- A social media user named Aubry shared a snap of the page, which came from the textbook Nursing: A Concept-Based Approach to Learning
- It quickly went viral on the internet, leaving many users horrified and offended over it’s description of how different races react to affliction
- The book, which was created by Pearson Publishing eight years ago, wrote that ‘a clients’ culture influences their response to and beliefs about pain’
- The nursing manual stated that black people ‘often report higher pain intensity than other cultures,’ and that they ‘believe suffering and pain are inevitable’
- As for those who are Jewish, the textbook wrote that they will be ‘vocal and demanding of assistance’ since they ‘believe pain must be validated by others’
- The book also stated that Hispanic people ‘believe pain is a form of punishment and that suffering must be endured if they are to enter Heaven’
A 2014 nurse’s training manual has been slammed for ‘racism’ after it included a page describing how a patient’s ‘culture’ can ‘influence their response and beliefs about pain’ – and wrote that Hispanics believe discomfort ‘is a form of punishment’ while blacks think ‘suffering is inevitable.’
A social media user named Aubry shared a snap of the page, which came from the textbook Nursing: A Concept-Based Approach to Learning – and it quickly went viral on the internet, leaving many users horrified and offended over it’s description of how different races react to affliction.
The book, which was created by Pearson Publishing eight years ago, wrote that ‘a clients’ culture influences their response to and beliefs about pain.’
It claimed that Arabs or Muslims ‘may not request pain medication’ because they believe torment to be a ‘test of faith.’
‘Therefore, Muslim clients must endure pain as a sign of faith in return for forgiveness and mercy,’ it added.
The book also wrote that Chinese people ‘may not ask for medication because they do not want to take the nurse away from a more important task’ and that ‘clients from Asian cultures often value stoicism as a response to pain.’
‘A client who complains openly about pain is thought to have poor social skills [in Asian culture],’ it said.
‘Filipino clients may not take pain medication because they view pain as being the will of God.
‘Indians who follow Hindu practice believe that pain must be endured in preparation for a better life in the next cycle.’
The nursing manual stated that black people ‘often report higher pain intensity than other cultures,’ and that they ‘believe suffering and pain are inevitable.’
As for those who are Jewish, the textbook wrote that they will likely be ‘vocal and demanding of assistance’ since they ‘believe that pain must be shared and validated by others.’
The book also stated that Hispanic people ‘believe pain is a form of punishment and that suffering must be endured if they are to enter Heaven.’
Last but not least, it said that Native Americans ‘prefer to receive medications that have been blessed by a tribal shaman.
‘They believe such a blessing allows the client to be more at peace with the creator and makes the medicine stronger,’ the book added.
‘They tend to be less expressive both verbally and nonverbally. They usually tolerate a high level of pain without requesting pain medication.
‘They may pick a sacred number when asked to rate pain on a numerical pain scale.’
‘A nursing book that was released in . They are training in racism,’ Aubry captioned her post, which has been retweeted thousands of times in a matter of hours.
Many social media users were appalled by the textbook’s statements, branding it as ‘racist’ and ‘problematic.’
‘That’s shocking. How about they just talk about how the human body deals with pain, because we are all human regardless of color or religion,’ one person pointed out.
‘I’m not sure that your ethnic background is anything to do with how you perceive pain to be fair.’
‘What in the horrible Stereotypes-R-Us even is this?! How is content like this still regarded as legitimate and being taught?!’ someone else asked.
‘Obviously racist, with the exclusion of white people probably because they’re seen as the default. Sigh. This is so gross.’
‘That is pure racist trash. I’m appalled,’ agreed another user.
One person couldn’t believe their eyes, writing, ‘This can’t be real. It’s like something out of a satire.’
‘Former nurse [here]. I was taught the pain experience is unique to each individual. None of that nonsense. That’s disturbing,’ read a sixth tweet.
A different person said that the ‘general idea of being aware of cultural difference [with] pain and medicine is good,’ but that ‘the groups chosen and examples used’ were a ‘dumpster fire.’
‘This is just such obvious racism. “Blacks” report higher pain intensity is code for “Watch out! These people are going to be drug seeking,”‘ said someone else.
‘There is already so much racism in the way healthcare is provided to minorities, and this textbook helps promote it. Just awful.’
Others called the page ‘flat out gross,’ ‘horrendous,’ and ‘terrible. shameful, and embarrassing.’
The same page from the book previously received backlash in 2017, after somebody posted about it on Facebook, and at the time, the publisher behind it issue an apology and announced it was removing the section from all future versions of the nursing manual.
‘We agree that it is wrong. We have removed it from current electronic and future print editions and apologize for its publication,’ Pearson wrote on Twitter.
‘We hear you. We take full responsibility and are taking steps to correct this problem and ensure this does not happen again.’
Pearson, based in the UK, is one of the world’s biggest publishers of educational textbooks.
It also added in a statement to BBC: ‘While differences in cultural attitudes towards pain are an important topic in medical programs, we presented this information in an inappropriate manner.
‘We apologize for the offense this has caused and we have removed the material in question from current versions of the book, electronic versions of the book, and future editions of this.
‘In addition, we now are actively reviewing all of our nursing curriculum products to identify and remove any remaining instances of this inappropriate content that might appear in other titles.’
The book is currently being sold on Amazon for $40, but it does not contain the page in question anymore. It has had two sequels since it first came out in 2014.
‘The state-of-the-art concept-based, student-centered introduction to nursing: first of three volumes, focused on 21 indispensable biophysical concepts,’ a description reads.