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n231 exam 4
Terms in this set (55)
point of care technology
-benefits of being at the bedside
-clinical decisional support
call and ask to speak to a provider
people who can't just go to the doctor regularly.
able to make something for patient
physician order entry; in the computer
everything in the hospital, safety feature
health care technologies
-the human genome project
joining technology and nursing
-affects how people value, evaluate, and categorize life experiences
-the members of a cultural group share values and ways of thinking and acting
-these values and ways of thinking and acting are different from those of people who are outside the group
-official minority groups
-whites +5.6 yrs compared to African Americans
-infant mortality 2x higher in African Americans than in whites
-marginalized populations; lgbtq population, homeless, and addicts.
barriers to cultural competence
education not knowing
culturally congruent care
-fits the persons valued life patterns and set of meanings
-requires specific knowledge, skills, and attitudes in the delivery of care
culturally competent care
-is the process of acquiring specific knowledge, skills, and attitudes to provide culturally congruent care
in every culture
-health, illness, and caring have meanings that are unique
-groups interpret and define experiences uniquely
-pain and suffering
implications for nursing practice
-set culture care as a priority
-approach patients and families in a culturally sensitive manner
-engage in negotiated partnerships with patients and families.
-know the location of resources. facility responsibilities
-enable the families and social networks of patients to serve as backup support
-a systemic and comprehensive examination of the cultural care values, beliefs, and practices of individuals, families, and communities.
-gathers information that will enable the nurse to provide culturally competent care
nursing assessment questions
-open ended or focused
-bicultural ecology and health risks
-language and communication
-caring beliefs and practices
-my own definition: a state of mental, emotional, or physiological strain or tension resulting from a demanding circumstance whether positive or negative.
-there are two types of stress; eustress and distress
-positive response, although still a stressor
-body can't tell the difference but the reaction depends on persons perception.
mind body connection
-we think our mind is our brain, but the mind it your whole body at large.
-attitudes, beliefs, emotional states and learned responses, environment can trigger reactions that impact every cell in your body
-both positive and negative thoughts affect your immune endocrine, nervous and cardiovascular systems
-fight or flight
-sympathetic nervous system
-physiologic and psychological arousal
sympathetic nervous system
activated by neurological system, hypothalamus sends signals, epinephrin and cortisone
physiologic and psychological arousal
fast breathing, high BP, senses higher, muscles tense up
is innate and life protecting. we are born with it and would be without it
stress response helps until
-helpful for you when stress is acute
-becomes damaging to your body, mind and spirit if it becomes chronic and unresolved
signs that stress levels are too high
-inability to concentrate
warning signs continued
-aches and pains
-loss of sex drive
-development of nervous habits
foot on the break
foot on the gas
foot on both
how do I help myself
-journal for trends
-avoid unnecessary stress
-change what you can
-accept/adapt to the things you cannot change
-make time for things you enjoy and for relaxation
-nurses get it
-so much time caring for other people we forget to care for ourselves
-care giver role strain
the changing demographics and economics of our growing multicultural world, and the long standing disparities in the health status of people from culturally diverse backgrounds has challenged health care providers and organizations to consider cultural diversity as a priority.
that complex and whole which includes knowledge, belief, art, morals, law, custom, any other capabilities and habits acquired by man as a member of society.
values give an individual a sense of direction as well as meaning to life.
the process of cultural competence
a model of cultural competence that defines cultural competence as the process in which the nurse continuously strives to achieve the ability and availability to effectively work within the cultural context of a client context of a client individual, family or community.
-requires nurses to see themselves as becoming culturally competent, rather than being culturally competent. it includes consideration of cultural desire, cultural awareness, cultural knowledge, cultural skill and cultural encounters.
defined as the motivation of the nurse to want to engage in the process of becoming culturally aware, culturally knowledgeable, culturally skillful, and seeking cultural encounters.
-the Pivotal and key construct of cultural competence, for it is the nurses desire that evokes the entire process of cultural competence
-the self examination and in depth exploration of ones own cultural background.
-process involves the recognition of ones biases, prejudices, and assumptions about individuals who are different.
-the process of seeking and obtaining a sound educational foundation about diverse cultural and ethnic groups.
-the ability to collect relevant cultural data regarding the patients presenting problem as well as accurately performing a culturally based, physical assessment.
-systematic appraisal or examination of individuals, groups, and communities as to their cultural beliefs, values and practices to determine explicit needs and intervention practices within the context of the people being served
-the process which encourages the nurse to directly engage in face to face interactions with patients from culturally diverse backgrounds.
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