La
eliminación
de
HP1γ
provoca
defectos
en
mitosis


5. Inquire deeper and validate about specific plants used

medicinally

perceptions of care. Adding the questions will facilitate deeper discovery

4. Transportation is discussed in other areas of the guide, seemed redundant when incorporated in this section 5. Knowledge regarding folk medicinal practices is tremendous and would assist in knowledge acquisition for a later study Technological Factors 1. Add question

pertaining to World Bank loan and

Dominican perceptions of technological

development

1. Recent approved $150 million loan will affect electricity in DR, and the literature reports a conflict in perceptions of technological development by the rural poor

Political Factors 1. Add questions: Can

you tell me about the history of politics in your country? How has the government or leaders in the past or current time assisted your people in

achieving good health and well-being?

1. Two times in the mini study interviewing, a side

conversation/debate broke out stating comparisons in health and economics when Trujillo (a former dictator) was in power. There were clear differences in views of the effect of government. Adding these questions facilitates deeper discovery regarding this issue.

Economic Factors 1. Add question: Based

on the economic situations that you have described to me, can you tell me about how your economic situation affects care you receive from public, private, or western caregivers?

1. The informants described their

economic situations in detail, but the

questioning did not elicit how the economic situations influence different care environments. Adding this question will assist deeper exploration. Environmental Context No suggested changes to this

Appendix E

EHTNONURSING INQUIRY GUIDE FOR DISCOVERING CARE MEANINGS AND EXPERIENCES IN CUTLURAL CONTEXT

I. Introduction II. Ethnodemographics

The purpose of this study with interviews and observations is to learn from you about your family and lifeways in order to plan for and improve nursing care for Dominican people. In this part, I would like to discuss with you or have your describe yourself and your family and then I will talk to you about other aspects of care.

III. Cultural Values, Beliefs, Lifeways

As a nurse, I am interested in your cultural values and way of living in order to be able to plan healthcare for

Dominicans.

1. What specific values or beliefs do you possess that you would identify as Dominican? 2. What does good health and well-being mean to

you?

1. Tell me about yourself and your family: 2. What is your: Informant Age/Sex Birthplace Marital stat Occupation Education Income Religion

3. How many children have you ( your wife) given birth to? Are they all alive and living in the DR? 4. Who lives with you in your household most of the

time? Who lives on your family property? 5. What livestock/animals do you have and own on

your property?

6. Can you tell me what it is like living in this country?

IV. Worldview/Spiritual/Religion V. Kinship and Gender

I am interested in knowing more about your spiritual or religious way of living.

1. Could you tell me about the relationship between religion and health? Religion and care?

2. What religious rituals or ceremonies to you observe? How often do you observe them? 3. Are there certain beliefs concerning what or who

influences illness in your village?

4. Can you tell me how illnesses can be prevented, diagnosed or treated in your culture?

I would like to learn more about your religious beliefs and practice and especially as they relate to your general wellness and/or health.

1. Tell me about food that you are required to eat? Are there foods you avoid?

2. What foods are avoided that are NOT related to spiritual or religious reasons?

3. Do you observe religious customs or

holidays?____ If yes, which ones and what is the significance?_____

4. Can you tell me about the ceremonies to the Saints that occur in the Dominican culture?

I am interested in the structure and composition of your family.

1. The major role of the male or husband in your culture is__? Female or wife?

2. How and by whom are family decisions made within your culture? Your family? Who is consulted?

3. Who is the head of your household? 4. In Dominican culture, I understand it is not

uncommon for a man to father children apart from his spouse. Can you tell me more about this?

5. Can you tell me about male/female relationships, marriage and social unions in your culture? 6. What is the significance of marriage in this

culture? To what degree do separation, divorce or broken homes occur and impact families in your village?

7. Can you tell me about how men and women perceive the situation of a man having many women in your culture? What are the effects of a man having dual families in your culture? 8. To what degree is domestic violence (violence

against a spouse and/or children) common within your village and/or community?

9. What else can you tell me about roles of men and women?

10. What are the views of men and women in your culture about education?

11. Are there specific roles for men and women who are elderly? Teenagers?

12. How are the elderly respected in your culture? 13. What values and beliefs related to your culture

are most important to you and to pass on to your children?

VI. Meaning and Experiences of Care

1. In your culture, what signs would let you know that someone cares about you? 2. Can you give me some words which describe a caring person?

3. Have you had experiences with people who are non-caring? If someone doesn’t care, how would they express themselves?

4. Could you tell me about the Dominican family and their caring ways? What are the strengths of the family? 5. In your culture, what ways to men show care? Women?

6. As you think about care, what do you think contributes to the development of a caring person and/or family or a caring institution, i.e. hospital, school or home?

7. Tell me about care that is received in the public system in your culture? Can you tell me about care that is received in your private system?

8. I would like to know more about care that is received from brujas, could you share more with me about this? 9. Have you received care from westerners who visit your country, and if so, what were your experiences like? In

what ways did westerners care for you that was in line with what you expected? In what ways was care provided that was not meaningful or what you expected?

VII. Professional and Folk Caring Factors

Could we talk next about your experiences with different health care systems?

NOTE: REMEMBER TO CONSIDER WHEN ASKING ABOUT BRUJA TREATMENT THAT IT IS VIEWED AS