Lecture 8 - Culture Continuity

Question 1

What is culture?

Answer 1

Culture is worldviews, lifestyles, learned and shared beliefs and values, knowledge, symbols, and rules that guide behaviour and create meanings within a group of people.

Question 2

How is culture experienced?

Answer 2

Culture is experienced both individually and collectively.

Question 3

What factors can influence culture?

Answer 3

Race, gender, religion, ethnicity, socio-economic status, sexual orientation, and life experience.

Question 4

What does it mean to be bicultural?

Answer 4

Some individuals are bicultural or have a matrix of cultural worldviews; the same is true for communities.

Question 5

Is culture static or dynamic?

Answer 5

Culture is dynamic; it changes and evolves over time.

Question 6

What is cultural continuity?

Answer 6

Cultural continuity is the intergenerational cultural connectedness preserved through families, communities, and Knowledge Holders who pass traditions on to subsequent generations.

Question 7

Why is cultural continuity important?

Answer 7

Cultural continuity places culture in a position of importance, maintaining a group’s collective memory over time.

Question 8

What is the relationship between cultural continuity and Indigenous health?

Answer 8

Cultural continuity is a determinant of Indigenous health and shapes positive health and wellness outcomes for Indigenous Peoples.

Question 9

What are some barriers to cultural continuity?

Answer 9

Barriers can include youth apathy, community toxicity, addiction, lack of funding for programming, or acculturative pressure from western institutions.

Question 10

What does promoting cultural continuity represent?

Answer 10

Promoting community empowerment and cultural continuity is a shift away from deficit-based models of Indigenous health.

Question 11

What is self-determination?

Answer 11

Self-determination is the act of freely determining one’s political status and pursuing economic, social, and cultural development.

Question 12

What is the obligation of Canada under international treaty law regarding self-determination?

Answer 12

Canada is obligated to respect the First Nations’ right of self-determination.

Question 13

What are the levels of cultural continuity?

Answer 13

1. Cultural Awareness: Awareness of one’s own culture and others. 2. Cultural Sensitivity: Being sensitive and respectful towards different cultures. 3. Cultural Competence: Acquiring skills and knowledge for working with people from other cultures.

Question 14

What is cultural safety?

Answer 14

Cultural safety is a person-centered model of care that situates overall health within the cultural, historical, economic, and political context of the service user.

Question 15

What is the aim of cultural safety?

Answer 15

Cultural safety aims to shift the power imbalance between healthcare providers and Indigenous healthcare recipients by empowering the recipient.

Question 16

What is cultural responsiveness?

Answer 16

Cultural responsiveness is the ability to learn from and relate respectfully to people of our own culture as well as from other cultures.

Question 17

What is the process towards becoming culturally safe from an institutional standpoint?

Answer 17

The process includes cultural awareness, cultural sensitivity, cultural competence, and cultural safety.

Question 18

4 steps to cultural responsiveness

Answer 18

Cultural awareness, cultural sensitivity, cultural competence, cultural safety

Question 19

Cultural Awareness

Answer 19

• Being able and willing to recognize cultural difference
• being aware of ones own culture
• accept cultural difference within population

Question 20

Cultural Sensitivity

Answer 20

consider cultural backgrounds and experience of Ind. people

Question 21

Cultural Competence

Answer 21

• knowledge, skills and attitudes of providers which involve around empower clients
  -adapting healthcare delivery to meet social culture and linguistic needs

Question 22

Cultural Safety

Answer 22

• requires systemic approach of understanding the differentials in health services
• remove barriers to delivery
• client centered service

Question 23

Cultural continuity promotes

Answer 23

cultural responsiveness

Question 24

What is cultural responsiveness?

Answer 24

is the ability and learn from and relate respectfully to people of our own culture as well as from other cultures. It is an awareness of one’s own cultural identity and views, and the ability to learn and on the culturally different norms of others

Question 25

From an institutional standpoint, cultural responsiveness is a

Answer 25

4-step process towards becoming culturally safe

Question 26

cultural responsiveness;

Answer 26

• Addresses institutional discrimination
• Examines personal biases, authority, and privilege
• Establishes trust between caregivers and their patients
  Empowers people because it reinforces the idea that each person’s knowledge and reality is valid and valuable

Question 27

Ways to combat culturally un-safe care:

Answer 27

Two-Eyed Seeing is the gift of multiple perspective treasured by many [Indigenous] peoples and explains that it refers to learning to see from one eye with the strengths of Indigenous knowledges and ways of knowing, and from the other eye with the strengths of Western knowledges

Question 28

What are some other things you can do to help ensure you are providing culturally safe care?

Answer 28

Ensure diversity amongst your team
- Make sure your clients or patients are represented
Seek out opportunities to learn about or expose yourself to other cultures
- Professional development opportunities, community events, etc.
- Ask for feedback when appropriate
- Ensure your patients or clients have ways to express themselves