Discussion: evaluating culture from the nursing perspective

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This week, we will examine a case study about smokers in Poland. As noted in the Center for Global Development and Jassem, Przewozniak, & Zatonski (2014), prior to 1989, Poland had the highest rate of smoking in the world, with three-fourths of all men aged 20–60 smoking every day at a rate of 3,500 cigarettes per person per year. It should be noted that 30% of all women smoked every day, as well. This behavior resulted in a life expectancy of about 60 years due to the highest rates of lung cancer in the world and all-time high levels of smoking-related cancers and cardiovascular and respiratory disease.

To prepare for this Discussion, you will be required to read Case 14 by the Center for Global Development and complete readings in Stanhope and Lancaster, then respond to the following questions:

1.What happened to change the culture of smoking in Poland?

2. Understanding that we all have bias when discussing health issues and precipitating factors, what social and political factors allowed cigarette smoking to become a part of the Polish culture?

3.Reflecting on your own practice, how do you overcome cultural bias? Do you find it more difficult to deal with some groups than others? How do people use the cultural information that they learn about others? Do you think this leads to stereotyping? Does cultural knowledge influence or change your practice and interaction with others?

Resources:

Stanhope, M., & Lancaster, J. (2016). Public health nursing: Population-centered health care in the community (9th ed.). St. Louis, MO: Elsevier.
Chapter 7, “Cultural Diversity in the Community” (pp. 139–166)
Chapter 11, “Genomics in Public Health Nursing” (pp. 242–255)
Chapter 16, “Changing Health Behavior Using Health Education with Individuals, Families, and Groups” (pp. 355–376)
Chapter 17, “Building a Culture of Health through Community Health Promotion” (pp. 377–395)

Center for Global Development. (n.d.). Case 14: Curbing tobacco use in Poland. Retrieved December 5, 2018 from https://www.cgdev.org/sites/default/files/archive/doc/millions/MS_case_14.pdf
Used with permission from rightsholder.

​Center for Global Development. (n.d.). Case 14: Curbing tobacco use in Poland. Retrieved from https://www.cgdev.org/sites/default/files/archive/doc/millions/MS_case_14.pdf​

Jassem, J., Przewozniak, K., & Zatonski, W. (2014). Tobacco control in Poland: Successes and challenges. Translational Lung Cancer Research, 3(5), 280–285. doi:10.3978/j.issn.2218-6751.2014.09.12. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4367772/
 

U.S. Department of Health and Human Services. (2016b). Global health. Retrieved from https://www.healthypeople.gov/2020/topics-objectives/topic/global-health
 

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