Handbook for Culturally Competent Care
von: Larry D. Purnell, Eric A. Fenkl
Springer-Verlag, 2019
ISBN: 9783030219468
Sprache: Englisch
361 Seiten, Download: 4007 KB
Format: PDF, auch als Online-Lesen
Preface | 5 | ||
Contents | 7 | ||
Introduction | 18 | ||
Chapter 1: Transcultural Diversity and Health Care | 20 | ||
1.1 The Need for Culturally Competent Health Care | 20 | ||
1.2 Variant Characteristics of Culture | 22 | ||
1.3 Reflective Exercises | 24 | ||
Bibliography | 25 | ||
Chapter 2: The Purnell Model for Cultural Competence | 26 | ||
2.1 The Purnell Model | 27 | ||
2.1.1 Assessment Guide | 27 | ||
2.1.2 Domains and Concepts | 28 | ||
2.1.2.1 Overview and Heritage | 28 | ||
2.1.2.2 Communications | 29 | ||
2.1.2.3 Family Roles and Organization | 29 | ||
2.1.2.4 Workforce Issues | 29 | ||
2.1.2.5 Biocultural Ecology | 29 | ||
2.1.2.6 High-Risk Health Behaviors | 30 | ||
2.1.2.7 Nutrition | 30 | ||
2.1.2.8 Pregnancy and Childbearing Practices | 30 | ||
2.1.2.9 Death Rituals | 30 | ||
2.1.2.10 Spirituality | 30 | ||
2.1.2.11 Health-Care Practices | 30 | ||
2.1.2.12 Health-Care Practitioners | 31 | ||
2.2 Purnell Cultural Assessment Tool | 31 | ||
2.3 Reflective Exercise | 36 | ||
Chapter 3: Barriers to Culturally Competent Health Care | 38 | ||
3.1 Language and Health Literacy | 39 | ||
3.2 Availability | 40 | ||
3.3 Accessibility | 41 | ||
3.4 Affordability | 41 | ||
3.5 Appropriateness | 41 | ||
3.6 Organizational Accountability | 42 | ||
3.7 Adaptability | 42 | ||
3.8 Acceptability | 42 | ||
3.9 Awareness | 43 | ||
3.10 Attitudes | 43 | ||
3.11 Approachability | 43 | ||
3.12 Alternative Practices | 44 | ||
3.13 Additional Services | 44 | ||
3.14 Reflective Exercises | 44 | ||
Bibliography | 45 | ||
Chapter 4: People of African American Heritage | 46 | ||
4.1 Overview and Heritage | 46 | ||
4.1.1 Communications | 46 | ||
4.1.2 Family Roles and Organization | 47 | ||
4.1.3 Workforce Issues | 48 | ||
4.1.4 Biocultural Ecology | 49 | ||
4.1.5 High-Risk Health Behaviors | 51 | ||
4.1.6 Nutrition | 51 | ||
4.1.7 Pregnancy and Childbearing Practices | 52 | ||
4.1.8 Death Rituals | 53 | ||
4.1.9 Spirituality | 54 | ||
4.1.10 Health-Care Practices | 55 | ||
4.1.11 Health-Care Providers | 56 | ||
4.2 Reflective Exercises | 57 | ||
Bibliography | 58 | ||
Chapter 5: People of American Indian/Alaskan Native Heritage | 59 | ||
5.1 Overview and Heritage | 59 | ||
5.1.1 Communications | 60 | ||
5.1.2 Family Roles and Organization | 61 | ||
5.1.3 Workforce Issues | 62 | ||
5.1.4 Biocultural Ecology | 62 | ||
5.1.5 High-Risk Behaviors | 63 | ||
5.1.6 Nutrition | 64 | ||
5.1.7 Pregnancy and Childbearing Practices | 64 | ||
5.1.8 Death Rituals | 65 | ||
5.1.9 Spirituality | 65 | ||
5.1.10 Health-Care Practices | 65 | ||
5.1.11 Health-Care Providers | 66 | ||
5.2 People of Navajo Heritage | 66 | ||
5.2.1 Communications | 67 | ||
5.2.2 Family Roles and Organization | 68 | ||
