Cultural Beliefs And Practices – Essay Example
Pen-3 Table Target Cultural Group: Native Hawaiian Women Health Problem: Breast Cancer Screening (participation rates low) Positive: Hope, treatments, support (both emotional and tangible), adequate healthcare coverage in some cases and church as a source of support. Native Hawaiian women believe that screening detects cancer early on, when the disease is likely to be most treatable; they also perceive cancer screening to be important (Ka opua & Anngela, 2005). These beliefs are apt to encourage these women to receive breast cancer screening. Hence, the health educator should leverage these perceptions in target low breast cancer screening rates in this group.
Existential: A concern of women with advanced cancer and their caretakers, it involves their background.
Negative: Lacks access to healthcare facilities and regular transportation, and cultural insensitivity. Yet, it is uncomfortable; cancer treatment is aversive; cancer=fear, anxiety, burden; unsure of screening guidelines; ‘If I feel good, I must be okay.’ Mammography is dangerous; distrust of free services; and there is the embarrassment of disrobing.
Perceptions: Perceptions of this type can either be positive or negative, depending on the woman. Those who exhibit hope and strength have positive perceptions, while those who feel hopeless and dying display negative perceptions. Screening detects cancer when it is most treatable; this is important.
The PEN-3 Model contains three dimensions: health education, educational diagnosis of health behavior, and cultural appropriateness of health behavior. The PEN acronym stands for Person, Extended Family, and Neighborhood. In the second dimension, there is contained the Health Belief Model, Theory of Reasoned Action, and the PRECEDE framework. The acronym in this dimension stands for Perceptions, Enablers, and Nurturers.
Ka’opua, L.S. and L. Anngela. (2005). Developing a spiritually based breast cancer screening intervention for native Hawaiian women. Cancer Control.
Mok, E.; K.P. Lau, W.M. Lam, L.N. Chan. (2010). Healthcare professionals perceptions of existential distress in patients with advanced cancer. Journal of Advanced Nursing, 66(7), 1510-1522.