Cultural Competence/Transcultural Nursing Flashcards

1
Q

Define culture

A

The patterned lifeways, values, beliefs, norms, symbols, and practices of individuals, groups, or institutions that are learned, shared, and usually transmitted from one generation to another

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2
Q

Iceberg model of culture: above water

A
  • music
  • art
  • food and drink
  • greeting
  • dress
  • manners
  • rituals
  • outward behaviors
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3
Q

Iceberg model of culture: below water

A

oreientation to…

  • environment
  • time
  • action
  • communication
  • power
  • individualism
  • structure
  • thinking
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4
Q

Iceberg model of culture: What do we judge

A

The surfaces stuff

often without knowing what is under

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5
Q

Iceberg model of culture: what supports what we see

A

The under the water

is their underlying beliefs, orientation, and attitudes

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6
Q

*Define stereotype

A

An assumption about what all people in a culture/defined group are like

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7
Q

*Define generalization

A

The same content as a stereotype, assumption about a population, but it is used as a starting point and it is explored to see if it fits an individual

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8
Q

Can one person belong to multiple cultures?

A

yes

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9
Q

*Define race

A

Biological
Physical characteristic similarity
Group of people with a common ancestry

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10
Q

*Define ethnicity

A

Cultural
Members of a group that consider themselves to be distinctive in terms of belonging, culture, history, symbolism, ideology, political ideology, beliefs regarding origin

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11
Q

A person is of one ____ but can be of different ____

A

A person is of one race but can be of different ethnicity

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12
Q

Race aspects

A
  • biological subspecies
  • genetic characteristics
  • tendany towards development of certain disease
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13
Q

Ethnicity aspects

A
  • common traits or customs
  • learned behaviors
  • social not biological
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14
Q

Is race a thing?

A

No because it is based off of genetics and there is no true race definition due to biological variance in said races

it is a social construt

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15
Q

*Define ancestry

A

the connection to a geographical origin of ancestors

-recognizes the connection of genetic variations to a geographical origin.

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16
Q

Does ancestry equal ethnicity?

A

NO

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17
Q

*Define ethnocentrism

A

Belief that one’s own cultural view are only way of doing things that are right and natural

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18
Q

Define cultural clashes

A

Misunderstanding or disagreement or different perspective between cultures

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19
Q

*Who is Dr. Madeeine Leininger and what did she develop

A

Nursing theorist

  • Created the idea of transcultural nursing
  • developed ethnocentrism qualitative research method
  • Developed culture care theory
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20
Q

*leininger’s definition of transcultural nursing

A

a substantive area of study and practice focused on comparative cultural care (caring) values, beliefs, and practices of individuals or groups of similar or different cultures with the goal of providing culture-specific​
and universal nursing care practices in promoting health or well-being or to help people to face unfavorable human conditions, illness, or death in culturally meaningful ways

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21
Q

focus of transcultural nursing

A

-holistic culture care

22
Q

Goal/purpose of transcultural nursing

A

to assist individuals or groups to maintain or regain their health and well being and to deal with disabilities or dying

23
Q

*Define cultural competence

A

A set of cultural behaviors and attitudes integrated into practice methods of a system, agency or its professionals, that enables them to work effectively in cross cultural situations

24
Q

*Cultural competency includes…

A
  • Knowledge of cultural values and practices

- Ability to adapt care, skills to fit a patient’s culture

25
Q

*Why do we need cultural competence?

A
  • increasingly diverse health care population
  • cultural sensitivity
  • short-term medical outreach into foreign countries
26
Q

*Why is cultural competency important?

A

Western thought, priorities and medical practices may not be acceptable or desired in many developing nations or with immigrants from those nations

27
Q

*Define cultural care universality

A

commonly shared or similar patterns, values, beliefs, lifeways, symbols that are commonly shared among different culture groups​

28
Q

*Define culture care diversity

A

Differences or variabilities between humans with respect to culture care patterns, values, beliefs, lifeways, symbols​

29
Q

*Culture care universality examples

A
  • mothers love for children
  • respect for elders
  • desire to be healthy
  • some type of spirituality
30
Q

*Culture care diversity examples

A
  • religious beliefs and practices
  • end of life beliefs
  • family decision making
  • gender norms
31
Q

Define ethnohistory

A

Anthropology within a nursing perspective

The past facts, events, and experiences of the people group or institution that has occurred over time and helps explain the cultural beliefs, practices and lifeways of people​

32
Q

Define Worldview

A

The way people look out at the world/universe and for a belief system, value stance of life and the world around them

33
Q

Define health

A

the state of well-being

(that is culturally defined, valued and practiced and which reflects the ability of individuals or groups to perform their daily role activities (ADLs) in culturally expressed, beneficial and patterned lifeways.​)

34
Q

Premise of culture Care Theory

A

There can be no curing without caring but caring can exist without curing

35
Q

What is the starting point.1st step in cultural competenct

A

self awareness

36
Q

Conducting a culturally sensitive patient assessment requires one to be….

A
  • caring
  • open
  • flexible
  • willing to learn
37
Q

*Define cultural desire

A

Want to engage in process, listen non-judgementally

38
Q

*Define cultural awareness

A

Self examining your beliefs, biases, assumptions

39
Q

*Define cultural knowledge

A

Seek other’s world views/beliefs

40
Q

*Define cultural skill

A

collect relevant data, culturally-based assesment

41
Q

*Define Cultural encounters

A

different face-to-face encounters with others (who are different)

42
Q

*What is holding knowledge

A

The stuff you already have in you head

  • basic cultural knowledge
  • generalization
  • starting point for care
43
Q

shared beliefs/values/custums slide???

A

??????

44
Q

Things to ask about/asses when assessing a client’s health care preferences.

A
  • Beliefs about illness and its causes
  • Traditional healing customs
  • Cultural norms regarding modesty, cleanliness, modesty, and relationships
  • Beliefs about disclosure
  • Rituals surrounding death
  • lifestyle
45
Q

Cultural care conflict can come from…

A
  • failure to meet clients cultural expectations, beliefs, values, and lifeways
  • failure to respect client beliefs on medical treatment
46
Q

*Emic

A
  • insider knowledge
  • Understand and feel the cultural practices

-generic care

47
Q

*Etic

A
  • outsider knowledge
  • obtained from education
  • professional care
  • nursing intervention does not imply imput from the client
48
Q

*3 options we have when considering someones cultural practices (leininger)

A
  • preservation or maintenance (keep)
  • accommodation or negotiation (consider possibility or modify)
  • Re-patterning or restructuring (discontinue practice)
49
Q

4 levels invoved in developing cultural competence

A
  • open attitudes
  • self and other awareness
  • cultural knowledge
  • cross-cultural skills
50
Q

*Five steps to cultural competency

A
  • Cultural desire
  • C. awareness
  • C. knowledge
  • C. skill
  • C. encounters
51
Q

*Cultural diversity: USA and Michigan main groups

A

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