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FAMILIAL HEALTH TRADITIONS
The first step for developing CULTURAL COMPETENCY is to

know yourself, your heritage, and the HEALTH and ILLNESS
beliefs and practices derived from your heritage—ethnic,
religious, or both.
There are 2 reasons
for exploring your
familial heritage.
 It draws your attention to your

ethnocultural and religious heritage and
HEALTH.-related belief system. –
 To sensitize you to the role your

ethnocultural and religious heritage has
played. You must reanalyze the concepts
of health/HEALTH and illness/ILLNESS and
view your own definitions from another
perspective.
1.People realize that many personal beliefs and practices do,
in fact, diff er from what they are being taught in nursing or
medical education to accept as the right way of doing things.
RECOGNIZING
SIMILARITIES 2. Participants begin to admit that they do not seek medical
care when the fi rst symptoms of illness appear. On the
contrary, they usually delay seeking care and often elect to
self-treat at home.
3. Another facet of a group discussion is the participants’

exposure to the similarities that exist among them in terms of
HEALTH maintenance and protection. To their surprise and
delight, they fi nd that many of their daily acts— routines they
take for granted— directly relate to methods of maintaining
and protecting HEALTH.
TRANSFERENCE TO PATIENTS AND OTHERS
• The awareness we gain helps us understand the behavior and beliefs of patients and, for that matter,
other people better.
• Given this understanding, we are comfortable enough to ask patients how they interpret a symptom
and how they think it ought to be treated.
• • We begin to be more sensitive to people who delay in seeking health care or fail to comply with
preventive measures and treatment regimens.
• • We come to recognize that we do the same thing. The increased familiarity with home HEALTH
practices and remedies helps us project this awareness and understanding to the patients who are
served.
• • The goal of this kind of consciousness raising session is to reawaken the participant to the types of
HEALTH practices within her or his own family. The other purpose of the sharing is to make known the
similarities and differences that exist as part of a cross-ethnocultural and religious phenomenon .
HEALTH AND ILLNESS IN MODERN CULTURE
• T H E H E A LT H C A R E P R O V I D E R ’ S C U LT U R E – T H E P R O V I D E R S O F H E A LT H C A R E — N U R S E S ;
P H Y S I C I A N S ; S O C I A L W O R K E R S ; D I E T I T I A N S ; P H Y S I C A L , O C C U P AT I O N A L , R E S P I R AT O R Y,
A N D S P E E C H T H E R A P I S T S ; A N D L A B O R AT O R Y A N D D E PA R T M E N TA L P R O F E S S I O N A L S — A R E
S O C I A L I Z E D I N T O T H E C U LT U R E O F T H E I R P R O F E S S I O N . – P R O F E S S I O N A L S O C I A L I Z AT I O N
TEACHES THE STUDENT A SET OF BELIEFS, PRACTICES, HABITS, LIKES, DISLIKES,
NORMS, AND RITUALS. – EACH OF THE PROFESSIONAL DISCIPLINES HAS ITS OWN
LANGUAGE AND OBJECTS, RITUALS, GARMENTS, AND MYTHS, WHICH BECOME AN
I N H E R E N T P A R T O F T H E S C O P E O F S T U D E N T S ’ E D U C AT I O N , S O C I A L I Z AT I O N , A N D
PRACTICE.
TRENDS IN DEVELOPMENT OF THE HEALTH CARE SYSTEM
During the days of the early colonists, our health • Health problems have evolved from the epidemics
care system was a system of superstition and faith. of 1850 to the chronic diseases of today,
It has evolved into a system predicated on a strong notwithstanding the resurgence of tuberculosis and
belief in science; the epidemiological model of the AIDS epidemic. In 1850, health care technology
disease; highly developed technology; and strong was virtually nonexistent; today, it dominates the
values of individuality, competition, and free delivery of health care. We now take for granted
enterprise. such dramatic procedures as kidney, heart, and liver
transplants. New technologies and biomedical
milestones are materializing daily (Torrens, 1988,
pp. 3–31).

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FAMILIAL HEALTH TRADITIONS

The first step for developing CULTURAL COMPETENCY is to

 It draws your attention to your

 To sensitize you to the role your

3. Another facet of a group discussion is the participants’

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