Health literacy and culture Flashcards
Failure to respond to the health care needs and preferences of culturally and linguistically diverse individuals may:
Increase barriers to equitable access to care
Inhibit effective communication in patient/nurse relationship
Create obstacles in gathering assessment data, limiting the development and implementation of effective treatment plans.
Cultural Competence is guided by four principles
- Care is designed for the specific patient.
- Care is based on the uniqueness of the patient’s culture and includes cultural norms and values. **
- Care includes self-empowerment strategies to facilitate patient decision making in health behavior.
- Care is provided with sensitivity and is based on the cultural uniqueness of the patient.
Cultural Skill?
Nursing ability to effectively integrate cultural awareness and cultural knowledge when conducting a cultural assessment.
Use the findings to meet those needs of culturally diverse patients.
Cultural desire?
The nurses’ intrinsic motivation to want to engage in the four constructs necessary to provide culturally competent care.
Cultural conflict?
A perceived threat that may arise from a misunderstanding of expectations when nurses are unable to respond appropriately to another individual’s cultural practice because of unfamiliarity with the practice.
Guide to Working Effectively with Immigrants in the community?
- first know yourself
- get to know the families and their health behaviors
- learn about the communities that interact with your clinical setting.
- Get to know some of the traditional practices and remedies used by families and communities.
- Learn how a community deals with common illnesses or other health events.
- Imagine the view point of the patient, family and the community.
What are the two phases of the cultural nursing assessment?
two phases.
- data collection
- organization
What factors affect health literacy with
” Numeracy skills”
- Measuring medications
- Calculating blood glucose
- Understanding nutrition labels
What factors affect health literacy with
” Health Knowledge and information”
Limited or inaccurate knowledge regarding information about the body and nature and cause of disease
Lack of knowledge between lifestyle factors (such as diet and exercise) and health outcomes
Why is health literacy important ?** on test
One of the strongest predictors of health status
Stronger predictor of an individual’s health status than income, employment status, education level, and ethnicity
*Note: Education is a poor surrogate for health literacy
Red flags for low literacy?
- Frequently missed appointments
- Incomplete registration forms
- Non-compliance with medication
- Unable to name medications, explain -purpose or dosing
- Identifies pills by looking at them,
- but not reading labelIdentifies pills by looking at them, but not reading label
- Unable to give coherent, sequential history
- Ask fewer questions
- Lack of follow-through on tests or referrals
- Will read it “later”
- Forgot “my glasses”
- Holds material upside down
Who is at risk for health literacy?
Older adults
Lower income levels
Lack of high school diploma or GED
Minority ethnic groups
Non-English speaking immigrants
*HL not equal to years of education
What is the universal approach to health literacy?
Structuring the delivery of care as if everyone may have limited health literacy
You cannot tell by looking
Higher literacy skills ≠ understanding
Anxiety can reduce ability to manage health information
Everyone benefits from clear communications
How do you improve the usability of health information?
Recommended reading level: 5th to 6th grade
Average reading level is 8th grade (USA Today)
Above 8th grade level is difficult for most of population
Use graphics & pictures
Avoid jargon
“Chest pain” vs. “angina”
“Keep bones strong” vs. “prevents osteoporosis”
Follow KISS Principle Keep it short and simple Emphasis desired behavior not medical facts Emphasize 1-3 key points Use 1-2 syllable words
Use bullets vs. paragraphs
Have plenty of white space
Reflect audience’s age, language, cultural norms, literacy skills
Check translation
7 tips for clinicians
Use plain language
Limit information (3-5 key points)
Be specific and concrete, not general
Demonstrate, draw pictures, use models
Repeat/summarize
Teach-Back (confirm understanding)
Be positive, hopeful, empowering
