EVALUATING CULTURE FROM THE NURSING PERSPECTIVE
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.
Be sure to review the Learning Resources before completing this activity.
Click the weekly resources link to access the resources.Â
· Stanhope, M., & Lancaster, J. (2020).Â
Public health nursing: Population-centered health care in the community (10th ed.). Elsevier.
· Chapter 8, “Achieving Cultural Competence in Community Health Nursing†(pp. 165-195)
· Chapter 12, “Genomics in Public Health Nursing†(pp. 255-268)
· Chapter 19, “Health Behavior Principles Applied in Communities†(pp. 414-436)
· Chapter 18, “Building a Culture of Health to Influence Health Equity Within Communities (pp. 395-413)
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· Center for Global Development. (n.d.).Â
Case 14: Curbing tobacco use in Poland
 Download Case 14: Curbing tobacco use in Poland
. 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.).Â
Case 14: Curbing tobacco use in Poland.
https://www.cgdev.org/sites/default/files/archive/doc/millions/MS_case_14.pdf​
· Jassem, J., Przewozniak, K., & Zatonski, W. (2014).Â
Tobacco control in Poland: Successes and challenges
Links to an external site.
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Translational Lung Cancer Research, 3(5), 280–285.
http://doi.org/10.3978/j.issn.2218-6751.2014.09.12
· U.S. Department of Health and Human
Jamie Crawford
In Poland, smoking was more than just lighting a tobacco product and consuming it; smoking was cultural normality amongst its vast population. Many of the citizens of Poland started smoking and therefore continued due to political propaganda and lack of knowledge. The government produced mass amounts of revenue from tobacco manufacturing and utilization that never fully disclosed the long-term health conditions that would arise with continued tobacco use.  The change of culture happened in Poland regarding the tobacco industry with the end of communism and when the evidence was placed in front of the citizens and data that had shown the horrible effects both short and long term that happens to those who are smokers. “Tobacco is the second deadliest threat to adult health in the world and causes 1 in every 10 adult deaths.†(Center for Global Development). After the data and information were provided to the citizens of Poland, health became a priority, and the number of those smoking began to decline. “In November 1995, the Polish parliament passed the “Law for the Protection of Public Health Against the Effects of Tobacco Use†with a huge majority of 90 percent of the votes.†(Center for Global Development). This law banned smoking in most public places, set age requirements on the purchasing of tobacco products, and required the printing of health warnings on each tobacco product sold. This allowed people to become more educated and aware of the dangers of smoking. The changes this made for the citizens of Poland not only increase the longevity of life but also helped to show that what may be a social and political norm may not always be in the best interest of human life.
In today’s societies, we live in a world with many different ethnicities and cultural beliefs; that we must be open-minded to everyone’s differences and view these in a positive light rather than a negative one. What I have become accustomed to in my culture may not be what you are accustomed to. Many cultural differences pertaining to health and medicine and within these choices and beliefs it can directly impact the positive or negative views of a culture as a whole unit. I have come to realize that personally, if I continue to educate myself on the many different cultures, my own bias begin to lighten, and I begin to see the joy in why our planet is so diverse. Change and being able to open up to the fact that there are so many cultures out there is so very important. Cultural knowledge is vital in being a great healthcare professional it allows you to break down fears and provide the best care possible to those who are in their most vulnerable state.
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Center for Global Development. (n.d.). Case 14: Curbing tobacco use in Poland Download Case 14: Curbing tobacco use in Poland.Â
Tania Ferreira Matos
In the 1980s Poland has one of the highest rates of cigarettes consumption in the world leading to a low life expectancy of under 60 years due to the high rates of lung cancer, also the highest in the world (Center for Global Development, n.d.).
In the 1980s, anti-tobacco movements were initiated based on scientific research about smoking’s health impacts. By using free media, this information was spread to the community. In addition, the implementation of democracy in Poland led to the implementation of tobacco-control legislation. The media also informed the public about all the tobacco lobby efforts to combat this legislation, which influenced the public’s opinion. Among the largest public health campaigns ever conducted in Poland was the campaign encouraging Poles to quit smoking (Center for Global Development, n.d.).
The Polish government controlled the cigarette industry, so it wasn’t in their interest to warn the polish public about the dangers of cigarette smoking, especially during difficult economic times. As compared to other neighboring European countries, the Polish had less information about this. New tobacco legislation was rejected by the government and no tobacco laws were enforced. With the advent of a market economy in the 1990s, there was a greater variety of cigarettes, competitive pricing and appealing advertising, which led to a greater number of people smoking, including youngsters aged 11-15 (Center for Global Development, 1999).
Being culturally competent means understanding, appreciating, and interacting with people from different cultures. Interacting with diverse groups, listening without judgment, reading literature, attending cultural events, volunteering, and even traveling can help achieve this. As a result, we will be able to untie ourselves from our core beliefs, which is a major cause of cultural bias (Arkansas State University, n.d.).
Working with cultures that are either most different from my own or who I don’t work with often is challenging. I do however strive to be culturally competent, to listen to my patients, to be attentive to non-verbal cues such as body language and routines, and to learn from them. No matter what culture you come from, the most important thing in the healthcare field is that the patient feels heard and understood, and that their needs are met, whether they are physiological, informational and cultural. Â
The nurse may generalize about a person from a particular group, particularly at the beginning of a consultation or assessment, as there hasn’t been enough time or opportunity for the nurse to get to know the person as a unique individual. It is important, however, that the nurse does not let that be the final point and the basis for assessment and intervention (Stanhope & Lancaster, 2020).
Culture knowledge is very important when living in a diverse community, especially
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