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