1.2b The Family in a Cultural Context Flashcards
1
Q
Culture of an Individual
A
- Includes religion, environment and historic events.
- Essential element that defines people
2
Q
Cultural Knowledge
A
- Beliefs, values and attitudes
- Politics, social, and economic context
- Shared belief and values of a group
- Has a direct effect on health behavior
- Influences perception of illness and healthcare seeking behavior
3
Q
Sub-culture
A
- A group existing within a larger cultural system
4
Q
Acculturation
A
- Changes that occur when groups of cultures come in contact with each other
- People retain certain cultures and adopt new cultures
5
Q
Assimilation
A
- Cultural group loses its cultural identity and becomes part of the dominant culture
6
Q
Ethnocentrism
A
- The view that one’s own way is best
7
Q
Cultural Relativism
A
- Learning and applying standards of another culture’s activities within that culture
8
Q
Cultural Relativism and Nursing
A
- People from different cultures comprehend the same objects or situations differently
- Culture determines viewpoint
- Nurses do not need to accept other people’s beliefs but recognize that behavior of others system of logic can be different from their own
- Affirms uniqueness and value of each culture.
9
Q
Strategies for Delivering Care
A
- Breakdown language barrier
- Explain rationale for suggestions
- Integrate folk and western treatment
- Enlist family caretaker and others
- Get consent from the right people
- Provide language appropriate material
10
Q
Providing Culturally Appropriate Care
A
- Ask about traditional beliefs such as role of hot and cold
- Be sensitive regarding interpreters and language barriers
- Ask about important dietary practice (especially during childbirth)
- Ask about group practices and beliefs
- Ask about women’s fears regarding unfamiliar care setting.
11
Q
Communication
A
- One of the most challenging barriers for nurses working with clients from different cultures
- Includes understanding the individual, appreciating differences in interpersonal style, interpreting volume of speech, meanings of touch and gestures.
12
Q
Most Important Questions to Ask Client about Expectations of Pregnancy
A
- What do you and your family think is most important to remain healthy during pregnancy
- What can you do to improve the health of you and your baby
- What foods make a healthy baby
- Who do you want with you during labor
- What can your labor support person do to help you be most comfortable
- What actions are important for you after birth
- What do you and your family expect from the nurses
- How will family members participate in pregnancy, childbirth and parenting
13
Q
Interpreters
A
- Inconsistencies between language of clients is a barrier to effective healthcare
14
Q
Interpreters
A
- Health related language skills and experience
- Should always be used in crisis or emergencies, or when family is extremely stressed and emotional
- Questions should be addressed to woman and not interpreter
15
Q
Before your Interview
A
- Outline statements and questions. List key information you need to know
- Learn something about the culture so you can converse informally with the interpreter
16
Q
Meet with interpreter
A
- Emphasize that you would like the client to ask questions regarding their care. (Some cultures consider this inappropriate)
- Make sure interpreter is comfortable with technical terms you need to use
17
Q
During Interview
A
- Make sure interpreter understands most important parts of the interview
- Stop every now and then to ask interpreter how everything is going
- Identify cultural issues that may conflict with your requests
18
Q
After Interview
A
- Speak with interpreter to see how it went and what can be improved
19
Q
Personal Space
A
- Different cultures have different appropriateness of personal space
- Respect for distance allows woman to maintain control over personal space. This supports autonomy and increases their sense of security
20
Q
Developing Cultural Competence
A
- Recognize disparities exist between own culture and one of client
- Educate and promote healthy behaviors that has meaning to the client culturally
- Communicate respect when client uses nontraditional healing practices and alternative therapies
21
Q
Promoting Family Health
A
- Health promotion is primarily based on prenatal care and prevention of complications during perinatal period.
- Nurses focus on collaborating with family, identifying risk factors, and providing health information to facilitate positive healthy behaviors.
- Identifying learning needs of mother and father is the essential first step.
22
Q
Vulnerable Populations
A
- Sociocultural, economic, and environmental risk factors contribute to disparities in health.
- They disproportionately affect certain racial, ethnic, or other groups.
- Differences in access to healthcare
- Social determinants
- Provider biases
- Poor provider-client communication
- Poor health literacy
23
Q
Women Disparities
A
- Gender, socioeconomic status and race/ethnicity
- Quality of care is different when compared to men
- Lack of access to healthcare, lack of health insurance, living in medically unserved area, inability to obtain needed services such as prenatal care.
24
Q
Racial/Ethnic Minorities
A
- Minority women have higher chance of chronic disease (heart disease, cancer, hepatitis, AIDS, mental issues)
25
Q
Adolescent Girls
A
- Considered healthy but participate in risky behaviors
26
Q
Older Women
A
- Higher life expectancy than men
- More likely to have chronic illness
- Less likely to use preventative services
- Spend more on healthcare
27
Q
Incarcerated Women
A
- Often have histories of IPV (intimate partner violence)
- HIV, substance abuse, and emotional damage due to absence of family.
28
Q
Immigrant, Refugee, Migrant Women
A
Immigrant - Move from one country to another to take up legal residency.
Refugee - Forced to leave home country in search for safer and more stable living condition
Access to healthcare is an issue due to not being US citizens
Migrant Workers - Work outside their home country
- Financial instability
- Child labor
- Poor Housing
- Lack of Education
- Language/cultural barriers
- Poor Dental
- Diabetes, hypertension, malnutrition, TB, skin disease
29
Q
Women rural vs urban communities
A
- Rural affected more by poverty and poor access to healthcare. Fewer physicians choose to practice in rural areas also lack of insurance
- Vulnerable to financial and transportation barriers to healthcare.
30
Q
Homeless Women
A
- Health issues due to lack of preventative care and resources
- Chronic illness, infectious disease, asthma, circulatory problems, diabetes, substance abuse, mental illness.
- Lifestyle factors contribute to health issues
- At risk for injury, illness, domestic abuse, assault, and rape.
