Week 10-12 - Diversity in Healthcare Pt 2 Flashcards
Nurses role in examining global health challenges
developing solutions and impacting changes
Culturally congruent;
The uses of sensitive creative and meaningful care practices to fit with the general values, beliefs, and life ways of clients
RNAO cultural competence
- inclusivity
- respect
- valuing differences
- Equity
- commitment
What affects the implementation of inclusive practice and inhibit culturally competent care?
Racism, personal bias, lack of education, systemic racism
Elements of culturally sensitive care
Self-reflection Accruing culture knowledge Facilitating client care Communication Working with interpreters Nonverbal communication techniques
Self reflection
- many people say they do not have culture, but this is false each person has personal beliefs and values that affect them as a person
- Help nurse identify cultural bias
- May be hard to notice if client and pt have cultural similiarities
Acquiring knowledge
it is unrealistic to expect nurses to be experts with all cultures. But to have the expectation of accruing knowledge is realistic. Nurses should obtain a broad knowledge of all cultures
Facilitated care
making care all about client’s goals/wishes for care. And respect the clients wishes for care
Cultural care preservation
means taking effort to integrate clients’ preferences into care plan
- Involves accommodating one key aspect of request and negotiating the rest.
Cultural re patterning
the nurse work with client to develop new patterns that extend beyond the client specific ways of doing things and respecting traditional beliefs and values
Cultural bias and Healthcare
Neglect
Misdiagnosis
Inability to obtain genuine informed consent
Inadequate health teaching
Dissatisfaction with care
Lack of trust inability to form therapeutic relationship reduced creditability of nurse
Poor access to health care services and treatment.
Low context
The assumption is that the listener knows very little and must be told practically everything.
The message is in spoken word and information is repeated often of emphasis.
The responsibility of communication lies with speaker .
High context
The listener is contextualized (all relevant circumstances) and has the background to understand the concerns and key messages
Less explicit obvious does not need to be stated responsibility is on the listener
EX: everyday conversations between partners who have history.
Monochromic
linear view emphasizes, and appointments promptness is valued
Polychromic
Circular view more apt to several things at once. Values improvement of other over timetables and appointments may come late or reschedule often.
