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Project on cultural considerations for nursing
Citation preview
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VietnameseTranscultural Nursing
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Hello.Presenters:Vickii SibleyRachel David
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VietnamThe Vietnamese culture
is more than 5000
years old.
Vietnam’s history is
characterized by
several dynasties with
influences from French
and Chinese
colonization, resulting
in a rich intermixing of
cultures.
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Vietnamese- AmericansAccording to the 2010 census, 1.5 million individuals, (up 37% since 2000) in the United States identify as Vietnamese, with the highest concentration found in California.
Image from CDC.com
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Vietnamese
Refugees
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Traditional Vietnamese culture emphasizes respect, harmony and filial piety. Vietnamese
typically have an extended family structure, where the father is considered head of
house hold and the mother handles house hold responsibilities and management.
Children are taught obedience and respect from a very early age. They are also provided
as much educational success as possible. In Vietnam, parents disciplined their children
through corporal punishment.
The oldest son is responsible for
caring for the parents when
they become elderly, seeing
to their care, and the oldest
daughter is responsible for care
of the household in the absence
of the mother.
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The elders in the Vietnamese family structure were leaders and decision makers of
the family. They are highly respected. Health care decisions are primary made by the
eldest male in the immediate family, who would also be the spokesperson.
The Vietnamese prefer more personal space than in other cultures, limiting touching
outside of the home. Eye contact is considered disrespectful.
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ChildbirthMaternity clients are banned foods considered cold, like fruits and veggies and could develop a nutritional deficiency.
Traditionally men were not allowed to be present during childbirth.
There is a moment of celebration when a newborn infant cries. This first cry "proves that it (the newborn) has a soul".
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Vietnamese culture is heavily influenced by Buddhism, Confucianism, and Taoism with Buddhism being the predominant religion practiced here in the United States.
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Buddhism teachings are based
on Buddha’s The four noble
truths:
1. There is suffering.
2. There is cause for suffering.
3. There is cessation of
suffering.
4. There is path leading to the
cessation of suffering.
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To achieve enlightenment, the Buddhist must follow the eight-fold path:
1. Right View2. Right Intention3. Right Speech4. Right Action5. Right Livelihood6. Right Effort7. Right Mindfulness8. Right Concentration
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Buddhism stresses disconnection
to the present, especially
materialism and self-importance
with an emphasis placed on
ancestors and their wishes and
what is best for the family as a
whole.
Most Vietnamese think of time
in cycles, events or occurrences.
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Surgery needles
• Drawing blood is feared and even resisted by Vietnamese Pt
• Belief the blood cannot be replaced and will make them
sicker
• Surgery is reserved as a last resort
• Viewed as upsetting the internal balance
• Cause the spirit to leave the body
• Some believe injections may hurt the spirit
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• Frequently late for appointments
• Feel the illness is a result of spiritual failure, punishment or karma “payback”.
• Life events could be used in place of calendar dates
• Birthdays are celebrated on the Chinese New Year not the exact date.
• Immunization non compliance
• Surgery as a last resort
• Clients may be more willing to endure hardship or pain quietly to avoid causing
problems, inconvenience for the family or to disrupt the harmony
• The word “yes” in English is used to express agreement or
understanding and does not reflect an attitude of
respect or disrespect. However, for the
Vietnamese people, “ya” indicates respect
and not necessarily agreement or understanding
and noncompliance can often be traced back to this misinterpretation of “ya”
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Health and IllnessThe Vietnamese view health and illness from 3 different , sometimes
overlapping, perspectives:
• Spiritual
• Balance
• Western
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BALANCE• "Yin and Yang
• Illnesses as well as foods are classified as either hot or cold. "
The Vietnamese also participate in several different traditional practices
including cupping, coining, pinching, steaming,
use of herbs etc. Some of these practice
can be mistaken for abuse.
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CUPPING
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COINING
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• Rice, cereal, bread
• Vegetables
• Fish, tofu, chicken
• Low salt, low fat
• Iron deficient
The Vietnamese do not generally
have any diet restrictions, except
when practicing Buddhism. Nuns
and monks are required to be
vegetarians, many Vietnamese
choose to be vegetarians as well.
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diseases
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