L3 Cultural Competence Jan 25 Flashcards
What encompasses the cultural care circle? And definitions
Vulnerability - everyone is vulnerable, but the degree and response are different
Resilience - the way someone deals with challenges
Responsibility - ensure we look at all factors to maintain a healthy pt.
Consequences - failure to meet cultural needs of pt.
What is cultural competence?
Recognition and appropriate response to key cultural factors that affect care
Emic vs Etic
Emic - the beliefs and behaviour that’s meaningful to the actor
Etic - the beliefs and behaviour of the observer ie. Nurse
Health outcomes improve when HCP _____ ______ ____ (3) and definition
Bridge cultural gaps
- the gap between the western medical system and the diverse cultural population it serves
Cultural competency is a multidimensional process (4)
- explore own cultural identity, know your own biases and stereotypes
- understand the complexities of the modern healthcare system
- awareness of the socialization process
- ability to hear unspoken language ie. Body language, eye contact, verbal/non verbal
The journey to cultural competency is like an … And the final destination is
Unpredictable highway
Physical, mental and spiritual, holistic health
Cultural safety definition
Cultural practices that don’t demean a person’s cultural identity
Four principles of cultural safety
1) aims to increase health
2) Improves delivery health services
3) Accepts differences among those who are being treated
4) Understanding how power dynamics affect healthcare
What is culture?
The sum of socially inherited characteristics of a group that’s handed down generations (not physically inherited)
What is cultural conflict?
Occurs when there is a polarization (contrasting set of beliefs) between two groups and the differences are intensified by the way they feel
Where is culture found?
The environment and the mind
Culture care … Professional health care that is (3)
Culturally sensitive
Culturally appropriate
Culturally competent
Culturally sensitive
Aware that cultural differences exist
Culturally appropriate
- provide culturally individualized care
Culturally competent
- within delivered care, HCP attends to the total context of the patient
Six phenomena among cultural groups that affect care
- environmental control - ability to plan activities that control nature ie. Folk medicine and traditional healers
- biological variations ie. Asian glow, First Nations prone to diabetes
- social organization - responses to life events are learned from family ie. Decision making as a family
- communication - most important
- space - personal, territoriality, kinesics, proxemics
- time - present (survive today), past (tradition), future (preventative medication)
4 different space distances
Intimate up to 1 1/2ft - personal space
Personal space 1 1/2-4ft - extension of self
Social 4-12ft - impersonal business transactions
Public >12ft - impersonal
What should we do?
- work within patient belief system
- intertwine traditional and modern (not run parallel to he medical course)
What is the goal of transcultural nursing
To provide care that’s congruent to patient’s beliefs
Cultural congruence
Care that aligns with the patients beliefs
Cultural care encompasses (2) and definitions
Diversity - practicing care in different ways
Universality - finding a common ground
Transcultural care fundamental theory aspects (5)
Care Culture Culture care World view Folk health and well-being systems
Explain the sunrise model
- worldview influences structural and environmental dimensions
- these dimensions include politics, religion, education, economics etc which in then turn, influence health
- dimensions influence language and environment (living conditions, access to food)
- influence health systems –> professional vs folk health
Three modes of nursing action
Preservation or maintenance - ie. No cold food after surgery in Asian culture
Accommodation or negotiation - actions taken to accommodate pt. beliefs ie. Prayer room
Repatterning or restructuring - actions to help modify health behaviours
Explanatory model by
Arthur Kleinmann
Focuses on culturally sensitive ways to ask about a pt health problem
Model that collects data about family roles, heritage, home care practices
Purnell’s model
Germain’s Explanatory model
- same as Arthur’s
