Exam 2 Flashcards
(54 cards)
Purpose of Cultural Assessments:
- Enhance Communication: Understand language preferences, communication styles, and nonverbal cues to prevent misunderstandings.
- Identify Health Beliefs and Practices: Learn about traditional healing practices, dietary restrictions, religious influences, and views on illness and treatment.
- Build Trust and Rapport: Show respect for the patient’s background, which encourages openness and collaboration.
- Guide Care Planning: Adapt interventions to align with the patient’s values, ensuring treatments are acceptable and more likely to be followed.
Benefits of Cultural Assessments:
- Improved Patient Satisfaction: Patients feel heard, respected, and valued.
- Better Treatment Adherence: When care aligns with cultural values, patients are more likely to follow through with treatment plans.
- Increased Safety and Quality of Care: Prevents cultural misunderstandings that could lead to errors or mistrust.
- Enhanced Provider-Patient Relationships: Builds mutual respect and understanding.
- Compliance with Ethical and Legal Standards: Supports principles of autonomy, dignity, and informed consent.
Potential Repercussions of Ignoring Cultural Assessments:
- Miscommunication and Misdiagnosis: Cultural differences can lead to incorrect interpretations of symptoms or behaviors.
- Non-Adherence to Treatment: Patients may reject care plans that conflict with their beliefs or customs.
- Decreased Patient Trust: Patients may feel alienated or disrespected, leading to disengagement from the healthcare system.
- Worsening Health Disparities: Ignoring cultural context may perpetuate inequalities and limit access to effective care.
- Ethical and Legal Consequences: Failing to respect cultural values can violate patient rights and institutional policies on equitable care.
Purpose of the Culture Care Theory (CCT)
- Purpose: To assist researchers and clinicians to discover, know, document, and explain the independence of care and culture phenomena while noting differences and similarities between and among cultures
First Tenant of Cultural Care Theory
Care diversities and universalities exist among and between cultures in the world
Goal of the Culture Care Theory (CCT)
- Goal: 1) To provide culturally congruent care 2) Help provide a body of transcultural knowledge so that others can read on it and learn how to best engage in practices that would be embraced and accepted by recipient of care
The _______ _________ _____ _______ are essential to promoting diversity, [health] equity, and inclusion
Social Determinants of Health
Cultural Care Accommodation vs cultural care Negotiation
- Cultural Care Accommodation: What you need to change about yourself AS THE HEALTHCARE PROVIDER in your major or discipline in order to meet the needs of your patients
- Cultural Care Negotiation:What you ask of the RECIPIENT TO CHANGE (either a belief or practice)
Care Care Theory goes great with ethnonursing, it has been used with qualitative/quantitative methods such as phenomenology, ethnography, and translational research.
BUT….
Ethnonursing can only be using with culture care theory.
Qualitative
Emic Perspective
From the perspective of the patient
Etic Perspective
From the perspective of the clinician
Steps of Ethnonursing Research Method
Summary Mnemonic: PICORAI
- Purpose and domain
- Inquiry questions
- Cultural entry and trust
- Observation-Participation-Reflection (data collection)
- Record raw data
- Analyze and synthesize
- Interpret and apply
Succulent tailor made statement focused directed and specifically on culture care, health phenomenon, or any other area or domain under study. It identifies the focus of investigation or discovery
Domain of Inquiry
Information, skills, beliefs, and experiences that a person or group has acquired, internalized, and retained over time.
Holding Knowledge
The Sun Rise Enabler Method
To facilitate the researcher/clinician to move from mainly a distrusted stranger to a trusted friend in order to obtain authentic, credible , and dependable data or establish favorable relationships as a clinician
Leininger’s Stranger to Trusted Friend Enabler
Used in ethnonursing research when conducting in-depth cultural assessments and interviews with key and general informants.
-open ended questions, conceptualized around the Sunrise Enabler and the Culture Care Theory, with the aim of eliciting the cultural stories and emic perspectives of informants in relation to culture and care. This enabler can be adapted to fit the domain of inquiry for an ethnonursing study through the inclusion of culture-specific interview questions.
Non-verbals are important.
We used this for our interview
Semi-Structured Inquiry Guide Enabler to Assess Culture Care and Health
- Credibility (Ensure data reflects what the participants genuinely experience and believe)
- Confirmability (Show that findings are not based on researcher bias, but supported by participants’ real experiences)
- Recurrent Patterning (Demonstrate consistency in cultural lifeways or beliefs)
- Meaning in-context (Understand how behaviors or beliefs make sense within a particular environment)
- Saturation (Ensure a full and thorough understanding of the cultural topic)
- Transferability (Provide meaningful insights that could guide care in similar cultural environments)
Leininger’s Six Criteria for Evaluating Qualitative Research
Individual purposefully selected by gatekeeper or other study participants and identified as most knowledgable about the domain of inquiry of the research. They know values, beliefs, and cultures of those under the study
Key Informant
Picked by gatekeeper or other study participants and identified as less knowledgeable that the key informant. Offer relevant cultural insights and reflections that assist in universalities and diversities
General Informant
Person who facilitates or grants entry into the research site. Often individual who is very respected or holds leadership or authority status
Gate Keeper
Generic (Emic) Care
Patient’s perspective on health
Professional (Etic) Care
Clinicians perspective of the clinic
- World View
- Ethnohistory
- Kinship/Social Factors
- Cultural Values, Beliefs, and Lifeways
- Religious, Spiritual, and Philosophical Factors
- Technological Factors
- Ecnomoic Factors
- Political/Legal Factors
- Language and Communication Factors
- Educational Factors
- Professional Care Beliefs and Practices
- Generic (Folk) Care Beliefs and Practices
- Biological Factors
- General and Specific Nursing Care Factors
Domains/factors/Categories included in Leininger’s Semi-structured Inquiry Enabler
