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Module 2: Discussion

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The culture of the deaf and hard of hearing is often overlooked because it is characterized as a nonethnic culture.  What cultural characteristics do deaf people have in common with other cultural groups? If your client is both deaf and identifies with another cultural group as well, how does this affect your ability to provide quality cultural care?

Post your initial response by Wednesday at midnight. Respond to one student by Sunday at midnight.  Both responses should be a minimum of 150 words, scholarly written, APA formatted, and referenced.  A minimum of 2 references are required (other than your text) for both posts.  Refer to the Grading Rubric for Online Discussion in the Course Resource section.

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Understanding the nuances of the patients culture as well as understanding the communication techniques for the Deaf culture is vital for providing competent care and a responsibility of the health care provider.  Collaboration within our healthcare community may be key! Well done! NSG-556-IKG Module 2: Transcultural Nursing

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• • Module 2 DiscussionSubscribe
  • Jerrica Goins posted Sep 8, 2021 9:18 PM
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  • Individuals who are involved in or affiliated with the Deaf culture do not view deaf or the use of signed language as a disability. Diversity within the Deaf community must be considered and awareness of factors such as racial background, hearing status, and communication mode fall under the broader identity of being deaf. Understanding Deaf culture and learning about ASL are essential to building rapport and strengthening the therapeutic alliance (Boness, 2016). However, not all Deaf persons identify within this community. When a client identifies with another cultural group it is imperative to have a basic understanding of the culture they identify with. View the patient as an individual and find out their cultural preferences. The approach to them receiving care and treatment may need to be altered, to provide culturally competent care NSG-556-IKG Module 2: Transcultural Nursing. For instance, there may be a patient who is deaf and is a member of the LGBTQ community. The provider needs to understand the population’s history, unique health concerns, risks, and develop communication skills that avoid discrimination, and provide compassionate care. Health professionals should be aware that the LGBTQ population experiences higher rates of challenges due to discrimination, social pressures, sexual behaviors, and less healthcare access (Bass & Nagy, 2020).Bass, B., & Nagy, H. (2020). Cultural Competence in the Care of LGBTQ Patients. PubMed; StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK563176/less1 UnreadUnread2 ViewsViews
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  • View profile card for Kadijatu Sesay
  • Last post September 12 at 9:30 PM by Kadijatu Sesay
  • Boness, C. L. (2016). Treatment of Deaf Clients: Ethical Considerations for Professionals in Psychology. Ethics & Behavior, 26(7), 562–585. https://doi.org/10.1080/10508422.2015.1084929
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  • Module 2 DP – H. StetsonSubscribe
  • Heather Stetson posted Sep 6, 2021 6:26 PM
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  • Historically, those afflicted with deafness or hard of hearing have been labeled as persons suffering from a disability. However, labeling an individual with a disability indicates there is an issue with deafness or being hard of hearing that needs to be “fixed” (Mauldin & Fannon, 2021) NSG-556-IKG Module 2: Transcultural Nursing. Many people who are deaf or hard of hearing do not feel as if they are disabled, but rather as individuals with their own unique cultural identity (Higgins, 2016). Characteristics the deaf and hard of hearing people have with other cultures include a common communication style (language/dialect), identity, and a shared heritage (Andrews et al., 2020). According to Mauldin and Fannon (2021), “People who are deaf and use ASL to communicate belong to a linguistic minority group in the United States and have historically identified as capital-D Deaf; the convention has largely been to use lower case deaf to describe an audiological status and a capital-D to denote cultural membership in a signing community” (p.4). If the client is both deaf and also identifies with another cultural group this added layer simply means the practitioner will need to be that much more vigilant in providing culturally competent care. The five steps for providing culturally competent and congruent care include self-assessment, mutual goal setting, care planning, implementation of care plan, and evaluation of care (Andrews et al., 2020).  less1 UnreadUnread2 ViewsViews
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  • View profile card for Idida Aleman Musial
  • Last post September 12 at 8:08 PM by Idida Aleman Musial
  • Mauldin, L., & Fannon, T. (2021). They told me my name: Developing a deaf identity. Symbolic Interaction, 44(2), 339-366. https://doi.org/10.1002/symb.482
  • Higgins, M., & Lieberman, A. M. (2016). Deaf students as a linguistic and cultural minority: Shifting perspectives and implications for teaching and learning. Journal of Education (Boston, Mass.), 196(1), 9-18. https://doi.org/10.1177/002205741619600103
  • Andrews, M., Boyle, J. & Collins, J. (2020). Transcultural concepts in nursing care (8th ed.). Wolters Kluwer.
