Why info on white culture omitted from cultural compence in textbooks?

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This is more an observation or comment I've noticed about nursing textbooks. They all emphasize cultural competence yet all omit information on white/Caucasian culture. Why is this? How am I to be a culturally competent nurse if the schools do not teach about the major cultural population in the USA?

I remember the first time I was all excited about learning cultural competence and thought it would be a great way to further understand the American culture. Boy was I disappointed. All books seem to think the culture means either being African American, Native Indian, Asian or Hispanic. Even chapters that refer to nutrition omit the tastes of the Caucasian culture. The forces that be who write these books needs to give information about all cultures being reasonable. Granted the fact that most the the writers are white, at least from the books I've had thus far. Also the majority of people represented as clients or residents or patients are also white, how then can one learn about their culture when it is never taught?

One of the white dudes in my class made the same observation which is how this topic first came to light. With him having an immigrant wife and me being an immigrant, both of us were surprised at the lack of available information. Thoughts? comments?

Personally, I think you could cut to the chase, which is this immutable truth:

All patients and families are sui generis (in and of its own self).

Therefore we learn that in order to develop an individualized nursing plan of care, the competent nurse asks them about preferences regarding food, labor and delivery, or anything else regardless of anybody's predetermined notions of what their apparent ethnic group might believe.

Specializes in ICU, LTACH, Internal Medicine.

Actually, Leininger's books describe several white cultures in the modern USA. WASPs, Appalachians and, say, Eastern Europeans are all technically "white" (or, if you so prefer, Caucasians). In reality, the difference between these three are more than profound and they shouldn't be treated similarly just because they're "white" in skin color.

Probably because in this country there really isn't one "white culture" per se, there are several of them. Culture varies greatly by region in this country. I live the Seattle area and traveling to the deep south is almost like traveling to an entirely different country. Speech, food, customs, and social attitudes are very, very different. Socio-economic status and religious beliefs also make a big difference. In my intercultural communications class (a pre-req for the nursing program), the textbook did talk about regional, religious, and socio-economic differences in American cultures, but if you are looking at the entire country as a whole, you will be hard pressed to find anything on one "white culture" because there isn't one.

Oh, and as to the suggestion you Google "white culture" if you want to find out more, Googling that phrase is more likely to get you to Skinhead-NeoNazi-KKK type sites than give you any real information.

Please, don't be that guy.

You know what I mean. That guy who wanted to start a "White Club" because of all the culture clubs in college.

Please, don't be that guy.

You know what I mean. That guy who wanted to start a "White Club" because of all the culture clubs in college.

"That guy" had a legitimate point.

Specializes in Pediatrics, Emergency, Trauma.
I think while the information in the text try to help give a broad understanding of cultures in the end it reall is just stereotypes. I like the think that I will deal with my patients on individual basis and each person is unique. I'm African American and most of the African American culture characteristics don't apply to me. Also I don't want anyone making assumptions about my lifestyle bases off my skin color because it will just cause problems IMO. I think through working with patients I will learn certaint cultural differences along the way (which is what happened after waiting tables for seven years). Until then I will try and give good care on a default respectful level as a newbie.[/quote']

THIS...

I will suggest to OP, there are cultural nursing books out there, as well as books that address cultural contexts as far as family dynamics and the like. I wouldn't get it from most if the nursing books; as an AA myself, the "cultural references" don't apply to me either; also the AA community is a diverse community in itself; I'm talking about the Americans who are Black and born in America to American parents, there are so many different nuances, that even when I was in nursing school, those who were AA enlightened our international cohorts of this...especially in maternity...most of us do not fit those references.

Specializes in Pediatrics, Emergency, Trauma.
Personally, I think you could cut to the chase, which is this immutable truth:

All patients and families are sui generis (in and of its own self).

Therefore we learn that in order to develop an individualized nursing plan of care, the competent nurse asks them about preferences regarding food, labor and delivery, or anything else regardless of anybody's predetermined notions of what their apparent ethnic group might believe.

THIS...:yes:

Good question ! I guess they dont consider whites " cultured ". There is too much variance in European " white cultures". I find putting the " cultural thing in these books a waste of time any way. They are stereotypes.

Specializes in Critical Care, ED, Cath lab, CTPAC,Trauma.

