week 12: culture, beliefs, values, assumptions and biases Flashcards
what is culture?
A patterned behavioural response that develops over time through social and religious customs and intellectual and artistic activities.
- it is shaped by values, beliefs, norms, and practices that are shared by members of the same cultural group.
what is value?
A value is a personal belief about the worth of a given idea, attitude, custom, or object that sets standards that influence behaviour.
what is a belief
A belief is an opinion or conviction in the truth or existence of something without positive knowledge or rigorous proof. it is an interpretation or conclusion that one accepts as true.
how do nurses know what values and beliefs they must uphold/are expected responsible for demonstrating and practicing when they provide nursing care?
From code of conduct, CNO, RNAO, ethics, knowledge
how do nurses reconcile differences between personal and professional values and beliefs?
Assumptions
Assumptions are ideas that are taken for granted or automatically accepted as truth because they are thought to derive from evidence or experience
labels and stereotypes
labels lead to stereotypes and biased care, which result in harm and can result in adverse health outcomes.
biases in healthcare
Implicit biases, by contrast, are attitudes and beliefs about race, ethnicity, age, ability, gender, or other characteristics that operate outside our conscious awareness and can be measured only indirectly
sexual identity, sex and gender, education. socioeconomic status, ableism, age, overweight and obesity, racial bias, geographical location.
CNO
The College of Nurses of Ontario is the governing body for Registered Nurses (RNs), Registered Practical Nurses (RPNs) and Nurse Practitioners (NPs) in Ontario, Canada.
Culturally sensitive care
providing culturally sensitive care is an important component of patient centered-care. nurses must strive to enhance their ability to provide patient-centered care by reflecting on how the patients cultures, values and beliefs impact the nurse-patient relationship.
cultural humility
- the ability to maintain an interpersonal stance that is other-oriented, in relation to aspects of cultural identity that are most important to the person.
- cultural humility requires a lifelong commitment to self-evaluation and self-critique, fixing people and groups who advocate for others.
Shared humanity
everyone is like everyone else
group identity
everyone is like someone else
Individuality
everyone is like no one else
cultural humility involved
- a lifelong motivation to learn from others
- critical self-examination of cultural awareness
- interpersonal respect
- developing mutual partnerships that address power imbalances
- an other-oriented stance open to new cultural information