Cultural assessments are essential in providing effective healthcare to individuals from diverse ethnic backgrounds. By using Giger and Davidhizar’s Transcultural Assessment Model, nurses are able to gain insight into the unique cultural factors that can influence a person’s health beliefs, behaviors, and preferences. In this academic paper, I will perform and document a cultural assessment with an individual of a different ethnicity, while maintaining their confidentiality. I will address each phenomenon of the cultural assessment framework and provide five resources that specifically relate to the individual’s ethnicity, with at least two of them being scholarly research.
The first category in the Transcultural Assessment Model is the Culturally Unique Individual. This involves gathering information about the client’s ethnic background, religious beliefs, primary language, and immigration status. It is also important to understand the client’s perception of their own cultural identity and how they navigate between their ethnic and mainstream cultures. For this cultural assessment, I will be working with an individual from a Chinese background. The client is a 45-year-old female who immigrated to the United States 10 years ago. She identifies as Chinese and primarily speaks Mandarin. She practices Buddhism and follows traditional Chinese medicine beliefs.
Communication is the next category in the assessment framework. It involves understanding how the client communicates with healthcare providers, their preferred language for health discussions, and any barriers they may face in communication. In the case of this Chinese client, Mandarin is her preferred language for health discussions. However, she also has limited English proficiency, which may pose a communication barrier. It is important to ensure that interpreters are available to facilitate effective communication between the client and healthcare providers.
The third category is Space, which refers to the client’s personal space preferences and their perceptions of privacy, touch, and personal distance in healthcare settings. In traditional Chinese culture, individuals may have a preference for a larger personal space. The client should be given the option to have a private room during hospital stays and to have privacy curtains during examinations. It is important to be respectful of the client’s personal space and to seek consent before any physical contact.
Social Organization is another important aspect to consider in the cultural assessment. This category explores the client’s family structure, social support system, and roles within their community. In Chinese culture, family plays a central role in an individual’s life, and decisions are often made collectively. It is important to involve family members in healthcare discussions and decision-making processes, if the client gives consent. Additionally, it is essential to recognize the hierarchical structure within Chinese families and respect the authority of elders.
The fifth category is Time, which examines the client’s perception and prioritization of time. In Chinese culture, punctuality is highly valued, and individuals may have a strong adherence to schedules. It is important to schedule appointments in advance and to be punctual. Delays or rescheduling should be communicated and explained clearly to avoid any misunderstandings. Additionally, healthcare providers should be mindful of the client’s perceived urgency or patience in seeking medical attention.
Environmental Control is the next phenomenon to be addressed. It involves understanding the client’s beliefs about the causes of illness and their preferred methods of treatment. In traditional Chinese medicine, the balance of yin and yang is believed to be essential for health. Acupuncture, herbal remedies, and meditation may be favored over Western medicine. It is important to respect the client’s cultural beliefs and incorporate them into their healthcare plan, while also providing evidence-based information to ensure their safety and well-being.
The seventh category in the Transcultural Assessment Model is Biological Variations. This category explores the client’s genetic predispositions, common health conditions within their ethnic group, and any specific dietary or nutritional requirements. In the case of this Chinese client, it is important to be aware of the higher prevalence of certain conditions such as liver cancer and hepatitis B. Dietary considerations may include a preference for a balanced diet with rice as a staple, and certain foods may be avoided or sought after based on traditional beliefs.
The final category in the assessment framework is Nursing Assessment, which involves gathering information about the client’s overall health status, physical examinations, and the client’s perception of their own health. It is important to conduct a comprehensive assessment that takes into account both the client’s medical history and their cultural background. Culturally-sensitive questions should be asked to gain an understanding of the client’s health beliefs, practices, and goals.
In conclusion, the cultural assessment performed with the Chinese client using Giger and Davidhizar’s Transcultural Assessment Model has allowed for a comprehensive understanding of the cultural factors that can influence their healthcare experiences. By addressing each phenomenon of the assessment framework, healthcare providers can tailor their care to meet the unique needs and preferences of individuals from diverse ethnic backgrounds. This holistic approach promotes effective communication, respect for cultural beliefs, and ultimately improves the quality of care provided to culturally diverse populations.