5.2.3 Workforce Issues | 69 | ||
5.2.4 Biocultural Ecology | 70 | ||
5.2.5 High-Risk Health Behaviors | 71 | ||
5.2.6 Nutrition | 72 | ||
5.2.7 Pregnancy and Childbearing Practices | 72 | ||
5.2.8 Death Rituals | 73 | ||
5.2.9 Spirituality | 75 | ||
5.2.10 Health-Care Practices | 76 | ||
5.2.11 Health-Care Provider | 77 | ||
5.3 Reflective Exercises | 78 | ||
Bibliography | 79 | ||
Chapter 6: The Amish | 80 | ||
6.1 Overview and Heritage | 80 | ||
6.1.1 Communications | 81 | ||
6.1.2 Family Roles and Organization | 82 | ||
6.1.3 Workforce Issues | 82 | ||
6.1.4 Biocultural Ecology | 83 | ||
6.1.5 High-Risk Health Behaviors | 84 | ||
6.1.6 Nutrition | 84 | ||
6.1.7 Pregnancy and Childbearing Practices | 84 | ||
6.1.8 Death Rituals | 85 | ||
6.1.9 Spirituality | 85 | ||
6.1.10 Health-Care Practices | 86 | ||
6.1.11 Health-Care Providers | 87 | ||
6.2 Reflective Exercises | 88 | ||
Bibliography | 88 | ||
Chapter 7: People of Appalachian Heritage | 89 | ||
7.1 Overview and Heritage | 89 | ||
7.1.1 Communications | 90 | ||
7.1.2 Family Roles and Organization | 91 | ||
7.1.3 Workforce Issues | 91 | ||
7.1.4 Biocultural Ecology | 92 | ||
7.1.5 High-Risk Health Behaviors | 93 | ||
7.1.6 Nutrition | 93 | ||
7.1.7 Pregnancy and Childbearing Practices | 94 | ||
7.1.8 Death Rituals | 95 | ||
7.1.9 Spirituality | 95 | ||
7.1.10 Health-Care Practices | 96 | ||
7.1.11 Health-Care Providers | 97 | ||
7.2 Reflective Exercises | 98 | ||
Bibliography | 98 | ||
Chapter 8: People of Arab Heritage | 99 | ||
8.1 Overview and Heritage | 99 | ||
8.1.1 Communications | 100 | ||
8.1.2 Family Roles and Organization | 100 | ||
8.1.3 Workforce Issues | 102 | ||
8.1.4 Biocultural Ecology | 103 | ||
8.1.5 High-Risk Health Behaviors | 104 | ||
8.1.6 Nutrition | 104 | ||
8.1.7 Pregnancy and Childbearing Practices | 105 | ||
8.1.8 Death Rituals | 106 | ||
8.1.9 Spirituality | 107 | ||
8.1.10 Health-Care Practices | 108 | ||
8.1.11 Health-Care Providers | 110 | ||
8.2 Reflective Exercises | 110 | ||
Bibliography | 110 | ||
Chapter 9: People of Brazilian Heritage | 112 | ||
9.1 Overview and Heritage | 112 | ||
9.1.1 Communications | 113 | ||
9.1.2 Family Roles and Organization | 114 | ||
9.1.3 Workforce Issues | 115 | ||
9.1.4 Biocultural Ecology | 115 | ||
9.1.5 High-Risk Health Behaviors | 116 | ||
9.1.6 Nutrition | 117 | ||
9.1.7 Pregnancy and Childbearing Practices | 118 | ||
9.1.8 Death Rituals | 118 | ||
9.1.9 Spirituality | 119 | ||
9.1.10 Health-Care Practices | 119 | ||
9.1.11 Health-Care Providers | 121 | ||
9.2 Reflective Exercises | 121 | ||
Bibliography | 122 | ||
Chapter 10: People of Chinese Heritage | 123 | ||
10.1 Overview and Heritage | 123 | ||
10.1.1 Communications | 124 | ||
10.1.2 Family Roles and Organization | 125 | ||
10.1.3 Workforce Issues | 126 | ||
10.1.4 Biocultural Ecology | 127 | ||
10.1.5 High-Risk Health Behaviors | 128 | ||
10.1.6 Nutrition | 128 | ||
10.1.7 Pregnancy and Childbearing Practices | 129 | ||
