Kinney.genevieve daub.katharyn ancheta-rushton.angelina
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Transcript of Kinney.genevieve daub.katharyn ancheta-rushton.angelina
“Culture Care Meanings of Child Bearing and Child Rearing Health Care Practices of Native Hawaiian, Filipino, and Micronesian
Families Residing on the Island of Hawaii”
Introduction
Genevieve Kinney, Ph.D., CTNKatharyn F. Daub, Ed.D. CTN, CNE
Angelina Ancheta Rushton, BSN, CHPN
University of Hawaii at Hilo
Historical Research Background
Recognition of Momi Kamau/Public Health FundingRecognition of Research Consultants/Study ParticipantsPurpose of Ethnonursing Research StudyEthnonursing Research MethodsUse of Dr. Leininger’s Culture Care Diversity and Universality TheoryUse of Dr. Leininger’s Sunrise Conceptual Research Enabler (see handout)Entry into Communities: Consent Forms: Key and General InformantsDr. Leininger’s Three Nursing Modalities (see handout)
Presentation I:
Genevieve Kinney, Ph.D., CTN
Ethnohistory of Native Hawaiian Culture
Kanaka MaoliKumulipo (handout)LokahiCapt. Cook’s Arrival 1778Economic/Social Changes: 19th/20th
CenturiesNative Hawaiians-2007
Demographic Data
10 key Informants ( 8 Wahine-2 Kane)20 General Informants (18 Wahine-2 Kane)Age of Informants 18-70 yrs.Residency in Hawaii- 5-8 yearsEthnicity-Part Hawaiian
Caring Themes
Care means protection/safety of mother and unborn childCare means ‘ohana (family) expressions of alohaCare means respecting traditionsCare means being cared for by respectful and concerned nurses
Care Means Protection & Safety Of Mother & Unborn Child
Use of Exercise/ocean activitiesUse of pule (prayer)Use of ti leaf/Hawaiian SaltUse of lomi (massage)
Care Means Protection & Safety Of Mother & Unborn Child
Eating special foods
Care Means Protection & Safety Of Mother & Unborn Child
Seeking Healers/Western physicians
Care Means ‘Ohana (Family) & Expressions of Aloha
Respecting Advice from Kupuna (elders)Family Support during pregnancyFamily presence during labor, hanau (birth)
Care Means Respecting the Traditions
Caring for the placentaNaming the infantBlessing of infantUse of lomi for infantsOne year birthdayTeaching correct protocols (respect for kupunas)
Care Means Respecting the Traditions
Use of singing (mele) hula/ocean
Care Means Respecting the Traditions
Eating poi, limu
Care Means Respecting the Traditions
Teaching correct protocols (respect for kupunas)
Care Means Having Nurses Who Are Concerned, Respectful & Competent
Perceptions of good caregiversPerceptions of incompetent caregivers
Presentation II:
Angelina A. Rushton, BSN, CHPN
Hospice of HiloPartners in Hope, Support, and Comfort
Ethnohistory of Filipino Culture
Location: South East Asia, surrounded by waterOne of the largest archipelagos- 7,107 islands, only 1,190 are inhabited.Major islands are Luzon, Mindanao, and Visayan regionKnown as “Pearl of the Orient”55 languages and 142 dialectsNational Language is “Filipino”The 3rd largest English-speaking country in the world.Value family kinship, respect for elders, education, hospitality, “pakikipagkapwa” (being one with others), “bayanihan” (helping one’s own people)
Bayanihan (Capture on a road in Samar, Philippines)
Demographic Data
10 Key informants20 General InformantsAges 23-81 yrs. Old2 male participantsEthnicity- FilipinosInformants speaks Ilocano and/or Tagalog
Caring Themes Identified By Filipino Informants
1. Care means listening (respect) to elders.2. Care means preserving healer rituals3. Care means family support and obligations4. Care means patience with non-English
speaking clients.
Care means listening (respect) to elders.
Respecting EldersUse of Special FoodAvoiding Special Food
Amulets (“Anting-anting”)
Amulets are used on adults, children, and infants for good luck, to drive bad spirits away, and to protect against misfortune.
Amulets/Vendor
Care Means Preserving Healer Rituals.
Use of Albularyo/ Hilot (Faith healers)Use of herbs/ oil/ amuletsBathing EverydayRespecting Elder’s advice.
Care Means Family Support and Obligations.
Providing Traditional Healing Practices by the EldersSeeking Caring Ways.
Care Means Patience With Non-english Speaking Clients.
Providing TranslatorShowing AffectionTalking StoryRespecting Traditional Healing Ways
Presentation III:
Kay Daub, Ed.D., CTN, CNE
“Culture Care Meanings of Child Bearing and Child Rearing Health Care Practices of Native Hawaiian, Filipino, and Micronesian
Families Residing on the Island of Hawaii”
By: Katharyn F. Daub, RN , EdD, Associate Professor of Nursing University of Hawaii at Hilo
Ethnohistory Of Micronesian Culture
Demographic Data
10 Key informants20 General InformantsAges 21-70 yrs old4 Male participantsEthnicity
Caring Themes
Care means seeing the medicine manCare means eating healing foodsCare means family presence & concernCare means being attentive to privacy
Care Means Seeing the Medicine Man
Use of healing remediesUse of coconut Use of massageSwimming/water
Care Means Eating Healing Foods
PandanusCoconut MilkUlu breadfruit
Care Means Family Presence & Concern
Receiving Protective Care from FamilyElder Care
Care Means Being Attentive to Privacy
Need for PrivacySame gender preferred related to care
Conclusion
Comparative Analysis of the three study groupsDr. Leininger’s 3 Modalities of Care Decisions and Actions
Mahalo