Within the African American community two social structures seem to influence the well-being of the community. Those two social structures include human care by friends, kin, and family, and spiritual and religious practices to help promote health and well-being. It is within these two social structures where the community seems to get the majority of their information regarding health and health care practices. Understanding the African American culture and what is comprised in that culture will help develop a better plan of care. Efficient and effective care is the ultimate goal as nurse practitioners. Developing a plan of care that encompasses all aspects of a community will likely give ...view middle of the document...
It offers a context for living, and offers a means of coping with adversity and preserving family patterns (Chavis, 2004).
To understand the AA community means to understand the strength of the family. Family strengths are those "traits that facilitate the ability of the family to meet the needs of its members and the demands made upon it by systems outside the family unit" (Hill, 1997, p. 50). For the AA community family strengths are necessary for maintenance, survival, and advancement of family network, dynamics, and family functioning (Chavis, 2004). Recognizing and making use of the family strengths of the AA community can help practitioners understand and help solve many problems that the families present.
The AA community also has and extended kinship network. This kinship network goes beyond extended families and often includes significant people not related by blood or marriage. "Kinship is the mechanism which regulates social relationships between people and almost all of the concepts pertaining to and connected to human relationships can be understood and interpreted through the kinship systems" (Chavis, 2004). This family kinship can be a remarkable adaptive strength that practitioners can utilize to help families function and change (Chavis, 2004). With this extended family and kinship network practitioners have many people that will be involved in change. This can either work for the patient or against the patient depending on the feeling of the network.
Leininger identified three nursing decisions and actions that achieve culturally friendly care for the patient. They are: cultural preservation or maintenance, cultural care accommodation or negotiation, and cultural care restructuring. Leininger’s sunrise model can apply to AA women in many ways. When developing a plan to increase cervical cancer screening we can use this theory on many different levels.
Cultural and Structural Dimensions Interventions
Technological | Lack of awareness of cervical cancer deaths and screening available. Educate AA women on Pap tests and HPV screening guidelines. |
Religious | Use...