nursing care. In regard to culture care preservation and
maintenance, given the context of the situation, our staff
learned and gave maximum respect to the family and their
Amish culture. Culture care accommodation and negotiation
were met in allowing for extended visiting privileges
and eventually moving Jacob into a private pediatric room
with more liberal visitation, with beds for the family to
sleep in the same room and an environment more appropriate
for his development. In cultural care repatterning
and restructuring, we worked with the family to develop a
system that would work with Jacob’s home care with as
much respect to Amish ways and values as possible.
social and kinship factors of the church and community,
which, in turn, relate to consideration of the family’s