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NURS 2522 > Week 6 > Flashcards

Week 6 Flashcards

1
Q

what is the impact of dominant culture (8)

A
  • loss of language
  • disruption of spiritual beliefs
  • loss of traditional values and customs
  • loss of identity
  • systemic racism & homophobia
  • influencing school curricula
  • exclusion from roles in society
  • inequity to access support & care
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2
Q

what does personhood include

A
  • cognitive capacities

- relational capacities

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3
Q

what is included as cognitive capacities (7)

A
  • consciousness/self awafreness
  • morality
  • rationality/reasoning
  • agency
  • capacity to communicate
  • possessing rights/responsibilities
  • achievement of full potential
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4
Q

what is meant by relational capacities

A
  • social relationships
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5
Q

what is resilience

A
  • the maintenance of positive adjustment under challenging life circumstances
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6
Q

what are protective factors r/t resilience

A
  • variables that assist in managing stressors related to risk
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7
Q

what are risk factors r/t resilience

A
  • vulnerability factors

- variables that cause stress or risk

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8
Q

what are examples of risk factors r/t resilience

A
  • domestic violence
  • chronic diseases (CHF, COPD, diabetes)
  • work place harassment
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9
Q

what are examples of protective factors in resilience

A
  • family support
  • community services
  • access to health services
  • medical plan
  • ability to self manage
  • proactive workplace policies
  • support of colleagues
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10
Q

what is the competency clinicians should have r/t cultural safety

A
  • adapts practice in response to the spiritial beliefs and cultural practices of clients
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11
Q

what is the competency professionals should have r/t cultural safety

A
  • takes action to support culturally safe practice enviro
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12
Q

what is the competency educators should have r/t cultural safety

A
  • selects, develops, and uses relevant teachinig & learning theories and strategies to address diverse clients & contexts, including lifespan, family, and cultural considerations
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13
Q

what is the competency scholars should have r/t cultural safety

A
  • engages in self reflection to interact from a place of cultural humility & create culturally safe enviro where clients perceive respect for their unique health care practices & preferences
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14
Q

what are the 4 steps leading to cultural safety

A
  • cultural awareness
  • cultural sensitivity
  • cultural competency
  • cultural safety
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15
Q

what is cultural awareness

A
  • self-examination & in-depth exploration of one’s own beliefs & values as they influence behavior
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16
Q

what is cultural sensitivity

A
  • being able to reflect on the influence of one’s own culture on practice, and to appreciate, respect, and value cultural diversity
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17
Q

what is cultural competency

A
  • an ongoing process rather than an outcome
  • a culturally competent HCP is aware of his or her own cultural identity and views on different cultures & is sensitive to & accepting of clients differing views
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18
Q

what is cultural safety

A
  • an outcome based on respectful engagement that recognizes & strives to address power imbalances inherent in the healthcare syste
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19
Q

what does cultural safety result in

A
  • an enviro free of racism & discrimination

- where people feel safe receiving health care

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20
Q

what is cultural humility

A
  • process of self reflection to understand personal & systemic biases & to develop and maintain respectful processes and relationships based on mutual trust
  • involves humbly acknowledging oneself as a learner when it comes to understanding another’s experiences
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21
Q

cultural safety & humility are both

A
  • ongoing processes

- not outcomes

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22
Q

what are 3 categories of factors that support resilience

A
  • individual factors
  • family-lvl factors
  • community-lvl
23
Q

what are individual factors that support resilience

A
  • strong self efficacy
  • positive attitude
  • history of success
  • social competence
  • sense of purpose
  • strong social connection
24
Q

what are family lvl factors that support resilience

A
  • coherent response to crisis (role modelling)
  • social supports
  • stability
  • effective parenting
  • responsibilities outside the house
25
Q

what are community-lvl factors that support resilience

A
  • control over policies
  • collaboration & cooperation
  • citizen participation in community
  • volunteerism
26
Q

what is leininger’s sunrise model

A
  • recognizes connection of behavior to culture
27
Q

what is the transcultural assessment model

A

a model that allows HCP to get social estimations on pts to allow them to provide culturally diverse care

28
Q

what are the 6 cultural dimensions included in the transcultural assessment model

