The 130th Annual Meeting of APHA

5197.0: Wednesday, November 13, 2002 - 3:42 PM

Abstract #46217

An Approach for Designing Culturally Competent Primary Care for Newly Immigrated Latinos

Kathleen L. Barr, PhD, RN, CS, UNMC College of Nursing, 985330 Nebraska Medical Center, Omaha, NE 68198-5330, (402) 559-3952, klbarr@unmc.edu

The Malama (Affonso, 1994) conceptual model was used to mobilize community resources to help the underserved special population take command over their health destiny. Community Dialogues are prerequisite to service delivery to obtain valuable qualitative data sets that profile the unique contextual qualities, needs and cultural preferences of the Latino people. Five cultural themes emerged that will be applied to nursing protocols to design culturally competent services tailored to newly immigrated Latino/Latina. These include nursing paying more attention to: (a) paradoxical dilemma of being a Latino immigrant; (b) unique culture of being a Latino/Latina immigrant; (c) reconcile the crisis of cultural adaptation; and (d) family as a metaphor of the Latinos' (a) spirit; and (e) necessity of Latino (a) style health care services.

Nursing protocols delineate the content of care-giving encounters in the categories of early detection and case finding, family assessment, disease management and health education. This approach to empirically based nursing service is based on the Malama program mechanism of documenting all care-giving interventions in written protocols that are based on conceptual themes congruent with the nursing professions humanistic care and Hispanic cultural concepts/values (Affonso, 1994).

Learning Objectives:

Keywords: Latino, Cultural Competency

Presenting author's disclosure statement:
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.

New Arrivals: Caring for Refugees and Immigrants

The 130th Annual Meeting of APHA