Health Promotion in Cervical Cancer Prevention among the Yakama Indian Women of the Wa’shat Longhouse

The purpose of this 3-year study was to gain a greater understanding of the importance of the Wa’Shat Longhouse religion to the design of a culturally appropriate health promotion (cervical cancer prevention) program with the Yakama Indian people of eastern Washington. This descriptive study involve...

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Bibliographic Details
Published in:Journal of transcultural nursing 1999-07, Vol.10 (3), p.190-196
Main Authors: Strickland, C. June, Squeoch, Marion Dick, Chrisman, Noel J.
Format: Article
Language:English
Subjects:
Attitude to Health - ethnology
Cervical cancer
Disease prevention
Female
Focus Groups
Health promotion
Health Promotion - methods
Health Services Research
Holistic Health
Humans
Indians, North American - psychology
Male
Native North Americans
Needs Assessment
Nursing
Nursing Methodology Research
Program Development
Religion and Psychology
Teaching methods
Transcultural nursing
Transcultural Nursing - methods
Uterine Cervical Neoplasms - ethnology
Uterine Cervical Neoplasms - nursing
Uterine Cervical Neoplasms - prevention & control
Washington
Women's Health
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Summary:The purpose of this 3-year study was to gain a greater understanding of the importance of the Wa’Shat Longhouse religion to the design of a culturally appropriate health promotion (cervical cancer prevention) program with the Yakama Indian people of eastern Washington. This descriptive study involved interviews with 10 Wa’Shat members, observations, and participant observations of 30 community ceremonial activities. The framework of health promotion planning guided the investigation. We found that (a) program goals needed to be holistic and wellness oriented, (b) teaching methods needed to include circular symbols, and (c) intervention strategies needed to be linked to the natural patterns of communication of the Wa’Shat Longhouse and to involve elders. Storytelling, talking circles, and use of role models were all found to be important teaching methods. We confirm previous perspectives on the importance of religion, provide greater depth in this understanding and outline implications for transcultural nursing practice.
ISSN:1043-6596
1552-7832
DOI:10.1177/104365969901000309