title: Coming to the cultural "in-between": nursing insights from a Hmong birth case study.
abstract: This article discusses the historical background and traditional beliefs of the Hmong. Cultural conflict occurs when traditional Hmong beliefs and Western health care ideologies are misunderstood. A specific case study focuses on care of a Hmong woman and her husband after a precipitous birth, hemorrhage, and surgical intervention. Nursing insights are identified from "in-between" the cultures. Establishing cultural awareness is an essential first step toward cultural competence.
authors.affiliation: Department of Adult Health Nursing, University of Wisconsin-Eau Claire, USA. sperstra@uwec.edu
authors.forename: Rita A
authors.initials: RA
authors.lastname: Sperstad
authors.forename: Joan Stehle
authors.initials: JS
authors.lastname: Werner
mesh_terms: D000069:Acculturation; D000328:Adult; D001213:Asian; D003431:Cross-Cultural Comparison; D003466:Cultural Characteristics; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007044:Hysterectomy / Q000379:methods; D007231:Infant, Newborn; D017283:Neonatal Nursing / Q000379:methods; D009723:Nurse-Patient Relations; D010298:Parity; D006473:Postpartum Hemorrhage / Q000175:diagnosis / Q000601:surgery*; D011247:Pregnancy; D018570:Risk Assessment; D012720:Severity of Illness Index