Cultural Competence

Question 1

Race

Answer 1

Mainly sued tor ever to people with similar attributes or skin colour

Question 2

Ethnicity

Answer 2

Long term cultural experiences , religious practices, ancestry, language or national origins

Question 3

What is the risk of oversimplifying

Answer 3

We may see range of communities or families as 1 ‘group’ or homogenous and in doing so we mask the impost at differences between them and with then .

Hence we resist oversimplification and use black, Asian and minority ethnic and identify specific groups or subgroups

Question 4

What does the NHS constitution do

Answer 4

Sets out rights, pledges, duties and responsibilities under which the NHS should operate

Clearly states that ever indictable matters and there should be equal access and comprehensive service available to all irrespective of gender race disability are sex religion or belief

Question 5

Equality act legislation

Answer 5

Topics of equality and diversity
9 protected characteristics
-age
-sexual orientation
-gender reassignments
-Marriage
-pregnancy
-race
Religion
-disability

Question 6

The human rights act legislation

Answer 6

Outlines the basic human rights and principles of equality
5 principles
- fairness
-respect
-equality
-dignity
-autonomy

Question 7

The mental capacity act

Answer 7

Helps people who are unable to maintain their independence , dignity, and right to freedom

Don’t assume a person lacks capacity to make decisions for themselves

Question 8

The care act

Answer 8

Underpins all work with vulnerable adults
Ensuring adults give consent for support that is tailored to them and chosen by them

Question 9

The health care act

Answer 9

Act contains a description of the powers available to relevant NHS. Bodies

It shows the inequalities and how respectful outcomes should be achieved by the provision of health services

Question 10

the higher levels of poverty and poorer socioeconomic status often seen in Black, Asian and minority ethnic communities, compared with the rest of the population, are reported to contribute to

Answer 10

poorer clinical outcomes, inequalities in health and lower healthy life expectancy, as well as having a negative impact on patient or service user satisfaction

Question 11

What is unwarranted variation

Answer 11

not always the result of intentional acts but they are an indication that some adaptation or review is needed in the way we plan and deliver services in order to give everyone an ‘equal chance’ of good outcomes and experiences of care.

Question 12

What is cultural blindness

Answer 12

being ‘colour blind’ (claiming not to see differences in race, culture, ethnicity) or ‘treating everyone the same’ creates a one-size-fits-all approach and does not represent ‘person-centred care’ or ‘equal chance’ for all.

Question 13

What is culture

Answer 13

Culture is a key factor that influences the way we think and view the world around us, the way we behave and make judgements and decisions

Question 14

Possible observations of culture

Answer 14

education
worship, religion and spiritual beliefs
language
diet
art and music
humour
Upbringing

Question 15

Cultural aspects can be visible or non visible

Answer 15

Visible aspects
-dress
-rituals
-language
-food

Non visible
-values
-ethics
-communication styles

Question 16

It is important to remember that culture:​​

Answer 16

is learned and passed on through generations​
is integrated into all aspects of an individual’s life​
is dynamic and evolving​
has huge diversity, a number of sub-cultures and exceptions​
can vary between individuals from the same ‘group’​
can be modified by experiences

Question 17

Acculturation meaning

Answer 17

describes the process by which members of one cultural group adopt the cultural traits, beliefs, behaviours or social patterns of another group. This adaptation, a cultural and psychological change, often happens because of their environment, but may also be resisted if that person feels rejected or excluded.​

Therefore, when discussing care needs with a patient or client, we may find that the experience of somebody who has recently migrated to a country, compared to somebody who has a migrant heritage, will be different.​

Question 18

What is the requirement for cultural info

Answer 18

Cultural information can impact on the physical, emotional and mental wellbeing of people accessing care services. Some of the reasons why further cultural information may be required include for example:​

• understanding content of usual foods included in family meals to assist in giving advice about medicines or control of diabetes ​
• awareness of how LGBTQ+ sexuality is viewed or accepted within specific religious or cultural groups which may help to guide conversations around emotional wellbeing​
• knowledge of religious observances during pregnancy or childbirth which may impact on decisions about birth plans or person-centred care

Question 19

Why is cultural information a. Barrier

Answer 19

Everyone working in health and care services need to avoid making assumptions, or broad generalisations, based on race or ethnicity.​

​Services provided should be tailored to individual needs and preferences.

