Culture and Tribes of Nursing, Hospitals, and the Medical Culture Flashcards
Refers to the learned and transmitted lifeways, values, symbols, patterns, and normative practices of members of the nursing profession of a particular society.
Cultures of nursing
Refers to a subgroup of nurses who show distinctive values and lifeways that differ from the dominant or mainstream culture of nursing.
Subculture of nursing
Refers to what actually exists and is identifiable in the day-to-day world such as patterns, values, lifestyle patterns and expressions.
Manifest culture
The American Culture of Nursing: Early (1940-1974) and Recent (1975-2000) Eras
- Authority Relationships and Female Rights
- Political Power and Politics
- Competition and the Culture of Nursing
Identify whether Early Era or Recent Era of American Nursing Culture.
- Self-practices of clients to alleviate mainly psychophysical stresses with “symptom management”
- Other-care practices based on altruism, self-sacrifice and vocation calling with professional responsibilities
- Caring for patients with interpersonal skills and commitment.
- Modern, high-equipment, a lot of materials and supplies (very limited improvisation)
- Limited material supplies and equipment (improvisation to give care)
- Independence and some autonomy of nurses for primary care, but less with managed care.
- Interdependence among nurses for comprehensive total care.
- Professional dedication to work (overworked, underpaid, worked long hours) and “was responsible”
- Self-gains and interests with better pay, shorter hours and financial gains for professional and personal gains.
- Serving clients by relying mainly on high-tech skills and efficiency modes.
- Recent
- Early
- Early
- Recent
- Early
- Recent
- Early
- Early
- Recent
- Recent
Identify whether Early Era or Recent Era of American Nursing Culture.
- Deferent and compliant to authority except for strong nursing leaders.
- Politically passive, but strong leaders used diverse management strategies.
- Male dominance and patriarchal systems (nurses as handmaidens to physicians)
- Competition with authority and limited deference and compliance.
- Politically active with open and direct confrontations and “female empowerment”
- Limited competition among nurses (get along and work together), males and females
- Pursuit of equal sex rights with rise in feminism and women’s issues and rights.
- Increased in nurse competition with female status seekers, assertiveness and jealousy
- Relationship ties tested over time
- Innovative leadership ideas with practice breakthroughs and limited grant funds.
- Recognition of a few highly respected and true scholars.
- Recognition of mainly sociopolitcal leaders, self-promoting goals, and pseudo-scholars evident.
- “Bandwagon” leadership patterns in competing for grants and awards.
- Early
- Early
- Early
- Recent
- Recent
- Early
- Recent
- Recent
- Early
- Early
- Early
- Recent
- Recent
__________ nurses act independently and speaks frankly about outsiders
Australian
_____nurses seem to feel confident about “what is best, or right” about certain issues
Australian
They are comfortable speaking out, confronting, and challenging other nurse leaders and generally in a frank and direct manner.
Australian nurses
They know how to “cut off the stem of the tall and wild poppy” to symbolically curtail the growth of a leader or a “wild nurse”
Australian nurses
True or False
In British nursing, ethnocentrism is not really evident.
False
British nursing ethnocentrism is evident which has made some nurses reluctant to learn about other nurses in the world who have made contributions to nursing equal or sometimes greater than Nightingale, but unrecognized.
_________ nurses are proud of their own nurse leaders and praise their work.
British
They highly value their historical legacy, there are signs to maintain the status quo in nursing and not change except for urgent or imperative changes mandated by a few top leaders or the government.
British nurses
Maintaining order, normative standards, and preserving the past are valued and important in the _________ nursing culture.
British
True or False
British nurses value controversy and intellectual arguments.
True
_________ nurses have head strong nursing leaders who have served well their profession and country.
Canadian
_______ nurses have become more intensely interested in helping with nursing care practices in West Africa, South America, China, and other places in the world.
Canadian
True or False
Canadian nurse leaders have been struggling with provincial legislation in the efforts to move Master’s and Doctoral nursing programs forward.
True
True or False
Canadian nurses are provided for and maintained by the provincial governments by giving funds for their self-regulating professional growth/
False
Canadian nurses have also struggled with the provincial government to get funds and to maintain their self-regulatory professional growth.
_________ nurses need to provide health care to many transcultural population groups and need leadership and financial resources to support such work.
Canadian
_________ and _______ hospitals are cultures that become known to the public for what they value and believe and how they contribute to society.
Urban and rural hospitals
__________ and ____________ have become large cultural organizations that tend to function like business and corporate industrial bureaucracies.
Urban hospitals and health science centers
True or False
Clients from foreign cultures who have never been in the hospital are often confused and feel uncertain about nurses and their roles because there are many different kinds of nurses and nonprofessional aides.
True
True or False
Foreign patients or clients in America are knowledgeable to paperwork needed and able to navigate the American hospital service.
False
Clients from foreign cultures are confused about entering and leaving the hospital because of all the paperwork.
True or False
Culture shock, cultural problems, and legal suits cannot be anticipated unless hospitals, communities, and other health services are transformed into multicultural and work closely with people with diverse cultures.
False
Culture shock, cultural problems, and legal suits CAN be anticipated unless hospitals, communities, and other health services are transformed into multicultural and work closely with people with diverse cultures.
______________ are afraid to come to the hospital unless absolutely necessary and believe that it is difficult to get well and stay well in a hospital context.
Greek Americans
True or False
African Americans and OId Order Amish have experienced fear of coming to the hospital because of the fear of surgery or taking powerful medications.
False
African Americans and Mexican Americans
True or False
Old Order Amish and Japanese women greatly feared high-tech equipment such as fear of the use of ultrasound and CAT scans.
True
True or False
Arab Muslim women fear being in hospitals if they are cared for by male nurses and physicians, fear being left in the room with males, fear they will not get the right focus to eat and their cultural food taboos will be neglected, which could lead to sickness and death while in the hospital.
True
True or False
Korean clients fear that their “good family blood” will be taken from them and given to non-Korean people
True