Gore, D.M. & Kothari, A.R. (2013). Getting to the root of the problem: health promotion strategies to address the social determinants of health. Canada Journal of Public Health, 104(1), e52-e54.
2. How the practice decisions of health care providers, health educators, health organizations, policy nation and globally. Consider the leadership and management roles of nurses in recognizing the global health implications of patient education, screening and care delivery management.
An unwillingness to accept health care advice from outsiders is not a trait buried in our historic past, as I will discuss in more detail below. Trust is more readily given to those who are live among us or who are like us in important ways. Dr. Shirley, who has established clinics and home visitation networks in the Mississippi Delta, can attest to the resistance to outsiders that seem intractable in local residents. Referring to the diseases born of poverty and obesity that are not prevented by traditional -- and even non-traditional -- approaches to healthcare, Dr. Shirley told The New York Times staff reporter, "I've been coming here for 40 years and nothing has changed" (Hansen, 2012). Could it be that this reluctance -- to let those outside of one's culture or ethnic group influence how things are done -- be a residual from the days when keeping to one's tribal practices meant greater survival rates? Scientists who study social collectivism and individualism have observed that the further away from the equator one goes, the more individualism increases and collectivism decreases. Their conclusion: equatorial environments are saturated with pathogens and colder environments are not. These researchers have attributed this difference to the