care for Hispanic women
Culturally competent care for Hispanic women
Research has shown that Hispanic women experience higher rates of perinatal death varying by country of origin. Little research currently exists on the experiences of such women meaning that nurses have no guidance with regards to caring for this vulnerable population (Sobel, 2016).
It is important to first consider the risk factors for perinatal loss among these people. Hispanic women have been shown to have a number of factors that lead to loss for example, there is a higher teen birth ratio, more births to unmarried mothers and twice the likelihood of receiving late care or no care at all. There are a number of ways in which members of the Hispanic community mourn their loss. Many Hispanic families believe in the spiritual and psychological continuity with the dead which takes the form of a continuous relationship which is nurtured through prayer. Open expression of grief is viewed as healthy and it is widely encouraged.
In dealing with such women, research has shown that allowing them to view the baby resulted in lower depression rates. While nurses have to be culturally sensitive when dealing with Hispanic women who have experienced loss, viewing the body or collecting mementos would be an appropriate intervention for such women. Nurses should talk to the parents and determine the rituals that would comfort them at the time of loss (Sobel, 2016).
There needs to be open and caring communication which can be done through describing the practices of the institution and asking the parents if there are other practices they would prefer. In case there is a language barrier, the assistance of a translator. Further, due to the religious nature of such communities, nurses should ask if a meeting with the pastoral staff or a blessing for the infant are desired. Finally, nurses can act as liaisons to ensure that Hispanic parents are introduced to support services and they must be sensitive to the fact that many family members might be in attendance for support.
Prescriptive and restrictive beliefs of mothers’ behaviours during pregnancy
Cultural beliefs play a critical role in caring for patients. These cultural beliefs can be classified as prescriptive, restrictive, taboos and predictive. Prescriptive beliefs entail beliefs that are encouraged for pregnant women for example the fact that conceiving mothers are encouraged to be happy since this will have an impact on the baby or that food cravings should be provided.
For restrictive beliefs, these a beliefs relating to things that women during their pregnancy cannot do for example, a conceiving mother should not wear anything around her neck or that they should avoid watching scary movies or ugly images because it may cause the baby to resemble that object and that they should avoid witnessing an eclipse since it may lead to stillbirths.
Responses postpartum nurse should initiate with Asian women
Beliefs and practices about postpartum period are culturally patterned. In most non-western countries, postpartum period lasts up to 40 days and women are kept warm and stay inside so as to avoid wind or cold drafts. Bathing is generally discouraged because of the cooling effect afterwards (Goyal, 2016). Due to the limitations that are placed on such women, it is important for postpartum nurses to benefit from the understanding the beliefs that underpin the said practices for example through coming up with alternative methods to ensure hygiene is maintained.
