L3 Cultural Competence Jan 25

Question 1

What encompasses the cultural care circle? And definitions

Answer 1

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.

Question 2

What is cultural competence?

Answer 2

Recognition and appropriate response to key cultural factors that affect care

Question 3

Emic vs Etic

Answer 3

Emic - the beliefs and behaviour that’s meaningful to the actor
Etic - the beliefs and behaviour of the observer ie. Nurse

Question 4

Health outcomes improve when HCP _____ ______ ____ (3) and definition

Answer 4

Bridge cultural gaps

- the gap between the western medical system and the diverse cultural population it serves

Question 5

Cultural competency is a multidimensional process (4)

Answer 5

• 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

Question 6

The journey to cultural competency is like an … And the final destination is

Answer 6

Unpredictable highway

Physical, mental and spiritual, holistic health

Question 7

Cultural safety definition

Answer 7

Cultural practices that don’t demean a person’s cultural identity

Question 8

Four principles of cultural safety

Answer 8

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

Question 9

What is culture?

Answer 9

The sum of socially inherited characteristics of a group that’s handed down generations (not physically inherited)

Question 10

What is cultural conflict?

Answer 10

Occurs when there is a polarization (contrasting set of beliefs) between two groups and the differences are intensified by the way they feel

Question 11

Where is culture found?

Answer 11

The environment and the mind

Question 12

Culture care … Professional health care that is (3)

Answer 12

Culturally sensitive
Culturally appropriate
Culturally competent

Question 13

Culturally sensitive

Answer 13

Aware that cultural differences exist

Question 14

Culturally appropriate

Answer 14

• provide culturally individualized care

Question 15

Culturally competent

Answer 15

• within delivered care, HCP attends to the total context of the patient

Question 16

Six phenomena among cultural groups that affect care

Answer 16

• 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)

Question 17

4 different space distances

Answer 17

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

Question 18

What should we do?

Answer 18

• work within patient belief system

- intertwine traditional and modern (not run parallel to he medical course)

Question 19

What is the goal of transcultural nursing

Answer 19

To provide care that’s congruent to patient’s beliefs

Question 20

Cultural congruence

Answer 20

Care that aligns with the patients beliefs

Question 21

Cultural care encompasses (2) and definitions

Answer 21

Diversity - practicing care in different ways

Universality - finding a common ground

Question 22

Transcultural care fundamental theory aspects (5)

Answer 22

Care
Culture
Culture care 
World view
Folk health and well-being systems

Question 23

Explain the sunrise model

Answer 23

• 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

Question 24

Three modes of nursing action

Answer 24

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

Question 25

Explanatory model by

Answer 25

Arthur Kleinmann

Focuses on culturally sensitive ways to ask about a pt health problem

Question 26

Model that collects data about family roles, heritage, home care practices

Answer 26

Purnell’s model

Question 27

Germain’s Explanatory model

Answer 27

• same as Arthur’s