Working with culture: culturally appropriate mental health care for Asian Americans

Authors

  • Mijung Park,

    1. Mijung Park MSN PhD RN Senior Fellow Department of Psychiatry and Behavioral Health Sciences, University of Washington, Seattle, Washington, USA
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  • Catherine A. Chesla,

    1. Catherine A. Chesla RN DNSc FAAN Professor Thelma Shobe Endowed Chair in Ethics and Spirituality, Department of Family Health Care Nursing, School of Nursing, University of California, San Francisco, California, USA
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  • Roberta S. Rehm,

    1. Roberta S. Rehm PhD RN Associate Professor Department of Family Health Care Nursing, School of Nursing, University of California, San Francisco, California, USA
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  • Kevin M. Chun

    1. Kevin M. Chun PhD Professor Department of Psychology, University of San Francisco, San Francisco, California, USA
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M. Park: e-mail: parkm5@uw.edu

Abstract

park m., chesla c.a., rehm r.s. & chun k.m. (2011) Working with culture: culturally appropriate mental health care for Asian Americans. Journal of Advanced Nursing67(11), 2373–2382.

Abstract

Aim.  The aim of this study is to describe how mental healthcare providers adapted their practice to meet the unique needs of Asian Americans.

Background.  As the number of ethnic minorities and multicultural patients and families rapidly increases, cultural competency becomes an essential skill for all healthcare providers. The lack of knowledge about how healthcare providers grapple with diverse cultures and cultural competency limits the ability of others to deliver patient-centred care across cultural lines.

Methods.  Interpretive phenomenology guided the design and conduct of this study. Twenty mental healthcare providers who treated Asian Americans were recruited. Narrative data were collected through face-to-face, in-depth interviews between 2006 and 2007.

Results/findings.  Three characteristics of culturally appropriate care for Asian Americans were identified. Cultural brokering: providers addressed issues stemming from cultural differences via bicultural skills education. Asian American patients generally received broader education than current literature recommended. Supporting families in transition: providers assisted Asian American families during transition from and to professional care. Using cultural knowledge to enhance competent care: providers’ knowledge of Asian culture and flexible attitudes affected the care that they provided. Culturally competent providers were able to identify cultural issues that were relevant to the specific situation, and incorporated cultural solutions into the care provided.

Conclusion.  Culturally appropriate care is nuanced and context specific. Thus, more sophisticated and broader conceptualizations are necessary to prepare nurses for such complex practice.

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