Cultural beliefs and practices
For example: "Is there anything I should know about your culture, beliefs, or religious practices that would help me take better care of you?
The publisher's final edited version of this article is available at Int J Psychiatry Med Abstract This discussion article contributes to ethics reform by introducing the contribution of religious, spiritual, and traditional beliefs and practices to both subject vulnerability and patient improvement.
There is huge diversity within any culture.
The Web site also covers end-of-life issues. Department of Health and Human Services International ethical guidelines need to be created that are expansive enough to cover an array of social groups and circumstances.
Cultural practices that affect health
Cite this article Pick a style below, and copy the text for your bibliography. Relevance of Research in the Host Country It is important to work with experienced researchers and the local community in the host country to help determine an appropriate research question. Asking about patients' religions, cultures, and ethnic customs can help clinicians engage patients so that, together, they can devise treatment plans that are consistent with the patients' values. To your surprise, she is decisive. Taylor W. Psychiatric disorders among tortured Bhutanese refugees in Nepal. These practices, from the Western viewpoint, were once thought to pose barriers to health. Mental Illness The ethical issues of conducting research internationally in less wealthy countries are varied as just previously discussed. Protection of confidentiality When conducting research on socio-cultural factors, the researcher has to be acutely aware beforehand of the potential sensitivity of the topic within the study population and the community. Four of the six leading causes of years lived with disability are from mental illnesses [ 4 ]. Among U. The Vietnamese traditionally believe that disease is caused by an imbalance of the humoral forces of yin and yang. Culture Clues are one-page tip sheets that offer insight into the health care preferences and perceptions of patients from 10 different cultures and special needs groups including the deaf and hard-of-hearing.
Health, United States Given the lack of access to even basic medical treatment and therapies in certain countries, religious practices may be a valuable coping tool [ 1 ]. In addition, there may also be the complication of diminished decision-making capacity.
This knowledge may have provoked undue stress on the participants. SickKids Hospital in Toronto has created a series of e-learning modules.
Examples of cultural barriers in healthcare
The degree to which pain should be investigated or treated may differ. Koenig HG. This assumption needs to be reconsidered. The degree of understanding and compliance with treatment options recommended by health care providers who do not share their cultural beliefs. Mental Illness: Prevalence and Contribution to Global Burden of Disease Mental illness is a growing global burden that affects all countries regardless of affluence. Issues of documentation need to be revised in an application of the Western informed consent to the host country. Overview Religion, culture, beliefs, and ethnic customs can influence how patients understand health concepts, how they take care of their health, and how they make decisions related to their health. Its contents are solely the responsibility of the authors and do not necessarily represent the official views of NIDA. Resources for mental health: Scarcity, inequity, and inefficiency. Of those that do report such a budget, over one-third Research on religion, spirituality and mental health: A review. On a regular basis, randomly select some medical records and see what percentage have notes on the patient's culture, customs, or health beliefs. Yet the researcher has an ethical obligation for capacity building through sharing of knowledge and research, promoting teamwork, and pending the type of research, this may also include assisting in developing treatments and preventions that are affordable to the local community [ 11 ]. Recent investigations, however, revealed that certain beliefs and practices predicted neither lack of access to, nor underutilization of, health services. Religion, Theology and Health Journal Club.
On a regular basis, randomly select some medical records and see what percentage have notes on the patient's culture, customs, or health beliefs. It is also important to work simultaneously with both sponsoring and host countries' local ethics review committees to develop an ethical research proposal.
Cultural and religious beliefs regarding healthcare
Making or avoiding eye contact can be viewed as rude or polite, depending on culture. Between and , 47 percent of both black males and white males with less than twelve years of education were smokers. These limitations may contribute to the coercion of vulnerable peoples in medical studies. The Canadian Journal of Psychiatry. Mental Illness: Prevalence and Contribution to Global Burden of Disease Mental illness is a growing global burden that affects all countries regardless of affluence. If the individuals in a study are known beforehand to have beliefs and practices which may be at odds with the dominant ruling class or party, the researcher may consider before conducting the study, as part of the human subjects proposal, not to share the data but rather share only the study findings as well as research skills and knowledge to promote capacity building with the host institution and country, to help ensure confidentiality and minimize risk to the potential study participants. Eke, N. Find out whether a patient or family would benefit from spoken or visual messaging for reasons of culture or limited literacy. The researcher needs to use self-restraint and wisdom to realize that research did not cause nor can it fix the inequitable distribution of wealth among nations [ 11 ]. Dietary customs: Disease-related dietary advice will be difficult to follow if it does not conform to the foods or cooking methods used by the patient. This research topic may require special ethical consideration for protection of human subjects particularly for the two universal ethical principles outlined in the Belmont document—respect for persons right to informed consent and confidentiality and beneficence minimization of risk as described in the following paragraphs. Above all, remember that: Cultures are dynamic. Global Forum for Health Research; Geneva: High-quality online resources provide education about cultural competence, both as a general topic and as related to specific groups.
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