10.1.8 Death Rituals | 130 | ||
10.1.9 Spirituality | 130 | ||
10.1.10 Health-Care Practices | 131 | ||
10.1.11 Health-Care Providers | 132 | ||
10.2 Reflective Exercises | 132 | ||
Bibliography | 133 | ||
Chapter 11: People of Cuban Heritage | 134 | ||
11.1 Overview and Heritage | 134 | ||
11.1.1 Communications | 134 | ||
11.1.2 Family Roles and Organization | 135 | ||
11.1.3 Workforce Issues | 136 | ||
11.1.4 Biocultural Ecology | 137 | ||
11.1.5 High-Risk Health Behaviors | 137 | ||
11.1.6 Nutrition | 138 | ||
11.1.7 Pregnancy and Childbearing Practices | 139 | ||
11.1.8 Death Rituals | 140 | ||
11.1.9 Spirituality | 140 | ||
11.1.10 Health-Care Practices | 141 | ||
11.1.11 Health-Care Providers | 143 | ||
11.2 Reflective Exercises | 144 | ||
Bibliography | 144 | ||
Chapter 12: People of European American Heritage | 145 | ||
12.1 Overview and Heritage | 145 | ||
12.1.1 Communications | 145 | ||
12.1.2 Family Roles and Organization | 146 | ||
12.1.3 Workforce Issues | 147 | ||
12.1.4 Biocultural Ecology | 148 | ||
12.1.5 High-Risk Health Behaviors | 148 | ||
12.1.6 Nutrition | 149 | ||
12.1.7 Pregnancy and Childbearing Practices | 149 | ||
12.1.8 Death Rituals | 150 | ||
12.1.9 Spirituality | 150 | ||
12.1.10 Health-Care Practices | 151 | ||
12.2 Reflective Exercises | 152 | ||
Bibliography | 153 | ||
Chapter 13: People of Filipino Heritage | 154 | ||
13.1 Overview and Heritage | 154 | ||
13.1.1 Communications | 154 | ||
13.1.2 Family Roles and Organization | 156 | ||
13.1.3 Workforce Issues | 157 | ||
13.1.4 Biocultural Ecology | 158 | ||
13.1.5 High-Risk Health Behaviors | 159 | ||
13.1.6 Nutrition | 159 | ||
13.1.7 Pregnancy and Childbearing Practices | 160 | ||
13.1.8 Death Rituals | 161 | ||
13.1.9 Spirituality | 162 | ||
13.1.10 Health-Care Practices | 162 | ||
13.1.11 Health-Care Providers | 164 | ||
13.2 Reflective Exercises | 164 | ||
Bibliography | 165 | ||
Chapter 14: People of German Heritage | 166 | ||
14.1 Overview and Heritage | 166 | ||
14.1.1 Communications | 166 | ||
14.1.2 Family Roles and Organization | 168 | ||
14.1.3 Workforce Issues | 169 | ||
14.1.4 Biocultural Ecology | 169 | ||
14.1.5 High-Risk Health Behaviors | 169 | ||
14.1.6 Nutrition | 170 | ||
14.1.7 Pregnancy and Childbearing Practices | 170 | ||
14.1.8 Death Rituals | 171 | ||
14.1.9 Spirituality | 171 | ||
14.1.10 Health-Care Practices | 172 | ||
14.1.11 Health-Care Providers | 173 | ||
14.2 Reflective Exercises | 173 | ||
Bibliography | 173 | ||
Chapter 15: People of Guatemalan Heritage | 174 | ||
15.1 Overview and Heritage | 174 | ||
15.1.1 Communications | 174 | ||
15.1.2 Family Roles and Organization | 176 | ||
15.1.3 Workforce Issues | 176 | ||
15.1.4 Biocultural Ecology | 177 | ||
15.1.5 High-Risk Behaviors | 178 | ||
15.1.6 Nutrition | 178 | ||
15.1.7 Pregnancy and Childbearing Practices | 179 | ||
15.1.8 Death Rituals | 179 | ||
15.1.9 Spirituality | 180 | ||
