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

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Handbook for Culturally Competent Care

	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

Handbook for Culturally Competent Care

von: Larry D. Purnell, Eric A. Fenkl

Handbook for Culturally Competent Care

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