Module 5 cultural responsiveness Flashcards
CLAS standards
advance health equity
help eliminate disparities
improve quality of services
cultural competence
acknowledgement/incorporation and understanding of cultural variability
cultural awareness
self-examination and reflection of biases/isms
cultural knowlegde
understanding health beliefs
constructivism
getting people involved in their own learning through active learning, versus just teaching.
societal factors
race socioeconomic status education language literacy culture
health literacy
the capacity of a person to find, discuss, and comprehend health information
+
the ability to use that knowledge to make informed decisions
Healthy people 2020 goal on improving health communication
increase the proportion of people who report that their health care providers always explain things so they can understand them.
health literacy components
oral communication
reading comprehension
numeracy
technology
oral communication
understand the role of the family members
plain speech
teach-back method
reading comprehension
suggested reading level for health information is 5th grade
numeracy
capacity to comprehend quantitative data in all forms and use it to make health decisions.
- telling time
- when to take medications
- self-administer insulin
- medication doses
technology
patient must know how to use technology devices if getting virtual education.
- can be helpful for those with low health literacy d/t the number of platforms available
- audio, video, voiceover, read-only, DVD
REALM-SF
7 item instrument to determine health literacy
- only looks at medical word recognition not comprehension or numeracy
Ask me 3
Encourages patients and/or family members to ask health care providers 3 primary questions to enhance pt-provider communication
1. What is my main problem?
2. what do i need to do?
3. Why is it important for me to do this?
CON: do not gauge the health literacy of patient
Newest vital sign
distributed by Pfizer
- Ice cream label test
Patient and family asked to look at a nutritional label and answer 6 questions that relate to:
- numeracy and general knowledge
patient centered environment
always ask and not assume
- culture, racial, ethnic, or gender context
seek a culturally relevant understanding of health form the patient and other sources
Minimize clinician bias
Bias can be an unconscious influence on a providers plan of care
- need to recognize and address bias
overcome patient barriers: language
Use only approved professional interpreters
immigrants unique challenges
poverty lack of insurance low educational attainment substandard housing language barriers medical conditions specific to place of origin
Common asian healing practices
acupuncture
moxibustion
coin rubbing
cupping
traditional chinese
yin and yang
- hot and cold, body and mind
Uses herbs, acupuncture, and food to restore and maintain balance
Barriers to access
insurance
language
communication
complexity of health care system
Kleinmans 8 questions
- What do you call your problem?
- What do you think causes it?
- why did it start when it did?
- What does your sickness do to your body?
- How severe is it? will it get better soon?
- What do you fear most about your sickness?
- What are the chief problems your sickness has caused for you?
- What kind of treatment do you think you should receive?
ETHNIC framework
E: explanation. How do you explain your illness?
T: treatment. What treatment have you tried?
H: healers. Have you sought any advice from healers?
N: negotiate. Mutually agreeable options
I: intervention
C: collaboration
