The Filipino Culture and Communication
Cultural/Spirituality Presentation and Care Plan Guidelines
“The need for cultural competence is being increasingly recognized by health-care providers and health-related organizations in the United States and globally. The social ideology of a melting pot is passe’ and has been replaced by recognizing that people deserve respect within their cultural framework and as individuals” (Purnell, 2014, p. 1). Health care providers are caring for an increasingly diverse United States population in addition to patients and families who reside in countries other than the United States, but who seek health care services within the United States health care system. There is compelling evidence in the literature that supports disparities in health care across ethnic, social, and economic groups; therefore, it is important that health care providers be attentive to cultural diversity and cultural competency (Purnell, 2014).
Address nursing ethical issues that may possibly arise when caring for a patient who is a member of the specific ethnocultural group. In addition, include AT LEAST one nursing implication that demonstrates use of evidence-based, culturally sensitive nursing care practices for each area
1. Describe an overview and heritage of a particular (Filipino) ethnocultural group
2. Discuss the following as they relate to your chosen ethnocultural group: (Filipino)
a. Communication
b. Family Roles and Organization
c. Workforce Issues
d. Biocultural Ecology
e. High-Risk Health Behaviors
f. Nutrition
Less than 5 years old references
Culture
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Culture
1. Overview of the Filipino Culture
The Philippine society is composed of homogeneity and diversity factors. The country has a strong Euro-American culture. Assimilation forces have continuously altered the ethnic culture of different groups. The Western rule over the four centuries left a permanent imprint on the Philippines, creating cultural and political unity. The Spanish Christian churches and the Muslim mosques offer spiritual anchors (Sizoo, 2019). The US educational system has expanded Filipino’s socioeconomic progress and cultural unity. Stronger family ties, the revitalization of the barangay government unit, growing interest in Asian literature and history, as well as the revitalization of dormant conventions, the people have strengthened their Asian heritage without tampering with the Western cultural aspects.
Life revolves around the extended family. The major meals are boiled, steamed rice, or rice noodles. Meats like fish, goat, pork, and chicken complement the noodle core and rice together with assorted fruits as well as cooked vegetables. Rice, sugarcane, and coconut sap make alcoholic drinks. Their clothing includes European-designed dresses, skirts, shirts, anD slacks that are unique to diverse groups and occasions. Filipino arts consider carved images for their goddesses and gods and ancestors in wood. Their musical instruments include lutes, drums, gongs, Jew harps, nose flutes, end-blown flutes, and others. Dances, songs, and music are used for different occasional celebrations. Sports and recreation activities include basketball, tennis, golf, diving, windsurfing, boxing, wushu, tae kwon do, cockfighting, and swimming. Radio, television, and newspaper publishing are significant in society.
2. Communication
Filipinos communication style involves the expression of ideas and opinions humbly and diplomatically to avoid appearing arrogant. Their voice tones vary depending on region, dialect, and language. They communicate indirectly to avoid loss of face by not interrupting, being attentive, and varying tones. They use passive voice to avoid being seen as harsh. They offer polite and flat no or adverse responses. The people utilize polite speech while communicating to older and respectable people.
In this case, a Filipino patient is brought to a hospital with an emergency loss of vision, and the nurse should politely approach them and not be judgmental about their condition for them to allow them to attend to them.
Family Roles and Organization
Family is a very important component of the Filipino culture. The nuclear family is the founding unit with tight-knit bonds between extended family members.
The family should be kept in mind when communicating with Filipino patients. The extended family members should be involved in the patient’s medical care to make sure they feel comfortable. The care discussions must involve the patient and the other family members.
In a Filipino household, three generations live together. Grandparents have a larger role in bringing up grandchildren. The extended family often lives closer to one another and comes together during larger celebrations.
The Filipino society is patriarchal owing to the machismo attitudes as well as the masculine standards of numerous Filipino men. But it is close to showing a matriarchal society considering the significant influence across the country, as many women hold senior positions in the government and business.
The household structure is led by a matriarch, with the head being the oldest female, the grandmother (Lola). Incomes are put together, and the matriarch accounts for the use. In the case a family member is sick and an urgent decision needs to be made, it is appropriate for the nurse to seek the opinion of the leader.
Working issues
Nurses may face ethical issues considering patient preferences and nursing care requirements while on duty, thereby compromising professional accountability to patients. Nurses are needed to get patient consent before any treatment (Hamid, Kanwal, Bajwa, Khalid & Mubarak, 2016). Male patients give the consents of their accord. Disabled patients require male surrogates to make decisions. But work issues arise when female patients come to the facility.
For instance, a female patient may visit a facility requiring bilateral tubal litigation with her mother. The mother may offer consent for the procedure to be carried out. After the procedure, her husband may turn up in the operating room and start shouting, asking why he was not asked for his consent. The husband insists that he should have been asked for consent because he is responsible for her and not herself.
Based on the Filipino community, the household is led by the male. This means that the consent should have been asked from the husband a...