Cultural Sensitivity: Cultural Sensitivity

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Cultural Sensitivity: Cultural Sensitivity 96_98CNJ_Apr.c1.qxd 3/5/07 5:15 PM Page 96 96_98CNJ_Apr.c1.qxd 3/5/07 5:15 PM Page 96 . a i d . e a i p i d k e i Cultural Sensitivity: p i W k i Cultural Sensitivity: f o W y f s o e t y r s u e t o r Beyond First Impressions c u e o Beyond First Impressions c g a e g m I a m I We removed We removedour shoes, BY LINDINDAA SS.. J OHANSON padded ggingerlyingerly acracrossoss the cool brbreeze-eeze- BY LINDA S. JOHANSON wway,anday, and stepped into wonderland.The The worship stood in stark contrast mar’s main language is Burmese. Ninety- Shewdagon Phuya (pagoda, or place of to mmyy Christian church service in North twtwoo percent of the population is Buddhist. Buddhist worship) in Rangon, Myanmar CarCarolina.olina. I was in the country of Myan- The climate is trtropical,opical, with hot humid with its immense golden turrets and mar (formerly known as Burma) with summers followed by a warm rainy season. ggildedilded altaraltarss rremindedeminded me of a ffairytaleairytale my physician-husband on a two-week Agriculture is the main industry in castle, except that hundreds of statues of medical mission trtripip in the sprspringing of MyMyanmar.Theanmar.The local pastor in the Mon Buddha dominated the landscapelandscape.. Scores 2006.There, I discovered invaluable in- state region informed us that the people of worshipers reverently poured tiny cups sights that hahaveve increased my sensitivity liliveve in a rubber tree forest.They arise at of wwaterater from sparkling basins over the as a nurse caring for patients of different 2:00 A.M. and, armed with a plastic five- statues and offered alms. Intermittently, cultures and backgrounds.Three insights gallon bucket, make their way through the silent tranquility was interrupted by stand out that have had a great impact on the dark forest with flashlights to gather the sounding of brass gongs or the mo- mmyy rroleole as a ChrChristianistian nnurseurse in AmerAmerica.ica. a half cup of liquid rrubberubber frfromom each notone chanting of pate-shaven monks. tree.The rubber is then poured into Insight #1: Although people are wooden frames to solidify and afterward IQ Linda S. Johanson, EdD, supersuperficiallyficially ververyy difdifferent,ferent, many hung on drdryingying racks. Ev Eventually,entually, a RN,Q isLinda Assistant S. Johanson, Professor ofEdD, NurNursingRN,singis Assistant at Lenoir-RhLenoir-Rhyne Professoryne of needs are the same. merchant will pass through with a truck CollegeNursing in at HickHickory, Lenoir-Rhyneory, North Myanmar is a very different culture to purchase the rubbery rectangles and Carolina.College in She Hickory, has been North on nnumerousCarolina.umerous mission She has tr tripsbeenips and on has from what I had experienced in America take them to Thailand for processing. takennumerous students mission on several trips andtrips. has Shetaken attends students and on serves several at thetrips. or on previous mission trips. South of When we talk about being culturally MorgantonShe attends First and Church serves at of the God. China between India and Thailand,Myan- sensitive, we often think about learning Morganton First Church of God. 96 JCN / VVolumeolume 24, Number 2 the differences between our culture and another, then trying to figure out how I have become more aware of to be considerate of those differences. This can be an effective strategy,but I my tendency to stereotype… learned in Myanmar that one also can modified my approach to teaching One day a woman came to the clinic gain cultural sensitivity by focusing on students cultural sensitivity. Although it dressed in the brown attire I traditionally similarities. Despite the vast differences, is insightful to understand history and associated with monks. Her head was people coming to the medical clinic trends, it seems more applicable to in- shaved, but she wore a pink drape over presented with the same needs we have clude a comparison–contrast component. her robe. I was told she was not a monk, in America: back pain, headaches, arthritis, Students need to use critical thinking but rather one who had devoted her reflux, asthma, rashes, infections, malnutri- skills to discern how someone superfi- life to helping the monks in the pagoda. tion, and depression.When a 50-year- cially different from them is also similar. At the clinics, our normal routine was to old woman came to the clinic upset It is a wonderful lesson on treating present the Gospel to each patient.This because of hot flashes and irregular patients as individuals rather than using woman obviously was a devout Buddhist, menstrual periods, I was able to see past a standardized plan of care that may or and we felt uncomfortable about present- her long traditional wraparound skirt may not be