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Transcultural Health Care Thesis

20190415032220cultural_nursing_ch25.ppt

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