL: A CULTURAL VIEW OF THE PATIENT The Heritage Assessment Tool: A Cultural View of the Patient Grand Canyon University: 439v March 11, 2012 The Heritage Assessment Tool: A Cultural View of the Patient The Heritage Assessment Tool is a series of 29 questions designed to determine a patient’s ethnic, cultural, and religious background. The tool gives nurses an understanding of the patient’s traditional health and illness beliefs and practices so that culturally appropriate interventions can be initiated (Flowers, D.L., 2005). The following paper summarizes the assessment results of three culturally different families, and uses those results to show how the nurse would proceed with health promotion based on the differences in health traditions between the three cultures. Health Maintenance The value a patient places on family values and their perceived support system can greatly influence their overall health maintenance. With two of the families interviewed, one with a Hispanic ethnic background and the other from an American Indian background, both families placed great value in their family relationships. Both families were able to express knowledge of an extended family network and were active participants of that social system. The family unit is the most important support system to both cultural groups. Askim-Lovseth & Aldana (2009) explains that in an extended family network all “family members are expected...
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...DIVERSITIES ACKNOWLEDGE THRU HERITAGE Cultural Diversities Acknowledge Thru Heritage Assessment Tool Denise Streater GCU Family-Centered Health Promotion NRS-429V Hortense Turner March 23, 2012 Cultural Diversities Acknowledge Thru Heritage Assessment Tool Cultural diversities have facilitated challenges with in health care. To educate our clients there must be recognition of traditional heritage practices. The Heritage Assessment Tool has been devised to discover cultural characteristics of individuals, families along with communities. This tool allows one to understand and respect the role of cultural awareness in health and illness. There is a framework for evaluation of physical, mental and spiritual values and beliefs in which outlines health maintenance, protection, and restoration. The difference in values and beliefs grants an impact on wellness, disease and death in selected cultures. Upon assessing heritages there has been an overview of religion, ethnic background, language and an identification of support systems. Information has been gathered to present cultural lifestyles, traditions and health practices in a nonsterotypical manner. Utilizing the Heritage assessment tool this paper will reflect the cultural heritage of three different cultural practices .The three cultural diverse backgrounds, which will be discussed, are Hispanics, Filipinos (Asians) and Southern Afro Americans in which the later describes the writer’s heritage. There will be an acknowledged...
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...Running head: HERITAGE ASSESSMENT TOOL: EVALUATION OF DIFFERENT Heritage Assessment Tool: Evaluation of Different Cultures and Individual Views of Health Micaela Simon Grand Canyon University Family-Centered Health Promotion 429V Melanie Escobar RN MSN August 31, 2012 Heritage Assessment Tool: Evaluation of different Cultures and Individual Views of Health The Heritage Assessment Tool can be used as as a reliable tool to assess, health maintenance, protection and restoration of individual cultural beliefs. This evaluation helps meet the needs of different patient populations to provide quality holistic care. The purpose of this paper is to explore the Hispanic, Native American, Chinese, and the author’s own personal cultural beliefs from perspectives of health traditions, maintenance, promotion and restoration of health. The objectives are to identify different families and the own common health traditions based of the cultural heritage. Evaluate and discuss how the families ascribe to traditions and practices. The evaluation of these different cultures reveal similarities and differences in traditions that may help provide holistic optimal health delivery. The definition of cultural awareness is an individual’s awareness of their understanding between themselves and other backgrounds, attitudes to health and specific cultural values (Cultural awareness, n.d). Cultural competence refers to knowledge and skills that must be obtained to care for culturally...
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...Family Centered Health Promotion: Heritage Assessment Tool Janice Ward NRS-429V May 31, 2015 Family Centered Health Promotion: Heritage Assessment Tool A critical skill in nursing is to assess multicultural patients in the USA today. The culturally competent nurse is able to evaluate the needs of clients and families through the use of a Heritage Assessment Tool. The successful completion of a Heritage Assessment Tool will provide the basis for understanding traditional health and illness beliefs and practices. The incorporation of the patient’s The Journal of Transcultural Nursing states as it’s 6th standard of practice for transcultural nursing the following: Nurses shall recognize the effect of health care policies, delivery systems, and resources on their patient populations and shall empower and advocate for their patients as indicated. Nurses shall advocate for the inclusion of their patient’s cultural beliefs and practices in all dimensions of their health care. (Lauderdale, Milstead, Nardi, Purnell, Douglas, Pierce, Rosenkoeter, Pacquiao, Callister, Hattar-Pollara, 2011) In order for the nurse to support their patient in receiving the best of health care it is imperative the nurse understand their patient’s heritage. “Health care organizations should ensure that patients receive from all staff members effective, understandable, and respectful care that is provided in a manner compatible with their cultural health beliefs and practices...
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...Cultural Influences on Health Grand Canyon University Family Centered Health Promotion NRS-429V October 15, 2015 Cultural Influences on Health The heritage assessment is useful and gives the health care professional a detailed picture of how cultural differences influence health. The three individuals that were interviewed place importance on the cohesiveness on their families in health and illness. The family influences from the older members in their cultures place importance on folk medicine. When a member of the family is ill, they apply their faith and pray for that person. They value their religious belief in curing an illness with modern medicine. The food preferences varied somewhat from the different cultures however, pastries were common at cultural celebrations (Heritage Assessment Tool, 2015). It is evident that is important to be culturally competent before assessing a patient. It removes biases about a culture and the health care professional is culturally sensitive to give effective quality care and education. Polish Culture A large percentage of Poland’s population practices the Roman Catholicism religion. There is an order of priests, monks and nuns in the Roman Catholic Church. Rituals are part of the Catholic Church’s religious services. They encourage the continuation of folk culture like roadside shrines that are built and maintained by the community. There are yearly pilgrimages to these shrines such as Lankorona. On February 2 of each year...
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...Heritage Assessment Latasha Rice, WCC- RN Grand Canyon University: NRS 429v Date: 8/31/2012 What is a heritage assessment? A heritage assessment is a subpart to the overall nursing assessment. Assessing a patient’s heritage allows the nurse to obtain more information about a patient’s culture, including beliefs about health and values, this is important to providing cultural health care. One’s heritage includes information about their cultural beliefs and practices of the family and ethno religious community (Jarvis, C., 2012). Through a heritage assessment the nurse can obtain a vast amount of information about the patient/ family, including but not limited to, where ancestors were born, how many siblings they have, if the family originated in another country, how often time is spent with family, religion, if the patient prefers the company of people with the same values and religion or ethnic background, what type of foods the patient prepares, and the patient’s native language. This paper will discuss what the author learned from completing a heritage assessment tool, the usefulness of a heritage assessment tool when assessing a patient/ family/ community as a whole. This paper will also compare the health traditions of three different families (and cultures) to include, health maintenance, health protection, and health restoration, while identifying common traditions based on the author’s heritage. What the families ascribe their traditions to will also be discussed...
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