What is key to remember is that culturally specific information is only useful if it is relevant to the individual concerned and appropriate to the purpose for which it is asked. Therefore professionals need to be open to engaging in conversations with service users, flexible in their thinking and be able to adapt their approaches, as appropriate, based on information shared.​

Question 20

Inclusive practice

Answer 20

• requires us to be I-men to a diversity of new info that may impact health and care needs
  -useful to have an awareness of the different cultural beliefs which may be influencing the health behaviours of your local population
  -Whilst understanding the role and influence of culture is important, we must remember that perceptions of health can vary widely within cultures and between individuals so practitioners must be careful to not make assumptions.

Question 21

We cannot assume that patients are …

Answer 21

supportive of a particularly harmful practice even if they belong to a culture where there is a higher prevalence
aware that a particular practice may be harmful to health

Question 22

Developing cultural competence can help…

Answer 22

Practitioners avoid misunderstandings among staff, patients and families

Question 23

Gestures

Answer 23

Different cultures will also uses gestures in many ways

Shaking head side to side can mean no or yes in some cultures

Question 24

What is cultural competence

Answer 24

• set of principles which includes behaviours, attitudes and policies within a system or profession that enables effective working in cross-cultural situations

-Working as a culturally competent professional or service provider means ensuring the services we provide and the experiences of staff and those receiving care are ‘culturally safe’.

Question 25

What must healthcare professionals be aware of ?

Answer 25

Cultural competence and culturally effective care are critical for improving health outcomes, improving safety, and optimising service user satisfaction

Question 26

Examples of cultural competence models

Answer 26

the practitioner’s ability to care
an awareness of diversity and intersectionality
an open and non-judgemental attitude
cultural competence as a continuous learning process
the importance of working with service users to co-produce the best approach to meeting their needs

Question 27

Communicating about specific cultural things or conversations with patients need to be done

Answer 27

Privately

Health and care professionals need to be aware of the environment in which professional consultations with people take place and consider the ways in which they can make them feel safe to be able to have open and honest discussions.

Question 28

Cultural safety

Answer 28

Addresses the unwarranted variations that arise because of inequity

Question 29

What makes someone feel culturally unsafe

Answer 29

People who do not feel culturally safe may feel disempowered and unable to access or take full advantage of the health and care services available to them.

Question 30

How can a professional create a culturally safe environment with their patients

Answer 30

The health or care professional needs to:

develop trust with their patient
be aware of power imbalances
have clear, open and respectful communication
understand how racism and discrimination have resulted in inequalities
appreciate how their own culture, gender, religion, values and beliefs may impact the health encounter or experience for the patient

Question 31

What is social justice

Answer 31

barriers that people face (equality) and what is needed to overcome them (equity) but also through action, seeking to reduce the impact of the barrier or remove the barrier completely (social justice).

Question 32

Equality

Answer 32

Assumption is that everyone benefits form the same support

WRONG

Question 33

Equity

Answer 33

Everyone gets the support they need

Question 34

Professional should avoid making

Answer 34

assumptions, broad generalisations and believing in false stereotypes.

Question 35

Care should be

Answer 35

individualised, person-centred and inclusive, focusing on the specific needs of that individual.

Question 36

A key element of cultural competence is being able to communicate effectively with idnidvuals and their families for those whose first language is not English what do u do

Answer 36

Interpreters allow adequate provision for assessing communication needs

HC Info can be understood
As can be answered and asked
Opportunity to explore health or care concerns

Question 37

Is it suitable to use family for interpretation

Answer 37

No
- potential for bias

Question 38

What to do if interpreter not available ?

Answer 38

Postpone discussion of sensitive issue or intimate examination to ensure they act in a matter that protects the individuals privacy and dignity