Culture's Influence on Health Decisions: African American Identity, Communication, Family,, Assignments of Nursing

Download Culture's Influence on Health Decisions: African American Identity, Communication, Family, and more Assignments Nursing in PDF only on Docsity! Speaker notes Cultural Influences on Health Decision Making Subgroups’ Identity African American refers to the groups of the black ancestral origin (King 2017). From the slave trading, the group was identified as the black people. However, the racial movement has pushed for the sensitive term. Black was a form of segregating people based on skin color. Besides, some of them identify with their countries of origin. Majorly, King (2017) report that the immigrants who came to the USA for studies and other business self-identify by their country of origin. Purnell’s Model Overview The ethnic group made a route in the USA in the late 16 century. The white counterparts needed more task force to work in cotton farms. They snatched abled men and women majorly from western Africa. Most of the African Americans living in the south of the country. According to the census report, close to 55% reside in the southern regions (King 2017). The trends make some regions like Birmingham, Alabama to have more African America. Race is still a minority group in the USA. Significantly, blacks have received racial discrimination and political exclusion. Interracial law prohibited white and black marriages. Lately, race has seen some changes, including the political inclusion and ban of the freedom of interracial marriages. However, many of them languish in poverty with poor maternal and child outcomes. The increased infancy mortality rates among black’s women have raised many concerns about healthcare disparity in the country. Communication The group communicates in African American English. The language has some distinction from standard English on the pronunciation of and accents (King 2017). Accordingly, African Americans have the characteristic English majorly informal in peri-urban areas. Some figures of speech came from the western African languages. For instance, the descendants from Niger-Congo borrowed the dialect and formed the African American English. Family Roles and Organization African Americans regard men as the head of the family. Traditionally, men provided family protection. Men had the solemn role of providing for the families' needs. The women support the husband in taking care of the children. Precisely, the culture restricted the women to be submissive and obedient to the man. They were not supposed to question the men’s decision. Slavery greatly distorted the family stability among black Americans. However, modernization and education have influenced societal change (King 2017). Women are taking more roles outdoor rather than domestic homemakers. Workforce Issues. Currently, King (2017) argues that more women are gaining popularity and involvement in communal affairs. It is a shift that has empowered women socially, politically, and economically. It is the response to the feminism and social movements that campaigned for inclusivity. However, society has branded black men with stereotypes. Some consider them as rapists, thieves, and drug dealers. King (2017) affirms that black men struggle to engage in communal affairs as white equally. Consequently, many African American men are unemployed and lack sustainable livelihood. Besides, race has been influential in the music industry. The blacks influenced the popularity of soul music. of sexually transmitted infections. The homophobic influence and inadequate access to health facilities are the significant contributors. For instance, blacks are seven times more at risk of HIV than whites. Some rely on prayer for coping with mental health—the belief limit health-seeking. Healthcare Practitioners The improved literacy level has reduced the use of alternative medicine. Mostly, African Americans rely on medical practitioners for interventions. However, the rates are different among mental health. The increased stigma lead propels many people to rely on spiritual healers. Inadequate health-seeking behavior, especially in the management of STDs, has influenced poor outcomes. Subgroups Presence and Issues relating to Local and Global Community Education Education is the integral approach for empowering the community and livelihood. Through education, African American women have gained social, political, and economic inclusions. White supremacy limited education in the last centuries. Currently, race enjoys the benefits of many scholars. Many black-based institutions such as HBCU, especially in the south, have empowered the blacks. University admission has increased by 73% between 1995 and 2009. By 2015, 23% of African Americans had bachelors’ degrees. Politics Politics help in forming policies. More political engagements empower the community. The majority of the blacks support the Democrat Party. They have supported it from the time of the great depression in the 1930s. President Roosevelt implemented the relief that favored the blacks. Political inclusion has influenced their influence in the country. President Barrack Obama implemented the ACA, which is memorable in achieving healthcare equity. Economy Most affluent African Americans live in View Park Windsor Hills, California. The residents have a median annual income of $159600. Accordingly, Blacks have the combined buying of 892 billion with 1.2 million business owners. It is the third highest-earning minority group, with 25% of them in white color jobs. By 2011, over 50% of them had a median income- earning of $50000 per year. However, poverty rates remain high, especially in unemployed groups. Strategies for Culturally Competent Nursing Care The nurse should be sensitive to the choice of terminology. African Americans have the perceived vulnerability of racial inequality. Any terminology that can evoke racial differences can make the intervention ineffective. For instance, many of the mental health victims have not accessed care due to stigma. Some of these stigmas arise from the terminology. It is much better when the nurse refers to the intervention as ‘counseling’ rather than ‘psychotherapy”. Some of the African Americans associate psychotherapy as the intervention offered to the mad and crazy people. The rise of chronic illnesses in this race can make the nurse assess the eating habits. The nurse should be sensitive to providing interventions that discourage soul food. Although the food has much sodium and starch, Avieli & Markowitz (2018) affirm that it is a cultural identity. The plausible intervention can resolve around modification and balance of intake that promotes health. Besides, the nurse can leverage alternative interventions such as improved physical activity to cut excess fat. Avieli, N., & Markowitz, F. (2018). Slavery food, soul food, salvation food: veganism and identity in the African Hebrew Israelite Community. African and Black Diaspora: An International Journal, 11(2), 205-220. https://doi.org/10.1080/17528631.2017.1394612 King, L. J. (2017). The status of Black history in US schools and society. Social Education, 81(1), 14-18. Lewis, T. T., & Van Dyke, M. E. (2018). Discrimination and the health of African Americans: The potential importance of intersectionalities. Current Directions in Psychological Science, 27(3), 176-182. https://doi.org/10.1177/0963721418770442 Qin, B., Llanos, A. A., Lin, Y., Szamreta, E. A., Plascak, J. J., Oh, H., ... & Bandera, E. V. (2018). Validity of self-reported weight, height, and body mass index among African American breast cancer survivors. Journal of Cancer Survivorship, 12(4), 460-468. https://doi.org/10.1007/s11764-018-0685-9 Young, P. A. (2018). Perceptions of obese African American women regarding altering traditional soul food preparation. https://scholarworks.waldenu.edu/dissertations/5047/