...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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...Heritage assessment tool is a set of questions used on individuals to determine how their culture and beliefs determine the way they carry themselves on matters of health. Each culture is unique in a way such that the individuals who conform to it end up having unique ways of maintaining a healthy lifestyle. In this case, having studied three different families on their cultural beliefs then it is possible to point out the importance of applying the heritage assessment to evaluate the needs of families and develop plans for health maintenance, health protection and health restoration . Different people have different ways of viewing health, sickness, infection, virus, birth as well as death. All these different conformations regarding health direct the various forms of culture. Therefore, the assessment of heritage is a significant step in order to build better understanding of cultural capability in order to help individuals on appropriate to handle health issues.. It is a phenomenon that identifies multiplicity in linguistic as well as in adeptness of the cultural beliefs regarding health through health care giver. An individual's customs, values, tradition, along with language play an important role impacting on the patient as well as the health care nurse in the system of health care (Kearney-Nunnery, 2012). When heritage assessment is applied then it is possible to look at the health problem in a proactive approach rather than reactive point. This means that a health condition...
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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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...African indigenous education A major shortcoming of African traditional education is that it focused almost exclusively on the clan or tribe and hardly prepared its recipients for outside contact. Practically, this meant that the skills and knowledge possessed by a given ethnic group could not he easily transmitted to another tribe (Tiberondwa, 1978). Moreover, the absence of literacy implied that the accumulated knowledge and skills could not be preserved in a written form. This prevented the transfer of the same from one locality to another and from one generation to the next. Many wise Africans have died with their own wisdom. A close examination of traditional methods of teaching further reveals that customary education was wanting or deficient in this area. Tiberondwa (1978) has rightly observed that among sorne tribes in pre-colonial Uganda, for example, there was too much reliance on inculcation of fear and punishment as a means of teaching. Among the Ankole, "slow learners and offenders were killed to discourage slow learning and scare young people from committing similar offences" (Tiberondwa, 1978, p. 10). This means of teaching could only produce learners who, out of fear, were obedient and submissive. They committed to memory ideas that they did not understand and the values they had no right to question. Indigenous education thus tended to kill the spirit of initiative, innovation and enterprise, that of which are (or should be) promoted by modem education...
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...Tsandi Royal homestead which is a Cultaral heritage museum. The region share a border with the Etosha National park , the governemrnt in 1996 passed a legislation that enabled the Uukwaluudhi people to form a conversacy to manage wildlife and tourism. The region has so many animals such as kudu, zebra, black rinho and so many bird species. There is the Baobab Tree heritage centre and campsite in Outapi town. This tree is over a 1000 years old abd it has been used for so many puposses such a chapel,fotess, landmark and a kindergarten. In the present day there is a kiosk which rents braai stands and sells wood, there are also campsites in the area. There is the Omugulugwombashe monument, which was constructed by the government a place of commemoration of the liberation struggle for independence. This is the place that were the war started in 1966. The region ids home to the Mighty Ruacana Falls. There is the Hippo Pool, this is located next to the falls. There are 10 camps which are lacated under Mopane trees(http://www.omusatirc.gov.na). As a councilor ro win back the respect of the people I shall use the ethical concept of respect.Resoct is defined as a feel or understanding that some one is important, serious and sould be trated in a certain way (http://www.merriam-webster.com). Under this principle I shall get some people and to observe respect at the cultural museum and to have infomaation on the people that book at the heritage centre so that we preserve our culture...
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...“Everyday Use” Alice Walker clearly depicts two contrasting meanings of heritage through characterization and symbolism of her two daughters, walker highlights the difference between two interpretations of African American culture and heritage. The gist of the story in “Everyday Use” is how mama bit by bit rejects the superficial beliefs of Dee, her older and extraordinary daughter in admiration of the values about heritage from her less fortunate daughter Maggie. With a more profound thought walker is going into the contrasting culture and heritage of African Americans and superficial African Americans. Mama narrates the story, Ms. Johnson or “Mama” is a woman whose everyday life is part of her culture and heritage. Mama describes herself as, “a large, big-boned woman with rough, man working hands. In the winter I wear flannel nightgowns to bed and overalls during the day. I can kill a hog as mercilessly as a man”(155). With knowing that only has a second grade education we can say that she has no choice but to follow tradition and heritage, and stay in the home like she grew up in and work the field as other before her did. Even as mama is more or less forced to do so, still she has a great understanding and value of the concept of heritage and culture. In knowing Mama’s love and compassion for her heritage she gives the quilts to Maggie, because Dee wants the quilts to preserve and display her heritage of her ancestors. Mama gives the quilts to Maggie because Mama knows that...
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...Conflict Essay “Everyday Use”-Alice Walker Alice Walker authored the short story entitled “Everyday use”. In this story we get a set of characters, round (Mama) and flat (quilt) and several supporting characters, like Hakim-a-barber. Walkers “Everyday Use” is set somewhere between 1960’s America right around the time the civil rights movement was taking place. The setting takes place at Mama’s house primarily with the exception of a flashback to their old house that burned down. The plot of the story reveals the characters cultural pride and ignorance towards the changing times. The themes in “Everyday Use” are, the meaning of heritage and the power of education. Additionally, the author creates different conflicts that arise throughout the story in which they are: man vs. man, man vs. society, and man vs. himself. Man vs. Man is first seen between Dee and Mama due to the fact that Mama doesn’t meet up to Dee’s standards. This coincides with the theme, power of education. Mama struggled to send Dee to a good school, which could have ended up doing more harm than good in regards to their relationship. Mama herself was denied an education and her youngest daughter Maggie lacks in that department. Therefor, giving Dee the advantage of being the only one educated which makes her arrogant and condescending. The education that Mama generously gave to Dee only created a bigger wedge between them and the family. Dee with her knowledge and way of the world becomes a...
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...and sister" (par. 3). She makes her feelings clear when she attempts to "take" the quilts Mama had promised to Maggie: "Maggie can't appreciate these quilts... she'd probably be backward enough to put them to everyday use" (Walker, 103). By using the quilts for purposes other than their original intent she believes that she is respecting her heritage, but this is not the case: her desire to put them on display is "really not quite so different from the white capitalist cashing in on ethnic artworks" (Sexton, par. 4) Not only is she conforming to the worst of American ideals, but she is rejecting and disrespecting her own cultural heritage-- all under the pretenses of preserving it. It is in this sense that she is the "embodiment of the struggle for a unifying identity," because she has not yet come to understand her place in society as both an African and an American. In great contrast with Dee, Maggie is a simplistic and good-hearted person. These characteristics add dimension to the story, and make her a "more likely bearer of sacredness, tradition, and true value than her "brighter" sister". She understands the true meaning of heritage. Just as her sister asserts, Maggie is "backward...
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