2.50
Hdl Handle:
http://hdl.handle.net/10755/157994
Type:
Presentation
Title:
PractitionerÆs Management Approaches With Diverse Populations in Hawaii
Abstract:
PractitionerÆs Management Approaches With Diverse Populations in Hawaii
Conference Sponsor:Western Institute of Nursing
Conference Year:2005
Author:Tse, Alice, PhD, APRN
P.I. Institution Name:University of Hawaii at Manoa Kapiolani Medical Center - Room 739
Title:Associate Professor
Contact Address:1319 Punahou Street, Honolulu, HI, 96826, USA
Contact Telephone:808-956-3142
Co-Authors:Donna-Marie Palakiko
Purpose/Aims: Asthma is the most prevalent chronic illness in childhood and affects approximately 6.3 million children. In spite of major management and education initiatives, our current health care system may be inefficient from the perspective of individual families. Clinicians often maintain their usual customs of practice and the context of the clinical encounter is defined in terms of an illness management protocol. The objective of this study is to describe health care providersÆ strategies to manage children with asthma in a multi-cultural and collectivistic culture. Rationale/Background/Conceptual Framework: Collectivism and individualism reflect fundamentally different perceptions about knowledge, cognition, and social development. Multi-ethnic societies, such as that in Hawaii, contain an intermingling of cultures such that there is no predominant group (Caucasian 23.7%; Hawaiian 21.1%; Japanese 20.3%; Filipino 16.8%; Chinese 5.8%; and other 12.4%). Social cognitive theory can be used to explain the practitionerÆs actions. The sociostructural environment, intrapersonal factors and oneÆs behavior all interact to influence the capability for the behavior. Methods: The qualitative research study used narrative analysis. In-depth interviews, lasting about 45 minutes each, were held with 13 practitioners (8 western trained and 5 traditional Hawaiian healers). The mean number of years experience was 24.4 years (traditional practitioners) and 22.3 years (western trained practitioners). A semistructured interview focused on perceptions of asthma and the asthma management strategies used. Practitioners were recruited as a part of a larger study on barriers of Native Hawaiian Children to asthma management. The participants were asked to describe what they typically do for a Native Hawaiian school aged child who has mild to moderate asthma and seeks treatment. Narrative analysis was used to identify ways the practitioners used to manage pediatric asthma. Constant comparison techniques were used to compare and contrast the individual themes and to identify commonly used strategies. Results: Two themes emerged: Fix the Asthma (make things physically normal); and Making Connections. Potential disparities may exist in the child and familyÆs needs for clinical support in the illness course. Implications: It is necessary to determine how much control and involvement the family wishes to have in their childÆs illness management process and to recognize the amount of control can vary with everything else thatÆs going on with the family at that time. Practitioners could encounter difficulties in achieving asthma management if there is incongruity in the child/familyÆs expectations for interactions. Implementing management strategies for populations with collectivistic traditions will become more important as families gain awareness of culturally amenable ways to collaborate with practitioners.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Western Institute of Nursing

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titlePractitionerÆs Management Approaches With Diverse Populations in Hawaiien_GB
dc.identifier.urihttp://hdl.handle.net/10755/157994-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Practitioner&AElig;s Management Approaches With Diverse Populations in Hawaii</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Western Institute of Nursing</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2005</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Tse, Alice, PhD, APRN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">University of Hawaii at Manoa Kapiolani Medical Center - Room 739</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Associate Professor</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">1319 Punahou Street, Honolulu, HI, 96826, USA</td></tr><tr class="item-phone"><td class="label">Contact Telephone:</td><td class="value">808-956-3142</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">atse@hawaii.edu</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Donna-Marie Palakiko</td></tr><tr><td colspan="2" class="item-abstract">Purpose/Aims: Asthma is the most prevalent chronic illness in childhood and affects approximately 6.3 million children. In spite of major management and education initiatives, our current health care system may be inefficient from the perspective of individual families. Clinicians often maintain their usual customs of practice and the context of the clinical encounter is defined in terms of an illness management protocol. The objective of this study is to describe health care providers&AElig; strategies to manage children with asthma in a multi-cultural and collectivistic culture. Rationale/Background/Conceptual Framework: Collectivism and individualism reflect fundamentally different perceptions about knowledge, cognition, and social development. Multi-ethnic societies, such as that in Hawaii, contain an intermingling of cultures such that there is no predominant group (Caucasian 23.7%; Hawaiian 21.1%; Japanese 20.3%; Filipino 16.8%; Chinese 5.8%; and other 12.4%). Social cognitive theory can be used to explain the practitioner&AElig;s actions. The sociostructural environment, intrapersonal factors and one&AElig;s behavior all interact to influence the capability for the behavior. Methods: The qualitative research study used narrative analysis. In-depth interviews, lasting about 45 minutes each, were held with 13 practitioners (8 western trained and 5 traditional Hawaiian healers). The mean number of years experience was 24.4 years (traditional practitioners) and 22.3 years (western trained practitioners). A semistructured interview focused on perceptions of asthma and the asthma management strategies used. Practitioners were recruited as a part of a larger study on barriers of Native Hawaiian Children to asthma management. The participants were asked to describe what they typically do for a Native Hawaiian school aged child who has mild to moderate asthma and seeks treatment. Narrative analysis was used to identify ways the practitioners used to manage pediatric asthma. Constant comparison techniques were used to compare and contrast the individual themes and to identify commonly used strategies. Results: Two themes emerged: Fix the Asthma (make things physically normal); and Making Connections. Potential disparities may exist in the child and family&AElig;s needs for clinical support in the illness course. Implications: It is necessary to determine how much control and involvement the family wishes to have in their child&AElig;s illness management process and to recognize the amount of control can vary with everything else that&AElig;s going on with the family at that time. Practitioners could encounter difficulties in achieving asthma management if there is incongruity in the child/family&AElig;s expectations for interactions. Implementing management strategies for populations with collectivistic traditions will become more important as families gain awareness of culturally amenable ways to collaborate with practitioners.</td></tr></table>en_GB
dc.date.available2011-10-26T20:24:18Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T20:24:18Z-
dc.description.sponsorshipWestern Institute of Nursingen_GB
All Items in this repository are protected by copyright, with all rights reserved, unless otherwise indicated.