15.1.10 Health-Care Practices | 180 | ||
15.1.11 Health-Care Providers | 182 | ||
15.2 Reflective Exercises | 183 | ||
Bibliography | 183 | ||
Chapter 16: People of Haitian Heritage | 184 | ||
16.1 Overview and Heritage | 184 | ||
16.1.1 Communications | 184 | ||
16.1.2 Family Roles and Organization | 186 | ||
16.1.3 Workforce Issues | 187 | ||
16.1.4 Biocultural Ecology | 188 | ||
16.1.5 High-Risk Health Behaviors | 189 | ||
16.1.6 Nutrition | 189 | ||
16.1.7 Pregnancy and Childbearing Practices | 190 | ||
16.1.8 Death Rituals | 192 | ||
16.1.9 Spirituality | 192 | ||
16.1.10 Health-Care Practices | 193 | ||
16.1.11 Health-Care Providers | 195 | ||
16.2 Reflective Exercises | 196 | ||
Bibliography | 196 | ||
Chapter 17: People of Hindu Heritage | 197 | ||
17.1 Overview and Heritage | 197 | ||
17.1.1 Communications | 197 | ||
17.1.2 Family Roles and Organization | 198 | ||
17.1.3 Workforce Issues | 199 | ||
17.1.4 Biocultural Ecology | 200 | ||
17.1.5 High-Risk Health Behaviors | 200 | ||
17.1.6 Nutrition | 201 | ||
17.1.7 Pregnancy and Childbearing Practices | 202 | ||
17.1.8 Death Rituals | 203 | ||
17.1.9 Spirituality | 205 | ||
17.1.10 Health-Care Practices | 205 | ||
17.1.11 Health-Care Providers | 207 | ||
17.2 Reflective Exercises | 208 | ||
Bibliography | 208 | ||
Chapter 18: People of Hmong Heritage | 209 | ||
18.1 Overview and Heritage | 209 | ||
18.1.1 Communications | 210 | ||
18.1.2 Family Roles and Organization | 212 | ||
18.1.3 Workforce Issues | 213 | ||
18.1.4 Biocultural Ecology | 213 | ||
18.1.5 High-Risk Health Behaviors | 215 | ||
18.1.6 Nutrition | 215 | ||
18.1.7 Pregnancy and Childbearing Practices | 216 | ||
18.1.8 Death Rituals | 216 | ||
18.1.9 Spirituality | 216 | ||
18.1.10 Health-Care Practices | 217 | ||
18.1.11 Health-Care Providers | 217 | ||
18.2 Reflective Exercises | 218 | ||
Bibliography | 218 | ||
Chapter 19: People of Iranian Heritage | 219 | ||
19.1 Overview and Heritage | 219 | ||
19.1.1 Communications | 220 | ||
19.1.2 Family Roles and Organization | 221 | ||
19.1.3 Workforce Issues | 223 | ||
19.1.4 Biocultural Ecology | 223 | ||
19.1.5 High-Risk Health Behaviors | 224 | ||
19.1.6 Nutrition | 224 | ||
19.1.7 Pregnancy and Childbearing Practices | 225 | ||
19.1.8 Death Rituals | 226 | ||
19.1.9 Spirituality | 227 | ||
19.1.10 Health-Care Practices | 227 | ||
19.1.11 Health-Care Providers | 229 | ||
19.2 Reflective Exercises | 229 | ||
Bibliography | 230 | ||
Chapter 20: People of Japanese Heritage | 231 | ||
20.1 Overview and Heritage | 231 | ||
20.1.1 Communications | 231 | ||
20.1.2 Family Roles and Organization | 233 | ||
20.1.3 Workforce Issues | 234 | ||
20.1.4 Biocultural Ecology | 234 | ||
20.1.5 High-Risk Health Behaviors | 235 | ||
20.1.6 Nutrition | 235 | ||
20.1.7 Pregnancy and Childbearing Practices | 236 | ||
20.1.8 Death Rituals | 237 | ||
20.1.9 Spirituality | 238 | ||
20.1.10 Health-Care Practices | 238 | ||
