Culture in Healthcare Flashcards
Exam 2
Culture
Knowledge, values, practices, customs and beliefs of a group.
Culture:
Properties of culture include:
Dynamic, not static
Shared, not private
Learned, not inherited
T/F: Culture is static, private, and inherited.
False
Rationale: Culture is dynamic, shared, and learned.
Cultural diversity- also known as?
Cultural diversity, also called cultural plurality,
Cultural diversity:
Cultural diversity, also called cultural plurality, means that a variety of cultural patterns coexist within a designated geographic area.
Cultural diversity: Where does it occur?
Cultural diversity occurs not only between countries or continents but also within many countries, including the United States (Spector, 2013).
Cross-cultural Nursing is also known as?
Cross-cultural or transcultural nursing
Cross-cultural Nursing and Cultural Competence- What is it?
Cross-cultural or transcultural nursing—any nursing encounter in which the client and nurse are from different cultures
Cross-cultural Nursing and Cultural Competence:
What is the first imperative of cultural competence?
The first imperative of cultural competence is to be competent in one’s own cultural heritage.
T/F: Advocates for groups that have been sociopolitically marginalized promote “cultural safety,” the ideal of considering cultural aspects of groups while working against assimilationism and repression.
True
Rationale: Advocates for groups that have been sociopolitically marginalized promote “cultural safety,” the ideal of considering cultural aspects of groups while working against assimilationism and repression.
Transcultural Nursing Principles:
What should be developed?
Develop cultural self-awareness.
Transcultural Nursing Principles:
What should be cultivated?
Cultivate cultural sensitivity.
Transcultural Nursing Principles:
What should be assessed?
Assess the client group’s culture.
Transcultural Nursing Principles:
How should you be when learning about other cultures?
Show respect and patience while learning about other cultures.
Transcultural Nursing Principles:
What should be examined?
Examine culturally derived health practices.
Institutional Cultural Competence
For community and public health agencies to be culturally competent, they must:
Have a defined set of values and principles and demonstrate behaviors, attitudes, policies, and structures that enable them to work effectively cross-culturally
Institutional Cultural Competence
For community and public health agencies to be culturally competent, they must:
Have the capacity to:
Value diversity
Conduct self-assessment
Manage the dynamics of difference
Acquire and institutionalize cultural knowledge
Adapt to diversity and the cultural contexts of the communities they serve
Cultural Humility
Cultural humility is an acknowledgment that everyone’s views are culturally influenced, that our own are not inherently better than those of our clients, and that our clients can teach us.
Cultural Humility:
What kind of questions should you ask?
Ask open-ended questions about beliefs and practices of the client and family.
Ask about traditions. What does the client think may have caused an illness, and how has the client already tried to address it?
Cultural Safety
Culturally appropriate health services to disadvantaged groups while stressing dignity and avoiding institutional racism, assimilationism, and repressive practices
Ethnocentrism
Ethnocentrism can be defined as an assumption that everyone shares your cultural values, or an opinion that your culture is superior to others.
Subculture
Group sharing some practices, language, or other characteristics in common, within a larger society that does not share those characteristics
Race and Ethnicity
What can race be thought of as?
Race can be thought of as a subculture
Race is a social construct, not a biologic entity
Race and Ethnicity
Genetic variation within a race?
More genetic variation within a “race” than between races
Race and Ethnicity
Race: What is it?
Race can be seen as biologically designated groups of people whose distinguishing features, such as skin color, are inherited.
Race and Ethnicity
Ethnicity:
Ethnic group: collection of people who have common origins and a shared culture and identity; they may share a common geographic origin, race, language, religion, traditions, values, and food preferences
Aspects of Culture Directly Affecting Health and Health Care
Western medicine seen as “cultured”
Attribution of illness
Diet
Verbal communication
Nonverbal communication
Style of communication
World community
Time orientation
Roles
Religion
Folk medicine
Complementary therapies and self-care practices
Cultural Health Assessment
Role of the Nurse:
Preparation
Assessment
Teaching
Aspects of Culture Directly Affecting Health and Health Care
Nonverbal communication:
Eye contact
Personal space
Aspects of Culture Directly Affecting Health and Health Care
World community:
Biomedical view
Magicoreligious view
Holistic view
Folk medicine and home remedies
Herbalism
Prescription and over-the-counter drugs
Aspects of Culture Directly Affecting Health and Health Care
Complementary therapies and self-care practices include:
Diet therapies
Gastrointestinal treatments
Balance and exercise activities
Sensory exposure
Therapeutic manipulation
Cultural Health Assessment
Role of the Nurse: Preparation
Cultural awareness
Sensitivity
Components of Cultural Assessment
Ethnic/racial background
Language and communication patterns
Cultural values and norms
Biocultural factors
Religious beliefs and practices
Health beliefs and practices
