Cultural influences in healthcare

• Surah Hujurat (49 : 13)

  • The concept of individual differences equalities
  • Significance of cultural competence
  • Understand human interaction
• Factor contribute to individual differences

  • Religion
  • Regional
  • Ethnic
  • Education
  • Economic
  • Personality
  • Culture
• How does culture impact on health?

  Cultural perception of disease causes

  Stigmatization of disease

  Expression of illness and pain

  Help-seeking behavior

  Patient-provider interaction

  Understanding and compliance with treatment

  Perception of chronic disease
• Challenges in culturally diverse healthcare

  Streotyping and Bias

  Cultural competence

  Ethical dilemmas
• Level of cultural competence

  1. Cultural destructiveness (stomp it out)
  2. Cultural incapacity (biased)
  3. Cultural blindness (ignorance,same level)
  4. Cultural Pre-Competence (lack cultural sensitivity)
  5. Cultural competence (understand)
  6. Cultural proficiency (respect,knowledge,promote)
• Alternative medicine (CAM )


  Practices that have healing effects but not based on the evidence scientific research
• Biological based therapy (2)

  Herbs and nutritional supplement

  Aromatherapy
• Mind-body therapy

  Imagery

  Music intervention

  Humor

  Biofeedback

  Yoga,prayer,meditation

  Storytelling,Journaling

  Animal-Assisted therapy
• Folk healer


  A person who practices healing treatment based on traditional medicine,herbs and power
• Faith Healer


  A person who cures sick using their power of pray and belief
• Faith healer

  Ayurvedic medicine (mediation,aromatherapy,massage)

  Native American Healing

  (Singing,purify,sun dance ceremonies)

  Shamans
• Folk medicine 


  Practices that are handed generation to next (herbs,natural element)
• Folk healer

  Traditional Chinese Medicine
• More Traditional alternative medicine

  Homeopathy

  Naturopathy

  Reflexology
• Nurses role

  - aware possible effects

  - make sure patient do not use any kind of necessary drug

  - the product did not use before surgery

  - provide safe environment

  - check the ingredient do not contain any harm