Deaf: A Concept Analysis From a Cultural Perspective Using the Wilson Method of Concept Analysis Development

Area of Science:

• Sociolinguistics
• Medical Anthropology
• Cultural Studies

Background:

• The term "Deaf" is often viewed pathologically by healthcare providers (HCPs), overlooking its cultural significance.
• Deaf signers, who primarily use American Sign Language (ASL), identify "Deaf" as a cultural heritage and community.
• This discrepancy in understanding creates significant communication barriers in healthcare.

Purpose of the Study:

• To analyze the concept of "Deaf" from a cultural perspective.
• To enhance healthcare provider (HCP) understanding of Deaf cultural identity.
• To identify strategies for improving healthcare communication with Deaf ASL signers.

Main Methods:

• Conceptual analysis using the Wilsonian method.
• Examination of the cultural elements defining the "Deaf" identity.
• Literature review on healthcare communication barriers.

Main Results:

• The "Deaf" identity is characterized by a personal choice to use ASL and affiliate with the Deaf community.
• Healthcare settings often fail to recognize the cultural definition of "Deaf."
• A lack of awareness regarding the cultural perspective leads to HCP-patient communication challenges.

Conclusions:

• Healthcare providers need education on the cultural concept of "Deaf" to provide equitable care.
• Resources are necessary for HCPs to identify Deaf ASL signers and ensure appropriate communication methods.
• Acknowledging Deaf culture is essential for overcoming healthcare disparities.