effective. ing the message of Christianity,assuming and face smeared with powdered white she would be offended by the suggestion bark. Her anxiety visibly eased as I shared Insight #2: People of the same religion that she needed Christ. However, the with her through an interpreter that I may not have the same beliefs. interpreters working with us decided had been experiencing the same signs of One of the trip highlights was a lecture she must have known the clinic was menopause and gave her tips to alleviate on the Buddhist faith by Jubilee Phanga, a Christian based, so they explained the her symptoms. local Christian pastor. Pastor Jubilee was Gospel message to her despite our con- In the past, as a nursing instructor at raised in the Buddhist faith, but converted cerns.To our astonishment, she made a Christian college, I assigned students to Christianity as a young adult. I learned the decision to become a Christian that a “culture” to research in order to gain that there are several classes of Buddhism very day. Had we let our stereotypical cultural sensitivity.Students would outline in the world, and that the type practiced perception prevail, she may never have the main religious practices of their as- in Myanmar is known as “Theravada.” had that opportunity. signed culture, as well as its health prac- Buddhist beliefs vary between countries Sometimes in our work, we may feel tices, ethnic foods, and cultural ethno- and classes contingent upon political and uncomfortable offering spiritual care such centricities.The assignment, while infor- societal influences. as prayer or Scripture because we are mative, seemed to emphasize how differ- The religion practiced in Myanmar worried the recipient may be offended. ent others are from us, suggesting that digresses from pure Buddhism due to the Although we should always obtain a they somehow need to be treated dif- historical influence of Hindu cults. For patient’s consent for spiritual care, this ferently. Since visiting Myanmar, I have example, in the Burmese culture, there experience encouraged me to be bolder is a traditional belief in local “nats” regarding my Christian witness in (something like spirits) who guard and America. Now,I try to avoid presuming rule. Man is obligated to please the nats what someone’s reaction might be based at all times, so almost every Buddhist on first impressions. household has an altar on which food I also have become more aware of my and drink are offered as pleasing sacri- tendency to stereotype, and I am making fices.At shrines located throughout an effort toward better control. For communities, people can make sacrifices example, just because a student’s last to nats to keep the village safe from evil. name is Yang does not mean English is There are, however, evil nats who cause his or her second language and that sickness and disaster. Therefore, nat-saya he or she will have difficulty writing a (or spirit-masters) and witchcraft have a research paper. I remind myself daily significant role in this culture. to have an open mind and avoid As a result of this experience,I learned preconceived notions about students, The author working through a local translator at one of the mobile medical clinics. (Photo courtesy of Dr. Ron Fair) the importance of avoiding stereotyping. colleagues, patients, and people I meet. JCN/April-June 2007 97 • 2. Shinpyu ceremony or becoming a monk: futility associated with the suffering, Between the ages of 5 and 25 years, anxiety, and impermanence of the young male Buddhists are required to Buddhists in Myanmar. Even if a Buddhist become monks for a minimum time can successfully cancel all his or her bad of 8 to 9 days (although it may be for debt karma, the best she or he can hope life).The life of a monk is a simple ex- for is “nothingness.” istence devoted to Buddha worship. As we learned more about the • 3. Feeding and caring for the monks:The Burmese faith during our mission trip, monks are permitted only one meal per I began to see unexpected parallels with day before noon. From dawn to noon Christianity.For example, the Buddhists daily we saw monks collecting food in of Myanmar believe in the existence of large baskets from supporting families. suffering that recycles over and over.This Usually families support at least one is analogous to the Christian doctrine of monk continually,but we were told sin. However, Christians believe the debt that they may give alms to as many as of sin cannot be canceled by good deeds twenty or more monks per day.Most or human effort.We believe in Jesus of the people are poor, but because Christ, who paid the penalty for our sins giving to monks is a way to erase and makes possible the hope of everlasting bad luck karma from previous lives, life.Although it was essential to under- the sacrifice is essential.
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