Cultural Analysis of Latin American Healthcare Beliefs and Practices
Brittaney Bures University of South Florida
CULTURAL ANALYSIS 2 Cultural Analysis of Latin American Healthcare Beliefs and Practices Understanding cultural beliefs has become increasingly important when it comes to treating patients. Failure to understand and respond appropriately to culture values and beliefs can prevent healthcare workers from providing optimal care to patients (Carteret, 2011). When caring for patients with a different cultural background, it is imperative that healthcare providers are culturally aware and culturally competent. Being culturally competent means being able to understand how cultural beliefs and practices influence our daily lives and recognize that people with cultural backgrounds different from our own have unique values, life way, health practices, and interpersonal styles (Anderson, 2011, p. 112). Interview To learn more about Latin American culture and beliefs, an interview was conducted on a 30 year-old male, Cesar, who was originally born and raised in the capital of Colombia, Bogota. At age 16, Cesar moved to the United States where he currently lives with his grandmother, his sister, and her husband. His grandmother, or abuelita, is often the one that prepares dinner for the family. Traditional Colombian foods favored most by the family include rice, potatoes, kidney beans, lentils, blood sausage, and chorizo, often prepared with generous amounts of salt. When asked how these food choices have influenced his health, Cesar stated that these foods provide him with energy. Cesars parents both still reside in Colombia, but have plans to move to the United States in 2017. Cesar makes visits to see them yearly. At that time, he also schedules his annual physical exam and dental appointments, both of which are providers he has been going to since he was young. His doctor and dentist are friends of the family that have earned the familys trust CULTURAL ANALYSIS 3 and respect. Cesars mother, father, and other family members go to them, as well. In their culture, healthcare providers are typically chosen based on friends and family member recommendation. Cesar has seen medical professionals in the United States and says that he has never felt discriminated against or taken advantage of. He feels that his ability to speak and understand English proficiently helps. He is not faced with a language barrier like most of his family would be. He also mentioned that he and his family alike rarely go to the doctor. Medical care is often only sought out in emergency or more severe cases, where traditional home remedies are typically used. A practice that he and his family currently use to prevent illness is to eat a spoonful of raw garlic once a week. In Colombia, his family also uses flowers and other plants as natural remedies when treating or preventing illnesses. Cesar believes that illnesses he has had in the past are related to him not properly taking care of himself. He reports that the most recent injury occurred while he was playing soccer and his leg muscles cramped up. Not getting the appropriate nutrients, hydration, and rest were all factors he contributes to his injury. The injury healed on its own with adequate rest and stretching. This is something, he states, that he would not see a doctor for. He believes that if he takes care of himself, it will get better on its own. Comparison People of the Latin American culture place high value on family. They believe that decisions, including healthcare decisions, are largely based on pleasing the family and should not be made individually (Carteret, 2011). Similarly, Cesar stated in his interview that healthcare decisions and providers are typically based on family and friends referral. He also mentioned the importance of trust and respect as it relates to his healthcare. Cesar has been using the same CULTURAL ANALYSIS 4 healthcare providers for years since they have achieved the highest level of respect and trust within the family. People who are not family or considered close friends often take more time to be trusted (Carteret, 2011). In order to gain trust within their culture, healthcare workers should be attentive to the patient and family, while taking their time and showing concern. Friendly physical gestures, such as handshakes or placing a hand on the shoulder, are appreciated and perceived as warmth and caring. Rushed, detached, or impersonal affect may result in the patient and family members losing trust and feeling dissatisfied with care (Carteret, 2011). Case Scenario For the patient that has recently developed diabetes, it would be important for the community health nurse to apply the theory of preservation and/or maintenance. Encouraging the patient to continue including family members in the decision-making process respects the individuals autonomy (Anderson, 2011, p. 76). The theory of accommodation and/or negotiation ensures that the outcome of care is fitting for the culture of the individual and family. Nursing practices could be adjusted to place more emphasis on educating the patients family. Family involvement promotes a feeling of closeness and also allows for participation in care of the patient. Conclusion Healthcare providers should be familiar with cultural values and beliefs of patients with different cultural backgrounds (Carteret, 2011). Family, respect, and kindness are valued most in the Latin American culture. Understanding these cultural values and beliefs will provide healthcare workers with the best outcome of care. Understanding should not be confused with stereotyping, keeping in mind that there might be variations within the culture related to socio- economics, education, degree of acculturation, and English proficiency (Carteret, 2011). CULTURAL ANALYSIS 5 References Anderson, E. T., & McFarlane, J. M. (2011). Community as partner: theory and practice in nursing (6th ed.). Philadelphia: Lippincott Williams & Wilkins.
Carteret, M. (2011). Dimensions of culture: cross-cultural communications for healthcare professionals. Retrieved May 29, 2014, from http://www.dimensionsofculture.com/2011/03/cultural-values-of-latino-patients-and- families/