Cultural Assessment
Collapsing Pyramids
Collapsing pyramids is an illustration of the many boundaries that existed between different cultures when it comes to music are disintegrating, and two or more musical can interrelate proportionally while both are growing beyond their borders while retaining their unique integrities.
Bernie Krause talks about the changes in the soundscape as a result of ecological and global warming. There has been a rapid degradation of the environment, which has made the density of the soundscape deplorable and no longer expressive as before. Improvisation as compost, which encompasses all aspects of life, is a great spread in silence over the natural world. The chorus of the natural world is rapidly being quietened, following a diverse and dense decrease in vocal creatures, huge and small.
Cultural Assessment
Cultural assessment models offer nurses a foundation that is needed to gain knowledge of different cultures in the course of their healthcare delivery (Nord, 2018). The models are continuously developed as they guide nursing practice throughout the world. Two standard cultural models include; Giger and Davidhizar Transcultural Assessment Model and Purnell Model for Cultural Competence.
Giger and Davidhizar Transcultural Assessment Model: this approach stresses the necessity of treating every individual as unique in their culture. Further, this model emphasizes communication closely monitored.
Purnell Model for Cultural Competence considers; environment, space, social culture, time, and biological variation as some of the learning dimensions that should be offered as a basis for understanding different cultural attributes (Sung & Park, 2019)—giving the nurses an insight into considering the patients’ experiences, incitement, and perceptions of healthcare and sickness (Sung & Park, 2019).
Giger and Davidhizar were dedicated to building a rather easy understanding and applying a model to access the ever-growing cultural assessment. Through which the uniqueness of the patient is given a priority (Sung & Park, 2019). Purnell, on developing his model, focused on the different aspects of culture, especially the patient’s heritage, which encompasses several issues: profession, educational background, economics, political affairs of the country of origin, and other factors.
Strengths of the Giger and Davidhizar Model
Giger and Davidhizar Transcultural Assessment Model were developed to assess the cultural values related to diseases and health as well as their overall effects. The model is rather straightforward and easy to apply and suitable for being involved in different fields (Kaur, 2016). However, it provides a relatively helpful approach to nurses in identifying patients from culturally diverse backgrounds and t offer efficient nursing care. However, the approach taken is a bit different, and the fact that every individual is considered unique makes it an apt approach to transcultural assessment model (Kaur, 2016).
For example, if a patient is diagnosed with chronic kidney failure, Giger and Davidhizar Model allows for further analysis of the paternal relatives’ genetic variation likely to cause the condition and the family history.
Limitations of Giger and Davidhizar Model
From the model, it is evident that the theory does not consider the relationship existing between knowledge and power (Albougami, Pounds, & Alotaibi, 2016). Another limitation is the failure of the model to address issues related to political inequalities, sociological aspects faced by the minority. Lastly, the model fails to analyze the effects of discrimination and prejudice critically.
There is a need for transcultural models to consider the association that exists between power and knowledge. This influences the cultural perspectives bringing forth a different view. If not found, there are underlying effects to the decision being considered to power (Albougami, Pounds, & Alotaibi, 2016). There are underlying inequalities related to sociological and political, which affect comparison, which majorly bases on white privilege. Lastly, it is critical to consider the effects which arise from prejudice and discrimination by the nursing community, making it difficult for the model to deliver on its mandate effectively.
Recommendations
- It is essential for the model to factor in the different relationships that exist between knowledge and power. To some extent, there is a way that cultural beliefs can be significantly affected by these dimensions hence making it challenging to attach relevance.
- Gaps between different races and cultures exist; it is essential to ensure that the model considers these inequalities to impact the model’s effectiveness.
- Additionally, there are lots of discrimination and prejudice, which must be factored in before practical implementation of the model.
References
Albougami, A. S., Pounds, K. G., & Alotaibi, J. S. (2016). Comparison of four cultural competence models in transcultural nursing: A discussion paper. International Archives of Nursing and Health Care, 2(3), 1-5.
Kaur, B. (2016). Culturally competent care in Hong Kong. International Journal of Social Science and Humanity.
Nord, C. (2018). Translating as a purposeful activity: Functionalist approaches explained. Routledge.
Sung, S., & Park, H. A. (2019). Perceived cultural differences in healthcare for foreign patients visiting South Korea: tool development and measurement. BMC Health Services Research, 19(1), 197.