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?

Okay if you dont want to google just white culture, you can put in American culture, or whatever. Its not very hard to modify your search to not find neo nazi sites, not really that big of a deal.

Specializes in Pediatrics, Emergency, Trauma.
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.

:yes: THIS pretty much sums it up....ask the patient and the family...:yes:

Specializes in Emergency/Cath Lab.
"That guy" had a legitimate point.

I did? Im not coming anywhere close to this topic. No way no how.

Specializes in Med Surg, PCU, Travel.

For the use of white, this being a US forum I assume it to be interpreted as White Americans who born and grew up here. I actually agree with grntea last post. My original post was not mean to incite anyone it was just an observation, one that warrant further discussion on what we are being taught in the classroom. The cultural competence thing is fairly new (2 or 3 decades?)I believe the whole idea behind "cultural competence" simply means that the nurse should be aware that other people may not share our own beliefs or even our societal norms and we need to ask and respect their wishes. Maybe the original theorists had good intentions when they thought to add this to the nursing curriculum as a way to reduce health disparities? I don't know, but I think it more just adds to stereotypes of particular ethnic groups. In my 10 years being here, I can say that I've definitely noticed a change in the American society as it pertains to ethnic groups and culture. I believe many have become more tolerant or simply just don't care what color or race you are and that is a good thing.

True story: My bro-in law (black in skin color) who lives in Canada works in a hotel said one day a Native Canadian called him white. To them(or that particular Native Canadian) a white is anyone who was not originally there. So who knows what other peoples views really are.

Specializes in Primary Care, OR.
I did? Im not coming anywhere close to this topic. No way no how.

:D:roflmao:

Specializes in LTC, Agency, HHC.

Good question. I think the "white/Caucasian American" in the text is a broad term for those who immigrated from England/Ireland, etc. I never realized the text never covered the majority of it, but I always like learning about different cultures and religions.

Specializes in Pedi.

Is there a "white culture" in the United States? I don't think so. As a New Englander let me tell you that my culture is nothing like many others in this country that are also "white". The South and The West Coast are like foreign countries to me.

I generally dislike when under the umbrella of "cultural competence", students are taught "Jews do this, Black people do this, Hispanic people do this" etc. Where does cultural competence end and stereotyping begin?

I have to laugh--you made me think of a certain resident from Chicago who came to our small, rural hospital. Now, I am the hillbilliest of Ozark hillbillies. Just like Jeff Foxworthy, every time I open my mouth in a room full of people I can see my IQ dropping a hundred points. I was homeschooling my son, and since he is the greatest genius the world has ever seen :yes: I had to study my brains out to keep ahead of him. I was reading Voltaire's "Candide" on my break for the French literature unit he was studying. The resident said, and I quote word-for-word, "Hey, I didn't know people down here could read stuff like that!" It's a good thing I was reading the translated version. If I'd been reading it in French, he might have blown a gasket.

Yeah, my nursing textbook had the section on cultural awareness too. How to care for Hispanic patients. Chinese patients. Native American patients, etc.

The upshot always seemed to be that these groups (as opposed to white people, I guess) placed a heavier emphasis on family and on "traditional" medicine.

Really, it was just stereotypes. And not very good advice to give a nursing student. It's pretty much telling us to make assumptions based on race. That we should expect South Asian families to refuse medicine and that they'll bring their own home concoctions. Or that we should be all touchy-feely with Hispanic patients 'cause apparently they like that.

But maybe your patient from India is highly educated and would be insulted if you tried to incorporate "folk" medicine. Maybe your Hispanic patient would be totally skeeved out by the nurse putting their arm around him or holding his hand.

It's amazing that modern nursing textbooks encourage students to make such assumptions.

I don't think the stereotypes are helpful in teaching, "This is how I treat every patient that looks like x or speaks language y." What I do think is helpful is that when you're giving care to a patient, and a practice you're unfamiliar with enters the equation, you aren't totally befuddled and at least have a vague recollection of what it's for.

Specializes in Psych.

What a great question and I think we would all do ourselves a service in thinking about what cultural competence means and how much of what we are taught is really practical. The spectrum of "culture" and "religion" is endless. In many countries like China, the US, the UK, and Russia, Thailand, for example, it is ridiculous to think that one can learn everything about that culture. I have worked in three countries and with countless people of varying cultures and I can only say that one should try to learn the major taboos of the predominant cultures, ask for help in unfamiliar situation, keep an open mind and never assume anything about anyone. We aren't robots that are programmed with every factoid about every culture and patients and families have some responsibility in making their needs known. I have worked in hospice and I have found that saying "I am here for you, so you tell me what you want me to do" can often help people to open up. I have found that the 91 year-old nun preferred my care (as a male) over my female colleague, that I can communicate with a person without speaking their language and that sometimes what I think (and we think) means nothing to the patient.

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