Category 1
What was the theorist Madeline Leininger's goal.
How can nurses achieve this goal.
The goal of her theory is to guide research that will assist nurses to provide culturally congruent care using her three modes of nursing care actions and decisions.
Nurses can achieve this goal by discovering cultural care and caring beliefs, values, and practices.
Analyzing the similarities and differences of these beliefs among the different cultures.
What is the difference between Acculturation and Assimilation? Provide an example of each
Acculturation is a learning process through which immigrants assume the characteristics of that culture. It is a concurrent process of cultural and psychological change.
Assimilation occurs when the new members gradually learn and take on essential values, beliefs, and behaviors of the dominant culture.
Why is it important to acquire knowledge about different cultures related to our patients.
It is impossible to know about every culture, but it is important to learn about those you will encounter most often. Due to different beliefs and values the individual may have.
Ex: diet
How do I communicate with clients who speak a different language?
Interpreters and Translators
These can be in person or online, both must be medically professional.
True or False: Every culture that is the same is part of the same religion
False
NEVER assume always ask during assessment cultural background and what implementations to incorporate in their care.
How do Health Disparities exist among racial and ethnic groups?
They exist amongst the health status, quality of care, and access to care. Especially to one who may be in the lower minority group. Ex: income
What are cultural universals and specifics?
Cultural universals are values, beliefs, and practices that people from all cultures may share. Ex: celebrating the birth of a new baby in some manner.
Cultural specifics are values, beliefs, and practices that are unique to a culture. Ex: People from all cultures practice marriage rites in ritual that are cultural specific.
How are vulnerable populations more likely to develop health problems and experience poorer outcomes?
Due to limited access of care, high-risk behaviors, multiple cumulative stressors, physical disabilities, economic instability, mental illness, and being a part of a minority.
Taking Vitamin C and eating Chicken Noodle Soup when you think you are getting the cold or flu is considered what type of medicine?
Folk medicine
You have a patient that walks into the ED to seek care what is your first step so that you can implement the best cultural care for that patient.
Assess what religion they are and their personal beliefs and values to accommodate the best individualized care.
What does the acronym "BALI" stand for?
Be aware of your own cultural heritage
Appreciate that the client is unique: influenced, but not defined by their culture
Learn about the clients cultural group
Incorporate the clients cultural values and behaviors into the care plan
Why learn about culture?
You will care for clients of various cultures and work on a multicultural healthcare team. Having cultural knowledge can help you to provide culturally competent care.
What are different characteristics of culture?
Culture beliefs provide identity and sense of belonging, it consists of common belief's and practices, it is universal and dynamic, exists at many levels, their values beliefs and practices are passed down, their assumptions and habits can be unconscious, it is diverse.
How can we provide culturally competent care?
Through cultural awareness, sensitivity, and competence.
The charge nurse tries to make a rule that you have to admit Hispanic patients to the end of the hall so that "the noise is not disruptive to other families." What does this exhibit?
Discrimination
How are Ethnicity, Race, Religion different?
Ethnicity refers to groups whos members share a common social and culturally heritage that is passed down from generation to generation. (Ex: Portuguese Americans from Azores)
Race is the grouping of people based on biological similarities, such as, skin color, blood type, or bone structure. However you can not tell race from a persons appearance or skin color.
Religion refers to an ordered system of beliefs regarding the cause, nature, and purpose of the universe, especially the beliefs related to the worship of a God or gods.
What are some barriers to culturally competent care?
Avoid utilizing bias, ethnocentrism, and cultural stereotypes.
What is Folk medicine?
Involves natural medicines and the use of charms, holy worlds, rituals, and holy actions to prevent illness.
People may seek Folk Healers rather than professional healthcare due to shared cultural beliefs and values.
What is Holistic Healthcare?
A form of healing that includes the whole person of body, mind, spirit, and emotions.
How should I respond to a clients cultural health practice using repatterining and restructuring?
You attempt to change your actions or the clients lifestyle while still respecting there cultural values.
How do culture specifics affect health? Provide an example of each
Communication (exchange of information, ideas, and feelings through verbal and nonverbal language), Space (a persons personal space or the boundaries that determine how close one person can to be another), Time Orientation (Individuals can be past, present, or future oriented), Social Organization(includes the family unit and the wider organization with which the individual or family identifies), Environmental Control (refers to a persons perception of there ability to plan activites to control nature or direct environmental factors), Biological Variations (includes way in which people are different genetically and physiologically), and Other Cultural Specifics.
What are some strategies that you can consider to different cultural groups?
Reflect and Know yourself, Keep learning, Accommodate and negotiate, collaborate, and respect.
How should I respond to a clients cultural health practice using negotiation?
You must be able to negotiate with a client when something they are doing can be harmful to them such as folk or traditional practices.
Why is it important to be able to interpret physical assessment on different cultures and race?
To be able to know the normal variations among healthy members such as blood pressure, vitals, skin color, and illnesses.
How can language barriers affect your ability to communicate with clients?
Street talk, slang, and jargon are interpreted differently in different languages and ages.
If you have no immediate options for translation help, nonverbal language and pictures can be used.