Cultural Assessment nursing /cultural assessment
- Identify a person from a culture example include (African, Native American, Asian, Pacific Island, and Latin American and Middle eastern American) with an illness or chronic condition. The illness needs to be such that it impacts the person’s life. Please keep in mind that the person with an acute illness may be under too much stress to answer questions. You may not interview a member of your own family. You will use eight questions as defined by Arthur Kleinman to shape your interview. Be cognizant that you are incorporating therapeutic communication techniques throughout the interview.
- Once you choose the person you would like to interview, obtain verbal agreement and be sure to let him or her know that you will maintain confidentiality throughout this project. Ask the person which cultural group he or she identifies with. Read about that culture so you will be prepared for the interview.
- In 300 words review what is known about the cultural values of the group.
- During the interview, you may have others present if the person requests. If so, you will want to look for and recognize the family dynamics within his or her culture.
- Complete the interview and submit the typed paper in APA format. A minimum of two references must be used.
Eight Simple Questions by Arthur Kleinman
The Kleinman questions, developed out of medical anthropology research, are designed to elicit health beliefs and expectations, or concerns, about the illness and treatment. You should be familiar with these questions before conducting the interview. Using the eight simple questions provided by Arthur Kleinman, you should be able to individualize care and understand the person you are caring for. You will interview the person concerning the health problem that he or she considers the most significant. Arthur Kleinman’s eight questions for eliciting the person’s explanatory model (EM) of his or her illness are as follows:
1. What do you call the problem?
2. What do you think has caused the problem?
3. Why do you think it started when it did?
4. What do you think the sickness does? How does it work?
5. How severe is the sickness? Will it have a short or long course?
6. What kind of treatment do you think you should receive? What are the most important results you hope to receive from this treatment?
7. What are the chief problems the sickness has caused?
8. What do you fear most about the sickness?
The paper must include the following items, as well as general elements of a well-written paper (clear, specific introduction and conclusion, good transitions between paragraphs and new ideas/points, proper APA format, etc.):
500 words Interview
- Date and time of interview
- Setting: physical surroundings and location (be specific)
- Cultural group identified by person (and cultural group identified by interviewer, if different)
- Interviewee’s age, gender, general physical appearance, any observable physical limitations
- Interviewee’s description of his or her health problem using the Eight Questions by Arthur Kleinman (you may list these in question and answer format)
- Answer Arthur Kleinman’s Eight Questions from your own cultural viewpoint to compare and contrast with your interviewee’s responses
500 words Reflection
· Discuss whether his or her responses are consistent with common knowledge and information about specific aspects of his or her culture. What was consistent and what was inconsistent?
· Did this experience help you clarify your own views in any way? If so, what and how?
· Discuss what you learned about conducting a culturally sensitive interview.
· If you heard any comments or beliefs that were different than your own views, knowledge, or beliefs, did you respond to what you heard? If you responded, do you think it was the most useful way to respond? If so, how, if not, what would you do in the future?
· In the future, if you conduct an interview with someone from a different culture, what would you do the same and why? What would you do differently and why?
· What did this contribute to your understanding of the healthcare values, beliefs, and/or practices of different cultures?
500 words Evaluation
- Consider if you could have learned what you learned in a different or more effective way.
- Describe what went well during this process and what could have gone better.
- Describe what were the most difficult and the easiest aspects of this assignment and why.
- Describe what you liked or didn’t like about this experience and why.