...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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...proven that culture has a significant impact on health beliefs and behaviors (Edelman, et al, 2014), therefore it is imperative that health care providers, especially nurses, be culturally competent in their delivery of care. It is not enough to merely be aware of the prominent origins and statistics of different cultures and ethnicities, but rather it is crucial to be inquisitive and focus on the family and individual as practices differ and evolve over time. Rachel Spector developed a Heritage Assessment interview as a useful tool to aid in understanding how strongly an individual or family subscribes to specific cultural traditions and practices, thereby strengthening the ability to provide Cultural Care. Cultural Care is a concept describing professional nursing care that is culturally sensitive, appropriate, and competent (Spector, 2004). Utilizing this assessment tool creates a way of determining an individual’s degree of identification with a given heritage. The purpose of this paper is to discuss the usefulness of applying a heritage assessment tool in order to evaluate the health needs of families. In order to do so, three Central California families were interviewed from different cultural backgrounds: Hispanic, African-American, and Polish. Each family interview will be summarized with an evaluation of how each subscribes to health traditions, and how each addresses health maintenance, health protection, and health restoration. Hispanic Family The first interview...
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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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...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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...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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...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 Paul Bockoven Grand Canyon University NRS429-V October 14, 2012 Heritage Assessment Cultural assessments can be useful tools for a registered nurse to develop adequate plans of care, especially when it comes to education. They have limits however, as not every individual within a certain cultural ‘category’ can be expected to conform the way their heritage may dictate. Assigning a score to any person to predict how they may act, or learn, is contrary to the direction nursing care plans in general have taken. With that in mind, there is some value to using tools like the heritage assessment as a baseline, or starting point. The problem arises because of this particular tool being used to generalize instead of individualize. Developing a sense of a person’s cultural heritage and assigning an ambiguous score has no real meaning when the focus of a care plan is not supposed to take into account anything that is not directly related to the individual for whom it is being tailored. Standards clearly state that the assessment, planning and delivery of a person's care must be centered on the individual, and developed with them or their significant others (Rollin, 2011, p. 541). A person filling out the heritage assessment may, in fact, not adhere to or agree with it’s findings, may not understand it’s significance and as such, this tool could actually lead a caregiver in the wrong direction. The idea that any person who, according to this tool, identifies...
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...As a measurement tool, heritage assessment helps a person appreciate further his cultural background, find strengths in his personality (based from his specific cultural background), and work on weaknesses that he has. Unlike other assessment tools, this is a quantitative-based approach aimed at threshing out a person’s family, religious and ethnic background that Influences the healthcare delivered to that person or to their culture The greater the number of the positive responses shows the person’s greater identification with traditional heritage. (Spector 365) .Based from the writers experience, a person needs to answer questions in a heritage assessment tool and these questions are * Place of birth of one’s parents * Place of birth of their respective parents * His or her age when family migrated to the United States * Composition of one’s family * Number of family members which that person lives with * Degree of interaction with family members living outside one’s home. * Religion of one’s family * Religion of one’s spouse * Religion of one’s neighbors * Degree of belief in one’s religion and observance of religious holidays Based on these questions which was answered by the writer she found that she is Christian catholic, and was born and raised in India along with her family and parents. The Indians beliefs are very different than other culture. We still believes in strong family and have long families who lives together in...
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...Heritage Assessment Grand Canyon University 7/5/2014 Introduction Many times the United States is referred to as a melting pot of people, but this description of the diverse cultures and heritages that make up our nation fails to recognize the extreme individuality of the people here. Perhaps a better description would be a salad bowl, with each part and piece amazingly unique from the rest. Culture is a learned way of thinking and acting. “The behavioral, intellectual, and emotional forms of life expression represent a cultural heritage that is passed on from generation to generation” (Smith, 2009). Culture and heritage greatly influence all aspects of a person’s health. One’s heritage may determine a persons beliefs relating to the physical and /or spiritual approaches that people use to maintain, protect and restore health. The Heritage Assessment tool A heritage assessment tool is a set of 29 questions that address a person’s heritage. It looks at family connections, use of original language, religion, attendance of cultural functions and dietary habits and how closely an individual follows these practices from their cultural roots. Within this paper the author will examine the results of three families from India, Holland and Korea who took the assessment. It will look at how the heritage assessment ties in to help evaluate how closely an individual may follow common health traditions and practices such as health protection, maintenance and restoration from...
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...Running head: PERSONAL HERITAGE ASSESSMENT AND ITS USEFULNESS Personal heritage assessment and its usefulness April 15, 2012 Personal heritage assessment and its usefulness INTRODUCTION: In this paper, the writer will focus on the usefulness of applying a heritage assessment in evaluating the needs of person as a whole, three different family’s opinions on health maintenance, health protection and health restoration. Also this paper will identify health traditions as regards to cultural heritage of the writer, then how the three families interviewed in this paper follow their customs and how important their traditions and practices are to them. Heritage can be described as the degree of which one’s lifestyle reflects his/her tribal culture. Cultural heritage exist in a continuum and a person can possess values both the traditional –living within the norms of the traditional culture and modern-living outside norms of the tradition. Spector (2004) The usefulness of the applying heritage assessment in evaluating of the needs of the whole person is outlined as follows; EFFECTIVE CARE: With the knowledge and application of heritage assessment patient will derive satisfaction and positive outcome in health will be achieved. RESPECTFUL CARE: Taking into consideration the values, preferences, n the expressed needs of the patient are met. CULTURAL AND LINGUISTIC COMPETENCE: By applying heritage assessment certain behaviors, attitudes, and policies that are...
