diversity in health care workforce - week 3 Flashcards

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1
Q

Ensure that patients, no matter what type of services they receive, feel welcome and comfortable in the environment they are served.

A

Should healthcare organizations recruit diverse healthcare professionals? What are the pros and cons of this?

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2
Q

Race, gender, age, physical appearance, nationality, cultural heritage, life experiences, economic status, religion, language, marital status, education level, and sexual orientation. They should reflect the communities they serve.

A

what does a diverse workforce entail

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3
Q

They need to self assess related to the populations they serve. Need to determine their attitudes toward cultural and linguistic competence and understanding of the demographic characteristics of the patients.

A

how does a diverse workforce become culturally competent

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4
Q

Central – thinking about yourself – my culture is the best

Ex: nursing school is the best with harder working students

A

Ethnocentrism *

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5
Q

Belief in the superiority of one’s own culture and lifestyle. Other viewpoints are not only considered different, but less important. Xenophobia- fear or dislike of people different from one’s self.

A

Ethnocentrism (2)

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6
Q

pre-judging someone, positive or negative

Ex: Asians are better at math

A

prejudice

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7
Q

An attitude, preconceived notion or judgment that is not based on sufficient knowledge. Favorable or unfavorable. Unfavorable may lead to stereotyping. Lots of types- including racial prejudice.

  • Glen blames his unemployment on foreign nationals whom he believes are incompetent but willing to work for low wages.
  • Rachel’s parents came from a working-class background but are now wealthy business owners. Rachel might develop a dislike of the working class because she does not want to be identified with working-class people. She believes such an association would damage her claim to upper-class social status.
A

Prejudice (2)

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8
Q

one race is superior to other race – have to state a race

A

racism *

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9
Q

Assumptions held about racial groups. Belief that races are biologically discrete and exclusive groups that are inherently unequal and ranked hierarchically. Institutional racism is a system of advantage based on race- tied to social power.

A

racism (2)

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10
Q

purposeful act that you physically do

Ex: promoting someone and not the other who is a different race

A

discrimination

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11
Q

behavior based on stereotypes and prejudices. If a person has negative beliefs and attitudes about a perceived group, he or she might act on those beliefs and attitudes in situations such as hiring a new employee or selling a person a house in a particular neighborhood. The actions of making hiring or home selling decisions based on prejudice and stereotyping are discriminatory. Although laws cannot influence people’s attitudes and beliefs very much, laws can and do help prevent people acting on those attitudes and beliefs in discriminatory ways.

A

discrimination (2)

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12
Q

Statements about common cultural patterns. May not hold true at individual level and should only serve as openings for individuals to better understand each other. Can lead to stereotyping.

A

generalizations

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13
Q

group statements that are broad

A

generalizations (2)

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14
Q

putting people into a group, positive or negative, leads to prejudice – making a judgment
Ex: all Latino families are huge

A

stereotyping

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15
Q

Making the assumption or a belief that an individual reflects all characteristics associated with being a member of a group. (All Latinos come from large families or gay men are unathletic). Nurse tells the patient that the visitor policy is restricted to only two at a time. Barrier to communication and understanding, and propagates discriminatory behavior.

A

stereotyping (2)

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16
Q

They cause people to exaggerate differences among groups.
They lead people to focus selectively on information that agrees with the stereotype and ignore information that disagrees with it.
They tend to make people see other groups as overly homogenous, even though people can easily see that the groups they belong to are heterogeneous.

A

stereotyping (3)

17
Q

physiological variations:
Certain racial and ethnic groups are more prone to certain disease and conditions. Tach-Sachs disease + eastern European Jewish decent. Importance of a thorough health history that includes family background.

A

cultural nuances number 1

18
Q

reactions to pain:
Expressions and behaviors associated with pain may be varied. Some cultures encourage open expression, other encourage suppression. Most important factor is the nurses’s attitude toward pain. Careful assessment and belief that pain is whatever the patient says it is.

A

cultural nuances number 2

19
Q

Mental health:

Most research is from white upper middle class. Reactions to anxiety or stress vary across cultures.

A

cultural nuances number 3

20
Q

Gender roles:
Who is the dominant figure? Who makes the decisions for the family? Who can give approval? Health decisions/long term planning- very relevant

A

cultural nuances number 4

21
Q

language and communication:
What language is spoken in your house? Even if you speak their language, does not necessarily mean they are literate. Children assimilate more quickly. Wage earners vs stay at home. Dialects. Family translators. NONVERBAL COMMUNICATION: eye contact- desired or aggressive? How are you addressing the person?

A

cultural nuances number 5

22
Q

orientation to space and time
Personal space- areas you should not intrude during conversation. Promptness vs punctuality. Late sign of respect in south asia?? Future orientated vs present orientated. Past orientated* test question Relate back to health care planning and follow ups.

A

cultural nuances number 6

23
Q

food and nutrition:
If you have certain cultural preference, you may not choose to eat and therefore be at risk of malnutrition. If decrease in appetite, look at culture for a possible reason. Teaching must be individualized.

A

cultural nuances number 7

24
Q

family support:

Large vs small, extended vs immediate. Who do they share information with. Who needs to be considered in planning?

A

cultural nuances number 8

25
Q

Money/income guidelines from US Census Bureau according to family size and composition. Should it be based on community standards>Or ability to meet basic human needs and maintain their health?

lowest include AA, NA and Alaskan natives

A

poverty

26
Q

Living conditions – can’t afford house necessities so eat inadequately
Crime rates
Mental health
Sanitation, health habits, and spread of disease
Working within the health care system

A

how does poverty affect healthcare?