Exam 1 Flashcards
Why does diversity in the healthcare workforce matter?
better access to care
more options for patients
better care
better education
fights zip code life expectancy
5 basic conditions of belonging
psychological safety
empathy
acceptance
connection
embraced
Belonging
PEACE
means different things to different people, you must participate in your own belonging, we must create conditions for belonging
What can we do about implicit bias?
1- focus on expansive diagnosis of what is implicit vs explicit bias
2- predictive and preventative action
3- reduce shame around bias
Three characteristics of implicit bias
outside of our conscious beliefs
contrary to our beliefs
rapid/automatic association (attitudes that change perception)
College of Nursing Pillars of Diversity
awareness, respect, integrity, caring, learning, collaboration, cultural humanity
Awareness
mindfullness of different ideas
Integrity
treating patients with same level of equity
Caring
nonjudgemental, embracing, someone else’s reality
respect
accountibility of our thoughts and actions
learning
learning from others
collaboration
ability to engage with people who are different from you
cultural humility
know your biases and assumption
Diversity
embraces broad range of ideas and backgrounds
- historically under represented in nursing
- bridges human difference, social identities, and social group differences such as race, sex, SES, language, culture, relgion, age, military, politics, and preferences
Inclusion
are/feel respected, belong, can participate, can be diverse but not included
Equity
fair/just practice so all can thrive
meets specifcs needs and experiences of all people
implicit bias
attidudes, beliefs, sterotypes that inform and affect our understanding, actions, and decisions
explicit bias
beliefs/attitudes that one endorses at a conscious level
microaggression
subtle but offensive comment or action at a minority that reinforces a sterotype
microassult
racial derogration, verbal or nonverbal, name calling, avoidant behavoir, purposeful discrimatory actions
microinsult
communications that convey rudeness, insensitivity, and demanding sublte snubs. unknown to the perpetrator, hidden insulting meaning to the recipiant of color
microinvalidation
communication that exclude, neglect, or nulify thoughts/feelings/reality of someone belonging to a particular group
where are you from?
conveys that you are not american
you are so articulate
conveys that is is unusual for someone of your race to be so intelligant
colorblindness
denying someone’s experiences
criminality
you are dangerous
denial of individual racism
I am immune to races because I have friends of color
meritocracy
unfair benefits or lazy
pathologizing values and communication
assimulate to common culture
2nd class citizen
POC are less valued than white people
environmental microaggressions
you don’t belong
you won’t succeed
Values in Our Words Matter
use first person language
avoid sterotypes
assign blame to the system
eliminate pejorative terms
critically thinking, be intentional when using social idenities,
facts not interpretations,
use inclusive language,
active voice,
don’t weaponize quotes
health
physical, mental, social wellbeing
holistic
subjective
not the absence of diease, disablity, pain
health disparities
preventible differences in health burdens experienced by socially disadvantaged population
health inequity
avoidable and unjust
health differences
related to biological repsonses
health equity
fair and just oppertunity to attain highest level of health
social determinants of health
conditions of environment affect wide range of health and quality of life.
factors that affect social determinants of health
economic stability
education
access to quality healthcare
neighborhood and built environment
relationships/social community context
Social economic status health dispariteis
pharmacy and food deserts
lower acess
worse housing
worse jobs
can’t afford healthcare
Race health disparities
high morbitity and mortality
lower access
lower quality care
Gender health disparities
Men have less preventitive services and higher research
women have lower reproductive health access (because it is political) and lower research done on them
LGBTQ health disparities
discrimination
lower experience in providing
lower training for healthcare professionals