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...Heritage Assessment Kyler G. Merrill Grand Canyon University: NRS-429V 01/18/2015 Heritage Assessment Tool Today in society there are many diverse culture and ethnic backgrounds, each with their own habits, traditions, preferences, and of these includes health. Different needs of the whole person should be evaluated in detail. This paper will discuss results from three different cultures through the interviewing of them using the Heritage Assessment Tool. It will also review, compare, and address health traditions between the cultures as well as identify common health traditions based on cultural heritage. The purpose is to evaluate and discuss how families subscribe to these traditions/practices, address health maintenance, health protection, and health restoration according to the assessment. Why Heritage Assessment? One method for determining an individuals or groups needs is to use some type of tool in order to complete the assessment. Over 20 years ago an assessment tool was used in order to promote public health and awareness ("Heritage Assessment Tool | Researchomatic," n.d.). The name later became known as “Healthy People 2000 and 2010” and 2020 is soon to come ("Heritage Assessment Tool | Researchomatic," n.d.). The tool contains twenty-nine different and varying questions to obtain detail of birth, siblings, immigration, religion, school, ethnic activities/cuisine and other topics. The usefulness of applying a heritage assessment is because...
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...Personal Heritage Assessment Question: What are the Personal heritage assessment and its usefulness? In this paper, the writer will focus on the usefulness of applying a heritage assessment in evaluating the needs of person as a whole, three different family’s opinions on health maintenance, health protection and health restoration. Also this paper will identify health traditions as regards to cultural heritage of the writer, then how the three families interviewed in this paper follow their customs and how important their traditions and practices are to them. Heritage can be described as the degree of which one’s lifestyle reflects his/her tribal culture. Cultural heritage exist in a continuum and a person can possess values both the traditional –living within the norms of the traditional culture and modern-living outside norms of the tradition. Specter (2004) The usefulness of the applying heritage assessment in evaluating of the needs of the whole person is outlined as follows; EFFECTIVE CARE:- With the knowledge and application of heritage assessment patient will derive satisfaction and positive outcome in health will be achieved. RESPECTFUL CARE: - Taking into consideration the values, preferences, n the expressed needs of the patient are met. CULTURAL AND LINGUISTIC COMPETENCE:- By applying heritage assessment certain behaviors, attitudes, and policies that are seen in a system of multidisciplinary which enable them to work in cross-cultural...
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...Assessment of Families with Heritage Assessment Tool Grand Canyon University September 2, 2014 Assessment of Families with Heritage Assessment Tool Each country has a different tradition, culture, customs and anindividual’scultural legacy plays a very important part in upgrading the health of that person. According to various sources, United States will observe an immense increase in mixture of cultures in the 21stcentury. Nurses should have a proper knowledge about the patient’s health who belonged to various cultures, and their social needs, in order to enrich their life’s value and the protection of health.Each patient will have different beliefs of their well-being and nurses should be able to recognize, evaluate and work with conventional health habits used by patients of all cultures A teaching method that endorse cultural skills can bedeveloped by educating nursing students about patients heritage evaluation and tradition (Toddmckee, 2012). The heritage assessment tool aids to differentiate various customs and culture of different societies. The main aim of this paper is to apply the heritage assessment tool to evaluate the requirements of a person and his health preservation, assertion, and renewal. In this paper, evaluation of three families, their family background, their culture and tradition is been discussed. Usefulness of Applying Heritage Assessment Tool The purpose of this Heritage Assessment tool is to provide awareness to students which will help them to understand...
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...HERITAGE ASSESSMENT PAPER Lara G. Heier Grand Canyon University: NRS- 429 4/9/2016 The Heritage Assessment tool is used by healthcare professionals in order for them to find out the patient’s cultural, religious and ethnic background. Culture is defined as an element of ethnicity, consisting of shared values and behaviors associated with a particular group. (Edelman, et al, 2014) In order to improve the quality of care, it’s important to understand the patient’s culture and the health practices they traditionally use. Regarding the Heritage Assessment tool’s usefulness, it will allow the healthcare professional to understand the patient as a whole due to the fact that it addresses the individual’s heritage, cultural, religious and ethic background and behaviors and how they may relate to the patient’s views on health and wellness. To be Culturally Competent, one has to be able to provide healthcare based on the total patient situation- ethnically, culturally and spiritually. The Heritage Assessment Tool is designed to open up dialogue in order for the healthcare professional to have a better understanding of their patient and allow them to provide more effective healthcare with the patient’s own health traditions having been assessed. This, ideally, will result in a holistic approach to healthcare. (Giger & Davidhizar, 1990) Common Health Traditions Based on the cultural heritage information received from the Heritage Assessment Tool filled...
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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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