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TransculturalNursing
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Defnition o Transcultural
Nursing“KEPERAWATAN TRANSKULTURAL Adalah
Ilu dan !iat "ang huanis# "ang
dio!us!an $ada $erila!u indi%idu atau!elo$o!# serta $roses untu!e$ertahan!an&ening!at!an $erila!usehat atau $erila!u sa!it secara fsi! dan
$si!o!ultural sesuai latar 'ela!ang 'uda"a(Leininger# )**+,
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-ontinue. Transcultural nursing /0o1 do nurses res$ond to cultural needs
(e2ual access to treatent and care#
res$ect or cultural 'elies and$ractices,
(Nara"anasa"# 3445,
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Kultur6i!ro'iologi / $enu'uhan suatu aterial
Sosial /rang!aian $engetahuan# !e$erca"aan#$erila!u# ide# nilai# !e'iasaan# 'ahasa#sis'ol# ritual# sereoni# "ang dinais#terintegrasi dan s$esif!7
-ulture / shared S"ste o 8alues# 'ealies# 9'eha%ioral e:$ectetion that $ro%ide socialstructure or dail" li%ing
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Kara!teristi! !ultur6e'eri!an arahan cara 'er$erila!u
Di$ela;ari 9 diturun!an
SharedSocial in nature
D"naic# ada$ti%e 9 e%er changing
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Ethnicit" 9 RaceEtni! / -ultural grou$=s $erce$tion o
thesel%es (grou$ identit",
Race / $engelo$o!an 'erdasar!an!esaaan 'iologis
Etni! Ras
-oonalit" 9
cohesi%eness
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Pro'le in socialStereot"$ing La'eling
Ethnocentris-ultural
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Doinant 8alue di
Indonesia
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In>uence cultural on 0ealth -are?isiologisAda$tasi !ulit (elanin,
Pen"a!it 0erediter # @angguan geneti! danhan"a terda$at $ada etni!
• Kara!teristi! Psi!ologis
• Perse$si terhada$ n"eri
•
Kesehatan i1a• Peran dala !eluarga
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Pengaruh Kultur terhada$
$era1atan $en"a!itSetia$ !ultur eili!i $andangan "ang
'er'eda terhada$ agent $en"a!it
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As!e$ 'erdasar!an !ultur6eru$a!an asuhan !e$era1atan "ang
direncana!an dan dii$leentasi!an "angsensiti% terhada$ !e'utuhan !lien sesuaidengan $er'edaan !ultur "ang diili!i7
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Leininger=s Sunrise “Ena'lerA conce$tual odel to guide nursing ;udgents and acti%itiesto $ro%ide culturall" congruent care
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6eli$uti + diensi stru!tur !ultural
dan sosial (Leininger,
1. Faktor teknologi
2. Faktor agama dan flosofs3. Faktor kekerabatan dan sosial
4. Nilai budaya dan gaya hidup
5. Faktor politis dan legal
6. Faktor ekonomi
. Faktor pendidikan
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F!"T#$ T%"N#'(
6eli$uti te!nologi a$a sa;a "angdianaat!an atau diguna!an oleh !eluargauntu! engatasi asalah !esehatann"a7
6engenai /
Perse$si tentang $enggunaan te!nologiuntu!engatasi $erasalahan !esehatan#
Alasan encari 'antuan !esehatan# $erse$sisehatsa!it#!e'iasaan 'ero'at dan engatasiasalah !esehatan7
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F!"T#$ !'!)! *!N F(+#F(
)engenai ,
Agaa "ang dianut# !e'iasaan $eelu! agaa"ang 'erda$a! $ositi terhada$ !esehatan#!e'iasaan "ang 'erda$a! $ositi terhada$!esehatan# u$a"a encari 'antuan !esehatan#!onse$ diri "g utuh## $erse$si !lien terhada$!esehatan# cara 'erada$tasi terhada$ situasisaat ini# cara $andang !lien terhada$$en"e'a' $en"a!it# cara $engo'atan dan cara$enularan terhada$ orang lain
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F!"T#$ "%"%&-!$'!!N *!N +#+(!&
)engenai ,
Nama lengkap dan nama panggilanmarga usia atau tenpat tanggal lahir
/enis kelamin status tipe keluargatumbuh kembang keluarga pengambilankeputusan dalam anggota keluargahubungan klien dengan "" kebiasaanrutin yang dilakukan oleh keluarga.
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F!"T#$ N(&!( 0-*!! *!N '!! (*-
)engenai ,
Posisi atau ;a'atan# 'ahasa "ang diguna!an#'ahasa non%er'al "ang sering ditun;u!!an!lien# !e'iasaan e'ersih!an diri# !e'iasaana!an# $antang terhada$ a!anan tertentu"ang ter!ait dengan !ondisi tu'uh# saranahi'uran "ang dianaat!an# $erse$si sa!it'er!aitan dengan a!ti%itas sehari37
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F!"T#$ #&(T(+ *!N &%'!&
)engenai , am kedatangan ke rumahkeluarga dll
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F!"T#$ %"#N#)(
)engenai ,
eker/aan klien sumber biayapengobatan kebiasaan menabung
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F!"T#$ %N*(*("!N
)engenai ,
Tingkat pendidikan terakhir.
