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Health Care Missions: Cultural Competence and Global Health Ethics, Exams of Public Health

An overview of health care missions, exploring their motivations, historical context, and ethical considerations. It emphasizes the importance of cultural sensitivity and understanding in providing healthcare across different cultures, highlighting the need to respect diverse beliefs and practices. The document also touches on global health issues, disparities, and the roles of various organizations in addressing health challenges worldwide. It serves as a foundational resource for nursing students preparing for global health engagements, offering insights into the complexities of delivering care in diverse settings and promoting health equity. It also includes relevant biblical references and principles.

Typology: Exams

2024/2025

Available from 05/29/2025

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TEST BANK NURS 4130 EXAM 1 2025-2026| 151
QUESTIONS WITH CORRECT ANSWERS|100%
VERIFIED|A +GRADED
Why do Health Care Missions? Our fallen world
- Mental Illness
- Brokenness
- Disasters (earthquakes, floods, warfare, famine)
- Disease
- Accidents
Dr. Henry Farrar
Followed in the footsteps of Jesus--both the preacher and healer
Why he did health care missions:
- teachings of Jesus
- the commands of Jesus
- the example of Jesus' followers throughout history
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TEST BANK NURS 4130 EXAM 1 2025-2026| 151

QUESTIONS WITH CORRECT ANSWERS|100%

VERIFIED|A +GRADED

Why do Health Care Missions? Our fallen world

  • Mental Illness
  • Brokenness
  • Disasters (earthquakes, floods, warfare, famine)
  • Disease
  • Accidents Dr. Henry Farrar Followed in the footsteps of Jesus--both the preacher and healer Why he did health care missions:
  • teachings of Jesus
  • the commands of Jesus
  • the example of Jesus' followers throughout history

The Commands of Jesus He sent his disciples out to preach and to do good (Matt. 10:1-10) People of Mercy- Hospitals

  • The rise of "Hospitals"--Council of Nicea 325 and following St Basil of Caesaria (c. 329-379)
  • Fabiola -- a wealthy women, student of St. Jermone built first one in Rome about 400
  • The work of religious orders such as Daughters of Charity (St. Vincent de Paul 1581-1660) Why do Health Care Missions?
  • B/C of Jesus' example
  • it is in our spirit as Jesus' People
  • it lets us demonstrate the love we preach and teach about

the one who sent him. Now that you know these things, you will be blessed if you do them." Matthew 25:34- "Then the King will say to those on his right, 'Come, you who are blessed by my Father; take your inheritance, the kingdom prepared for you since the creation of the world. For I was hungry and you gave me something to eat, I was thirsty and you gave me something to drink, I was a stranger and you invited me in, I needed clothes and you clothed me, I was sick and you looked after me, I was in prison and you came to visit me.' "Then the righteous will answer him, 'Lord, when did we see you hungry and feed you, or thirsty and give you something to drink? When did we see you a stranger and invite you in, or needing clothes and clothe you? When did we see you sick or in prison and go to visit you?' "The King will reply, 'Truly I tell you, whatever you did for one of the least of these brothers and sisters of mine, you did for me.'" Luke 4:18-

"The Spirit of the Lord is on me, because he has anointed me to proclaim good news to the poor.He has sent me to proclaim freedom for the prisoners and recovery of sight for the blind,to set the oppressed free, to proclaim the year of the Lord's favor." 1 Peter 4:10- "Each of you should use whatever gift you have received to serve others, as faithful stewards of God's grace in its various forms. If anyone speaks, they should do so as one who speaks the very words of God. If anyone serves, they should do so with the strength God provides, so that in all things God may be praised through Jesus Christ. To him be the glory and the power for ever and ever. Amen." Be mindful of...

  • strangers
  • food
  • water
  • clothing
  • imprisoned
  • sick

Feelings (effective dimension) tastes, likes and dislikes, definitions of beauty Values (evaluative dimension) whats good and bad? valuable or not? Symbols Systems link behavior with something (an idea, feeling, or value) and reflects the integration of culture The Nature of Culture: Learned

  • all humans have some behaviors in common such as eating and sleeping

Enculturation the process by which a child learns culture Acculturation the process by which an individual learns about and becomes comfortable in a culture other than their own (bi-cultural) Nature of Culture: Shared

  • an opposed to personal traits and symbols
  • many cultural traits begin as deviant behavior and are gradually accepted or 'shared' by more people until they become a cultural trait Nature of Culture: Adaptive it changes to accommodate worldview changes

Clash of culture (Romans 14) Food (meat) Sabboth Things Paul writes about that are not negotiable

  • their view of god and themselves
  • their behavior --idolatry --sexual sin --evil Romans 14--Christian Freedom
  • Liberty, give some room for personal cultural decisions
  • be thoughtful before you use your liberty
  • be accountable on how you use your freedom

Current issues in our culture

  • tanning
  • tattoos
  • piercings
  • rec drugs Moral examples with health implications
  • wife beating
  • promiscuity
  • drunkenness
  • child marriage
  • incest Unique cultural issues
  • circumcision
  • foot binding

Worldview Barriers to Adoption of Innovation

Global Health Definition "health problems, issues and concerns that transcend national boundaries...countries must work together to solve them" Constitution of WHO "the enjoyment of the highest attainable standard of health in a fundamental right of every human being..." Health Disparities "Why do some people receive good health care and many others don't..."

  • more than 1 billion people lack access to any modern health care system Why care about global health?
  • disease do not respect borders
  • global health disparities raise ethical and christian question
  • global health is closely linked to: --economic development --social development --global security and freedom Globalization Our interconnections with all humanity: --international travel, trade, and tourism --human migration and immigration Negative aspects: --easy spread of communicable disease --increase in child labor, human trafficking, poor work standards

World Health Organization (WHO) Directs and coordinates international health activities and provides technical medical assistance United Nations Children's Fund Advocates for health needs of women and children World Bank lends money to lesser-developed countries to improve health status of their people USAID

provides aid to less developed countries Centers for disease control (CDC) primary focus US, but does international work as well Non-governmental organizations (NGOs)

  • Red Cross
  • Doctors without Borders
  • Philanthropist: Bill and Melinda Gates Fund
  • All "Faith Based" org.: Catholic Relief, IHCF (international health care foundation), HTI (health talents international) Industrialized Nations
  • 20% of the worlds population consumes 80%of the world resources
  • your average life expectancy is 77-79 y/o
  • 3% of the people control over 80% of the land
  • lack of nutrition--malnutrition (UNICEF reports that more than 40, children under the age of 5 die each day)
  • poor sanitation and hygiene--parasites
  • lack of immunizations--infectious diseases (more than half a million children die each year from measles, even with a vaccine that cost $0.30/person) Curative (parable of the lions) meeting the immediate need; treating people after they get sick (building hospital) Expense: 4+ Income: 6+ Felt Need: 5+ Comm. action: 0 Health Improvement: 1+
  • Responds rapidly to felt needs
  • effects soon levels off since nothing is done to stop the transmission of disease

Preventive (parable of the lions) protection, treating people before they get sick, prevent entrance of pathogen into body (the fence) Expense: 2+ Income: 1+ Felt Need: 2+ Comm. action: 2+ Health Improvement: 3+

  • requires more time before producing health improvements (people much change habits)
  • offers protection from disease-also levels off Promotive (parable of the lions) eliminates the problem, keep people from getting sick, eliminate the disease from the community (getting rid of the lions) Expense: 1+ Income: 0 Felt Need: 1+ Comm. action: 5+