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Nursing 385 > Cultural Competency > Flashcards

Cultural Competency Flashcards

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1
Q

nursing theory

A

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

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2
Q

Bridging nursing theory and practice

A

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

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3
Q

Culture

A

combination of a body of knowledge, a body of belief and a body of behaviour

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4
Q

what culture involves

A 
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
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5
Q

cultural competence

A

application of knowledge, skills, attitudes or personal attributes required by nurses to maximize respectful relationships with diverse populations of clients and co-workers

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6
Q

cultural competence needs to be

A

an entry-to-practice level competence for registered nurses

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7
Q

underlying values of cultural competence

A 
inclusivity 
respect
valuing differences
equity
commitment
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8
Q

cultural competence is a component of

A

quality practice environments that leads to improved health outcomes for clients, nurses and systems and are conducive to safety and quality reflecting cultural diversity

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9
Q

cultural safety takes us beyond

A

awareness and the acknowledgement of difference

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10
Q

cultural safety surpasses

A

cultural sensitivity which recognizes the importance of respecting differences

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11
Q

cultural safety helps us to understand

A

the limitations of cultural competence which focuses on the skills, knowledge, and attitudes of practitioners

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12
Q

cultural safety is predicated on

A

understanding power differentials inherent in health service delivery and redressing those inequities through educational processes

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13
Q

care

A

is to assist others with real or anticipated needs in an effort to improve human condition of concern or to face death

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14
Q

caring

A

is an action or activity directed towards providing care

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15
Q

culture

A

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

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16
Q

cultural care

A

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

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17
Q

cultural care diversity

A

refers to the differences in meanings, values, or acceptable modes of care within or between different groups of people

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18
Q

cultural care universality

A

refers to common care or similar meanings that are evident among many cultures

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19
Q

nursing

A

is a learned profession with a disciplined focus on care phenomena

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20
Q

worldview

A

refers to the way people tend to look at the world or universe in creating a personal view of what life is about

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21
Q

cultural and social structure dimensions

A

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

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22
Q

health

A

refers to a state of well-being that is culturally defined and valued by a designated culture

23
Q

cultural care preservation or maintenance

A

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

24
Q

cultural care accommodation or negotiation

A

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

25
Q

cultural care repatterning or restructuring

A

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

26
Q

campinha-bacote model of cultural competence

A 
cultural desire
cultural awareness
cultural knowledge 
cultural skill
cultural encounters
27
Q

cultural desire

A

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”

28
Q

cultural awareness

A

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

29
Q

cultural knowledge

A

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

30
Q

cultural skill

A

the ability to gather relevant cultural data and to perform accurate cultural physical assessments

31
Q

cultural encounters

A

to interact and learn from interactions with culturally diverse individuals

32
Q

nurses need to see themselves as becoming culturally competent

A

rather than being culturally competent

33
Q

cultural competence is not an end result

A

it is a continuous process of lifelong learning

34
Q

nurses strive to achieve

A

the ability and availability to work effectively withing the cultural context of the patient

35
Q

cultural competence involves integration of

A 
cultural desire
cultural awareness
cultural knowledge
cultural skill
cultural encounters
36
Q

giger and dividhizar transcultural assessment model

A 
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
37
Q

communication

A

verbal
nonverbal
transmission of culture

38
Q

time

A

past
present
future orientation

39
Q

space

A

norms of personal distance

40
Q

social organization

A

family

41
Q

environmental control

A

beliefs about internal and external control

42
Q

biological variations

A

variations in sensitivity to medications

43
Q

developing cultural competence: cultural awareness

A

self awareness, ethnocentricity, cultural identity, ethnohistory, stereotyping

44
Q

developing cultural competence: cultural knowledge

A

health beliefs and behaviours, anthropological, socio-political, psychological and biological understanding, similarities and differences, health inequalities

45
Q

developing cultural competence: cultural sensitivity

A

empathy, trust, interpersonal, communication, skills, acceptance, appropriateness, respect, barriers to cultural sensitivity

46
Q

developing cultural competence: cultural competence

A

assessment skills, diagnostic skills, clinical skills, changing and addressing prejudice, discrimination and inequalities

47
Q

cultural competency continuum

A 
cultural destructiveness
cultural incapacity 
cultural blindness
cultural pre-competence
cultural competence
cultural proficiency
48
Q

cultural destructiveness

A

acknowledges only one way of being and purposefully denies or outlaws any other cultural approaches

49
Q

cultural incapacity

A

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

50
Q

cultural blindness

A

fosters an assumption that people are basically alike, so what works with members of one culture should work within all other cultures

51
Q

cultural pre-competence

A

encourages learning and understanding of new ideas and solutions to improve performance or services

52
Q

cultural competence

A

involves actively seeking advice and consultation and commitment to incorporating new knowledge and experiences into a wider range of practice

53
Q

cultural proficiency

A

involves holding cultural differences and diversity in the highest esteem, pro-activity regarding cultural differences, and promotion of improved cultural relations among diverse groups

54
Q

potential causes of cultural conflict

A 
ethnocentrism 
bias and prejudice
discrimination 
stereotyping
cultural imposition 
cultural ignorance
lack of understanding of the process and pattern of communication in the group

Nursing 385 (9 decks)

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