Chapter 4 Flashcards
Define cultural competence
refers to the capacity of nurses or health service delivery systems to effectively understand and plan for the needs of a culturally diverse client or group
Spector views cultural competence as
a complex combination of knowledge, attitudes, and skills used by the healthcare provider to deliver services that attend to the total context of the clients situation across cultural boundaries.
What is a goal of healthy people initiatives is
to eliminate health disparities
What is CLAS
culturally and linguistically appropriate standards
LEP means
limited English proficiency
Define Culture
the nonphysical traits such as values, beliefs, attitudes and customs that are shared by a group of people and passed from one generation to the next
Culture is ____ generally within the ___ group, is shared by the majority within the ___ , and changes in response to interactions with events in the external environment
learned within the family group….shared by the majority within the culture
What is material culture
objects such as dress, art, utensils, and tools and the ways they are used
What is nonmaterial culture
is composed of the verbal and nonverbal language, beliefs, customs, and social structures.
Macrocultures are
national, racial, or ethnic groups
Microculture is
within macrocultures and are age, gender, or religious affiliation
Where does subcultures exsist
within larger cultural groups
What are subcultures made of
individuals who have distinct identity based on occupation, membership in a social group or a specific ethnic heritage.
4 terms related to culture
race, ethnicity, diversity and assimilation
define race
the identification of an individual or group by shared genetic heritage and biologic or physical characteristics
define ethnicity
awareness of belonging to a group in which certain characteristics or aspects such as culture and biology differentiate the members of one group from another
Shared interest, ethnic heritage, religion, food, politics, or geography and nationality is
ethnicity
_____ _____ means that one considers oneself a member of an ethnic group.
internal identification
____ ____ means that those outside of the group perceive the person as a group member
external identification
Define Ethnocentrism
the tendency to believe that one’s own belief’s, way of life, values, and customs are superior to those of others
____ creates that belief that one’s own customs and values are the standard for judging the values, customs, and practices of others
ethnocentrism
Define diversity
as the state of being different
Characteristics of diversity include:
nationality, race, color, gender, age and religion
Define assimilation
refers to the adoption and incorporation of characteristics, customs, and values of the dominant culture by those new to that culture
Some factors that affect assimilation
beliefs, language, age, an geography
What are some of the ultural phenomena that impact health care
communication, temporal relationships, family patterns, dietary patterns, health beliefs and health practices
what is important to note in cultural groups
differences in language, beliefs, values and customs exsit
Define verbal communication
spoken and written language
Define nonverbal communication
gestures, facial, expressions, and mannerisms that inform others of emotions, feelings, and responses that occur in interactions with others.
Examples of nonverbal communication
silence, touch, eye contact, lack of eye contact
temporal relationships refer to
an individual or group’s orientation in terms of past, present, or future as well as time orientation.
Are there cultural variation in temporal orientation
Yes
What are family patterns
the roles and relationships that exist within families
What are family patterns
patterns for responsibilities, values, inclusion, and decision making.
Roles and responsibilities are often culturally specific in regards to ___ and ___
age and gender
What are the topics for cultural assessment?
- ethnicity 2. communication 3. space 4. social organization 5. time 6. environmental control 7. biologic variations