Patient centered care: Cultural Competence:

Question 1

HUMAN CARING THEORY

• Seven curative factors
• Level of patient care represents the nurses conscious thoughts and feelings.
• Transformative

Answer 1

Jean Watson

Question 2

TRANSCULTURAL CARING

• Patient’s culture, values and beliefs are included when developing a plan of care.
• All unique values are included
• Culture and Nationality are not synonymous

Answer 2

Madeline Leininger

Question 3

THEORY OF INTERPERSONAL RELATIONS

• Focuses on the effective interaction b/w the pt and the nurse
• Nurse-pt relationship. 2 goals:
  1. Survival of pt
  2. Pt’s understanding of health problems and develop new behavior patterns

Answer 3

Hildegard Peplau

Question 4

SELF-CARE THEORY

• The nurses prescribes & regulates the nursing system based on the patients’ self-care deficit
• 3 inter-related theories:
  1. Theory of self-care
  2. Theory of self-care deficit
  3. Theory of self-care capacities

Answer 4

Dorothea Orem

Question 5

Pattern of learned behavior and values that are reinforced through social interactions of members of a particular group - related to religion, ethnicity, national origin and gender

Answer 5

Culture

Question 6

An in-depth self-examination of one’s own background, recognizing biases, prejudices, and assumptions about other people

Answer 6

Cultural awareness

Question 7

Core elements of patient centered care

Answer 7

• Education
• Involvement of family and friends
• Collaboration
• Sensitivity to spirituality and non-medical issues
• Respect for patient needs/preference
• Accessibility of information

Question 8

How should nurses approach patients of different cultures

Answer 8

• Be knowledgeable about cultural influences

- Awareness of culture/cultural self-assessment

Question 9

Patient Relationship Phases:

Answer 9

Pre-interaction
Orientation phase
Working phase
Termination phase

Question 10

• Obtaining available information about the patient from chart and other health team members
• Initial assessment of patient
• Plan first meeting with patient

Answer 10

Pre-interaction Phase

Question 11

• Establishment of trust and rapport
• Maintaining privacy
• Gathering essential information from the patient or relatives
• Formulate nursing diagnosis

Answer 11

Orientation phase

Question 12

• Active problem solving

- Periods of intense effort and resistance/regression (ego defense mechanism due to stress)

Answer 12

Working phase

Question 13

• Nurse and patient take on those activities that enable them to end the relationship in therapeutic manner
• Positive/negative feelings often accompany the end phase

Answer 13

Termination phase

Question 14

A standardized survey tool to measure the patient’s perception of quality care provided during their experience while a patient is at an acute-care hospital

Answer 14

Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS)