Vietnamese and Healthcare Systems
Vietnamese and Healthcare Systems
Vietnamese is a culture mostly focused in the country of Vietnam but a subculture that is spreading across the globe. Here in America we have a population of about 1,548,449 Vietnamese Americans (US Census Bureau 2010). The purpose of this paper is to examine Vietnamese culture and how they interact with the health care system in America today. This paper will describe three aspects of the Vietnamese culture, including: history, religion and dietary and food habits. The health practices and beliefs of the Vietnamese culture will be presented in this paper. Common stereotypes of the Vietnamese people will be discussed. Also the Medical surgical floor where the writer works will be examined, and how accessible it is for people of the Vietnamese culture. In addition the mission, demographics, staffing hours of service, services available and payment method of this facility will be discussed. Based on the writers assessment of the Vietnamese culture and the Med-Surg floor of the hospital, bridges and barriers will be discussed. Finally the writer will recommend provisions of culturally sensitive care of the Vietnamese. Historical Perspective
Vietnam's identity has been shaped by long-running conflicts, both internally and with foreign forces. In 111 BC, China's Han dynasty conquered northern Vietnam's Red River Delta and the ancestors of today's Vietnamese. Chinese dynasties ruled Vietnam for the next 1,000 years, inculcating it with Confucian ideas and political culture, but also leaving a tradition of resistance to foreign occupation. In 939 AD, Vietnam gained independence under a native dynasty. After 1471, when Vietnam conquered the Champa Kingdom in what is now central Vietnam, the Vietnamese moved gradually southward, finally reaching the agriculturally rich Mekong Delta, where they encountered previously settled communities of Cham and Cambodians. As Vietnam's Le dynasty declined, powerful northern and southern families, the Trinh and Nguyen, fought civil wars in the 17th and 18th centuries. France established its influence early in the 19th century, and within 80 years it conquered the three regions into which the country was then divided—Cochin-China in the south, Annam in the central region, and Tonkin in the north. France first unified Vietnam in 1887, when a single governor-generalship was created, followed by the first physical links between north and south. Even at the beginning of World War II, however, there were internal differences among the three regions. Japan took over military bases in Vietnam in 1940, and a pro-Vichy French administration remained until 1945. Veteran Communist leader Ho Chi Minh organized an independence movement known as the Vietminh to exploit the confusion surrounding France's weakened influence in the region. At the end of the war, Ho's followers seized Hanoi and declared a short-lived republic, which ended with the arrival of French forces in 1946. After a defeat at Dien Bien Phu in northwest Vietnam on May 5, 1954, broke the French military campaign and resulted in the division of Vietnam. In the new South, Ngo Dinh Diem, prime minister under Bao Dai, deposed the monarch in 1955 and made himself president. Diem used strong U.S. backing to create an authoritarian regime that suppressed all opposition but could not eradicate the Northern-supplied Communist Viet Cong. (CIA World fact book 2012) In December 1961, at the request of South Vietnamese President Ngo Dinh Diem, President Kennedy sent U.S. military advisers to South Vietnam to help the government there deal with the Viet Cong campaign. After a November 1963 generals' coup against President Diem, which resulted in his death, the United States increased its military support for South Vietnam. They finally concluded with the signing of a peace agreement, the Paris Accords, on January 27, 1973....
References: Quach, T., Nguyen, K., Doan-billings, P., Okahara, L., Fan, C., & Reynolds, P. (2008). A preliminary survey of Vietnamese nail salon workers in Alameda County, California. Journal of Community Health, 33(5), 336-43.
Bankston,Carl L., I.,II. (2010). Little saigons: Staying vietnamese in america. Contemporary Sociology, 39(6), 682-683.
Nguyen, A., & Belgrave, F. (2012). Health Sources of Cancer Screening Knowledge for Vietnamese Women. Journal Of Cancer Education, 27(2), 320-326. doi:10.1007/s13187-011-0299-7
LaBorde, P. (1996, July 01). Vietnamese cultural profile. Retrieved from http://ethnomed.org/culture/vietnamese/vietnamese-cultural-profile
Quach, L. et. al. (2008) Knowledge, attitudes, and practices among physicians on HIV/AIDS in Quang Ninh, Vietnam Department of Medicine, Brown University, Providence, RI
World Health Organization. (2006a). Country profile: Viet Nam. Retrieved, from http://www.who. int/countries/vnm/en.
McPhee, S. J. (2002). Caring for a 70-year-old Vietnamese woman. JAMA, 287(4), 495–504.
McLaughlin, L., & Braun, K. (1998). Asian and Pacific Islander cultural values: Considerations for health care decision making. Health & Social Work, 23(2), 116–127.
Lindsay, J., Narayan, M., & Rea, K. (1998). The Vietnamese client. Home Healthcare Nurse, 16(10), 693–700.
Please join StudyMode to read the full document