18 terms

Nursing Part 2 Cultural Diversity

cultural competence (5)
1. developing an awareness of one's own existence, sensations, thoughts and environment w/o letting it have undue influence on those from other backgrounds
2. demonstrating knowledge & understanding of the patients culture
3. accepting & respecting cultural differences
4. adapting care to be congruent with the patient's culture
5. Purnell and Paulanka 2008
cultural diversity definition (2)
1. people of varying racial classification & national origin, religious affiliation, language, physical size, gender, sexual orientation, age, disability, socioeconomic status, occupational status, geographic location
2. Campinha-Bacote 2003
cultural: nursing's goal (2)
1. provide culturally competent care to people from diverse backgrounds
2. to become aware & examine our personal biases so we do not provide a different level of care to different patients
culture: definition: (6)
1. shared system of beliefs/values/behavioral expectations
2. provides social structure for daily living
3. defines roles & responsibilities
4. attitudes, beliefs, habits, likes, dislikes, customs, rituals
5. learned
6. differences w/in cultures & among cultures
physical characteristics (3)
1. biological variations (skin color, nose shape) were effective adaption for a certain period or environment
2. certain racial groups develop specific diseases
3. ethnopharmacy = genetics/cultural factors influence medication action, absorption, distribution, elimination
genetics/cultural factors influence medication action, absorption, distribution, elimination
psychological characteristics (3)
1. interpret others behaviors in terms of your familiar culture
2. mental health & illness are culturally influences
3. gender roles differ in family & social dominance in different cultures
language (3)
1. children & wage earners assimilate quicker in a dominant culture b/c they are out of the home more
2. nurses may ask a family member to interpret. consider that the family member may be very protective & and interpret accurately
3. nonverbals must be considered: eye contact, showing teeth when you smile, touch, personal distance
culture of poverty (8)
1. at risk: kids, elderly, single mother families
2. despair, resignation, fatalism
3. live day to day, no hope for the future
4. unemployment, financial/governmental aid
5. unstable chaotic family structure
6. decrease self respect
7. retreat from the community
8. Selig - learned helplessness model
other cultural considerations (5)
1. time orientation
2. sensory stimulation
3. personal hygiene
4. food/nutrition
5. family & community support
traditional healers (2)
1. share cultural beliefs, language, community
2. teas, infusions, poultices, massage, therapeutic touch acupuncture, acupressure, chanting, prayer, song, vapors
culture of healthcare system (7)
1. technology
2. annual exams
3. jargon
4. defer to power
5. scientific model of inquiry
6. prompt, neat, on time, organized, compliant
7. standardized death & birth certificates
culture of a Nurse: typical description (7)
1. according to Andrews/Boyle 2002
2. White
3. Middle class
4. anglosaxon
5. Protestant
6. female
7. defines self as a healthcare professional
culture of Nursing: minority %
2007 census bureau
1. 34% american workers are minorities
2. 10.7% nurses are minorities
3. 10.7% nursing faculty are minorities
avoiding cultural imposition (6)
1. diverse staff
2. respectful care
3. continuing education
4. language assistance services
5. signs/information in languages in community
6. learn about current demographics of a community
ethnocentrism (2)
1. belief that one's own idea, beliefs, practices are the best, are superior or are the most preferred to those of others (Leininger 2002)
2. self awareness of the nurse
Nursing care: transcultural assessment (7)
1. do not stereotype
2. identify & examine biases
3. learn common cultural practices in the community you work
4. accommodate cultural practices in healthcare
5. respect family roles
6. avoid mandating patients to change
7. seek help from patient's family/community
spirituality (2)
1. TJC "acknowledge patient's rights to spiritual care, provide for these needs through pastoral care & a diversity of services that may be offered by ordained, certified or lay individuals"
2. spiritual assessment = rituals, sources of hope/strength, experience of God