Cultural Care Flashcards
a pattern of shared attitudes, beliefs, self-definitions, norms, roles, and values that
can occur among those who speak a particular language or live in a defined geographical
region
culture
he process by which a person learns the norms, values, and behaviors of a
culture, similar to socialization
enculturation
he process of acquiring new attitudes, roles, customs, or behaviors as a
result of contact with another culture. Both the host culture and the culture of origin are
changed as a result of reciprocal influences.
acculturation
process by which a person gives up his or her original identity and develops
a new cultural identity by becoming absorbed into the more dominant cultural group
assimilation
a common ancestry that leads to shared values and beliefs. It is transmitted over
generations by the family and community
ethnicity
what is culture
Culture is learned: childhood and adolescents
* Culture is changeable & adaptable
* Shared beliefs, values, & behaviors
* Individualism vs collectivism
* Power distance: male domination? unequal distribution of power, subcultures
* Masculinity vs femininity
* Long-term vs short-term orientation
* Religiosity
A combination of culturally congruent
behaviors, practice attitudes and
policies that allow nurses to
work effectively in cross-cultural
situations; value diversity
cultural competence
Culturally-based care knowledge, acts,
and decisions used in sensitive and
knowledgeable ways to appropriately
and meaningfully fit the cultural
values, beliefs, and lifeways of clients
for their health and wellbeing, or to
prevent illness, disabilities, or
death
cultural congruent care
assumptions of leininger’s theory
Care is the essence of nursing and a distinct, dominant, and
unifying focus.
* Caring is essential for well-being, health, healing, growth, and
to face death.
* Culture care is the broadest holistic means by which a nurse
can know, explain, interpret, and predict nursing care
phenomena to guide nursing care practices.
* Nursing is a transcultural, humanistic, and scientific care
discipline and profession with the central purpose to serve
human beings worldwide.
* Caring is essential to curing and healing. There can be no
curing without caring.
* Culture care concepts, meanings, expressions, patterns,
processes, and structural forms of care are different and similar
among all cultures of the world.
* Every human culture has lay care knowledge and practices and
usually some professional care knowledge and practices which
vary transculturally.
* Culture care values, beliefs, and practices are influenced in
the context of a particular culture. They tend to be embedded
in such things as worldview, language, spirituality, kinship,
politics and economics, education, technology, and
environment.
* Beneficial, healthy, and satisfying culturally-based nursing
care contributes to the well-being of individuals, families, and
communities within their environmental context.
* Culturally congruent nursing care can only happen when the
patient, family, or community values, expressions, or patterns
are known and used appropriately, and in meaningful ways by
the nurse with the people.
* Culture care differences and similarities between the nurse
and patient exist in any human culture worldwide.
* Clients who experience nursing care that fails to be
reasonably congruent with their beliefs, values, and caring
lifeways will show signs of cultural conflicts, noncompliance,
stresses and ethical or moral concerns.
* The qualitative paradigm provides new ways of knowing and
different ways to discover the epistemic and ontological
dimensions of human care.
culture impacts…
everything we do
The way individuals react to illness
* The way individuals seek care
leininger’s theory creates…
framework and guides
the delivery of culturally congruent care.
RESPECT model of cultural assessment
- Respect: valued and understood
- Explanatory model: what is the cause
- Sociocultural context: beliefs and expectations for treatment
- Power: pt is in a vulnerable position
- Empathy
- Concerns & fears
- Therapeutic alliance/ Trust
