L3 Cultural Competence Jan 25 Flashcards Preview

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Flashcards in L3 Cultural Competence Jan 25 Deck (27)
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1
Q

What encompasses the cultural care circle? And definitions

A

Vulnerability - everyone is vulnerable, but the degree and response are different
Resilience - the way someone deals with challenges
Responsibility - ensure we look at all factors to maintain a healthy pt.
Consequences - failure to meet cultural needs of pt.

2
Q

What is cultural competence?

A

Recognition and appropriate response to key cultural factors that affect care

3
Q

Emic vs Etic

A

Emic - the beliefs and behaviour that’s meaningful to the actor
Etic - the beliefs and behaviour of the observer ie. Nurse

4
Q

Health outcomes improve when HCP _____ ______ ____ (3) and definition

A

Bridge cultural gaps

- the gap between the western medical system and the diverse cultural population it serves

5
Q

Cultural competency is a multidimensional process (4)

A
  • explore own cultural identity, know your own biases and stereotypes
  • understand the complexities of the modern healthcare system
  • awareness of the socialization process
  • ability to hear unspoken language ie. Body language, eye contact, verbal/non verbal
6
Q

The journey to cultural competency is like an … And the final destination is

A

Unpredictable highway

Physical, mental and spiritual, holistic health

7
Q

Cultural safety definition

A

Cultural practices that don’t demean a person’s cultural identity

8
Q

Four principles of cultural safety

A

1) aims to increase health
2) Improves delivery health services
3) Accepts differences among those who are being treated
4) Understanding how power dynamics affect healthcare

9
Q

What is culture?

A

The sum of socially inherited characteristics of a group that’s handed down generations (not physically inherited)

10
Q

What is cultural conflict?

A

Occurs when there is a polarization (contrasting set of beliefs) between two groups and the differences are intensified by the way they feel

11
Q

Where is culture found?

A

The environment and the mind

12
Q

Culture care … Professional health care that is (3)

A

Culturally sensitive
Culturally appropriate
Culturally competent

13
Q

Culturally sensitive

A

Aware that cultural differences exist

14
Q

Culturally appropriate

A
  • provide culturally individualized care
15
Q

Culturally competent

A
  • within delivered care, HCP attends to the total context of the patient
16
Q

Six phenomena among cultural groups that affect care

A
  • environmental control - ability to plan activities that control nature ie. Folk medicine and traditional healers
  • biological variations ie. Asian glow, First Nations prone to diabetes
  • social organization - responses to life events are learned from family ie. Decision making as a family
  • communication - most important
  • space - personal, territoriality, kinesics, proxemics
  • time - present (survive today), past (tradition), future (preventative medication)
17
Q

4 different space distances

A

Intimate up to 1 1/2ft - personal space
Personal space 1 1/2-4ft - extension of self
Social 4-12ft - impersonal business transactions
Public >12ft - impersonal

18
Q

What should we do?

A
  • work within patient belief system

- intertwine traditional and modern (not run parallel to he medical course)

19
Q

What is the goal of transcultural nursing

A

To provide care that’s congruent to patient’s beliefs

20
Q

Cultural congruence

A

Care that aligns with the patients beliefs

21
Q

Cultural care encompasses (2) and definitions

A

Diversity - practicing care in different ways

Universality - finding a common ground

22
Q

Transcultural care fundamental theory aspects (5)

A
Care
Culture
Culture care 
World view
Folk health and well-being systems
23
Q

Explain the sunrise model

A
  • worldview influences structural and environmental dimensions
  • these dimensions include politics, religion, education, economics etc which in then turn, influence health
  • dimensions influence language and environment (living conditions, access to food)
  • influence health systems –> professional vs folk health
24
Q

Three modes of nursing action

A

Preservation or maintenance - ie. No cold food after surgery in Asian culture
Accommodation or negotiation - actions taken to accommodate pt. beliefs ie. Prayer room
Repatterning or restructuring - actions to help modify health behaviours

25
Q

Explanatory model by

A

Arthur Kleinmann

Focuses on culturally sensitive ways to ask about a pt health problem

26
Q

Model that collects data about family roles, heritage, home care practices

A

Purnell’s model

27
Q

Germain’s Explanatory model

A
  • same as Arthur’s