  • Kadijatu SesaySubscribe
  • Kadijatu Sesay posted Sep 8, 2021 10:50 PM
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  • Deaf and hearing-impaired people face multi challenges that evolve around isolation, neglect, and deprivation of essential social services that affect their welfare and survival. They are often isolated in the community because they are presumed different from everyone else, (Mugeere et al., 2016). In every culture, one will find people who are deaf or hearing impaired. The cultural characteristic deaf people have in common with other cultural groups is that many deaf people are born to hearing parents. More so, deaf or hearing impaired can be found in any culture regardless of race, ethnicity, social-economic status, or education. Deaf people maintain intimate relationships using facial expressions, touch, sign language, eye contact which are like other cultural groups, (Mugeere et al., 2016). ReferencesMugeere, A., Atekyereza, P. R., Kirumira, E. K., & Hojer, S. (2016, May 26). Deaf identities in a multicultural setting: The Ugandan context. African journal of disability. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5433488/. less1 UnreadUnread5 ViewsViews
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  • View profile card for Jerrica Goins
  • Last post September 12 at 8:05 PM by Jerrica Goins
  • Marschark, M., Zettler, I., & Dammeyer, J. (2017, July 1). Social dominance orientation, language orientation, and deaf identity. Journal of deaf studies and deaf education. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5881267/.
  • If my client is both deaf and identifies with another cultural group, this will affect my ability to provide quality care in the sense that it might be difficult to communicate or provide an interpreter in the new culture since different cultures have different variations in their mode of communication and identity expression, (Marschark et al., 2017).
  • Module 2: DiscussionSubscribed
  • Gisselle Mustiga posted Sep 6, 2021 12:29 AM
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  • The topic of whether deafness should be viewed as a culture or not is of debate. Deafness has always been seen as a physical impairment that is associated with cognitive and blindness disabilities. Recently, views of deafness as a culture have been raised, considering the condition as a trait and not disability. This is because deafness does not need to be corrected; it is not a pathology (Chovaz, 2016). The deaf and the hearing cultures have various common factors which influence communication with each other. One of them is that deaf people go to churches and attend school for the deaf, just like hearing people who also go to school and attend churches to attain education and religious purposes (Giger & Haddad, 2020). Moreover, both hearing and deaf people use the English language; the only difference is how they communicate it. ReferencesChovaz, C. J. (2016). The Differences in our similarities. The Journal of Deaf Studies and Deaf Education, 16(3). 416.  https://doi.org/10.1093/deafed/enr002 more1 UnreadUnread5 Views Views NSG-556-IKG Module 2: Transcultural Nursing
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  • View profile card for Emilia Rodriguez
  • Last post September 12 at 4:17 PM by Emilia Rodriguez
  • Giger, J. N., & Haddad, L. (2020). Transcultural nursing-e-book: Assessment and Intervention. Elsevier Health Sciences.
  • Andrews, M., Boyle, J., & Collins, J.W. (2020). Transcultural concepts in nursing care (8th ed.). Wolters Kluwer
  • If my client is deaf and identifies themselves with a particular cultural group, this will significantly influence how I will give quality and holistic care. This is because all cultural preferences of the patients must be respected while providing care. Providing quality care to clients that are deaf raises essential ethical consideration in relation to competency, assessment, confidentiality, evaluation, and diagnosis (Andrews et al., 2020). The nurse must therefore consider the relevant ethic codes that are required in providing treatment that is ethical. This is because the nurse is responsible for ensuring that the patient or client is comfortable and satisfied with healthcare services. Thus, all healthcare services providers must maintain a professional relationship with the client while also offering care in line with their culture and beliefs (Andrews et al., 2020).
