Homosexuality is not accepted in the Haitian culture, so it is very common to see gay and lesbian people
Homosexuality is not accepted in the Haitian culture, so it is very common to see gay and lesbian people
Reponse post should be at least 150 words, formatted and (in-text) cited in current APA style with support from 1 academic source per response.
Question 1: Homosexuality is not accepted in the Haitian culture, so it is very common to see gay and lesbian people hide this from their family or friends. It is not uncommon for a family to deny or not accept a family member because of their sexual orientation, so it is often hidden from all those around the individual. As with this patient, this can lead to very risky behaviors. When one is not accepted, hiding and sneaking around is the only option that is left, and this leads to risky sexual and social behaviors. In the Haitian culture, gay and lesbian relationships are not allowed or talked about, so they are hidden and no public display of affection between gay or lesbian individuals is allowed (Purnell, 2014). This patient has suffered and lived his life in hiding behind the religious beliefs of his family. He is now faced with an HIV diagnosis alone without the support from family or friends. He has disclosed to his doctor to keep this information private as being HIV positive and homosexual would result in his family no longer having a relationship with him. Being that his family have strong religious and traditional beliefs further confirms that he cannot disclose this to them. Homosexual conduct is not accepted in this culture, and he faces the possibility of being disowned by his family. These beliefs put those in the homosexual community in Haiti in increased risk for health disparities. These individuals participate in risky behaviors and do not receive the treatment or prevention therapy to sexually transmitted diseases such as HIV for fear of retribution from family members. As a practitioner, it is important to consider the impact that we have on our patients and instill comfort to those seeking help in order to promote health and disease prevention.
Culture care helps to improve different aspect that influence and improve quality of care. Knowing and understanding the different practices, beliefs and values will help us to respond in culture sensitivity. People have different cultures, different patterns of communication, thought process, behaviors, traditions and values. Culturally congruent care is when a nurse understands and accepts differences of each culture (Fronda, 2020). The nurse should respond to the culture sensitivity of the patient. Caring is enabling process which facilitate, assist, guide and help someone with their culture. In caring we provide holistic care to our patient. But the most important is to completely understand them, how will they feel, what are the best care that you can provide that suit the patient’s cultural beliefs. Sitting down with this patient and having a meaningful conversation would promote a safe environment where the patient feels accepted and free from stigmatization or prejudices. Building trust and improving education throughout the Haitian community could improve outcomes for others throughout the community. Community support through programs could also support prevention strategies. Culturally congruent care is providing best care that focus on giving meaningful experiences to the patient that fits to patient’s cultural sensitivity (Purnell, 2014). The goal is to provide quality of life to patients regardless of differences in beliefs, values and principles.
References
Fronda, C., (2020). A Theory of Culture humility. Journal of Transcultural Nursing, 3l(1); 7-12
Purnell, L. (2014). Transcultural health care: A culturally competent approach. (4th ed.).
Philadelphia: F.A. Davis Co.
Question2: The Haitian community holds different views on social interaction between individuals. The community’s norms, values, customs, and traditions differ from other communities. The social environment in the community depends on different worldviews defining social aspects. In this view, this report will draw from a case study to illustrate the Haitian community’s view on homosexuality, Ronald’s parent’s reaction to the news of their son’s HIV status, and the relevance of culturally congruent strategies in mitigating community infection with HIV.
Haitian Views on Homosexuality
The Haitian community has a high intolerance for homosexuality. These views are evident in the prohibition of homosexual activities in public areas in Haiti. Notably, the Haitians believe their religion allows them to have opposite-gender marriages (Dévieux et al., 2022). In this view, their religious norms account for their divergent views about homosexuality. In other words, due to their religiosity and stringent moral values, homosexuality is frowned upon and discouraged in the community. In this light, the negative connotations of homosexuality in the Haitian community account for the stigma that affects HIV-infected homosexuals. Additionally, homophobic opinions regarding homosexuality are encouraged in the community accounting for the opposing views towards homosexuals (Dévieux et al., 2022). These opinions result in discrimination against Haitian homosexuals, limiting their quality of life. The homosexual intolerance in society also explains why stigma and public discrimination negatively influence healthcare access for these individuals.
Ronald’s Parents’ Reaction
Haitians are highly religious and rely on strict moral values. In this light, if Ronald’s parents were highly spiritual and moral, the news of their son’s positive HIV test results would create a dilemma. Despite their immense love for their son, their moral and religious background would cause them to disown their son. Other reactions include immediate segregation from the rest of the family members and continuous discrimination of Ronald during in-person or virtual interactions. The societal pressure would also result in Ronald’s parents’ indifference towards Ronald. These reactions stem from the societal pressure and views of HIV-positive homosexual men.
Culturally Congruent Strategies
A healthcare provider can integrate the awareness of stigma and discrimination against HIV-positive patients and create inclusive community programs that support and care for HIV patients regardless of sexual orientation or HIV status. Another approach entails creating community programs that offer insights into how discrimination and stigmatization of homosexuals and HIV-positive individuals impact the epidemic control strategies in the community. These approaches allow healthcare providers to eschew the cultural and social barriers that inhibit optimal care (Delcher, Robin, & Pierre, 2020). Lastly, training and sensitization sessions for healthcare providers in community facilities are also necessary (Delcher, Robin, & Pierre, 2020). This approach enhances HIV prevention strategies enabling healthcare providers in community facilities to respect the community members’ decision drawing from their religious beliefs and traditions.
The Haitian community has a negative perception of homosexuality and HIV. This perception accounts for the adverse reactions that Ronald’s parents might have when they learned of their son’s status. In addition, these aspects account for the relevance of culturally congruent strategies.
References
Delcher, C., Robin, E. G., & Pierre, D. M. (2020). Haiti’s HIV Surveillance System: Past, Present, and Future. The American Journal of Tropical Medicine and Hygiene, 103(4), 1372. https://doi.org/10.4269/ajtmh.20-0004
Dévieux, J. G., Vertovec, J., Jean-Gilles, M., Rosenberg, R., René, C., Cyrus, E., … & Dunbar, W. (2022). Patterns of sexual and HIV-related stigma among men who have sex with men and women living with HIV in Haiti. Scientific Reports, 12(1), 7511.
Edited by Suarez, Barbaro Yohendry on Jan 31 at 11:59pm
Requirements: 400
Nursing
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