Japanese Cultural and Nursing Assessment

Paper Summary:

This paper explains emphatically that problem of communicating in English is the first and most obvious factor to be considered in nursing interventions with Japanese-Americans. The author points out that, when working with Japanese family members, physicians should remember that the traditional hierarchy is the father of the house, then the oldest adult son, then the mother and only then the daughter. When health decisions must be made by the family, the physician should withdraw to allow the family to have an open discussion in private. The paper relates that Buddhist and Shinto religious beliefs influence this population's feelings about illness and death.

Table of Contents
Presentation of Client and Scenario
Socioeconomic Factors
Lifestyle
Family Values
Religious Preferences
Heath beliefs and Practices
Childbearing/Parenting
Conclusion

From the Paper:

"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. 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." ''

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