Cultural Diversity- Ch. 2 Flashcards
cultural diversity
includes, but is not limited to, people of varying cultures, racial and ethnic origin, religion, language, physical size, gender, sexual orientation, age, disability, socioeconomic status, occupational status, and geographic location
a shared system of beliefs, values, and behavioral expectations that provides social structure for daily living.
Culture
When a minority group lives within a dominant group, many of their members may lose the cultural characteristics that once made them different, and their values may be
cultural assimilation
T or F: Ethnicity and Race are interchangeable.
FALSE. Ethnicity is a sense of identification based on group’s common heritage. Race is based on physical characteristics.
What are 4 factors that inhibit sensitivity to diversity?
stereotyping, cultural imposition, cultural blindness, culture conflict
when one ignores differences and proceeds as though they do not exist
cultural blindness
belief that everyone should conform to
your own belief system
cultural imposition
when people become aware of cultural differences, feel threatened, and respond by ridiculing the beliefs and traditions of others to
make themselves feel more secure about their own values
Culture conflict
What are things to consider in providing culturally competent care?
Physiologic variations, reactions to pain, mental health, gender roles, language and communication, orientation to space and time, food and nutrition, family support, socioeconomic factors
Physciologic variations
certain racial and ethnic
groups are more prone to developing specific diseases and
conditions
reactions to pain
expressions and behaviors exhibited by people in pain are culturally prescribed. don’t assume a pt. that doesn’t complain of pain isn’t having pain. Look for signals of discomfort.
mental health
hisptanics deal w/ problems w/in family and wouldn’t tell a stranger, chinese see mental illness as stigma
gender roles
In many cultures, the man is the dominant figure and generally makes decisions for all family members.
language and communication
women or older adults in the family have difficulty speaking English if they do not work outside the home, or for people who live in proximity to others who speak their primary language. May need interpreter! Eye contact varies among cultures!
orientation to space and time
know a patient’s cultural personal space preferences
food and nutrition
This means that people with cultural
food preferences may not be able to select appealing foods and thus may be at risk for inadequate nutrition.
family support
some families deal w/ issues alone, don’t tell healthcare (strangers) or would never put elderly in institution
socioeconomic factors
The amount of money a person or family has affects how they meet their basic needs and maintain their health. Poverty leads to other problems such as lack of health insurance, care of infants and children, and homelessness. All these areas are of concern to nursing. Accessing healthcare facilities by be hard due to money for transportation.
How does a nurse provide culturally competent nursing care?
care is planned and implemented in a way that is sensitive to the needs of individuals, families, and groups from diverse populations
within society. The nurse who recognizes and
respects cultural diversity will be better
Cultural iimposition
Cultural imposition in healthcare is the tendency for health personnel to impose their beliefs, practices, and values on people of other cultures.
A nurse who is culturally competent has the ____ and ____ to adapt nursing care to cultural ______ and _____.
knowledge and skills
similarities and differences
Guidelines for Nursing Care for cultural diversity…
develop cultural awareness, accommodate cultural practices in healthcare, develop cultural knowledge, respect culturally based family roles, avoid mandating change, seek cultural assistance
Factors That Affect Culturally Diverse Interactions
- The cultural background of each participant
- The expectations and beliefs of each about healthcare
- The cultural context of the encounter (e.g., hospital, clinic, home)
- The degree of agreement between the two persons’ sets of beliefs and values
