Values and Beliefs



Values and Beliefs


Objectives



1. Discuss the impact of personal values and beliefs on everyday life.


2. Identify values and beliefs commonly found in today’s older adult population.


3. Discuss how beliefs and values affect the health practices of older adults.


4. Explain the relationship of values and beliefs to health practices.


5. Compare the spiritual practices of major religions as they relate to death.


6. Discuss how culture and ethnicity affect health beliefs and practices.


7. Describe methods of assessing beliefs and values.


8. Identify older adults who are most at risk for experiencing problems related to values and beliefs.


9. Identify selected nursing diagnoses related to values or beliefs.


10. Describe nursing interventions appropriate for older individuals who are experiencing problems related to values or beliefs.


Key Terms


deity (p. 238)


orthodox (p. 238)


religious (p. 234)


ritual (p. 238)


spiritual (p. 237)


imagehttp://evolve.elsevier.com/Wold/geriatric


Most older persons have established a pattern of values, goals, and beliefs that guide their decisions and choices. These values and beliefs have their origins in the individual’s religion, philosophy, family, culture, and society.


Values and beliefs are essential to the human spirit. They are the intangibles that set humans apart from other animals. Values and beliefs affect all aspects of our lives and play an important role in promoting health and coping with illness. Values and beliefs influence how we live and how we die.


Values influence the decisions we make throughout life. They are the “rights and wrongs,” the “thou shalts,” and “thou shalt nots” that we use to steer our way through the myriad choices made during a lifetime. The choices of spouse, living arrangements, dress, eating patterns, and patterns of health maintenance are all influenced by our personal value system.


The personal value system is developed early in childhood. Many experts believe that most of our values are well established by the time we reach 10 years of age. The idea that the values that guide our lives for 80 or 90 years are established so early is significant, and the implications for parents, schools, and society are tremendous.


Values are based on the beliefs that are stressed by the family, culture, church, school, and media while a person is growing up. The beliefs that were reinforced while we were young will most likely have the greatest influence on our personal value system.


Because people develop their values based on a unique combination of time, place, and experiences, no two have the exact same beliefs and values. People of similar ages, cultural backgrounds, and experiences are likely to share similar beliefs and values. People of different ages, cultural backgrounds, and experiences are likely to hold different beliefs and values.


For example, people who formed their values during the Great Depression see the world quite differently than do those born during World War II or during the baby boom of the 1950s. People reared with strict moral or religious values are likely to have beliefs different from people raised without moral or religious training. People raised in traditional nuclear families are likely to have values different from people raised in other family structures. Those raised before the advent of television are likely to have values different from those raised with television. People growing up when war is viewed as a patriotic duty have values different from those reared during a time when any war is viewed as immoral.


People see the world through their own value and belief structure and use this as a filter by which they judge other people and events. Most of us have difficulty understanding people whose values are different from our own. It is human nature for each person to think that his or her personal beliefs and values are somehow superior to those of others. People with belief and value patterns similar to one’s own are likely to be viewed positively, and interactions are likely to be of a friendly nature. People with beliefs and values that are different from one’s own are likely to be viewed negatively, and interactions may be difficult or even antagonistic.



image Cultural Considerations


Jewish Spirituality



• Different levels of observance exist. Highly Orthodox groups strictly follow ancient Talmudic law. Reformed and Conservative groups accept many beliefs and practices but are less strict in other observances.


• Special dietary practices (Kosher) are very complex and may require guidance from a Rabbi or other authority. Hygiene rituals, including circumcision and special bathing rituals, are part of tradition.


• The Sabbath starts at sundown on Friday and lasts until sundown on Saturday. No work is to be done on the Sabbath.


• Ritual garb includes the tallit, or prayer shawl, which is the most authentic Jewish garment. It is a rectangular-shaped piece of fabric with special fringes called tzitzit on each of the four corners. Also important is the yarmulke, or kippah, which is a head covering worn to remind the faithful of God’s presence and that there is something higher and greater than man.


• Many special holy days and holidays such as Hanukkah, Yom Kippur, and Passover are recognized throughout the year.


• Prayer is a part of daily life; it provides time for looking inward and is a means of examining one’s relationship to God. Ritual prayer is connected to awakening, meals, and bedtime. Groups of 10 men, a minyan, is desirable for prayer. A book of prayer called a siddur may be used to guide prayer.


• Burial typically takes place within 24 hours of death. From the time of death until the burial, a guardian (shomer) stays with the deceased, reciting words from the Book of Psalms. Embalming and cremation are not permitted. The body is dressed in plain white shrouds, regardless of position. The casket must be made completely of wood so that the body should not decompose sooner than the coffin. Seven days of mourning (shivah) begin immediately following burial.







image Cultural Considerations


Euro-Americans and Spirituality


The influence of Christianity began during the height of the Roman Empire and has continued for over 2000 years. One group, Roman Catholics, have long claimed to be the only Christian church. Their position has caused a great deal of controversy. Conflict between Catholic beliefs and those of the Jews, Muslims, and other religions resulted in everything from heated arguments to bloody wars. Dissatisfied groups “reformed” and split off from the Catholic mainstream. Religious unrest affected Europe throughout history. Families have divided and countries have been formed or destroyed based on religious beliefs. Many immigrants left European countries and immigrated with the hope of finding both economic and religious freedom. People who came to America were not only seeking religious freedom, they were also seeking a place where they could practice their own form of religion free of interference from the state or rival denominations. While Christian churches remain separate and distinct, contemporary interaction between denominations has improved somewhat since the 1960s when the Catholic pope started “ecumenical” outreach to improve understanding between Christian groups. The secular nature of modern society also has diminished some real or perceived animosity between churches.


Christian denominations include Catholics, Episcopalians, Anglicans, Lutherans, Methodists, Presbyterians, Congregationalists, Baptists, Mormons, Fundamentalists, and “nondenominational” Christians. There are many subgroups of each denomination. Specifics regarding each groups beliefs and practices should be sought from the client?s minister or clergy.



Misunderstanding and conflict often occur when people with two different or contradictory sets of values interact. Statements such as “He just doesn’t understand me” or “I just don’t understand her” usually indicate a conflict in beliefs or values. Consider the number of times you have heard parents say this about their children and vice versa. Consider the number of times a member of one ethnic or religious group says it about another. Consider the times nurses say this about a patient of a different age, race, or background.


Understanding the values and beliefs of others is not easy, yet the willingness to try to understand or empathize is an important part of nursing care. To be effective, nurses must be willing to really listen to each person for whom they care and avoid judging others by their own values. It is difficult to withhold judgments based on personal values and to approach others with understanding. Nonjudgmental interaction requires a high level of patience and excellent communication skills.


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Jul 11, 2016 | Posted by in NURSING | Comments Off on Values and Beliefs

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