Culture in Family Nursing

Question 1

Culture in Canada?

Answer 1

Racial/ethnic/linguistic/religious diversity of Canada is constantly changing. Canada has many different cultures, with the number of foreign born population rising.

Question 2

Disparities in healthcare?

Answer 2

Disparities are associated with higher morality among minorities and indigenous clients face higher risks of racism. Racism against Indigenous people in healthcare is pervasive (people anticipate before visiting, sometime they avoid care).

Question 3

What is culture?

Answer 3

Specific individual’s beliefs, values, norms, life ways that can be shared/learned/transmitted. It influences people’s decisions, thinking, and behaviours. It provides security/belonging.

Question 4

What does culture determine?

Answer 4

Meanings of illness/death, what role fam members play, how decision are made, how bad news are communicated, how grief/emotions are demonstrated, and what rituals are important.

Question 5

Cultural competence meaning? as an individual and organization

Answer 5

To provide services that demonstrate respect for diversity, cultural, ethnic,cultural spiritual, emotional, and age specific differences (organization). Respect/understand/accommodate the needs of our patients (as individuals)

Question 6

CNA beliefs on cultural competence?

Answer 6

Culture is intertwined with socioeconomic/political issues, social justice is central in nursing, nurses are advocates, and we need to identity root causes of unjust outcomes/oppression/powerlessness.

Question 7

Nursing responsibilities for cultural competence?

Answer 7

Be respectful/mindful/values peoples culture, consider how culture may impact an individuals experience of healthcare, and incorporate cultural competence.

Question 8

What does embracing culture mean?

Answer 8

Members of cultural group may accept/reject/modify traditional norms, need to account for change of families in a community, and cultural knowledge is improving in programs/community care.

Question 9

Culture competency CNA definition?

Answer 9

Ability of nurses to self reflect on their cultural values and how these impact the way they provide care. Nurses assess/respect values/beliefs of people from other culture and respond appropriately when planning care.

Question 10

Cultural diversity?

Answer 10

Variation of cultural factors between people

Question 11

Cultural awareness?

Answer 11

Recognize differences and similarities exists between cultures, and become aware/sensitive to your own biases

Question 12

Cultural humility?

Answer 12

Life long journey of self evaluation, reflection, and learning to deepen understanding of how our life experiences influence how we understand/interact with others

Question 13

Cultural safety?

Answer 13

About client feeling comfortable/safe with healthcare. Address power differences in healthcare and affirms/respects/fosters cultural expression of clients. Nurses recognize/respect/nurture cultural identities of patients/families.

Question 14

CPR racism?

Answer 14

A guide that helps equip healthcare workers to address INDG specific/racism in healthcare.

Question 15

Steps of CPR racism?

Answer 15

CPR (call out, plan/practice, review chart)
Racism (review treatment, allyship, check with client, intervene, speak up, model caring)

Question 16

C- call out?

Answer 16

Say how can I help? This allows nurse to engage with care being provided and become part of team. Target the behaviour not the provider.

Question 17

P- Plan/practice

Answer 17

Plan and practice your intervention strategy in advance. Provide timely intervention when witnessing racism. Anytime you feel uncertain in your practice you can review guidelines, consult colleagues, and find a mentor.

Question 18

R- review chart

Answer 18

Review the chart and assess client. By doing your assessment you can contribute to an effective treatment plan

Question 19

Racism R- review treatment plan

Answer 19

Review plan respectfully/neutrally and request rationale from colleague for current treatment approach. This encourages HCP to reflect on their thoughts/practices and explore underlying beliefs

Question 20

A- allyship?

Answer 20

Be an ally (build relationships based on trust, consistency, and accountability with marginalized people). Be an advocate and continue to educate yourself about become anti-racist

Question 21

Racism C- check with client?

Answer 21

Are you ok, I believe you, I am here if you need something. Goal is to become safe person and establish a therapeutic relationship

Question 22

I- intervene?

Answer 22

Be an active bystander/intervene. Seek assistance form colleague or instructor when power differential constrains actions.

Question 23

S- speak up?

Answer 23

Speak up to nursing manager/instructor regarding your concerns

Question 24

M- model caring

Answer 24

Caring should be safe, ethical, trauma informed, and compassionate in all interactions.

Question 25

ABCs and DEF

Answer 25

A- airway: is airway patent
B- breathing: RR, pattern, depth
C- circulation: appearance of client- cyanosis, pallor, diaphoresis, flushing
D- distress: any fears/worries, do you have grief or loss, physical/emotional pain
E- emotional support: who/what does patient need right now, barriers to supports
F- family: family stressors/resources, is there stress among the family

Question 26

Effects of culture on family health can be explored by examining?

Answer 26

Family values, family roles, power, family coping, and communication patterns

Question 27

Stereotypes?

Answer 27

Everyone from a particular culture is viewed as same/perceived of as fixed in their characteristics

Question 28

What is trauma and sources?

Answer 28

Single/repeated experiences that overwhelms one’s ability to cope. Sources- experience of abuse/assault, death/injury to self or others, sudden job loss, relationship loss, and humiliating circumstances.

Question 29

Trauma informed care?

Answer 29

Providing care in a manner that’s welcoming/appropriate to needs of those affected by trauma.

Question 30

Principles of trauma informed care?

Answer 30

1. Trauma awareness
2. Strength based and skill building
3. Emphasize safety and trustworthiness
4. Create opportunity for choice, collaboration, and connection