Post a thoughtful response to at least two (2) other colleagues’ initial postings. Responses to colleagues should be supportive and helpful (examples of an acceptable comment are: “This is interesting – in my practice, we treated or resolved (diagnosis or issue) with (x, y, z meds, theory, management principle) and according to the literature…” and add supportive reference. Avoid comments such as “I agree” or “good comment.”

Reference

• Response posts: Minimum of one (1) total reference: one (1) from peer-reviewed or course materials reference per response.

Words Limits

Response posts: Minimum 100 words excluding references.

Discussion 1

The purpose of this discussion is to perform a literature search on the health practices, disparities and influences of the Hispanic/Latino culture. I will also address topics regarding the Hispanic/Latinos perception of communication, space, social organization, time, and environmental control. I will research and discuss biological variations of the Hispanic/Latino group and explain how being aware of these perceptions will influence the care I provide for a person of this ethnicity.

In Concord, CA, the Hispanic/Latino makes up 30% of the population, just second to Caucasians at 64%. (Suburbanstats, 2017) In the Hispanic culture, communicate is very personally. They use a lot of nonverbal communication with close family and friends such as hugging, keeping close distance and giving women kisses on the cheek with no romantic meaning. (Spanish programs, 2015) The primary language Hispanics speak is Spanish, but due to many Americans not understanding they tend to mix both English and Spanish together in order to communicate with others. In the Hispanic culture personal contact with one another is important. Personal space is close, hugging, kissing, and handshakes are common amongst Hispanics. (Eggenberger, Grassley & Restrepo, 2006) When women greet each other it is common for them to kiss each other on the check. Men will typically hug each other and communicate with placing their hand on the others back. (Cruz, 2001)

In the Hispanic culture, family is very important including extended being just as close as immediate. In the Hispanic culture, it is not uncommon for the Grandparents to live in the same home as the family. Many families all live together including their parents who they eventually take care of health wise. Family members are loyal and are expected to stay loyal to other members. Families are a huge support system and are relied on and are known to live close to one another.

The importance of time is seen differently in the Hispanics/Latinos culture; they tend to focus more on the relationships they build with rather than time. Finishing up a conversation with someone is the best way in which they can invest their time. When it comes to environmental control, Hispanics are extremely religious believing that all is in higher powers hands. They believe their religion or spiritual beliefs have a great impact on their overall health. They use many remedies that help healing that have been passed down for many generations in their culture. (Eggenberger, Grassley & Restrepo, 2006)

Unfortunately, Hispanics do not like to seek medical care. According to the American Heart Association, Hispanics are at higher risk for cardiovascular diseases because of high blood pressure, obesity, and diabetes. Hispanics are more likely to delay care and if they do they tend to drop out of treatment when symptoms disappear and avoid visits to the doctor. (AHA, 2015) Knowing and understanding this, I will change the way I provide care to the Hispanic culture. I will make all family feel comfortable and provide compassionate care. Using an interpreter is always effective in education of health and should be used to answer any questions they patient may have. Preventative teaching in cardiovascular and diabetes can be education the entire family can benefit from and getting feedback about home remedies they want to try.

Every culture is important to understand. Being in a Hispanic dominate society in California, I believe nurses should better understand how their culture works. Currently at my hospital we have many Hispanic children who are battling cancer, families are emotional and teaching and providing comfort is essential to gain their trust and respect. I try to provide empathy and emotional support for both patient and families involved. Even though many can understand and speak English, Spanish is still their primary language. I try to incorporate the interpreter as much as possible while providing care, by doing this I can be sure that all questions and concerns have been answered. Communication and family life are very different than what we are used to. By adjusting interventions and my care plan in order to fit their specific needs by understanding their culture will help me provide better care in the end. Both my patient and I can benefit from understanding their practices at home.

References:

American Heart Association. (2015). Hispanics and Heart Diseases. Retrieved from:

www.heart.org/HEARTORG.conditions/more/myheartandstrokenew.hispanics

Andrews, M. and Boyle, J. (2016) Transcultural Concepts in Nursing Care (7^th ed) Philadelphia,

PA: Wolters Kluwer Health

Cruz, William (2001) Leadership and management in engineering. Difference in Nonverbal

Communication Styles in Cultures: The Latino-Angelo Perspective. 104. (53)

Sandra K. Eggenberger, PhD, RN. Jane Grassley, PhD, RN Elizabeth Restrepo, PhD, RN (2006)

Culturally Competent Nursing Care for Families: Listening to the Voices of Mexican-American Women. Retrieved from: http://www.nursingworld.org/MainMenuCategories/ANA…

Suburban Stats (2017) Population Demographics for Concord, California in 2017. Retrieved

from https://suburbanstats.org/population/california/ho…

Discussion 2

This discussion board will take a look at Hispanic ethnic groups. According to Wallace, DeVoe, Heintzman and Fryer (2009), limited English proficiency and poor English literacy skills is the one of the major barriers in communication among the Hispanic population. This is one of the major problems that lead to healthcare disparities among the population. Hispanics prefer close contact when interacting in relation to space. When it comes to time, the Hispanic population is polyconic. They are not as strict with their time as most in the United States. Hispanics like to have a warm welcoming environment.

According to Campinha- Bacote (2009), after acquiring cultural knowledge about a specific ethnic group, healthcare providers must then focus on the culture’s beliefs, practices, values, the incidence of disease and the prevalence of disease. Among the Hispanic population, the prevalence of diabetes in Hispanics in the United States is high.

Being aware of these cultural perceptions and preferences can help me to provide culturally competent care. This also helps when educating the patient. You know which genetic predispositions that they have and where to focus. When the nurse makes an effort to provide competent care, it builds rapport with the patient and actively involves them in their care. I believe this in combination with good clinical decision-making yields better outcomes.

References

Campinha-Bacote, J., (2009). The Process of cultural competence in the delivery of healthcare services: A culturally consciously model of care. Retrieved from: http://transculturalcare.net/the-process-of-cultur…

Wallace, L., DeVoe, J., Heintzman, J., & Fryer, G. (2009). Language preference and perceptions of healthcare providers’ communication and autonomy making behaviors among Hispanics. Journal Of Immigrant & Minority Health, 11(6), 453-459. doi:10.1007/s10903-008-9192-9

 

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