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cultural interview

 
 
Reply Sat 21 Oct, 2017 07:17 pm
I am looking to interview someone with a different cultural background. I am a white female born and raised in Minnesota. This is quite a long interview for a masters degree of nursing. Thanks in advance for anyone who answers!

Cultural Affiliations With what cultural group(s) does the client report affiliations (e.g., American, Hispanic, Navajo, or combination)? To what degree does the client identify with the cultural group (e.g., “we” concept of solidarity or as a fringe member)?

Where was the client born?

Where has the client lived ?
Occupation?

Values Orientation What are the client’s attitudes, values, and beliefs about developmental life events such as birth and death, health, illness, and healthcare providers?

How does the client view work, leisure, education?

How does the client perceive change?

How does the client perceive changes in lifestyle relating to current illness or surgery?

How does the client value privacy, courtesy, touch and relationships with individuals of different ages, social class (or caste), and gender?

How does the client view biomedical/scientific health care (e.g., suspiciously, fearfully, acceptingly)?

How does the client relate to persons outside of his or her cultural group (e.g., withdrawal, verbally or nonverbally expressive, negatively or positively)?

Cultural Sanctions and Restrictions How does the client’s cultural group regard expression of emotion and feelings, spirituality, and religious beliefs?

How are dying, death, and grieving expressed in a culturally appropriate manner?

How is modesty expressed by men and women? Are there culturally defined expectations about male-female relationships, including the nurse-client relationship?

Does the client have any restrictions related to sexuality, exposure of body parts, certain types of surgery (e.g., amputation, vasectomy, hysterectomy)?

Are there any restrictions against discussion of dead relatives or fears related to the unknown?

Communication What language does the client speak at home? What other languages does the client speak or read?

What is the fluency level of the client in English?

How does the client prefer to be addressed?

How does the client feel about healthcare providers who are not of the same cultural background (e.g., black, middle-class nurse and Hispanic of a different social class)?
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Does the client prefer to receive care from a nurse of the same cultural background, gender, and/or age?

What are the overall cultural characteristics of the client’s language and communication processes?

Health-Related Beliefs and Practices To what cause(s) does the client attribute illness and disease (e.g., divine wrath, imbalance in hot/cold or yin/yang, punishment for moral transgressions, hex, soul loss, pathogenic organism)?

What are the client’s cultural beliefs about ideal body size and shape?

What does the client believe promotes health (eating certain foods, wearing amulets to bring good luck, sleep, rest, good nutrition, reducing stress, exercise, prayer, rituals to ancestors, saints, or intermediate deities)?

What is the client’s religious affiliation (e.g., Judaism, Islam, Pentacostalism, West African voodooism, Seventh-Day Adventism, Catholicism, Mormonism)?

How actively involved in the practice of this religion is the client?

Does the client rely on cultural healers (e.g., curandero, shaman, spiritualist, priest, minister, monk)?

In what types of cultural healing practices does the client engage (use of herbal remedies, potions, massage, wearing of talismans, copper bracelets or charms to discourage evil spirits, healing rituals, incantations, prayers)?

How are biomedical/scientific healthcare providers perceived?

How does the client and his or her family perceive nurses?

What are the expectations of nurses and nursing care?

How does the client’s cultural group view mental disorders? Are there differences in acceptable behaviors for physical versus psychological illnesses?

Nutrition What nutritional factors are influenced by the client’s cultural background?

What is the meaning of food and eating to the client?
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With whom does the client usually eat?

What types of food are eaten?

What is the timing and sequencing of meals?

What does the client believe comprises a “healthy” versus an “unhealthy” diet?
Who shops for food? Where are groceries purchased (e.g., special markets or ethnic grocery stores)?
Who prepares the client’s meals?

Has the client chosen a particular nutritional practice such as vegetarianism or abstinence from alcoholic or fermented beverages?

Do religious beliefs and practices influence the client’s diet (e.g., amount, type, preparation or delineation of acceptable food combinations, e.g. kosher diets)?
Does the client abstain from certain foods at regular intervals, on specific dates determined by the religious calendar, or at other times?

If the client’s religion mandates or encourages fasting, what does the term fast mean (e.g., refraining from certain types or quantities of foods, eating only during certain times of the day)? For what period of time is the client expected to fast?

During fasting, does the client refrain from liquids/beverages? Does the religion allow exemption from fasting during illness? If so, does the client believe that an exemption applies to him or her?

Socioeconomic Considerations Who comprises the client’s social network (family, friends, peers, and cultural healers)? How do they influence the client’s health or illness status?

How do members of the clients social support network define caring (e.g., being continuously present, doing things for the client, providing material support, looking after the client’s family)?
What is the role of various family members during health and illness?

How does the client’s family participate in the promotion of health (e.g., lifestyle changes in diet, activity level, etc.) and nursing care (e.g., bathing, feeding, touching, being present) of the client?

Does the cultural family structure influence the client’s response to health or illness (e.g., beliefs, strengths, weaknesses, and social class)? Is there a key family member whose role is significant in health-related decisions (e.g., grandmother in many African American families or oldest son in Asian families)?
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Who is the principal wage earner in the client’s family?

What impact does economic status have on lifestyle, place of residence, living conditions, ability to obtain health care?

Educational Background What is the client’s highest educational level obtained?

Does the client’s educational background affect his or her knowledge level concerning the healthcare delivery system, how to obtain the needed care, teaching-learning, and any written material that he or she is given in the healthcare setting (e.g., insurance forms, educational literature, information about diagnostic procedures and laboratory tests, admissions forms)?

Religious Affiliation How does the client’s religious affiliations affect health and illness (e.g., life events such as death, chronic illness, body image alteration, cause and effect of illness)?

What is the role of religious beliefs and practices during health and illness?

Are there special rites or blessings for those with serious or terminal illnesses?

Are there healing rituals or practices that the client believes can promote well-being or hasten recovery from illness? If so, who performs these?

What is the role of significant religious representatives during health and illness? Are there recognized religious healers (e.g., Islamic Imams, Christian Scientists practitioners or nurses, Catholic priests, Mormon elders, Buddhist monks)?

What is the cultural perception of aging (e.g., is youthfulness or the wisdom of old age more highly valued)?

How are elderly persons handled culturally (e.g., cared for in the home of adult children, placed in institutions for care)?

What are culturally acceptable roles for the elderly?

Does the elderly person expect family members to provide care, including nurturance and other humanistic aspects of care?

Is the elderly person isolated from culturally relevant supportive persons or enmeshed in a caring network of relatives and friends?


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