I think he has a point. There are many cultures that are white and have different beliefs. For example.... Jews have customs that are followed.....food customs that are observed. Special considerations at death or after death.

http://www.jewishfederations.org/funeral-customs.aspx

There is Eastern Orthodox and Roman Catholics. Jehovah's Witness although they are not all "white". http://www.jw.org/en/

There are sub cultures like in the Appalachians or Adirondacks and they should be included as well. Different beliefs that are integrated into their lives. I am aware that there are alternative's to learning other than school....however if you are going to teach diversity a complete race should not be excluded.

See, that's where I hate the basic assumption behind this whole discussion. There are no "races." That sort of thinking ought to have died with miscegenation laws. There is a human "race," and this is not cutesy sophistry. There are many Latin "cultures" -- are Mexicans, Guatemalans, and Argentinians all the same? For that matter, are Mexico City urbanites the same as Yucatan farmers? Are urban Latinos in NYC comparable to the ones in favelas outside Buenos Aires? Are Koreans, Chinese, and Ainu comparable to salarymen in Tokyo, or to each other? Are the folks in middle Pennsylvania, descendants of Welsh coal miners, much like garlic farmers in Watsonville CA? Is the African-born scholar in Cambridge much like the bravas on the waterfront in New Bedford? Is the Francophone from Quebec like the Francophone from Tahiti?

No amount of "cultural study" is going to give you what you need to make assumptions about care. If you want to learn about world diversity in cultures-- and you should, it's an eye-opener-- you'll gain a deep appreciation for what makes us all different and what makes us all the same. That kind of enrichment is always valuable. But let's not extend its reach to where it cannot go.

Forget this mental masturbation-- assess the patient before you. Ask.

I think he has a point. There are many cultures that are white and have different beliefs. For example.... Jews have customs that are followed.....food customs that are observed. Special considerations at death or after death.

http://www.jewishfederations.org/funeral-customs.aspx

There is Eastern Orthodox and Roman Catholics. Jehovah's Witness although they are not all "white". http://www.jw.org/en/

There are sub cultures like in the Appalachians or Adirondacks and they should be included as well. Different beliefs that are integrated into their lives. I am aware that there are alternative's to learning other than school....however if you are going to teach diversity a complete race should not be excluded.

I don't think a complete race has been excluded, at least in all of my textbooks that do cultural teaching and I don't think textbooks are trying to argue that Caucasians don't have culture. Jewish culture, Catholics, Jehovah's witnesses have all been acknowledged and explored in my textbooks. However, they were not grouped into one large Caucasian culture when being taught. Also, not all Catholics, Jehovah's witnesses, Jewish people are Caucasian.

I am curious though to those arguing that caucasian culture as a whole is being left out, what aspects of caucasian culture do you believe should be taught that currently isn't? Not trying to sound sarcastic at all, Im really just trying to understand what it is people believe is being ignored so I understand better.

Specializes in Public Health.
See, that's where I hate the basic assumption behind this whole discussion. There are no "races." That sort of thinking ought to have died with miscegenation laws. There is a human "race," and this is not cutesy sophistry. There are many Latin "cultures" -- are Mexicans, Guatemalans, and Argentinians all the same? For that matter, are Mexico City urbanites the same as Yucatan farmers? Are urban Latinos in NYC comparable to the ones in favelas outside Buenos Aires? Are Koreans, Chinese, and Ainu comparable to salarymen in Tokyo, or to each other? Are the folks in middle Pennsylvania, descendants of Welsh coal miners, much like garlic farmers in Watsonville CA? Is the African-born scholar in Cambridge much like the bravas on the waterfront in New Bedford? Is the Francophone from Quebec like the Francophone from Tahiti?

No amount of "cultural study" is going to give you what you need to make assumptions about care. If you want to learn about world diversity in cultures-- and you should, it's an eye-opener-- you'll gain a deep appreciation for what makes us all different and what makes us all the same. That kind of enrichment is always valuable. But let's not extend its reach to where it cannot go.

Forget this mental masturbation-- assess the patient before you. Ask.

This is so true. It would probably be more prudent to discuss issues pertaining to religion and questions to ask patients to see what their philosophy on healthcare is and their health beliefs when it comes to treatment.

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