Cultural nuances
A key aspect of cultural competence is recognizing cultural nuances, which are the subtle differences between particular cultures. Subtleties of individual cultures define a people’s view of themselves and the perception of the world around them. By understanding these nuances, better interaction can be achieved in terms of culture and communication. For example, a cultural nuance specific to the Japanese population is the removal of one’s shoes upon entering a home. This is a very strict requirement among many Japanese people, requiring the use of provided slippers prior to walking on the floors of their homes. Nonadherence to this requirement is considered rude, inappropriate, and unhygienic.
As another example, in certain sects of the Muslim community, women are mostly covered and can reveal only certain body parts, usually their faces (in some instances, limited to their eyes, hands, and feet), when in public in an effort to maintain modesty, respect, and privacy for the women per their religious scripture, the Koran. Consequently, when a Muslim woman is cared for by a male physician, it is often required that a female relative be present for any examination of the patient. The best approach is for the woman to be seen by a female practitioner to avoid violation of the modesty requirement (Hollins, 2006). This cultural nuance requires sensitivity, understanding, and adherence to the requirement in order to maintain female Muslim patients/clients/customers and ensure respect and dignity for their culture.
As a final example, people from Spain find stretching and yawning to be very bad manners and in poor taste. They are also very casual about keeping appointments (Graff, 2001). Keeping these nuances in mind is important so as not to insult them by yawning or stretching in their presence or being overly upset if they miss an appointment, but rather explaining the impact of their doing so in terms of scheduling. Awareness of cultural nuances over a broad base of cultures, races, and ethnicities will optimize the provision of services for individuals.
Discussion Topic
After reading our very interesting chapter this week (chapter 9), I would like you to describe at least three distinct culturally specific details about at least three cultures that were described in the case studies.
Why is this knowledge important in health care?
Sample Solution