Transcultural Health Care Thesis
Transcultural Health Care: A Culturally Competent Approach, 4th Edition
Copyright © 2013 F.A. Davis Company
American Indians
Alaskan Natives (AI/ANs)
Larry Purnell, PhD, RN, FAAN
Transcultural Health Care: A Culturally Competent Approach, 4th Edition
Copyright © 2013 F.A. Davis Company
Overview/Heritage
- Amount of Indian blood necessary to be considered a tribal member varies among the tribes—¼ to be a Navajo, which is the largest tribe in United States and live in the Southwest
- 556 different tribes in the United States and Canada
- Each tribe unique but share similar views regarding cosmology, medicine, and family organization
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Transcultural Health Care: A Culturally Competent Approach, 4th Edition
Copyright © 2013 F.A. Davis Company
Overview Heritage
- Forced migration by United States government
- Life on MOST reservations is hard with high poverty and high unemployment although a few have significant money due to oil, land leases, gambling casinos, etc.
- Children were taken from them and placed in “White Man’s Schools”
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Transcultural Health Care: A Culturally Competent Approach, 4th Edition
Copyright © 2013 F.A. Davis Company
AI/AN Cultural Values
- Group, clan, or tribal emphasis
- Present oriented
- Time is always with us
- Age
- Cooperation
- Harmony with nature
- Giving/sharing
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Transcultural Health Care: A Culturally Competent Approach, 4th Edition
Copyright © 2013 F.A. Davis Company
AI/AN Cultural Values
- Pragmatic
- Mythology
- Patience
- Mystical
- Shame
- Permissiveness
- Extended family and clan
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Transcultural Health Care: A Culturally Competent Approach, 4th Edition
Copyright © 2013 F.A. Davis Company
AI/AN Cultural Values
- Non-aggressiveness
- Modesty
- Silence
- Respect other’s religion
- Religion is a way of life
- Land, water, forest belong to all
- Beneficial, reasonable use of resources