BSN 4 BLK B
UNIT 6. TRANSCULTURAL
PERSPECTIVE IN THE
NURSING CARE OF
CHILDREN
GROUP 5
Focuses on the 4 aspects:
• Children in a culturally diverse society
• Children as a population
• Children's Health status
• Culture -universal and culture specific
child Rearing
CHILDREN IN A CULTURALLY
-this is how children relates to a particular society and its ideas,
DIVERSE customs,SOCIETY
and art.
• The transfer of values and practices from one generation to
another.
• The connection of children and society highlights the
importance of
society and others nurturing, caring for, and socializing members
of
the next generation.
PRACTICES THAT SUPPORT THE
DELIVERY OF CULTURALLY COMPETENT
CARE FOR CHILD AND ADOLESCENTS
INCLUDING :
• Children as population
• Child rearing practice (specific
and universal )
• Cultural influences on child
growth
• Development
• Health and Illness
CHILDREN AS POPULATION
when defining children as a population, it is
important to consider various elements that shape
this population as a whole, such as:
CHILDREN AS POPULATION
There are important factors that influence the
population of children:
1.Racial and Ethnic - if a child is white American or black is Asian
or Hispanic. here in the Philippines , racial and ethnic composition
is not a big deal compared in other countries. But immigrants and
their children are found throughout the US and Canada.
2.Poverty - the impact of poverty on children's health is
cumulative throughout the life cycle, and disease in adulthood
frequently is the result of early health-related episodes that
become compounded over time.
CHILDREN AS POPULATION
3. Health Status - health status is influenced by many factors, like
access to health services, barriers to quality health care services for
children such as poverty, geography, lack of cultural competence in
health care providers and racism
4. Growth and development - Human development
encompasses physical, cognitive, and psychosocial changes from
conception to death, profoundly influenced by both genetic factors and
the cultural and environmental contexts in which individuals are raised
CHILDREN AS POPULATION
5. Infant attachment - study suggest that differences in infant
attachment are linked to cultural variations in parenting behavior and
life experiences.
6. Crying - cultural differences exist in the way mothers perceive,
react, and behave in response to their infant's cues, behaviors, and
demands.
CHILDREN'S HEALTH STATUS
• assessed by considering how their cultural beliefs, practices,
and background intersect with health indicators like birth weight,
infant mortality, and immunization rates
• To provide culturally competent care, nurses must understand
diverse cultural influences on health, perform culturological
assessments to learn a family's values and beliefs, and then
develop care plans that are congruent with their lifeways, bridging
any gaps between traditional and Western medicine.
CHILDREN'S HEALTH STATUS
Cultural Influences on Child Health:
• Health Beliefs - Cultural beliefs shape how families view health
and illness, affecting their choices about diet, hygiene, and care
during sickness.
• Childrearing Practices - A culture's specific methods for raising
children, such as feeding, sleeping arrangements, and discipline,
influence a child's development and overall health
CHILDREN'S HEALTH STATUS
• Social Structure - Factors like socioeconomic status, geography,
and access to resources are deeply tied to cultural contexts and
significantly impact health outcomes.
• Parental Health Literacy - A family's educational background
and level of understanding of health information can affect their
ability to recognize symptoms and seek appropriate care for their
children.
CHILDREN'S HEALTH STATUS
Barriers to quality health care services for children:
• Poverty - creates significant barriers to accessing healthcare.
Children from low-income families may struggle to afford
appointments, medications, and transportation to clinics.
• Geography - Where a child lives, especially in segregated
communities, can restrict their access to quality healthcare,
education, and healthy resources. Children in remote or
underserved areas may face a shortage of doctors and specialists,
making it difficult to receive timely or specialized care.
CHILDREN'S HEALTH STATUS
• Lack of cultural competence of health care providers -
Healthcare systems and providers lacking cultural competence can
fail to meet the social, cultural, and linguistic needs of diverse
populations.
• Racism and other form of prejudices - Racism and other forms
of prejudice lead to the consistent delivery of lower-quality
healthcare services to certain groups compared to others.
