8. Achieving Cultural Competence in Community Health Nursing Flashcards
What does a lack of cultural competence do?
- increases barriers to care
- inhibits communication
- creates obstacles
- increases gap in disparities
set of common beliefs, values, and assumptions about life
culture
biologic variation within a population
race
T/F: people of the same race may be on different cultures
True
shared feeling of peoplehood that relates to cultural factors
ethnicity
degrees of variation represented among populations based on race, ethnicity, lifestyle, across place, and place of origin across time
cultural diversity
types of cultural variations among selected groups
- biological
- personal space
- perception of time
- environmental control
- social organization
- communication
- nutrition
- religion
8 steps to working with immigrant populations
- recognize your own values, beliefs, and practices
- identify client’s preferred language
- learn their health-seeking behaviors
- get to know community
- learn some traditional practices/remedies used by community
- learn how cultural subgroups explain common illnesses or events
- consider/accommodate client viewpoint
- conduct cultural assessment
social issues affecting culturally component nursing care
- social determinants of health
- socioeconomic status
- health literacy
- marginalization
- health disparities
- social justice
- health equity
exclusion from the mainstream in social, economic, cultural, or political life
marginalization
5 interrelated constructions for cultural competence
- cultural awareness
- cultural knowledge
- cultural skill
- cultural encounter
- cultural desire
learning about the community or client’s culture and understanding how their own beliefs could affect others
cultural awareness
having education and knowledge about the culture
cultural knowledge
ability to integrate cultural awareness and knowledge when doing a cultural assessment
cultural skill
opportunity for a nurse to engage with the culture
cultural encounter
willingness to learn about, respect, and work with clients of different backgrounds
cultural desire
barriers to developing cultural competence
- stereotype
- prejudice
- racism
- ethnocentrism
- cultural imposition
- cultural conflict
- culture shock
overgeneralization about a member of a particular group of people
stereotype
emotional manifestation of deeply held beliefs (stereotypes) about a group
prejudice
outward manifestation of thoughts, beliefs, and attitudes put into practices and policies
discrimination
the act of imposing culturally unacceptable and disapproving behaviors and practices on individuals and groups despite their objections
cultural imposition
perceived threat that may arise form a misunderstanding of expectations when nurses are unable to respond appropriately to another culture’s practices because of unfamiliarity or disagreement with the practice
cultural conflict
feeling of helplessness, discomfort, and disorientation experienced by nurses who attempt to understand or effectively adapt to a cultural group
culture shock
the nurse supports and facilitates the use of scientifically supported cultural practices from a person’s culture along with the biomedical health care system
cultural preservation
the nurse assists, supports, facilitates, or enables clients in their use of cultural practices to achieve satisfying health care outcomes when such practices are not harmful to clients
cultural accommodation
the nurse works with clients to help them reorder, change, or modify their cultural practices with the practices are harmful to them
cultural repatterning
advocating, mediating, negotiating, and interviewing between the client’s culture and the biomedical health care culture on behalf of the client
cultural brokering
