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Culture Diversity and Ns Practice
From Lecture Slides
22
Nursing
Undergraduate 1
04/04/2012

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Cards

Term
Diversity is about __________ in age, gender, sexual orientation, race/ethnicity, religion, mental/physical abilities, urban/rural, region, social/political class, migration and generation.
Definition
DIFFERENCES
Term
What are the five Cultural Competencies? What are each supported by?
Definition
1. Cultural Assessment Skills -- s/b ethnocentrism reduction
2. Cultural Negotiation Skills -- s/b disease-illness distinction
3. Interpreter Use Skills -- s/b Communication Theory
4. Family assessment skills -- s/b Social Network theory
5. Community Partnership Skills -- s/b community based participatory research
Term
Define Cultural Competence:
Definition
-- Professional attitudes,
-- practice skills and
-- system savvy for cross cultural situations.
Term
R/T Cultural Competence, what are Practice Skills?
Definition
1. Being able to carry out a culturally competent assessment
2. attending to both biomedical and cultural features of the presenting problems
3. Being able to negotiate satisfactory tx plan w/o imposing your perspectives on the pt.
Term
R/T Cultural Competence, what are System Savvy?
Definition
Ability to take the system into account during tx ESPECIALLY willingness and ability to change it when necessary to accomplish culturally appropriate goals--subvert a system to accomplish patient outcomes.
Term
R/T Cultural Competence, what is the significance of Professional Attitudes?
Definition
Practioner's ability to overcome ethnocentrism in order to understand cultural patterns from the pt's perspective rather than their own (cultural relativism)
Term
What are five rationale for Cultural Competence?
Definition
1. Increasing social diversity
2. Increases pt copmliance and satisfaction
3. It is the law and JCAHO requires it
4. The Healthy People 2010: Eliminate Disparities
5. Changes in ways of doing business
Term
Define CULTURE:
Definition
A learned, shared, symbolically transmitted design for living.
Term
Culture is a system of symbols which act to establish powerful _____ and ______ in humans by:
Definition
1. Formulating conceptions of a general order of existence and
2. Clothing these conceptions in such an aura of factuality that
3. The moods and motivations seem uniquely realistic.
Term
Describe CULTURE vs CULTURES
Definition
Culture is "the total lifeways of a human group. It consists of learned patterns of beliefs, customs, behaviors that are shared by groups of interacting individuals...as set of rules or standards for behavior.

CULTURES -- GROUPS OF PEOPLE WHO SHARE A COMMON CULTURE.
Term
Define SOCIETY:
Definition
The body of people who have a common culture.
Term
define SUBCULTURE:
Definition
A population with a distinctive set of values and beliefs embedded within a common culture.
Term
define CUSTOM:
Definition
Behavioral regularities r/t the continuity of social relationships that contribute meaning to life.
Term
Give some examples of CUSTOMS which are emotionally satisfying because they bring us together:
Definition
Eating together, greeting people (shaking hands not appropriate in Thailand).
Term
define BELIEF:
Definition
A proposition accepted as true, eg the existence of a biophysical reality vs. a spiritual one.
Term
Gives examples of beliefs:
Definition
Ghosts, spirits, gods -- what you believe in is in some sense actually REAL.
Term
define VALUE
Definition
A standard to evaluate beliefs and behaviors, eg work vs play, cleanliness, efficiency.
Term
Give an example of a value;
Definition
someone compulsively on time, someone talking about the importance of their family for their well being.
Term
define ETHNOCENTRISM:
Definition
My culture's way of life is the ONLY CORRECT ONE. Other beliefs and behaviors are WRONG. Creates barriers to understanding and prevents accurate assessment r/t practioner's having ETHNOCENTRISM
Term
What are some ethnocentric reactions?
Definition
Anger, shock, laughter
Term
define CULTURAL RELATIVISM:
Definition
Undesrtanding cultural beliefs and behaviors in their cultural context, increases understanding and enhances assessment.
Term
Try to understand behaviors within their values _____ then w/in their biomedical context ____.
Definition
First
Second.
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