exam 1 Flashcards
an integrated pattern of learned beliefs and behaviors that can be shared amongst groups, including thoughts, styles of communicating, ways of interacting, views on roles and relationships, values, practices, and customs
culture
It guides what is acceptable in a group
It is learned by each new generation vis formal and informal life experiences
We primarily transmit it through language
It influences the way a group of people views themselves and behaves in certain situations
We ALL are individuals and variations exist!
Culture (2)
includes the ability to negotiate across cultural divides that may occur during our interactions with patients whose cultural background may be different than our own
competence
“A set of congruent behaviors, attitudes, and policies that comes together in a system, agency, or among professionals that enables effective work in cross-cultural situations.”
political correctness
Involves ensuring that the needs of diverse patients/clients/customers are met by health service and public health organizations based on the acquisition of specific skill sets, valuing diversity, and taking concrete steps to ensure efficacy in serving minority populations.
competence and political correctness
the makeup of the workforce of a given healthcare organization.
This includes ethnic and racial backgrounds, age, physical and cognitive abilities, family status, sexual orientation, socioeconomic status, religious and spiritual values, geographic location, and all the dimensions and differences between people.
Diversity
biological variation including phenotypical differences in stature, skin color, hair color, facial shape, and other inherited characteristics that may or may not be mutually exclusive in each individual.
Government Identified races include: African American, Native America/Alaskan native, Asian American/Pacific Islander, white Anthropolist based recognizes: Caucasian, Negroid, Mongolian
Race
A group of individual’s conception of cultural identity which includes a wide variety of learned behaviors that a human being uses in his or her natural and social environment to survive, which may result in cultural demarcation between and within societies.
Governmental forms will ask you: Hispanic or latino? Non-Hispanic or latino?
Ethnicity
Patients need to feel comfortable using services at all levels of care (political correctness). If they believe there is a lack of understanding, they may not express their medical concerns or fears. May not follow through with directions or education. Leads to non compliance. Can lead to malpractice- liable for providing inadequate services due to lack of sufficient information. Cultural information gives important information of patient history.
cultural competence - giving adequate, equal care
- no idea they are not respectful
- think their culture is better than others, but maybe work towards accommodating others
- Unconscious competence
levels of cultural competence that exist
Political correctness - basic
cultural competency - nuances of behavior & spirituality
Linguistic competency - including translation/interpretation
respect for multiculturism - view of other worldviews outside of your own
slide 8 on competence in health care
OMH office of minority health: in 2001 published 14 national standards for cultural and linguistically appropriate services (CLAS)
ANA American nurses ass: had input on the CLAS standards as they pertain to nursing care
AAN American academy of nursing: Developed their own set of 12 recommendations for cultural competence
HHS health and human resource: Regularly puts out information regarding culture, language and health literacy.
As a nurse, where do you go for information regarding cultural competence?
biological variation including phenotypical differences in stature, skin color, hair color, facial shape, and other inherited characteristics that may or may not be mutually exclusive in each individual.
race (2)
antrophologys recognize 3-4 major races in the world
- Caucasian races (Aryans, Hamites, Semites)
- Mongolian races (northern Mongolian, Chinese and Indo-Chinese, Japanese and Korean, Tibetan, Malayan, Polynesian, Maori, Micronesian, Eskimo, American Indian),
- Negroid races (African, Hottentots, Melanesians/Papua, “Negrito”, Australian Aborigine, Dravidians, Sinhalese)
subgroups anthropologists recognize
Came out of the need to enforce civil rights laws. They needed the data to monitor equal access in housing, education, employment, and other areas for populations that historically have experienced discriminations and differential treatment.
Civil rights act – can’t deny someone for their race
office of management and budget (OMB)
