Caring for Cuban, Amish, & Irish Populations
A. What are the differences that may affect Cuban-American patients who immigrated at different times?
B. What can a nurse do to make life in the hospital more culture-specific for an Amish client?
C. List at least two etiological reasons for the development of alcoholism within an Irish-American family.
A. Differences Affecting Cuban-American Patients Based on Immigration Time
The Cuban-American population is diverse, with experiences shaped by the time of immigration. Key differences include:
- Generational differences:
-
- First-generation immigrants: Often experienced political and economic upheaval, leading to potential trauma and resilience. They might hold strong ties to Cuban culture and language.
- Second-generation immigrants: Born in the U.S., they may have a stronger connection to American culture but still value their Cuban heritage. They might face identity challenges and biculturalism.
- Third-generation immigrants: May have limited knowledge of Cuban culture and language, focusing primarily on American identity.
- Acculturation level: How individuals integrate into American society varies. Some may maintain strong Cuban cultural practices, while others fully assimilate. This affects language, diet, family structure, and healthcare beliefs.
- Socioeconomic status: Early immigrants often faced economic hardships, impacting education, occupation, and access to healthcare. Later immigrants might have different socioeconomic backgrounds.
- Political views: Historical events influence political affiliations and attitudes towards the Cuban government.
These factors shape health beliefs, communication styles, and preferences for healthcare providers.
B. Creating a Culture-Specific Hospital Environment for Amish Clients
To provide culturally sensitive care for Amish patients, consider the following:
- Respect for modesty: Provide private rooms or curtains to maintain modesty during procedures. Female healthcare providers might be preferred.
- Accommodate plain dress: Offer gowns that align with Amish clothing principles.
- Dietary restrictions: Provide plain, simple food options without additives or preservatives.
- Limited technology: Minimize the use of electronic devices and focus on personal interaction.
- Family involvement: Encourage family members to be present during decision-making and care.
- Avoid modern medicine: Respect the Amish preference for traditional remedies, while also explaining the benefits of modern medicine when necessary.
By understanding and accommodating Amish beliefs and practices, healthcare providers can create a more comfortable and respectful environment.