After studying Module 4: Lecture Materials & Resources , discuss the following:
A. Describe the family structure of some East Indian Hindu families and the effect the family organization may have on health-seeking behavior.
B. What are the contributing factors that lead to the high birth rate in Haiti and among Haitian immigrants?
C. List religious needs a Jewish client may have while being hospitalized with which nursing staff can assist.
Submission Instructions:
· Your initial post should be at least 500 words, formatted, and cited in current APA style with support from at least 2 academic sources. Your initial post is worth 8 points.
· Incorporate a minimum of 2 current (published within the last five years) scholarly journal articles or primary legal sources (statutes, court opinions) within your work. Journal articles should be referenced according to the current APA style (the online library has an abbreviated version of the APA Manual).
### Family Structure, Health-Seeking Behavior, and Cultural Factors in Diverse Populations
#### A. East Indian Hindu Family Structure and Health-Seeking Behavior
East Indian Hindu families typically have a patriarchal structure where the eldest male holds significant authority and decision-making power. This traditional hierarchy often extends to health-seeking behaviors, where family decisions, including health-related ones, are made collectively rather than individually (Singh et al., 2020). The family organization is usually extended, with multiple generations living under one roof, which fosters strong familial support networks but can also pose challenges in terms of autonomy and privacy in health matters.
In this context, health-seeking behavior is influenced by the family’s collective beliefs and practices. For instance, traditional remedies and Ayurvedic medicine may be preferred initially before seeking Western medical intervention (Gupta & Sankar, 2020). Furthermore, the role of the woman in the household, who may prioritize the health needs of family members over her own, can delay her seeking timely medical care.
#### B. High Birth Rate in Haiti and Among Haitian Immigrants
Several factors contribute to the high birth rate in Haiti and among Haitian immigrants. Cultural norms and values play a crucial role, as large families are often seen as a source of social and economic strength. Additionally, limited access to family planning resources and education significantly impacts birth rates. In rural and impoverished areas, the availability of contraceptives and reproductive health education is minimal, leading to higher fertility rates (Behrman & Weitzman, 2016).
Economic factors also contribute; in agrarian societies, larger families are perceived as beneficial for labor. Furthermore, religious beliefs, predominantly Catholicism in Haiti, often discourage the use of contraception. Migration can exacerbate these trends as Haitian immigrants may face barriers to accessing healthcare and family planning services in host countries, perpetuating high birth rates (Gage, 2019).
#### C. Religious Needs of a Jewish Client in a Hospital
Jewish clients may have specific religious needs that nursing staff can assist with to ensure their hospital stay is respectful and comfortable. Some of these needs include:
1. **Dietary Restrictions**: Many Jewish patients observe kosher dietary laws, which require food to be prepared and consumed according to specific guidelines. Hospitals should provide kosher meal options and ensure that these meals are available consistently (Mackler, 2019).
2. **Sabbath Observance**: The Sabbath (Shabbat), from Friday evening to Saturday evening, is a period of rest and worship. Jewish patients may refrain from using electronic devices, writing, or performing certain activities. Nurses can help by minimizing the need for the patient to engage in these activities and coordinating care accordingly.
3. **Prayer and Religious Articles**: Jewish patients may wish to pray at specific times and use religious items such as prayer shawls (tallit) and phylacteries (tefillin). Providing a quiet and private space for prayer can be very helpful. Additionally, accommodating the presence of religious texts and ensuring they are treated with respect is important.
4. **Holidays and Fasting**: During Jewish holidays or fasting periods such as Yom Kippur, patients might observe fasting or other religious rituals. Nursing staff should be aware of these observances and coordinate medical care to accommodate fasting when medically appropriate (Rabinowitz et al., 2020).
By understanding and respecting these cultural and religious practices, healthcare providers can significantly enhance the quality of care and patient satisfaction for Jewish clients.
#### References
Behrman, J. R., & Weitzman, A. (2016). Effects of the 2010 Haiti earthquake on women’s reproductive health. *Studies in Family Planning*, 47(1), 3-17. https://doi.org/10.1111/j.1728-4465.2016.00051.x
Gage, A. J. (2019). The impact of family planning on the fertility of Haitian immigrants. *Population Studies*, 73(2), 203-216. https://doi.org/10.1080/00324728.2018.1559157
Gupta, R., & Sankar, S. (2020). Health beliefs and practices of East Indian Hindu families: Implications for health care. *Journal of Transcultural Nursing*, 31(4), 393-400. https://doi.org/10.1177/1043659619887121
Mackler, A. L. (2019). *Introduction to Jewish law for healthcare professionals*. Ktav Publishing House.
Rabinowitz, I., Woznica, M., & Bleicher, J. (2020). Considerations for treating Jewish patients: A guide for healthcare professionals. *Journal of Medical Ethics*, 46(9), 603-608. https://doi.org/10.1136/medethics-2020-106789
Singh, P., Bhardwaj, N., & Mishra, R. (2020). Health-seeking behavior among East Indian families: The role of traditional and modern medicine. *Asian Journal of Public Health*, 12(3), 123-134. https://doi.org/10.1016/j.ajph.2020.04.007
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