People of Japanese Heritage.
Post your week 9 discussion questions here.
People of Japanese Heritage.
People of Jewish Heritage.
Read chapter 18 and 19 of the class textbook and review the attached PowerPoint presentation. Once done answer the following questions;
1. Discuss the cultural development of the Japanese and the Jewish heritage.
2. What are the cultural beliefs of the Japanese and Jewish heritage related to health care and how they influence the delivery of evidence-based healthcare?
A minimum of 2 evidence-based references (besides the class textbook) no older than 5 years is required. You must post 2 replies to any of your peer’s postings. A minimum of 600 words (excluding the first and references page) is required.
Transcultural Health Care: A Culturally Competent Approach, 4th Edition
Copyright © 2013 F.A. Davis Company
Jewish Culture
Larry Purnell, PhD, RN, FAAN
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Transcultural Health Care: A Culturally Competent Approach, 4th Edition
Copyright © 2013 F.A. Davis Company
Jewish Overview/Heritage
The term Jewish refers to a people, a culture, and a religion; it is not a race.
The religion is practiced along a wide continuum that ranges from liberal Reform to strict Orthodox.
Instances occur within the ultra-Orthodox communities when individuals cannot make decisions without consulting their rabbis.
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Transcultural Health Care: A Culturally Competent Approach, 4th Edition
Copyright © 2013 F.A. Davis Company
Jewish Overview/Heritage
A child born from the union of a Jewish father and a non-Jewish mother is recognized as Jewish by those in the Reform movement but not by those in the Orthodox movement.
Over 6 million Jews live throughout the United States. The migration of Jews from Europe began to increase in the mid-1800s because of the fear of religious persecution.
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Transcultural Health Care: A Culturally Competent Approach, 4th Edition
Copyright © 2013 F.A. Davis Company
Jewish Overview/Heritage
The greatest influx of Jews occurred between 1880 and 1920.
Many came from Russia and Eastern Europe after a wave of pogroms (religious persecutions.) Most families in America today are descendants of these eastern European and Russian immigrants and are referred to as Ashkenazi Jews.
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Transcultural Health Care: A Culturally Competent Approach, 4th Edition
Copyright © 2013 F.A. Davis Company
Jewish Overview/Heritage
Sephardic Jews, on the other hand, are from Spain, Portugal, the Mediterranean, North Africa, and South and Central America.
A Sabra is a Jew who was born in Israel.
Falasha are black Jews from Ethiopia.
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Transcultural Health Care: A Culturally Competent Approach, 4th Edition
Copyright © 2013 F.A. Davis Company
Jewish Overview Heritage
In general, this population is well educated. A high percentage has succeeded in professional vocations.
Throughout their history, Jews have placed a major emphasis on education and social justice through social action.
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Transcultural Health Care: A Culturally Competent Approach, 4th Edition
Jewish Communication
English is the primary language of Jewish Americans.
Although Hebrew is used for prayers, it is generally not used for conversation.
Many elderly Ashkenazi Jews who immigrated early in the 20th century or who are first-generation Americans speak Yiddish, a Judeo-German dialect.
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Transcultural Health Care: A Culturally Competent Approach, 4th Edition
Copyright © 2013 F.A. Davis Company
Jewish Communication
Many Yiddish terms have worked their way into English: kvetch (someone who complains a lot); chutzpah (clever audacity); bagel (a circular roll of bread with a hole in the middle); tush, tushie, or tuchus (buttocks); ghetto (a restricted area where certain groups live); klutz (a clumsy person); shlep (drag or carry); kosher (legal or okay); and oy, oy vey (oh my), and veys mir (woe is me).
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Transcultural Health Care: A Culturally Competent Approach, 4th Edition
Jewish Communication
Hebrew is read from right to left, and books are opened from the opposite side compared with English books.
As a way to cope/communicate, Jews frequently use humor, but jokes are considered to be insensitive when they reinforce mainstream stereotypes, such as implying that Jews are cheap or pampered (eg, Jewish American princess). Any jokes that refer to the Holocaust or concentration camps are also inappropriate.
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Transcultural Health Care: A Culturally Competent Approach, 4th Edition
Jewish Communication
Modesty especially among the Orthodox is seen in the Orthodox style of dress.
Jews are encouraged not to “show off” or constantly try to impress others.
Hasidic men are not permitted to touch a woman other than their wives. They often keep their hands in their pockets to avoid touch.
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Transcultural Health Care: A Culturally Competent Approach, 4th Edition
Jewish Communication
Because women are considered seductive, Hasidic men may not engage in idle talk with them nor look directly at their faces.
Non-Hasidic Jews may be much more informal and may use touch and short spatial distance when communicating.
Jewish time orientation is simultaneously to the past, the present, and the future.
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Transcultural Health Care: A Culturally Competent Approach, 4th Edition
Copyright © 2013 F.A. Davis Company
Jewish Communication
The Jewish format for names follows the Western tradition. The given name comes first and is followed by the family surname. Only the given name is used with friends and in informal situations.
In more formal situations, the surname is preceded by the appropriate title of Mr., Miss, Ms., Mrs., or Dr.
In ultra-Orthodox circles, children are not referred to by their names until after the bris or brit milah (circumcision).
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Transcultural Health Care: A Culturally Competent Approach, 4th Edition
Jewish Family Roles and Organization
Jewish school-age children typically attend Hebrew school at least two afternoons a week after public school throughout the school year.
Children play an active role in most holiday celebrations and services.
Respecting and honoring one’s parents is one of the Ten Commandments.
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Transcultural Health Care: A Culturally Competent Approach, 4th Edition
Jewish Family Roles and Organization
In Judaism, the age of majority is 13 years for a boy and 12 for a girl, at which age children are deemed capable of differentiating right from wrong and capable of committing themselves to performing the commandments. Recognition of adulthood occurs during a religious ceremony called a bar or bat mitzvah (son or daughter of the commandment).
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Transcultural Health Care: A Culturally Competent Approach, 4th Edition
Jewish Family Roles and Organization
The goal of the Orthodox family is to live their lives as prescribed by halakhah (Code of Jewish Law), which emphasizes maintaining health, promoting education, and helping others.
Ultra-observant women must physically separate themselves from all men during their menstrual periods and after for 7 days. No man may touch a woman or sit where she sat until she has been to the mikveh, a ritual bath, after her period is over.
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Transcultural Health Care: A Culturally Competent Approach, 4th Edition
Jewish Family Roles and Organization
Older people receive respect, especially for the wisdom they have to share.
Honoring one’s parents is a lifelong endeavor and includes maintaining their dignity by feeding, clothing, and sheltering them, even if they suffer from senility.
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