ch 9 cultural awareness Flashcards
health disparity
a particular type of health difference that is closely linked with social, economic, and/or environmental disadvantage
social determinants of health
the conditions in which people are born, grow, live, work, and age; shaped by the distribution of money, power, and resources at global, national, and local levels
examples of social determinants of health
income and wealth family and household structure social support education occupation discrimination neighborhood institutions social institutions
cultural awareness
an in-depth self-examination of one’s own background, recognizing biases, prejudices, and assumptions about other people
cultural knowledge
sufficient comparative knowledge of diverse groups, including the values, health beliefs, care practices, world view, and bicultural ecology commonly found within each group
cultural skills
ability to assess social, cultural, and biophysical factors that influence patient treatment and care
cultural encounters
cross-cultural interactions that provide opportunities to learn about other cultures and develop effective intercultural communication
cultural desire
the motivation and commitment to caring that moves an individual to learn from others, accept the role as a learner, be open to and accepting of cultural differences, and build on cultural similarities
Blanchet and Pepin’s 3 dimensions of cultural competence
- building a relationship with the other
- working outside the usual practice framework
- reinventing practice in action
using interpreters
- determine qualification- don’t use family members
- ensure interpreter can speak the pt’s dialect
- stop interaction if not going well
- pace speech and allow time for answers
- direct speech to the pt, not the interpreter
teach back method
- use open-ended questions to verify understanding
- plan your approach
- use hand-outs, pictures, and models as reinforcement
- clarify
- practice