Cultural Competency Flashcards
nursing theory
Set of concepts, definitions, relationships, and assumptions or propositions derived from nursing models or from other disciplines
Projects a purposive systematic view of phenomena by designing specific interrelationships among concepts
Developed for the purposes of describing, explaining, predicting, and/or prescribing
Bridging nursing theory and practice
o Theory must be developed collaboratively with nurses in practice
o Theory should be seeking to improve nursing practice
o Theory needs to be developed to facilitate standardising nursing practice to achieve quality care
Culture
combination of a body of knowledge, a body of belief and a body of behaviour
what culture involves
personal identification language thoughts communications actions customs beliefs values institutions all are often specific to ethnic, racial, religious, geographic or social groups elements influence beliefs and belief systems surrounding health, healing, wellness, illness, disease, and delivery of health services
cultural competence
application of knowledge, skills, attitudes or personal attributes required by nurses to maximize respectful relationships with diverse populations of clients and co-workers
cultural competence needs to be
an entry-to-practice level competence for registered nurses
underlying values of cultural competence
inclusivity respect valuing differences equity commitment
cultural competence is a component of
quality practice environments that leads to improved health outcomes for clients, nurses and systems and are conducive to safety and quality reflecting cultural diversity
cultural safety takes us beyond
awareness and the acknowledgement of difference
cultural safety surpasses
cultural sensitivity which recognizes the importance of respecting differences
cultural safety helps us to understand
the limitations of cultural competence which focuses on the skills, knowledge, and attitudes of practitioners
cultural safety is predicated on
understanding power differentials inherent in health service delivery and redressing those inequities through educational processes
care
is to assist others with real or anticipated needs in an effort to improve human condition of concern or to face death
caring
is an action or activity directed towards providing care
culture
refers to learned, shared and transmitted values, beliefs, norms, and lifeways of a specific individual or group that guide their thinking, decisions, actions, and patterned ways of living
cultural care
refers to multiple aspects of culture that influence and enable a person or group to improve their human condition or to deal with illness or death
cultural care diversity
refers to the differences in meanings, values, or acceptable modes of care within or between different groups of people
cultural care universality
refers to common care or similar meanings that are evident among many cultures
nursing
is a learned profession with a disciplined focus on care phenomena
worldview
refers to the way people tend to look at the world or universe in creating a personal view of what life is about
cultural and social structure dimensions
include factors related to religion, social structure, political/legal concerns, economics, educational patterns, the use of technologies, cultural values, and ethnohistory that influence cultural responses of human beings within a cultural context
health
refers to a state of well-being that is culturally defined and valued by a designated culture
cultural care preservation or maintenance
refers to nursing care activities that help people of particular cultures to retain and use core cultural care values related to healthcare concerns or conditions
cultural care accommodation or negotiation
refers to creative nursing actions that help people of a particular culture adapt to or negotiate with others in the healthcare community in an effort to attain the shared goal of an optimal health outcome for clients of a designated culture
cultural care repatterning or restructuring
refers to therapeutic actions taken by culturally competent nurses or family. These actions enable or assist a client to modify personal health behaviours towards beneficial outcomes while respecting the client’s cultural values
campinha-bacote model of cultural competence
cultural desire cultural awareness cultural knowledge cultural skill cultural encounters
cultural desire
the motivation of the nurse to want to engage in becoming culturally aware, knowledgeable, and skilled for cultural encounters. Real authentic caring to be flexible and open, to be accepting of differences, to build on similarities, and to learn from others as “cultural informants”
cultural awareness
to gain understanding of personal cultural and professional experiences through self-examination and in-depth exploration, to recognize own biases, prejudices and assumptions about other who are different
cultural knowledge
to seek and attain appropriate and credible educational learning about diverse cultural and ethnic groups, to gain understanding of different worldviews and perspectives of health and wellness
cultural skill
the ability to gather relevant cultural data and to perform accurate cultural physical assessments
cultural encounters
to interact and learn from interactions with culturally diverse individuals
nurses need to see themselves as becoming culturally competent
rather than being culturally competent
cultural competence is not an end result
it is a continuous process of lifelong learning
nurses strive to achieve
the ability and availability to work effectively withing the cultural context of the patient
cultural competence involves integration of
cultural desire cultural awareness cultural knowledge cultural skill cultural encounters
giger and dividhizar transcultural assessment model
developed for nursing students as a framework to assess and provide appropriate care for culturally diverse patients includes 6 factors: communication time space social organization environmental control biological variations
communication
verbal
nonverbal
transmission of culture
time
past
present
future orientation
space
norms of personal distance
social organization
family
environmental control
beliefs about internal and external control
biological variations
variations in sensitivity to medications
developing cultural competence: cultural awareness
self awareness, ethnocentricity, cultural identity, ethnohistory, stereotyping
developing cultural competence: cultural knowledge
health beliefs and behaviours, anthropological, socio-political, psychological and biological understanding, similarities and differences, health inequalities
developing cultural competence: cultural sensitivity
empathy, trust, interpersonal, communication, skills, acceptance, appropriateness, respect, barriers to cultural sensitivity
developing cultural competence: cultural competence
assessment skills, diagnostic skills, clinical skills, changing and addressing prejudice, discrimination and inequalities
cultural competency continuum
cultural destructiveness cultural incapacity cultural blindness cultural pre-competence cultural competence cultural proficiency
cultural destructiveness
acknowledges only one way of being and purposefully denies or outlaws any other cultural approaches
cultural incapacity
supports the concept of separate but equal; marked by an inability to deal personally with multiple approaches but a willingness to accept their existence elsewhere
cultural blindness
fosters an assumption that people are basically alike, so what works with members of one culture should work within all other cultures
cultural pre-competence
encourages learning and understanding of new ideas and solutions to improve performance or services
cultural competence
involves actively seeking advice and consultation and commitment to incorporating new knowledge and experiences into a wider range of practice
cultural proficiency
involves holding cultural differences and diversity in the highest esteem, pro-activity regarding cultural differences, and promotion of improved cultural relations among diverse groups
potential causes of cultural conflict
ethnocentrism bias and prejudice discrimination stereotyping cultural imposition cultural ignorance lack of understanding of the process and pattern of communication in the group
