cultural implications Flashcards
(19 cards)
stigma
negative attidutes towards groups of people within cultures
minority status
minority status
Subset of people who think of themselves, and are thought of by others, as a differentiated group
- power dynamics within certain groups
- discriminated against
- stay together and dont mix some times
race
Can be defined biologically, anthropologically, or genetically
ethnicity
Common heritage and history
Share worldview for thinking
demographic shifts in the US
- In 2043, the U.S. population is projected for the first time to become a majority–minority nation.
- No one group will make up the majority or make-up 51% of the population.
- However, non-Hispanic whites will continue to remain the largest single group.
western tradition
- Identity found in individuality
Values
- Autonomy
- Independence
- Self-reliance
- Mind and body separate entities
- Disease has a cause, and treatment is aimed at the cause
- Time is linear
- Success is obtained in preparing for the future (we drive what our future looks like)
eastern tradition (asia)
- Family basis for identity (traditions)
- Body-mind-spirit one entity (treated as one no difference between them)
- Time is circular and recurring (reincarnation)
- Born into a fate; duty to comply (your fate)
- Disease caused by fluctuations in opposing forces (ying and yang)
indigeious culture (new zealand, native america, hawians)
- Places significance on place of humans in the natural world
- Basis of identity is the tribe (decisions together)
- Person is an entity only in relation to others
- Disease—lack of harmony between individual and environment
impact of culture on mental health
- Enculturation: beliefs and values are transmitted to people
- Deviance from cultural expectations can be defined as illness by other members of the group
- Ethnocentrism: belied what you believe in is the right way
- Cultural imposition 1 culture forces values or beliefs on another culture or subculture
cultural barriers to quality mental health services
- Communication barriers: interpreter available?
- Stigma of mental illness: mental illness is an illness, family being judged
- Misdiagnosis: black, Hispanics, misdiagnosed for schitsophrenia
- Cultural concepts of distress
- Genetic variations in pharmacodynamics
cultural concepts of distress
- Cultural, or culture-bound, syndromes: culture belive certain ill is
- Cultural idioms of distress: how a group understands certain problems
- Cultural explanations: ways of expressing stress “my nerves really bothering me”
Populations at Risk of Mental Illness and Inadequate Care
- Immigrants: coming into a new culture; learn to assimilate, adjust to whole new living, can cause stress anxiety
- Refugees: not leaving home by choice, depression, ptsd, anxiety, stress, adjust to new environment
- Cultural “minorities”: no accepted, “why don’t you speak English”, poverty: main reason someone deals with mental illness
Cultural Competence for Psychiatric Mental Health Nurses: five constructs
Cultural awareness Cultural knowledge Cultural encounters Cultural skill Cultural desire
cultural awarness
- Examine beliefs, values, and practices of own culture
- Recognize that during a cultural encounter, three cultures are intersecting
+ Culture of the patient, nurse, and setting - try not to push own beliefs on pt.
- advocate for pt. (allowing them to bring own food)
cultural knowledge
- Learn by attending cultural events and programs
- Forge friendships with diverse cultural groups
- Learn by studying
- understand peoples behaviors
- develop repour
Learning cultural differences helps nurse
- Establish rapport
- Ask culturally relevant questions
- Identify cultural variables to be considered
cultural encounters
- Deter nurses from stereotyping
- Help nurses gain confidence in cross-cultural interactions
- Help nurses avoid or reduce cultural pain
cultural skill
goal
- Ability to perform a cultural assessment in a sensitive way “what do you call this illness”
+ Use professional medical interpreter to ensure meaningful communication
+ Use culturally sensitive assessment tools
Goal
- A mutually agreeable therapeutic plan (follow the plan)
+ Culturally acceptable
+ Capable of producing positive outcomes
cultural desire
- Genuine concern for patient’s welfare
- Willingness to listen until patient’s viewpoint is understood
- Patience, consideration, and empathy
- willing to learn from our pt.
