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Cultural Competence
In Nursing Practice
Social Organization Strategies

  • Identify the family unit (nuclear, single-parent, extended, etc.) and social group organizations (religious or ethnic). For example:
    • African American families are often matriarchal; extended family members often help with child rearing.
    • Chinese families are traditionally organized around male lines. Children are highly valued.
    • European Americans focus on equality in relationships; women often have careers; autonomy among children and teenagers is encouraged.
    • Filipino families identify the father as the head of household, but relationships are equal. Children are expected to get a college education.
    • Iranian families are patriarchal. In the absence of the father, the eldest son has authority.
    • Mexican American families vary from patriarchal, to matriarchal, to egalitarian, however, the male is expected to speak for the family.
    • Most Navajo families are matriarchal. The appropriate elderly woman must be present before decisions can be finalized.
    • Vietnamese families are primarily patriarchal and the main social unit. Children are expected to be obedient.
  • Assess social barriers: unemployment, homelessness, health insurance status, poverty
  • Know the dates of holidays, whether or not to give gifts, what to wear, customs and beliefs.
  • Be familiar with special events, how they are celebrated, the meaning of colors used for gifts, expected rituals or religious services.

Spector, R.E. (2004). Cultural Diversity in Health and Illness (6 ed.). Upper Saddle River, New Jersey: Pearson/Prentice Hall.

Purnell, L.D. & Paulanka, B.J. (2005). Guide to Culturally Competent Health Care. Philadelphia: F.A. Davis.

   
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