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Related Experiment Videos

Culture sensitivity in assessing urban Native American parenting

R Y Seideman1, R Williams, P Burns

  • 1University of Oklahoma, College of Nursing, Oklahoma City 73190.

Public Health Nursing (Boston, Mass.)
|April 1, 1994
PubMed
Summary

Public health nurses can effectively assess urban Native American (NA) parenting using the Nursing Child Assessment Teaching Scale (NCATS) and Home Observation for Measurement of the Environment (HOME) instruments. These tools, when used with cultural awareness, provide valuable insights into NA parenting practices.

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Area of Science:

  • Public Health
  • Child Development
  • Cultural Competency in Nursing

Background:

  • Assessing urban Native American (NA) parenting presents unique challenges for public health nurses.
  • Existing assessment tools may not fully capture the nuances of NA parenting styles.
  • Understanding cultural factors is crucial for effective public health interventions.

Purpose of the Study:

  • To evaluate the effectiveness of the Nursing Child Assessment Teaching Scale (NCATS) and Home Observation for Measurement of the Environment (HOME) instruments for assessing urban NA mothers and their children.
  • To compare scores from urban NA mother-child dyads with established norms for these instruments.
  • To identify specific parenting behaviors and cultural considerations relevant to NA families.

Main Methods:

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  • A cross-sectional study involving 63 urban Native American mother-child dyads.
  • Administration of the NCATS and HOME instruments to assess parenting and the home environment.
  • Comparison of obtained scores with existing instrument norms.
  • Qualitative analysis of specific item responses to understand parenting techniques.

Main Results:

  • Scores on HOME play and involvement subscales were lower than norms.
  • Scores on NCATS total parent, clarity of cues, response to parent, and total child subscales were higher than norms.
  • Mothers were less likely to structure activities but more likely to use nonverbal parenting techniques.

Conclusions:

  • The NCATS and HOME instruments are useful for assessing urban NA parenting when findings are discussed with families.
  • Public health nurses require awareness of diverse NA family structures and traditional values for accurate assessment.
  • Culturally sensitive application of these instruments can enhance public health nursing practice with NA populations.