Unconscious biases among healthcare providers can lead to
discriminatory decision-making and affect the quality of care
children receive.
CULTURE- UNIVERSAL AND
CULTURE -SPECIFIC CHILD
REARING
The values, attitudes, beliefs, and practices of one’s culture affect the
way parents and other providers of care relate to a child during various
developmental stages.
o Infants and children- valued and nurtured—represent the
promise of future generations
MODEL SHOWS CULTURAL
PERSPECTIVE OF
CHILDBEARING
UNIVERSAL CHILDREARING PRACTICES
Childrearing behaviors among familles from diverse cultures
1. Nutrition
• Breast feeding traditionally practiced and most common.
• Premasticate (black and Hispanic mothers)- chew food for their young
children to facilitate digestion .
• Malnutrition-may describe as undernutrition and overnutrition .
UNIVERSAL CHILDREARING PRACTICES
Childrearing behaviors among familles from diverse cultures
2. Sleep -
• Co sleeping-Filipinos, Asian, African families is doing this. To facilitate
breastfeeding, to monitor the baby and to improve child sleep. But American and
European families believe that infants and children should sleep alone.
3. Elimination
• Elimination -ridding of body waste
• toilet training -some cultures start toilet training before the first birthday and
consider the child failure if dryness is not achieved by 18 months, in some
cultures , children are not expected to be dry until 5yo.
UNIVERSAL CHILDREARING PRACTICES
4. Menstruation
• Menstruation-menarche signals that a girls body is physiologically ready for
motherhood, there are culture thinks appropriate for a young woman to bear
children, there are cultures also that adolescent pregnancy is discouraged
• Attitudes - Mexican americal families girls and women are not permitted to walk
barefooted, take a bath during mestruation,
• Puerto rican teenagers were taught that drinking lemon or pineapple juice will
increase menstrual cramping.
• Religion
• -islam, blood is considered unclean, there are religious prohibitions and duties
during and after menstruation or after childbirth, like touching the koran or
entering a mosque or praying and participating in the feast of ramadan.
• Buddhist and hindu women do not enter the kitchen and sleep in separate .
UNIVERSAL CHILDREARING PRACTICES
5. Parent-child relationships and discipline
Some cultures encourage children to participate in family.decision making and to
discuss or even argue points with their parents.
African American families
encourage children to express opinions verbally and to take an active role in all
family activities.
Asian parents
value respectful, deferential behavior toward adults, who are considered
experienced and wise
children are discouraged from making decisions Independently
US. Canadian, European, and Australian cultures
witty, fast reply and sign of intelligence and cleverness.
non-Western circles
sign of rudeness and disrespect
UNIVERSAL CHILDREARING PRACTICES
6. Child abuse and Neglect.
Middle Eastern cultures
despite warm temperatures, infants are covered with multiple layers of clothing
parents believe that young children become chilled easily
African nations
•practice rites of initiation for boys and girls, usually at the time of puberty
•ritual circumcision of both boys and girls-is performed without anesthesia
•ability to endure the associated pain is considered to be a manifestation of the
maturity expected of an adult
UNIVERSAL CHILDREARING PRACTICES
6. Child abuse and Neglect
United States and Canada, some Southeast Asian
• folk healing practices such as coining, cupping. and burning that produce
marks on the body are used for treatment of upper respiratory illnesses. pain
relief, and various other Illnesses
Middle Eastern and Mexican societies
• fondling of the genitals of infants and young children is used to soothe them or
encourage. sleep
• fondling of older children or for the sexual gratification of adults falls outside of
acceptable cultural behavior.
UNIVERSAL CHILDREARING PRACTICES
7. Cross-cultural differences concerning gender
• physical -boys are more larger, more active and more musde development
that girls
• Physiological adult men differ from adult women in both primary and
secondary sex characteristics, boys is larger skeleton, more body hair and a
higher oxygen capacity in the blood .
GROUP 6
THANK
YOU
Healthcare Presentation
