Western Mindanao State University

College of Nursing
Zamboanga City
Alternative Learning System
NCM 120: DECENT WORK EMPLOYMENT AND TRANSCULTURAL NURSING

PIOQUINTO, Gian Carlo S.

BSN IV – A
ASSIGNMENT 1

Topic 3: Application of Transcultural Nursing Theory and Models to Practice (Individual

Assignment)

GROUP 7: TRANSCULTURAL ASSESSMENT MODEL (ANDREWS & BOYLE)

BLACK OR AFRICAN AMERICAN
1. Atara, Alyyana S.
2. Pantaleon, Heidie M.
3. Pioquinto, Gian Carlo S.
4. Saji-in, Fatima Maryam I.
5. Tacang, Luke Anthony P.
6. Tan, Lyka Joyce D.
7. Usman, Jiramae I.
POPULATION PROFILE
NAME
Profile Ernesto K. Luzminda S. Gian Carlo S.
Pioquinto Pioquinto Pioquinto
Age 65 61 21
Religious Affiliation Roman Catholic Roman Catholic Roman Catholic
Educational Status College Graduate College Graduate High School
Graduate (currently
in college)
Socioeconomic Middle Class Middle Class Middle Class
status
Occupation Private Employee N/A Student
Residence Lunzuran, Lunzuran, Lunzuran,
Zamboanga City Zamboanga City Zamboanga City
Political Affiliations Conservative Conservative Liberal
HEALTH BELIEFS, PRACTICES, AND TRADITIONS
1. Utilizing medicinal herbs to treat common ailments
2. Boiling ginger with water to soothe sore throats
3. Rapid shifts from hot environment to cold environment can lead to illness
4. “Tuob” or covering oneself entirely with thick layers of cloth and placing a boiling water in
the middle to create a humidifying effect can cure flu.
5. Acute illnesses are observed for a week before admitting to the hospital.
6. Mental Illnesses are less likely to be focused as is it viewed as unnecessary.
7. The family’s health beliefs are more medically-concerned rather than placing it on higher
beings due to being more aware of how medical factors interplay with their health patterns and it
is also due to the prominence of medical professionals in the family.
8. The family describes their situation as inevitable, since they are taking maintenance
medications due to their old age and current health condition (asthma).
9. The family is minimally engaged in religious practices but still holds a firm belief of Christian
values.
10. The family does not rely on cultural healers and cultural healing since they are actively
seeking medically-trained professionals directly if they have any health-related concerns
11. The family prefers to have scientific health care providers in mending their health concerns
and they perceive nurses as the ones who assist the patient in a holistic manner with concerns
surrounding their health.
APPLICATION OF TRANSCULTURAL ASSESSMENT GUIDE BY BOYLE AND
ANDREWS
Due to the plethora of cultures and subcultures found all over the world, it is rather difficult
for nurses to become adept and provide culturally appropriate care to these different nuances in
values and practices. With this reasoning, assessment guides are generated to pursue an effective
and efficient understanding of the different cultures and their health-related aspects in order to
provide appropriate care to patients of that culture. According to Andrews & Boyle (2017),
transcultural models emphasize the need for effective communication and forming an
interprofessional health care team to increase the delivery of culturally competent care. Not only
it can be applied to broad cultural aspects, but also cultural aspects found at home as well. In the
context of the first guideline, which targets individuals and families, it is imperative for nurses to
assess household cultural context as this places a significant portion of the individual’s cultural
views since families are often the primary influencers of an individual’s point of view regarding
their cultural aspects (Giger & Davidhizar, 2019).
According to Perry (n.d.), the Andrews and Boyle Transcultural Assessment Guide is a
framework that seeks to pursue an approach, utilizing theoretical models from behavioral sciences
and humanities, in integrating culturally competent care in diverse health care settings. Generally,
the questions contained in the guide are broad in context, so the client is able to contextualize the
concerns regarding the cultural and health facets of their life, which is significant as these concerns
become the foundation of the care that nurses are going to provide to the client. In the context of
household culture, the guidelines utilize aspects such as communication, economics, educational
background, health-related beliefs, kinship, nutrition, religion, and spirituality which are all
nuanced in every culture and are cultural aspects that shape an individual’s point of view regarding
their health. In this regard, the nuances and subtleties in culture in different households can be
thoroughly assessed and issues with respect to inappropriate health practices may become apparent
(The Chicago School, 2020)
In the realm of the Pioquinto Household, although not as apparent as in other households,
there are still certain Filipino beliefs, practices, and traditions circulating health patterns that are
visible in our day-to-day lives. With the application of the Transcultural Nursing Assessment Tool,
it has become discernable that the Pioquinto household can benefit from this model when it is
applied since it firmly discusses the practices within the household and if these practices are
congruent with their wellness. In its application, the family emphasizes that they are more
scientifically aligned when attempting to seek medical and nursing care, however for minor
ailments, they rely on herbal methods such as ginger teas and other medicinal herbs. Since most
of the members of the household are of older age, they view their health status as inevitable as they
recognize that the older they get, the more their bodies are deteriorating. Even though the family
practices Roman Catholicism, it is apparent that it does not affect their views on help as they rely
more on medical services in treating their health concerns. Apart from that, the family also views
healthcare workers, especially nurses, as equally relevant in the provision of care, mainly due to
their belief that nurses are the ones primarily communicating with the patient and assessing their
personal concerns, it may also be due to the prominence of the nursing profession in the family.
However, the family views mental health and illnesses as insignificant as they are unable to
recognize and validate the intricacies of mental health and that this lack of comprehension disables
them to become cognizant of how imperative mental health is and that it is equally as important as
the rest of the fragments of health.
Utilizing the transcultural assessment guide is crucial in determining variations in health
practices in different cultures as it eliminates the need to internalize and absorb every single culture
in order to treat their health-related concerns. It enables nurses to pinpoint which health practices
the people in a particular culture are practicing to provide nursing care congruent to their beliefs
and values since it is with this principle that nurses are able to be culturally sensitive and allow the
clients to feel that they are being understood and that their concerns are rightfully heard. In its
application to the Pioquinto household, it was apparent that some of their Filipino beliefs about
health are still being practiced, however, the prominent Filipino belief that is not congruent to the
appropriate health practices are their views on mental health and its importance to the well-being
of an individual. With this finding, interventions toward educating the perplexities of mental health
in relation to their culture will become functional in their path towards total wellness.
References:
Andrews, M. M., & Boyle, J. S. (2017). Transcultural concepts in nursing care. LWW.
Colich, A. (2021, December 7). The importance of cultural competence in nursing. Insight
Digital Magazine. https://www.thechicagoschool.edu/insight/health-care/the-importance-
of-cultural-competence-in-nursing/
Cultural assessment - Transcultural nursing. (n.d.).
BrainKart. https://www.brainkart.com/article/Cultural-Assessment---Transcultural-
Nursing_31627/
Giger, J. N., & Haddad, L. (2020). Transcultural nursing: Assessment and intervention.
Elsevier.
Medical malpractice vs. medical negligence. (2021, September 29).
LegalBoulevard. https://legalboulevard.com/medical/medical-malpractice-vs-medical-
negligence/
Purnell, L. D., & Fenkl, E. A. (2020). Textbook for transcultural health care: A population
approach: Cultural competence concepts in nursing care. Springer Nature.
Themes, U. (2019, September 16). Community care: The family and culture. Nurse
Key. https://nursekey.com/community-care-the-family-and-culture/