Delivering Appropriate Care to Diverse Communities Flashcards

1
Q

What is the problem with understanding culture?

A

There are many definitions of culture

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2
Q

What does the concept of culture, cultural identity, or belonging to a cultural group involve?

A

Active engagement, not something just described

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3
Q

What is it probelmatic to assign cultural categories to?

A

Single characteristics

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4
Q

What is the relationship between identity and culture?

A

Identity is drawn from culture, not simply formed from it

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5
Q

How does the Association of Medical Colleges (AAMC) define culture?

A

As the relationship to group or groups with whom he or she identifies

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6
Q

What may an individuals identity be based on?

A

Heritage, as well as an individuals circumstances and personal choice

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7
Q

What factors may affect someones culture?

A
  • Race
  • Ethnicity
  • Age
  • Language
  • Country of origin
  • Acculturation
  • Sexual orientation
  • Gender
  • Socioeconomic status
  • Religious or spiritual beliefs
  • Physical ability
  • Occupation
  • Others
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8
Q

What behaviours may a persons culture influence?

A
  • Communication styles
  • Diet preferances
  • Health beliefs
  • Family roles
  • Lifestyle
  • Rituals
  • Decision-making processes
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9
Q

What can the behaviours impacted by a persons culture influence?

A
  • How patients and health care professionals perceive health and illness
  • How they interact with one another
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10
Q

Why is the AAMC definition of culture used?

A
  • Patient/individual centred
  • Clinically applicable
  • Through interplay of external and internal meanings, construct a sense of identity and unique cultures
  • Patients define which aspect of their cultural belonging is relevant at any particular point, and it can differ in different contexts
  • Dynamic definition allowing for change
  • Patients and professionals are acknowledged to have culture
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11
Q

When may someones culture and cultural identity change?

A
  • In clinical context
  • At different life stages
  • On clinical presentation
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12
Q

What is the problem with the term diversity?

A

Imprecise and inconsistent use

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13
Q

What may diversity mean?

A

Diversity of ethnicity

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14
Q

What is the problem with the term diversity just referring to diversity of ethnicity?

A

Much broader range of differences relating to individual characteristics beyond ethnicity

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15
Q

Why is diversity important to healthcare?

A
  • Increasing diversity of populations, both patients and workforce
  • Increasing, albeit limited, evidence that taking a patient-centred approach improves outcomes
  • Huge disparities in care accessed
  • Disparities beyond the point of access
  • Differential outcomes
  • Legislative frameworks
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16
Q

Why are there huge disparities in care access, related to diversity?

A

Doctors make decisions on who to give care to, may be subconsciously affected by ideas they have

17
Q

Give an example of where a doctors subconscious ideas may lead to disparities in care accessed

A

May not give black women aggressive treatment, because they don’t think they can take it, or don’t think that they’re worth the resources

18
Q

What is the result of legislative frameworks, with regards to diversity and healthcare?

A

Equal care must be given irrespective of patient factors

19
Q

When do problems arise, regarding diversity and healthcare?

A
  • Lack of knowledge
  • Self protection/denial
  • Fear of the unknown/new
  • Feeling of pressure due to time constraints
20
Q

What does a lack of knowledge lead to in healthcare and diversity?

A

Inability to recognise differences

21
Q

What is the problem with an inability to recognise differences in healthcare?

A

Treating patients the same is not always the same as equal care, as each patient has their own needs

22
Q

What does self-protection/denial lead to when thinking about diversity and healthcare?

A

An attitude that these differences are not significant, or that our common humanity transcends our differences

23
Q

What leads to a fear of the unknown/new when thinking about diversity and healthcare?

A

Because its challenging, and perhaps intimidating, to understand something new that doesn’t fit into world view

24
Q

What is the problem with fear of the unknown/new in healthcare?

A

Decisions shouldn’t be based on perception

25
Q

What can feelings of pressure due to time constraints lead to?

A

Feeling rushed and unable to look in depth at an individual patients needs

26
Q

What may problems relating to diversity and healthcare lead to?

A
  • Patient-provider relationship affected when understanidng of each others expectations are missing
  • Miscommuncation
  • Non-compliance and not understanding patients perspective
  • Rejection of healthcare provider
  • Conflict or isolation within staff groups
27
Q

Why may problems with understanding diversity in healthcare lead to non-compliance?

A

If they don’t believe what you’re saying, they won’t follow the treatment

28
Q

When may conflict or isoaltion within staff groups due to diversity be exacerbated?

A

If staff don’t fit into global perspective

29
Q

How is service presentation influenced by culture?

A
  • The way they think about mental health and mental health problems
  • The way they make sense of certain symptoms and behaviours
  • Their view of potential services, and the services they choose to accept
  • The treatment and management strategies they find acceptable
  • They way in which those who have mental health problems are percieved
  • Issues of access
30
Q

Give an example of how culture may affect how a patient accesses services

A

In mental health issues, some people go to religious leaders in the first instance, which doesn’t help in severe cases

31
Q

What issues of access may people of some cultures experience?

A
  • Experience of service
  • Visibility of services
32
Q

What problems related to culture may young people experience?

A
  • Pressures to conform to practice their families religion, or other practices that do not sit comfortably with them
  • Pressure to conform to expected gender roles
  • Pressure to conform to social norms
  • Pressure to conform to family expectations that differ from what the young person wants
  • Sexual orientation
  • Impending forced marriages
  • Difficulty in reconciling the culture in private and public domains
33
Q

Why may young people have problems with pressures to conform to practice their families religion?

A

As developing, a person develops an own view of self, and gain a wider world view, and therefore other factors start influencing what you believe

34
Q

What does the pressure to conform to the social norms depend on?

A

The social norms of their culture/subculture

35
Q

What actions relating to culture should all clinicians take?

A
  • Providing a sensitive and respectful service, acknowledging cultural need and belief
  • Respecting cultural individuality whilst maintaining patient-centered curiosity
  • Plan care without making assumptions or falling back on stereotypes
36
Q

What is meant by maintaing patient-centered curiosity?

A

Can’t not explore things based on what cultural view is

37
Q

Give an example of where a clinician can’t not explore something based on what the cultural view is

A

Can’t accept something that is wrong because its in their culture, e.g. hitting kids