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Peng!a;ian TransKultural)7 6enurut !ulturn"a a$a "ang en"e'a'!an
!lien sa!it F
37
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Sia$a "ang e'eri!an !e$tusan tentang!ondisi sehatsa!it
+7 A$a $engo'atan sesuai !ultur "angdi$erca"ai dan di$ra!ti!!an !lien F
7
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D: Ke$ ter!ait !ultural di%ersit"0a'atan !ouni!asi %er'al
Isolasi diri
Distress s$iritualDistress oral
Ketida! $atuhan
Kesia$an $ening!atan hara$an
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@uidelines or Nursing
-areDe%elo$ cultural sel care
De%elo$ -ultural Kno1ledge
Accoodate cultural Pra!tices in 0ealthcareRes$ect -ulturall"
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+($(T-!& %!&T
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Three +piritual
Needs"ebutuhan thd
tu/uan hidup
"ebutuhan thd cintadan keterikatandengan pencipta
"ebutuhan thdampunan danpenerimaan
3+
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oncepts $elated to
+pirituality+pirituality segala sesuatu yangterkait dengan
hubungan manusiadengan T-!Nnya
$eligion termused to describecultural orinstitutional religion
54
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ontinue7Faith 8kepercayaan9iman:
merupakan keyakinananyang mendalamterhadap keberadaanhal hal yang nonmaterial8'aib:
5)
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%lements o;
+pirituality%
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+ehat +piritual
Kondisi diana indi%idueili!i !e"a!inan "ang !uatterhada$ Tuhann"a# erasa!an-inta Tuhann"a# erasa saling
eili!i dengan sesaa# daneili!i ;alan hidu$ dan tu;uanhidu$ "ang ;elas7
55
6odel !onse$tual !esehatan s$iritual $ada
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6odel !onse$tual !esehatan s$iritual $ada$asien sa!it
?indings$iritual
eaning inthe
e:$erienceo illness
Personal?aith
(Ian,
S$iritualcontentent(ter$enuhi dg!e$asrahan,
ReligiuosPractice
Ke$arahan$en"a!it
SocialSu$$ort
Stessul Lie
e%ents
+piritual
?ellbeing in
(llness
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+piritual 0elie;s'uide to daily li>ing
habits
+ource o; support
+ource o; strength andhealing
+ource o; con@ict
5H
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Factors aAecting spirituality
*e>elopmental
considerationsFamily
%thnicbackground
Formal religion
&i;e e>ents
5J
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Assessent
Nursing 0istor"Nursing B'ser%ation
?ocus assessentS$iritual
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Nursing istory
+piritual pain , sulit menerimakehilangan org yg dicintai ataupenderitaan terus menerus baik scr fsik
maupun emosional yg bersi;at kronis
+piritual alienation , berbeda dengankeyakinan di lingkungan masyarakatsekitarnya
+piritual an
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ontinue7
+piritual guilt , kegagalan untukmentaati aturan religius e
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Nursing *iagnoses ;or +piritualroblems
"esiapanmeningkarkankesehatan spiritual*istress +piritual
"esiapanmeningkatkan
religiusitasambatan$eligiusitas"on@ik keputusasaan
G5
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atient
'oals9#utcomes(denti;y spiritual belie;s that meet needs ;ormeaning and purpose lo>e and relatednessand ;orgi>eness.
*eri>e ;rom these belie;s strength hopeand com;ort.
*e>elop spiritual practices that nurturecommunion =ith inner sel; 'od and the
=orld.
%eryday li>ing.
GG
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(mplementing +piritual are#Aering supporti>epresence
Facilitating patientCspractice o; religion
raying =ith a patient
GH
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ontinue7raying ;or a patientounseling the patient
spirituallyontacting a spiritualcounselor
$esol>ing con@icts bet=eentreatment and spiritualacti>ities
GJ
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Facilitating the ractice o; spiritual#rientasikan klien terhadap kondisi
ruangan dan kebutuhan klien akankegiatan spiritualnya
0erikan =aktu pada klien
G+
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ounseling atients +piritually!rticulate spiritual belie;s.
%elop spiritual belie;s that meet theneed ;or meaning and purpose care and
relatedness and ;orgi>eness G
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%>aluating %es meaning and purpose to li;e.
)o>e to=ard healthy acceptance o;current situation.
*e>elop mutually caringrelationships.
G*
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ontinue7DerbaliEe satis;action =ithrelationship =ith 'od.%e in present.
Freedom ;rom an
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