Week 2 - Class 2 Flashcards

1
Q

Where do values, beliefs, and attitudes come from? What are they shaped by?

A
  • Friends, family, school, etc.

- Political, economic, social and historical knowledge

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2
Q

What are values?

A

Determinants that guide human actions/things that really matter to you.

  • Have great influence in our thinking and behaviour
  • Values are personal beliefs
  • Values reflect cultural and social influences
  • Values vary among people
  • Values change over time
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3
Q

What are beliefs?

A

Convictions that a person holds as true

  • Explanatory models for how the person understands self, their world, and helps in creating a sense of what is happening to the individual
  • Underpin and guide behaviour and action.
  • Origins in science but can be grounded in observations from others, society
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4
Q

What are attitudes?

A

Judgments comprised of 3 components (ABCs):

  • Affective (emotion)
  • Behavioural
  • Cognitive (thinking)
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5
Q

What are the CNA nursing values?

A

CNA code of ethics addresses nursing values:

  • Fairness
  • Dignity
  • Respect

1) No discrimination on the basis of race, ethnicity, culture political gender marital statusage,
2) Nurses refrain from judging, labelling, demeaning, stigmatizing, humiliating behaviours

3) Nurses make fair decisions about the allocation of resource under their control based on the needs of persons, groups or communities to whom they are providing care
- Advocate for fair treatment and fair distribution of resources for all.

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6
Q

What is culture?

A

“Culture is taught and learned and shared”

  • Rules almost every aspect of our life
  • The things produced by a culture which we perceive with our five senses are simply manifestations of the deeper meaning of culture –what we do, think and feel.
  • Culture is taught and learned and shared – there is no culture of one
  • Culture is symbolic
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7
Q

Explain the cultural iceberg

A

Culture has been aptly compared to an iceberg

  • Just as an iceberg has a visible section above the waterline and a larger, invisible section below the water line, so culture has some aspects that are observable and others that can only be suspected, imagined, or intuited
  • Also like an iceberg, the part of culture that is visible (observable behaviour) is only a small part of a much bigger whole
  • What is visible above the waterline is what someone might know from just looking at you or meeting you once or twice, while that which is below the waterline are parts of our identity that other people don’t know until they get to know us
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8
Q

Why is culture important in nursing?

A

“Nursing requires a complex understanding of culture as a basis for upholding the ethical obligations of nursing, including promoting fairness, recognizing and addressing inequities, and practicing respectfully with all people.”

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9
Q

What are cross cultural beliefs identified around?

A
  • birth practices
  • childrearing practices
  • marriage
  • dealing with death and grief
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10
Q

What approaches to culture are used in health care?

A

Nursing has been a leader in promoting the importance of culture in health care and in developing approaches to addressing culture in health care:

1) Cultural Awareness
2) Cultural Sensitivity
3) Cultural Safety

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11
Q

What is cultural sensitivity?

A

Alters nurses to the legitimacy of difference and begins a process of self-exploration as powerful bearers of their own realities which can have an impact on others

“To care for someone, I must know who I am.
To care for someone, I must know who the other is.
To care for someone, I must be able to bridge the gap
between myself and the other.”

Jean Watson
(Cited by J. Anderson, RN, PhD, 1987)

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12
Q

What is cultural sensitivity?

A

Alters nurses to the legitimacy of difference and begins a process of self-exploration as powerful bearers of their own realities which can have an impact on others
- Cultural sensitivity is the next step: recognizing and being sensitive to the different ways that people do things/taking cultural background and experiences into consideration..
- It’s about acknowledging and respecting differences.
Also means knowing that people may share similar experiences but have different reactions to the experience

“To care for someone, I must know who I am.
To care for someone, I must know who the other is.
To care for someone, I must be able to bridge the gap
between myself and the other.”

Jean Watson
(Cited by J. Anderson, RN, PhD, 1987)

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13
Q

What else should nurses consider in relation to culture?

A

Our senses influence our response to others:

What we see, hear, smell, and taste can impact our response to people and situations, positively or negatively.
People’s biases and judgments can be triggered through the senses:
Clothing, skin colour, language, smells

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14
Q

What are 3 important takeaways in relation to culture and nursing?

A

Stereotyping, misconceptions, prejudice exist in all of us.

We need to gain an awareness of what and where these exist within our personal and professional lives

We need to develop strategies for dealing with them

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15
Q

What are 3 important takeaways in relation to culture and nursing?

A

Stereotyping, misconceptions, prejudice exist in all of us.

We need to gain an awareness of what and where these exist within our personal and professional lives

We need to develop strategies for dealing with them

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16
Q

What does the CNO outline in the Entry to Practice Competency and Cultural Safety?

A
  1. 26 Adapts practice in response to the spiritual beliefs and cultural practices of clients.
  2. 5 Identifies the influence of personal values, beliefs, and positional power on clients and the health care team and acts to reduce bias and influences.
  3. 7 Takes action to support culturally safe practice environments.
  4. 3 Advocates for the use of Indigenous health knowledge and healing practices in collaboration with Indigenous healers and Elders consistent with the Calls to Action of the Truth and Reconciliation Commission of Canada.
  5. 4 Advocates for health equity for all, particularly for vulnerable and/or diverse clients and populations.
  6. 6 Advocates for safe, competent, compassionate and ethical care for clients.