Culturalizing health care for a culturally diverse population

the Amish.

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

Advanced practice nurses (APNs) are often the major source of primary care for culturally diverse groups. Working with patients who have values that differ from the mainstream culture can make delivery of health care complex and challenging. The purpose of this qualitative study was to use grounded theory methods to explore the process by which APNs develop and maintain therapeutic relationships with a culturally unique group, the Amish. Nine APNs who practiced primarily with Amish patients were interviewed about their strategies to promote therapeutic relationships. The process of culturalizing health care emerged as the strategy used by the APNs. Specific themes were learning the culture, developing a relationship, individualizing care, being comfortable with abilities, and working two systems. Rather than expecting patients to conform to the mainstream cultural beliefs and practices, APN informants used a variety of methods that allowed Amish patients to blend self-care practices with conventional (i.e., English care).

Original languageEnglish (US)
Pages (from-to)10-15
Number of pages6
JournalClinical excellence for nurse practitioners : the international journal of NPACE
Volume3
Issue number1
StatePublished - Jan 1 1999

Fingerprint

Amish
Nurses
Delivery of Health Care
Population
Aptitude
Self Care
Primary Health Care
Learning
Therapeutics

All Science Journal Classification (ASJC) codes

  • Nursing(all)

Cite this

@article{aeaf995cdacc430490f32d19b85509c3,
title = "Culturalizing health care for a culturally diverse population: the Amish.",
abstract = "Advanced practice nurses (APNs) are often the major source of primary care for culturally diverse groups. Working with patients who have values that differ from the mainstream culture can make delivery of health care complex and challenging. The purpose of this qualitative study was to use grounded theory methods to explore the process by which APNs develop and maintain therapeutic relationships with a culturally unique group, the Amish. Nine APNs who practiced primarily with Amish patients were interviewed about their strategies to promote therapeutic relationships. The process of culturalizing health care emerged as the strategy used by the APNs. Specific themes were learning the culture, developing a relationship, individualizing care, being comfortable with abilities, and working two systems. Rather than expecting patients to conform to the mainstream cultural beliefs and practices, APN informants used a variety of methods that allowed Amish patients to blend self-care practices with conventional (i.e., English care).",
author = "Cheryl Dellasega and Judith Hupcey and K. Fisher",
year = "1999",
month = "1",
day = "1",
language = "English (US)",
volume = "3",
pages = "10--15",
journal = "Clinical Excellence for Nurse Practitioners",
issn = "1085-2360",
publisher = "Churchill Livingstone",
number = "1",

}

TY - JOUR

T1 - Culturalizing health care for a culturally diverse population

T2 - the Amish.

AU - Dellasega, Cheryl

AU - Hupcey, Judith

AU - Fisher, K.

PY - 1999/1/1

Y1 - 1999/1/1

N2 - Advanced practice nurses (APNs) are often the major source of primary care for culturally diverse groups. Working with patients who have values that differ from the mainstream culture can make delivery of health care complex and challenging. The purpose of this qualitative study was to use grounded theory methods to explore the process by which APNs develop and maintain therapeutic relationships with a culturally unique group, the Amish. Nine APNs who practiced primarily with Amish patients were interviewed about their strategies to promote therapeutic relationships. The process of culturalizing health care emerged as the strategy used by the APNs. Specific themes were learning the culture, developing a relationship, individualizing care, being comfortable with abilities, and working two systems. Rather than expecting patients to conform to the mainstream cultural beliefs and practices, APN informants used a variety of methods that allowed Amish patients to blend self-care practices with conventional (i.e., English care).

AB - Advanced practice nurses (APNs) are often the major source of primary care for culturally diverse groups. Working with patients who have values that differ from the mainstream culture can make delivery of health care complex and challenging. The purpose of this qualitative study was to use grounded theory methods to explore the process by which APNs develop and maintain therapeutic relationships with a culturally unique group, the Amish. Nine APNs who practiced primarily with Amish patients were interviewed about their strategies to promote therapeutic relationships. The process of culturalizing health care emerged as the strategy used by the APNs. Specific themes were learning the culture, developing a relationship, individualizing care, being comfortable with abilities, and working two systems. Rather than expecting patients to conform to the mainstream cultural beliefs and practices, APN informants used a variety of methods that allowed Amish patients to blend self-care practices with conventional (i.e., English care).

UR - http://www.scopus.com/inward/record.url?scp=0032602089&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0032602089&partnerID=8YFLogxK

M3 - Article

VL - 3

SP - 10

EP - 15

JO - Clinical Excellence for Nurse Practitioners

JF - Clinical Excellence for Nurse Practitioners

SN - 1085-2360

IS - 1

ER -