20.1.11 Health-Care Providers | 240 | ||
20.2 Reflective Exercises | 240 | ||
Bibliography | 240 | ||
Chapter 21: People of Jewish Heritage | 242 | ||
21.1 Overview and Heritage | 242 | ||
21.1.1 Communications | 243 | ||
21.1.2 Family Roles and Organization | 244 | ||
21.1.3 Workforce Issues | 244 | ||
21.1.4 Biocultural Ecology | 245 | ||
21.1.5 High-Risk Health Behaviors | 246 | ||
21.1.6 Nutrition | 246 | ||
21.1.7 Pregnancy and Childbearing Practices | 248 | ||
21.1.8 Death Rituals | 249 | ||
21.1.9 Spirituality | 251 | ||
21.1.10 Health-Care Practices | 253 | ||
21.1.11 Health-Care Providers | 254 | ||
21.2 Reflective Exercises | 254 | ||
Bibliography | 255 | ||
Chapter 22: People of Irish Heritage | 256 | ||
22.1 Overview and Heritage | 256 | ||
22.1.1 Communications | 256 | ||
22.1.2 Family Roles and Organization | 257 | ||
22.1.3 Workforce Issues | 258 | ||
22.1.4 Biocultural Ecology | 258 | ||
22.1.5 High-Risk Health Behaviors | 259 | ||
22.1.6 Nutrition | 259 | ||
22.1.7 Pregnancy and Childbearing Practices | 260 | ||
22.1.8 Death Rituals | 260 | ||
22.1.9 Spirituality | 261 | ||
22.1.10 Health-Care Practices | 261 | ||
22.1.11 Health-Care Providers | 262 | ||
22.2 Reflective Exercises | 263 | ||
Bibliography | 263 | ||
Chapter 23: People of Korean Heritage | 264 | ||
23.1 Overview and Heritage | 264 | ||
23.1.1 Communications | 264 | ||
23.1.2 Family Roles and Organization | 265 | ||
23.1.3 Workforce Issues | 266 | ||
23.1.4 Biocultural Ecology | 267 | ||
23.1.5 High-Risk Health Behaviors | 267 | ||
23.1.6 Nutrition | 268 | ||
23.1.7 Pregnancy and Childbearing Practices | 268 | ||
23.1.8 Death Rituals | 269 | ||
23.1.9 Spirituality | 270 | ||
23.1.10 Health-Care Practices | 270 | ||
23.1.11 Health-Care Practitioners | 270 | ||
23.2 Reflective Exercises | 271 | ||
Bibliography | 271 | ||
Chapter 24: People of Mexican Heritage | 272 | ||
24.1 Overview and Heritage | 272 | ||
24.1.1 Communications | 272 | ||
24.1.2 Family Roles and Organization | 273 | ||
24.1.3 Workforce Issues | 274 | ||
24.1.4 Biocultural Ecology | 274 | ||
24.1.5 High-Risk Health Behaviors | 275 | ||
24.1.6 Nutrition | 275 | ||
24.1.7 Pregnancy and Childbearing Practices | 276 | ||
24.1.8 Death Rituals | 277 | ||
24.1.9 Spirituality | 278 | ||
24.1.10 Health-Care Practices | 278 | ||
24.1.11 Health-Care Providers | 280 | ||
24.2 Reflective Exercises | 280 | ||
Bibliography | 281 | ||
Chapter 25: People of Polish Heritage | 282 | ||
25.1 Overview and Heritage | 282 | ||
25.1.1 Communications | 283 | ||
25.1.2 Family Roles and Organization | 284 | ||
25.1.3 Workforce Issues | 285 | ||
25.1.4 Biocultural Ecology | 285 | ||
25.1.5 High-Risk Behaviors | 286 | ||
25.1.6 Nutrition | 286 | ||
25.1.7 Pregnancy and Childbearing Practices | 287 | ||
25.1.8 Death Rituals | 288 | ||
25.1.9 Spirituality | 288 | ||
25.1.10 Health-Care Practices | 288 | ||
25.1.11 Health-Care Providers | 290 | ||
25.2 Reflective Exercises | 290 | ||
