Japanese: Cultural Interview and Nursing Assessment
Presentation of client and scenario
This interview was conducted with a Ms. X, a Japanese national visiting friends in another country. She was, over the course of the interview, asked about a number of personal and culturally sensitive factors about her native culture that might affect a nursing intervention.
It is important for a nursing practitioner to keep this in mind as, in the 2000 census, 796,700 residents of the U.S. identified their "race" as Japanese,
Thus it is useful for all nursing practitioners, particularly those residing on the West Coast to keep abreast of Japanese cultural traditions. (Tanabo, 2001) Also, even when residing in Japan, Japanese first-generation immigrants have traditionally seemed less eager than other immigrant groups to assimilate into the hegemonic culture. One measure of this is that compared to other Americans of Asian background, a lower percentage of Japanese elders speak English. "In 1990, only 36% said they did not speak English very well." (Tanabo, 2001)
This difficulty in English communication is one of the first and perhaps most obvious factors to consider techniques and subjects in nursing interventions with members of this population
Socioeconomic factors in cultural assessment guidelines and culturally sensitive interventions
The subject of this interview still resided most of the time in Japan. Although Ms. X was from a relatively affluent Japanese home, and was twenty-three, she was still living with her parents, and intended to do so until she married. This is quite common in Japanese culture, she assured the interviewer, and not seen as evidence of immaturity, but respect, regardless of her own personal state of affluence. She said parents bridled at any attempts upon Ms. X to perhaps share an apartment with a friend, even though Ms. X's friends were 'nice girls,' according to the admittance of her parents. Most of Ms. X's income was thus disposable, and used for her own pleasure.
Increased income and job security was thus not connected, for this unmarried woman, to greater familial independence, as it might be in America. It has been noted that "the Japanese concept of filial piety," which stems from Confucianism and was brought to Japan in the seventh century and has been passed down through the ages still holds strong culturally. Japan is often described, as a society where the 'tall peg' or the nonconformist is nailed down to keep harmony with the whole,...
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