The Role Of Cultural Competence In Nursing

921 Words4 Pages
Running Head: CULTURAL COMPETENCE IN NURSING 1 Cultural Competence in Nursing for the Amish Patient The Amish are perhaps one of the largest subcultures in the United States. Pennsylvania has the largest Amish settlement with the largest population living in Ohio. Not all Amish communities are the same. Each community lives according to the Ordnung, which is list of rules made by church elders that dictates every facet of ones' daily life in the community. They are sometimes known as “the plain people” and live a life devoted to the service of God and separate themselves from the rest of the modern world by restricting interactions with outsiders, rejecting higher education, and…show more content…
Because they live their life devoted to their religion, their belief in the will of God and the notion that God heals, shapes their ideas on health and illness (Hostetler, 1993). The Amish do not practice preventative medicine so it is not uncommon to treat patients who have never been immunized. This can be attributed to lack of education and understanding of diseases and microorganisms (Weyer et al, 2003). Herbal treatments are commonly used as their form of primary intervention. They are more likely to seek out other practitioners such as chiropractors and herbalists as a first choice. Nurses should allow them to use home remedies and faith healers whenever possible, as an additional form of…show more content…
The functional ability to work is important to their perception of health (Weyer et al., 2003). If an illness affects their ability to work, it is usually then that they will seek out Westernized care and technology (Donnermeyer & Friedrich, 2006). Although technology is not prohibited, many will wait to seek care. The Amish are a patriarchal society and it is not unusual for the man of the household or the church elders to make the healthcare decisions. The Amish do not use commercial health insurance; They believe they are responsible for their own group (Dickinson, Slesinger, & Raftery, 1996). Typically each community will have an insurance fund which is there to help families should they incur an unmanageable expense. Therefore, nurses should be ready to speak to husbands and church elders about any issues regarding care. Nurses should prepare to see large groups of visitors as the Amish community plays a strong role in the health concerns of its

More about The Role Of Cultural Competence In Nursing

Open Document