Bibliography | 291 | ||
Chapter 26: People of Puerto Rican Heritage | 292 | ||
26.1 Overview and Heritage | 292 | ||
26.1.1 Communications | 292 | ||
26.1.2 Family Roles and Organization | 294 | ||
26.1.3 Workforce Issues | 295 | ||
26.1.4 Biocultural Ecology | 296 | ||
26.1.5 High-Risk Health Behaviors | 296 | ||
26.1.6 Nutrition | 297 | ||
26.1.7 Pregnancy and Childbearing Practices | 302 | ||
26.1.8 Death Rituals | 303 | ||
26.1.9 Spirituality | 303 | ||
26.1.10 Health-Care Practices | 304 | ||
26.1.11 Health-Care Providers | 305 | ||
26.2 Reflective Exercises | 306 | ||
Bibliography | 306 | ||
Chapter 27: People of Russian Heritage | 308 | ||
27.1 Overview and Heritage | 308 | ||
27.1.1 Communications | 308 | ||
27.1.2 Family Roles and Organization | 309 | ||
27.1.3 Workforce Issues | 310 | ||
27.1.4 Biocultural Ecology | 310 | ||
27.1.5 High-Risk Health Behaviors | 311 | ||
27.1.6 Nutrition | 311 | ||
27.1.7 Pregnancy and Childbearing Practices | 312 | ||
27.1.8 Death Rituals | 312 | ||
27.1.9 Spirituality | 313 | ||
27.1.10 Health-Care Practices | 313 | ||
27.1.11 Health-Care Providers | 314 | ||
27.2 Reflective Exercises | 315 | ||
Bibliography | 315 | ||
Chapter 28: People of Somali Heritage | 316 | ||
28.1 Overview and Heritage | 316 | ||
28.1.1 Communications | 317 | ||
28.1.2 Family Roles and Organization | 318 | ||
28.1.3 Workforce Issues | 319 | ||
28.1.4 Biocultural Ecology | 319 | ||
28.1.5 High-Risk Health Behaviors | 320 | ||
28.1.6 Nutrition | 321 | ||
28.1.7 Pregnancy and Childbearing Practices | 322 | ||
28.1.8 Death Rituals | 322 | ||
28.1.9 Spirituality | 323 | ||
28.1.10 Health-Care Practices | 323 | ||
28.1.11 Health-Care Providers | 325 | ||
28.2 Reflective Exercises | 325 | ||
Bibliography | 326 | ||
Chapter 29: People of Turkish Heritage | 327 | ||
29.1 Overview and Heritage | 327 | ||
29.1.1 Communications | 328 | ||
29.1.2 Family Roles and Organization | 329 | ||
29.1.3 Workforce Issues | 330 | ||
29.1.4 Biocultural Ecology | 331 | ||
29.1.5 High-Risk Health Behaviors | 332 | ||
29.1.6 Nutrition | 332 | ||
29.1.7 Pregnancy and Childbearing Practices | 334 | ||
29.1.8 Death Rituals | 335 | ||
29.1.9 Spirituality | 335 | ||
29.1.10 Health-Care Practices | 336 | ||
29.1.11 Health-Care Providers | 337 | ||
29.2 Reflective Exercises | 338 | ||
Bibliography | 338 | ||
Chapter 30: People of Vietnamese Heritage | 339 | ||
30.1 Overview and Heritage | 339 | ||
30.1.1 Communications | 339 | ||
30.1.2 Family Roles and Organization | 341 | ||
30.1.3 Workforce Issues | 342 | ||
30.1.4 Biocultural Ecology | 343 | ||
30.1.5 High-Risk Health Behaviors | 344 | ||
30.1.6 Nutrition | 345 | ||
30.1.7 Pregnancy and Childbearing Practices | 346 | ||
30.1.8 Death Rituals | 348 | ||
30.1.9 Spirituality | 349 | ||
30.1.10 Health-Care Practices | 349 | ||
30.1.11 Health-Care Providers | 352 | ||
30.2 Reflective Exercises | 353 | ||
Bibliography | 354 | ||
Glossary | 355 |