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  • Julie Robichaud posted Sep 8, 2021 7:48 AM
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  •           The deaf and hearing impaired are considered a nonethnic culture, but can be linked to another culture and become a double minority such as a Russian patient who is also deaf (Andrews et al., 2020). Deaf patients have many of the same characteristics as other cultural groups which include, decreased comprehension due to a language barrier, decreased psychosocial well-being due to difficulty with social and interpersonal skills, economic dependence due to perceived disability, and decreased quality of life due to unnecessary limitations sometimes placed by healthcare providers (Andrews et al., 2020). Caring for a patient that is deaf or hearing impaired and also identifies with another cultural group, may require more help or interventions. All cultures, ethnic and nonethnic, have different needs that have to be taken into consideration. Cultural respect combines a body of knowledge, beliefs, and behaviors that are specific to ethnic, nonethnic, racial, religious, geographic, and social groups (NIH, 2017). Cultural respect ensures reduction in health disparities and improves access to quality and safe healthcare that is respectful and responsive to culturally diverse patients (NIH, 2017) NSG-556-IKG Module 2: Transcultural Nursing. Andrews, M.M., Boyle, J.S. & Collins, J.W. (2020). Transcultural concepts in nursing care (8th ed.). Wolters KluwerNational Institutes of Health. (2017, February 15). Cultural respect. https://www.nih.gov/institutes-nih/nih-office-director/office-communications-public-liason/clear-communication/cultural-respectless2 UnreadUnread3 ViewsViews
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  • View profile card for Laura Riccardi
  • Last post September 11 at 1:07 PM by Laura Riccardi
  • Ohta, G. (2015). National standards for culturally and linguistically appropriate services (CLAS) in health and health care. Hawaii Journal of Medicine and Public Health, 74(7), p.12.
  • Barksdale, C.L., Rodick, W.H., Hopson, R., Kenyon, J., Green, K. & Jacobs, C.G. (2016). Literature review of the National CLAS Standards: Policy and practical implications in reducing health disparities. Journal of Racial and Ethnic Health Disparities, 4(4). https://doi.org/10.1007/s40615-016-0267-3
  •           The National CLAS Standards can be used to provide quality cultured care for patients with one diverse culture or those who belong to more than one cultural group. It is a great tool to improve cultural respect, competence, and healthcare service. The fifteen standards address governance, leadership, and workforce; communication and language assistance; and engagement, continuous improvement, and accountability (Ohta, 2015). There can be gaps in knowledge and communication between a provider and a patient who share the same race or ethnicity, which suggests that there is a need for a standard of care for appropriate cultural and linguistic competency training at least annually for all healthcare providers (Barksdale et al., 2016). This would improve culture competency, health services, and patient satisfaction NSG-556-IKG Module 2: Transcultural Nursing.
  • Discussion 2Subscribe
  • Emilia Rodriguez posted Sep 8, 2021 11:19 PM
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  • Deaf CultureNotably, deaf individuals typically identify with different cultures and cultural groups in addition to deaf culture. This is best exemplified by the case of deaf individuals with ethnic or racial minority backgrounds. Such intersections are consequential for the healthcare providers’ delivery of culturally competent care because of two principal reasons (Hill et al., 2020). Firstly, the overlap necessitates broadened comprehension of the sociocultural determinants of effective care delivery, given that such understanding must encompass both the sociocultural determinants of deafness and of the additional cultural dimensions and characteristics. For example, the provider must comprehend both the sociocultural aspects of deafness and of the Hispanic culture in the context of healthcare delivery when interacting with a deaf service user who also identifies with the Hispanic ethnic culture. Additionally, the overlap affects the ability to provide quality cultural care because it expands the domains of context-specific cultural competencies requisite for the effective case management.Englerth, K., Dennis, C., & Scott, S. (2020). Looking for the signs: OTs’ experiences with deaf culture. American Journal of Occupational Therapy, 74(4_Supplement_1), 7411510311p1-7411510311p1. https://doi.org/10.5014/ajot.2020.74S1-PO7321Leigh, I. W., Andrews, J. F., Harris, R. L., & Ávila, T. G. (2020). Deaf culture: Exploring deaf communities in the United States. Plural Publishing.less1 UnreadUnread1 ViewsViews
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