Mod 4 Flashcards
American Values (6)
1) personal control of environment
2) Individualism
3) independence
4) privacy
5) competition
6) free enterprise
Culture is ______(5)
learned
integrated
shared
tacit
dynamic
What does it mean to be culturally competent?
understand the cultures of communities you serve
How to overcome ethnocentrism
Recognize and challenge negativity.
Cultural Refusal
cultural destructiveness
project superiority (attitude, policy, practices destructive to other groups)
“if you want to work at my store, speak english”
Cultural Resistence
cultural incapacity
Lack of resources to meet needs of other cultures.
Use dominant population as standard for care.
Neutrality
Cultural blindness
treating all the same
disregarding norms
CulturalAdjustment
cultural pre-competence
aware of strengths/weakenesses
Cultural Incoporation
cultural competence/proficiency
seek/incorporate advice to understand culture as much as possible
Cultural safety
power differentials, decision making
How do you manage health problems in diverse populations? (4)
1) health promotion
2) deliver/finance health service
3) develop professionals from minority groups
4) promote research on minority health issues
Community focused strategies
community partners, participation, spaces, network
breast cancer screening education to native hawaiian women through local church
Culturally focused strategies
inclusion of target groups values, spirituality, activities
smudge ceremonies led by spiritual leaders prior to and following health clinic events
Language focused strategies
intervention in native language, simple words
using translators
SES vulnerability
below poverty level
unemployed
income
no diploma
household/disability vulnerability
65+
17 or younger
disability
single parent
Minority status/;language vulnerability
minority
speaks english less than well
housing/transportation vulnerability
multi-unit
mobile home
crowding
no vehicle
group quarters
culture-bond syndromes
going against one’s culture (or striving for perfection within the culture)
vulnerable population
lack of resources increase risk factors and reduces ability to avoid illness
Societal resourse avaliability
personal income, jobs, education, housing, health insurance, social status, social connection
environmental resource availability
health care access and quality
health status
increased exposure to risk factors = higher morbidity and mortality
Who is vulnerable?
those treated poorly by dominant culture also having the limited access to resources that create disparity
Six principles of solution based nursing
1) The person,is your focus when providing care.
2) Strengths
3) Resilience
4) Move beyond an individual focus to examine unjust societal and cultural forces, and actively work toward to alter these.
5) help clients adapt/grow.
6) proactive, approach is needed.
Rural population vulnerability
long travel to hospital
higher smoking, poverty rates
less physical activity
less likely to have health insurance/wear seatbelts
Unintentional injury is __% higher in urban counties
50%
How to help rural populations?
home health/telehealth services
encourage completion of HS
travel clinics/prevention services
hope and direction on healthy behaviors
Immigrants and migrant worker risks
lower mortality rates
-higher rate of chemical/physical/biohazards
-language/cultural barriers
- UTI
-animal bites
-mental health issues
How to help immigrant/migrate workers
advocate for safer work environment
diversify health office
ensure privacy rights
AREA RESOURCES
Homeless vulnerability
2-4x higher death rate ~ 51y/o
VETERANS at risk
Factors - poverty, affordable health care, low wages, domestic violence, mental illness, addictions, natural disasters
How to locate homesless
period prevalence (number of individuals who did not have housing at any point over the past six months)
OVER
point-in-time counts (people homeless in any one given time)
Helping homeless
housing IS HEALTHCARE
provide mental health/addiction service
reach out
EARLY CHILDHOOD DEVELOPMENT
Inmate vulnerability
risk for mental illness, poverty, cruelty and neglect
How to help inmates
rehabilitate vs incarcerate
advocate for services
treat with respect
Income inequity vulnerability
poverty/isolation (homeless person/SANE victim) or (refugees/migrant workers)
nurses reach populations to promote health and help social mobility
