Class 4: Health Disparities And Diversity In Health Beliefs Flashcards
What is cultural safety?
- Met through actions which recognize, respect, & nurture the unique cultural identity
- …& safety to meet their expectations, needs, & rights
-a framework for delivery of more appropriate services for different cultural groups
What is cultural competence?
Ability to apply the knowledge, attitudes, & skills that enhance cross cultural communication; encourage meaningful interactions with others; a process that’s developed
-developing this means that the health professional becomes aware of ones own cultural attributes & biases
What is a health disparity?
“The difference in health status among groups”
Exs of health inequities experiences by marginalized populations
- Aboriginals: higher likeliness to smoke cigarettes leading to higher levels for lung & other cancers, breathing problems
- social exclusion: higher rates for aborig. Cdns, recent immigrants, woman, disabled people ; leading to diabetes & other chronic diseases (respiratory& cardiovascular)
- suicide rate: higher among 1st nation communities or FN on reserve
- unable to get prescriptions filled or treatment done: Cdns with below average incomes
- disparities faced by lesbian, gay, bisexual (LGBT) community include less access to insurance & health care services
Are there common themes in regard to disparities apparent between the Native Americans of the us and the aboriginals of Cda?
- Colonization & inter generational trauma
- isolation
- barriers in education & of language
Ex: domination of whites over aboriginals; set up reserves (set up to assimilate the aboriginal population), cultural values taken away, mistrust was rooted
-history of govt not following up with treaties & not being honest in that way (further roots distrust)
Health disparities are a result from?
The history, the isolation, and the socio-economic context
Describe cultural values?
Beliefs, traditions, behaviours, & way of thinking (developed over time)
-affects a persons identity & sense of self & is passed down through generations
Briefly describe the ABCs of cultural competence?
1) affective: reflects attitude to, awareness, & sensitivity of cultural values (ex. Humility of awareness of ongoing learning, self awareness of values &beliefs &biases, being non judgemental in encountering situations or perspectives that are differ from those of the norm)
2) behavioural: reflects the skills/ actions necessary to be effective in cross cultural encounters (ex. Think about the way you communicate (verbal (tone) & non verbal (personal touch, silences)) to someone from another culture
3) cognitive: includes cultural knowledge, theory, research, & cross cultural approaches to health (ex: the thinking/intellectual piece; I don’t know much about aboriginal peoples so I am going to get that intellectual knowledge for myself by taking a class on them)
How might nurses own cultural background influence their health promotion activities within a community?
It may influence interventions related to promotion activities such as
1) health education
2) nutrition
3) school health programs
4) prevention & control of communicable disease
5) harm reduction (advocating for reducing -I’ve effects of drug & ETOH use)
Why do health care professionals need to understand cultural differences ?
- to become aware of your own values, beliefs, & biases
- to develop humility & critical awareness that there is always knowledge to be learned
- to be able to communicate with clients in a way that is respectful & supportive
- to be able to ensure no discrimination of other individuals
In a cdn context, why might cultural safety be a more meaningful concept?
-B/c we have such a diverse culture
-culturally as a whole; we need to take our cultural awareness seriously & think about how we are going to demonstrate cultural competency
-we demonstrate this by considering the health disparities & the knowledge of any cultural population
Listen with sympathy & understand the patients perception of the problem
Explain ur perception of the prob
Acknowledge & discuss differences &similarities
Recommend treatment
Negotiator agreement
Define affective domain?
Of cultural competence is concerned with both attitude and awareness
Oh 26 Lewis
Define behavioural domain?
Behavioural domain Concerns the actual applications of knowledge & awareness & is also described we cultural skill
Define cognitive domain?
Cultural knowledge (generic and specific cultural knowledge)
Define colonization & colonialism?
Refers to the process in which a pop (often indigenous) is taken over & governed by a nation states (such as Cda) such that power & authority are exercised in ways that consciously & unconsciously subordinate that pop
-the takeover of a minority pop by another nation & the resulting unequal relationships between them
