Developing Culturally Sensitive Practice (9/12a) Flashcards Preview

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1

Culture

Shared by a relatively large group of people

Learned, Dynamic

Exists and an unconscious or implicit level

2

Primary characteristics of culture

More fixed

Nationality, age, race, color, etc

3

Secondary characteristics of culture

More fluid

Education, political beliefs, sexual orientation, gender identity, marital status

4

Ritual

Practices, services and procedures

Structured, Shared, Relevant, Familiar, Religious and secular

5

Race

A social construct

Defined by how others see a person, not by how that person identifies

Does not share cultural patterns

There is no genetic isolation

There is more variability within racial groups than there is across various groups

6

Ethnicity

A process of self identification

A heritage through birth

Based on language, religion, and other characteristics

7

Cultural Sensitivity

a dynamic, fluid, continuous process where healthcare delivery strategies are based on knowledge of cultural heritage, beliefs, attitudes, and behaviors

8

Being a culturally competent PT

Considering the full perspective of a patient’s humanity

how they see themselves

appreciating cultural and its influence

incorporating patient’s culture

having cultural knowledge

being willing to adapt to patient’s needs

9

Cultural Continuum

(Least → Most Sensitive)

Cultural destructiveness

Cultural incapacity

Cultural blindness

Cultural pre-competence

Cultural competence

Cultural proficiency

10

Components of Cultural Competence

Cultural awareness
Cultural knowledge
Cultural skill
Cultural encounter
Cultural desire

11

Essential Elements of Cultural Competence

Valuing diversity

Capacity for self-assessment, controlling bias

Raising awareness of dynamics inherent when cultures interact

Using organizational processes to institutionalize cultural knowledge

Striving to develop individual and organizational adaptations to diversity

Effective communication

Being flexible

12

Generalization (culture)

Trend based on data or experience

generally found to be true over time

noticing patterns but you don’t know if it applies to a specific individual yet

not always negative

13

Stereotype (culture)

Not evidence based

dominate all aspects of a person

no attempt to learn whether the individual fits the statement

lacks individual characteristics

Often negative in connotation

14

Dimensions of culture

Individual and Nature

Science and Technology

Materialism

Individualism

Collectivism

15

Cultural patterns

Work ethic/style

Decision process

Time sense

Communication

Relationships

Motivation

View of change

16

High/low context culture - definition

the way in which you relate with the world around you

17

High/low context culture - examples

(Low → High)
German
Scandinavian
American
English
French
Italian
Spanish
Mexican
Greek
Arab
African
Chinese

18

APTA's vision with cultural competency

Eliminate disparities in health status

respond to demographic changes

improve quality of health services and outcomes

meet legislative/regulatory/accreditation standards

19

Health disparities

Among racial/ethnic minorities and new immigrant populations

Attributable to:
- Poverty & other related environmental factors
-Lack of access
-Racial and ethnic disparities in the quality of medical care