A
  • communication
  • space
  • social organization
  • time
  • enviro control
  • biological variation
29
Q

describe communication in the transcultural model

A
  • means by which culture is transmitted and preserved

- includes verbal and non-verbal

30
Q

describe space in the transcultural assessment model

A
  • distance between individuals when they interact

- includes 4 zones of interpersonal spcae

31
Q

what are the 4 zones of interpersonal space

A
  • personal
  • intimate
  • social and consultative
  • public
32
Q

describe social organization in the transcultural assessment model

A
  • manner in which a cultural group organizes itself around the family group
33
Q

describe time in the transcultural assessment model

A
  • cultural groups (and individuals) can be past, present, or future orientated
  • this is often an important aspect of interpersonal communication
34
Q

describe enviro control in the transcultural assessment model

A
  • ability of the person to control nature & to plan and direct factors that affect them
  • impact of other factors on one’s enviro
35
Q

describe biological variations in the transcultural assessment model

A
  • generally the genetic variations that exists between groups of people
  • often attributed to race but is not directly connected to or caused by these physical characteristics
36
Q

what are 7 barriers to culturally responsive care

A
  • ethnocentrism
  • bias
  • stereotyping
  • prejudice
  • racism
  • cultural blindness
  • culture shock
37
Q

what is cultural blindness

A
  • a denial of diversity and the inability to recognize the uniqueness of individual clients
38
Q

what is culture shock

A
  • the feeling of helplessness, discomfort, and disorientation experienced by an individual attempting to understand or effectively adapt to another cultural group that differs in practices, values, and beliefs
  • results from the anxiety caused by losing familiar sights, sounds, and behaviors
39
Q

define ethnocentrism

A
  • belief that your culture is superior to others
40
Q

define reconciliation

A
  • establishing & maintaining a mutualy respectful relationship between indigenous and non-indigenous individuals
  • includes awareness of the past, acknowledging harm ,and action to change behavior
41
Q

what is a con to reconciliation

A
  • silences people bc it is seen as in the past
42
Q

what are the calls to action (TRC)

A
  • calls to action made to redress the legacy of residential schools and
    advance the process of Canadian reconciliation
43
Q

what are the TRC r/t to health aimed at

A
  • recognized and implement health care rights
  • close gaps in health outcomes
  • address distinct health needs
  • calls the gvmt to acknowledge that the current state of aboriginal health in canada is a direct result of previous gvmt policies, residential schools
44
Q

what are some examples of TRC r/t health

A
  • medical & nursing schools in canada requied to take a course dealing w aboriginal health issue, indigenous teachings
  • increase the # of aboriginal HCP
  • use of healing practices in treatment for aboriginal pts
  • provide sustainable funding
  • see doc for more
45
Q

what is future time orientation

A
  • an individual’s subjective view of the future & ability to orient oneself toward that future thru thoughts, plans, attitudes, motivations, feelings, and perceptions
  • make choices in the present in hope of favorable outcomes in the future
46
Q

what are the benefits of high FTO

A
  • less risk taking behavior
  • greater well-being& life satisfaction
  • lower addictive behaviors
  • improved academic achievement
  • enhanced goal directed behavior
  • less likely to smoke & abuse other substances
  • consider consequences of behaviors
47
Q

what is pessimism

A
  • present/past time orientation
48
Q

what are the cons of pessimism-

A
  • increased vulnerability for involvement in problem health-related behavior
  • reduced thoughts about the consequences of present behavior
49
Q

what can cause disrupted FTO

A
  • frequent disruptions to stability & control in life

- erratic, unpredictable situations, where security is threatened

50
Q

how does instability of life cause disrupted FTO

A
  • youth adapt & cope by limiting their thoughts of the future
51
Q

define resilience

A
  • psychological, emotional, and societal assets that aid in overcoming challenges
  • maintenance of positive adjustment under challenging life circumstances
52
Q

what are the 4 essential growth needs for young people

A
  • belonging
  • mastery
  • independence
  • generosity
53
Q

what are the 3 secrets of resilient people (ted talk)

A
  • understand that shit happens, terrible things happen to anyone
  • appraise situations to focus on the things they can change & things they cannot
  • tune in to the good
54
Q

what are 3 factors that support resilience

A
  • individual
  • family lvl
  • community lvl

NURS 2522 (9 decks)

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