Question

Discuss what cultural competence is in healthcare. Identify your cultural ancestry. If you have more than one cultural ancestry, chose the one with which you most closely associate. Explore the willingness of individuals in your culture to share thoughts, feelings, and ideas. Can you identify any area of discussion that would be considered taboo? Explore the practice and meaning of touch in your culture. Include information regarding touch between family members, friends, members of the opposite sex, and health-care providers. Identify personal spatial and distancing strategies used when communicating with others in your culture. Discuss differences between friends and families versus strangers. Discuss your culture’s use of eye contact. Include information regarding practices between family members, friends, strangers, and persons of different age groups. Explore the meaning of gestures and facial expressions in your culture. Do specific gestures or facial expressions have special meanings? How are emotions displayed? Are there acceptable ways of standing and greeting people in your culture? Discuss the prevailing temporal relation of your culture. Is the culture’s worldview past, present, or future oriented? Prevailing temporal relations meaning, how do your culture perceive healthcare in general. Does your culture utilize certain remedies? Are they more relax about receiving proper healthcare? Do they seek a healthcare provider if their health is failing? How often they try to seek medical attention? Discuss the impact of your culture in healthcare or within a healthcare setting. My culture is Haiti

Answer 1

Cultural competence is the ability of providers and organizations to deliver health care to meet the patient cultural, social needs, it helps improve quality care and health outcome... Haitian Americans resist acculturation and follow traditional cultural, religious, spiritual and family values. They believe spiritual healing and practice worship and they worship spirit for relieving illness and protect from harm.In Haiti culture food taboo and homosexuality taboo to protect spirits with feasts. Haitians touch friends and family, they allow providers a supportive touch. personal space they maintain with anyone with 1-2 feet distance and maintain reasonable distance with health care providers, they avoid children during the adult conversation. they will be very particular with strangers when they provide food or health care service they ask for proofs.
Haitians avoid eye contact to avoid insolence, children avoid eye contact with adults but acculturated adults have eye contact with each other. Hand gestures Haitians use mostly, no other gestures they use, they never express emotions other than relatives, with family, friends, they use hand gestures and loud conversation for reinforcement. They cry and express fear, they fold arms across their chest, roll their eyes and look upward ceiling for any major incidents. kiss and informal embrace are for affection and acceptance, a formal handshake for greeting others, men do not embrace women. Haitian from low socioeconomics are past and present-oriented, well socioeconomic background is present and future-oriented.
Haitians try home remedies by preferring herbal treatment, the patient says their illness to the clinician than symptoms and seek for self-diagnosis. If their herbal medicine and help from voodoo priest fails they seek a physician. Acute diarrhea, intestinal infection, malnutrition, respiratory infection are the leading causes of Haitian illness, they seek medical attention for that disease. to provide Haitian people health care by understanding and knowledge of Haitian culture can provide most informed culturally appropriate care.

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