Topic 8 Flashcards
(51 cards)
culture
a complex social concept that encompasses inherited and shared beliefs both religious and political beliefs ad practices, habits, customs, language, and rituals
communication styles
include the ethnic identity rituals and language used by a particular group of people
cultural diversity
variations that occur among cultural groups, both with in and across cultures but diversity can also be more broadly defined to encompass differences I have, health, status, gender, sexual orientation. Racial or ethnic identity geographical location brother aspects
why must we understand culture and diversity in healthcare?
culture and diversity shape how people view the world and how the function in the world. it can also determine what is perceived as health vs illness
since the US is very diverse “a mixed salad” what does this mean?
it is a challenge to become culturally competent and hoe nurses incorporate cultural diversity in their care
paternalism
a concept where health care providers believe there know more about what is best fir the clients than the clients themselves
ethnicity
a membership of a person in a particular cultural group.. common racial, geographic, ancestral, religious of historical bonds
ethnocentrism
the belief that ones own culture is superior to another culture
cultural relativism
a concept where each culture is determined to be unique and only judged on it own values, standards, and beliefs
health disparities
can exit where there are margins of society that are undeserved for medical care being given (healthcare may be unavailable or person may not have the awareness)
acculturation
where a person from a different culture learns behaviors and values of the dominant culture and adopts the norms and values including language
cultural competence
a set of cultural behaviors and attitudes integrated into the practice methods of a system, agency, or its professionals that enables them to work effectively in cross cultural situations
what is the theoretical framework revolving around culture?
leningers transcultural nursing
transcultural nursing
emphasizes the commonalities and differences among worldview of diverse health systems
focus on comparative culture care examined through holistic and multidimensional lens
what is the purpose of transcultural nursing
provide culturally congruent, safe, and meaningful care to clients from different or similar cultures
Campinha-Bacote
provided an interactional dynamic model of cultural competence the requires achievement of all five identified constructs
what are Campinha-Bacote’s five identified constructs of cultural competence
cultural awareness
cultural skill
cultural knowledge
cultural encounters
cultural desire
cultural awareness
occurs when nurse is able to examine his or her own values biases and stereotypes. it also requires the nurse to examine the potential cultural biases (racism) that may exist within the health care system
cultural skill
occurs when the nurse can conduct a relevant cultural assessment. Hence it is achieved when cultural data are used to develop and implement a culturally relevant treatment plan
cultural knowledge
occurs when nurses educate themselves about the worldview of other cultures and ethic groups, this cultural knowledge may include learning how disease processes and management may vary depending on the cultural group
cultural encounters
encourage the nurse to engage directly with patient from a different ethnic and cultural backgrounds to modify existing beliefs about a cultural groups and prevent potential stereotyping
cultural desire
addresses the motivation of the health care provider to acquire new knowledge about different cultures (pivotal construct with spirituality at the core)
cultural competence is achieved by addressing what 8 domains?
governance
leadership
workforce
communication
language assistance
engagement
continuous improvement
accountability
US Heath resources services administration
enhanced national culturally and linguistically appropriate services (CLAS) in Health and Health Care standards (US department of Health and Human Services)
