Stereotypingis categorizing a group of people together, usually by race,
rather than respecting individual characteristics.
In some cultures, females should not be addressed directly but through
the dominant male family member.
Some cultures are matriarchal with the oldest female family member
accepted as the decision maker.
Older family members in some cultures are respected as the decision
makers for the family.
Children in some cultures are not allowed to communicate directly with
nonfamily members without family presence and permission.
It is unacceptable to touch a child without permission, and some parts of
the body, such as the head, should not be touched, if avoidable.
Photographs should not be taken without first consulting with client and
family.
Ethnocentricbehavior (belief that one’s own culture is best) can block
communication with client and family by decreasing trust and comfort.
Communication in the native tongue may be needed for full understand-
ing of client concerns.NURSING IMPLICATIONS
Consider the following concepts when providing care to clients from
different ethnic-cultural groups.Communication
Assess the family dynamics and consult with family member (or the
client if older child or adolescent) to determine preferences relative to
communication and the decision-making process between nurse and
family members.
Monitor your own behavior and avoid imposing cultural preferences on
the client.
Provide an interpreter or use technology to assist in translation of concerns
voiced in native tongue.Physical Touch
Determine taboos related to physical contact, and if possible avoid
unacceptable touching by asking the client or family to move body part
as you examine them.
When unacceptable touching is needed, explain the purpose and minimize
contact as much as possible.
If cross-gender touch is forbidden and you are the nurse of the opposite
gender assigned to provide care, enlist a same-gender assistant to provide
physical care as you manage the care.6(^8) Pediatric Nursing Demystified