Cultural Diversity and Values Flashcards
T or F, there is NO WAY anyone can know and understand all cultures
True - its an ongoing learning process, cultures change/grow
terms r/t cultural diversity
cultural safety
cultural humility
cultural respect
cultural competency
which cultural diversity term is not as popular
cultural competency - impossible to be competent in all cultures
what is cultural safety
culturally approp. health svcs. to disadvantaged groups; stressing dignity; avoiding institutional racism, assimilation and repressive practices
what is cultural humility
Acknowledging everyone’s views are culturally influenced
Our views are not better than our clients
Our clients can teach us
what is cultural respect
recognition, protection and continued advancement of Inherent rights, cultures and traditions of a particular culture
what is cultural competence
An openness to different cultural values/traditions
An analysis of relations affecting health disparities
Consider cultural aspects of health/illness/trt for each client/community along each stage of nursing process
what is culture
knowledge, values, practices, customs and beliefs of a group
T or F, culture is static, private and inherited
False - culture is dynamic (not static), shared (not private) and learned (not inherited)
what is marginalization
treat (a person, group, or concept) as insignificant
homeless
what is assimilation
Forcing people to adopt a dominant culture
A person who acquires/adopts the social characteristics of a group
“Waves of immigrants have been assimilated into the American culture.”
what is repression
action/process of suppressing a thought/desire in oneself so that it remains unconscious
what is institutional cultural competence
Agency (Jefferson) with a defined set of values, principles, behaviors, attitudes, policies and structures that enable them to effectively care for others cross culturally
elements of institutional cultural competency
Value diversity
Conduct self-assessment (what is our own culture)
Manage the dynamics of difference
Acquire and institutionalize cultural knowledge (learn about the culture, educate)
Adapt to diversity and cultural contexts of communities served
is cultural competence automatic in nursing
no, its something you have to learn continuously
what does community health nursing require
familiarization with cultures in the communities served
what is ethnocentrism
Belief that dominant culture is superior to others
Assuming other people behave like we do, believe everybody should think the way we do
what is a subculture
groups that commonly share practices, language within a larger society that doesn’t share those characteristics
(army, sororities, punk rockers)
examples of why medicine and nursing is a culture on its own
language (vitals, AM care) - assume pt. understands
is western bio-medicine considered cultured?
yes
what are some aspects of culture directly affecting health/care
Attribution of illness
Diet
Verbal communication
Non verbal communication (eye contact, personal space, style of communication)
how does verbal/non-verbal communication affect health/care and interaction with patients
facial expressions - body language
culturally offensive practices (eye contact)
what is cross-cultural/trans-cultural nursing
a nursing encounter where the client and nurse are from different cultures
what does LBGTQIA stand for
lesbian, bi, gay, trans, questioning, intersex, asexual
what does asexual mean
not sexually attracted to anything
what is intersex
ambiguous genitalia - choosing a gender
what are some health issues related to LGBTQIA
Disparity due to lack of self identification (we don’t ask pt)
Failure to disclose/assess (not asking the right questions)
Lack of research for this population
Until recently considered pathological behavior (therefore information is not volunteered)
statistics r/t LBGTQIA
8.8% admit same-sex behavior 11% same sex attraction 3.5% identify gay/lesbian .3% transgender 9 million people in total (of those we know about)
why is there a lack of access to healthcare in the LBGTQIA community
Providers don’t know how to address the health needs of this population
Insurance not provided to “partners”
Lack of support for minors - understudied
what are some health disparities r/t the LBGTQIA community
Lack of access Suicide ideation Substance abuse HIV (MSM) Fear doctor will treat them differently
what does MSM stand for
Men having Sex with Men
MSM accounts for
half of HIV infections
2% account for 63% of untreated syphilis cases
1/3 more antibiotic resistant gonorrhea
what can we do to encourage gender identity disclosure in healthcare
be respectful, treat patient as a person
what does FGM stand for
female genital mutilation
what is Type V FGM
labial stretching of the minora
supposed to improve sex activity
cultural acceptance (don’t judge)
how to avoid stereotyping
continually reassess our selves and the communities we serve
