Cultural Competence, Sensitivity, and Saftey

Question 1

proximal determinants

Answer 1

• conditions that directly impact health
  EXAMPLES: diet, lifestyle, smoking, alcohol, tobacco

Question 2

intermediate determinants

Answer 2

• origin of proximal determinants
  EXAMPLES: parental teaching, peer pressure, lack of infustructure, cultural beleifs

Question 3

distal/structural determinants

Answer 3

• political and economical
  EXAMPLE: racism, self determination

Question 4

cultural sensitivity

Answer 4

• recognizes and respects the unique cultural background of the patient
• acknoledges impact of culture on a persons beleifs, values, custums and lifestyle

Question 5

cultural competence

Answer 5

• recognize the need for knowledge and skills to modify assesment and intervention stradigies in order to achieve equity

Question 6

cultural safety

Answer 6

• outcome of cultural competence
• focuses on social and political power that redefines the provider-patient relationship with an emphasis on self determination

Question 7

ABCDE framework of cultural competence stands for

Answer 7

• Affective domain
• behavioural domain
• cognitive domain
• dynamic of difference
• equity

Question 8

affective domain

Answer 8

an awareness of and sensativity to cultural values, needs and biases

Question 9

behavioural domain

Answer 9

the possession of skills that are necessary to be effective in cross cultural encounters

Question 10

cognitive domain

Answer 10

• involves cultural knowledge (theory and research)

Question 11

equity

Answer 11

• highlights the need for equity in care and for attending to the practice environment

Question 12

dynamic of difference

Answer 12

• differences in worldviews exists and can be basis for discrimination and racism towards minority groups and social power imbalances

Question 13

components of affective domain

Answer 13

AWARENESS
- attitude
- awareness of self, others and dynamics of difference (critical reflexivity)

Question 14

Behavioural domain components

Answer 14

SKILLS
- assessment
- cross cultural communication
- collaborative decision making, empowering and promoting patient choice, advocacy against differences
- development of resources (personal and organizational) to support practice

Question 15

Cognitive domain components

Answer 15

KNOWLEDGE
- generic cultural knowledge
- specific cultural knowledge

Question 16

common chronic illnesses in indigenous peoples

Answer 16

• diabetes
• HIV/AIDS
• cancer
• tuberculosis
• COPD and asthma
• cardiovascular disease
• otitis media
• rheumatic disease
• addictions