Culture and Advanced Nursing Practice

 

 

The St. Fleur family is well respected in the Haitian community because they are religious with great moral values. They moved to the United States because of political issues in Haiti. Ronald, the youngest son of this family, is 27 years old and lives at home with his mother and father. Recently, he began having fevers and subsequently developed pneumonia. He was admitted to the hospital, where laboratory tests were HIV positive. Ronald was in shock when the doctor informed him that he was HIV positive. He confessed to the doctor that he was gay but he could not tell his family. He said that he did not want to bring shame to the family. Because he couldn’t be in a formal relationship owing to his family and the Haitian community’s view of homosexuality, he has been very promiscuous over the years.

What are Haitians’ dominant cultural views of homosexuality?
If Ronald’s parents were to learn of his positive HIV status, how might they react if they are religious and traditional?
Identify three specific culturally congruent strategies to address in designing HIV-prevention practices in the Haitian community?

Sample Question

  • Haitian Cultural Views on Homosexuality:

Homosexuality is generally not openly accepted in Haitian society, particularly within more conservative and religious communities. Haitian culture is deeply rooted in Catholicism and Protestantism, both of which traditionally hold conservative views on sexuality. Homosexuality is often stigmatized and viewed as taboo.

  • Parental Reaction:

If Ronald’s parents were to learn of his HIV status and his sexual orientation, their reaction might be complex and multifaceted:

  • Shock and Disbelief: They might be in a state of shock and disbelief, struggling to comprehend the situation.

  • Disappointment and Shame: They might feel disappointed and ashamed, particularly if they hold strong religious beliefs that view homosexuality as a sin.

  • Fear and Stigma: They might fear social ostracization from the Haitian community due to their son’s HIV status and sexual orientation.

  • Concern for Ronald’s Well-being: Despite their initial reactions, they might ultimately prioritize their son’s health and well-being, seeking support and guidance for him.

  • Culturally Congruent Strategies for HIV Prevention:

  1. Community-Based Education:
    • Focus: Develop culturally sensitive HIV/AIDS education programs that address the specific needs and concerns of the Haitian community.
    • Approach: Utilize community leaders, religious figures, and respected elders to deliver messages about HIV prevention and safe sexual practices. Tailor messages to address cultural norms and values while promoting open and honest discussions about sexuality.
  2. Peer Education Programs:
    • Focus: Train and empower young Haitian individuals to become peer educators on HIV/AIDS prevention.
    • Approach: Utilize the trust and respect that peers often have within the community to disseminate information and promote safe sexual behaviors.
  3. Confidentiality and Support Services:
    • Focus: Establish confidential counseling and support services for individuals living with HIV/AIDS within the Haitian community.
    • Approach: Create a safe and non-judgmental environment where individuals can access information, support, and treatment without fear of stigma or discrimination.

Important Considerations:

  • It is crucial to approach HIV prevention within the Haitian community with sensitivity, respect, and cultural humility.
  • Engaging with community leaders and organizations is essential to ensure that prevention efforts are culturally appropriate and effective.
  • Addressing the stigma associated with both HIV/AIDS and homosexuality is critical for successful prevention efforts.

This information is for general knowledge and educational purposes only and should not be considered medical or professional advice.

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