Culture/Dive ➢ Defining Cultural competence
rsity ● Cultural competence means that professional
health care must be culturally sensitive, culturally
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Questions appropriate, and culturally competent to meet the
ch.9 potter multifaceted health care needs of each person,
ch.4 giddens family, and community
● expected component of nursing education and
professional nursing practice. Culturally competent
care means conveying acceptance of the patient’s
health beliefs while sharing information, encouraging
self-efficacy, and strengthening the patient’s coping
resources. The scope and standards of nursing
practice specifically identify cultural competency
related to assessment, outcomes identification,
planning, and implementation.
● self-development process
● has 5 constructs:
○ cultural awareness- self-examination of own
biases
○ cultural knowledge- health professional seeks
and obtains education base about cultures
○ cultural skill- the ability to conduct a cultural
assessment
○ cultural encounter- face-face cultural
interactions (to prevent stereotyping)
○ cultural desire- motivation from a health care
person to “want to” become culturally aware.
➢ Gender roles
● masculine: achievement, material success, and
recognition
● feminine: harmonious relationships, modesty, and
taking care of others (caregiver)
● Men tend to use less verbal communication but are
more likely to initiate communication and address
issues more directly
● Women tend to disclose more personal information
, and use more active listening, answering with
responses that encourage the other person to continue
the conversation.
●
➢ Cultural influence on health
● causal beliefs about health- different explanations for
illness such as imbalance of natural, social, or
spiritual realms in addition to biomedical causes.
● illness expression- social pressure
● symptoms of illness
● taboos- not revealed to health care providers. mental
illness, suicidal thoughts, sti, social
➢ Communication -2 questions
● language barriers- use a translator blue phone
● respect model - 8 questions, respect, explanatory,
sociocultural, power, empathy, concerns and fears,
therapeutic alliance/trust
● Learn model - listen, explain, acknowledge,
recommend, negotiate
● verbal and nonverbal
➢ Culturally Competent Care
● when you provide culturally competent care- you
bridge cultural gaps to provide meaningful and
supportive care for all patients.
● effective communication is critical
➢ Cultural Congruent Care
● or transcultural care emphasizes the need to provide
care based on an individual’s cultural beliefs,
practices, and values
● culturally congruent when it fits a person’s life
patterns, values, and system of meaning. These
patterns and meanings are generated by people
themselves and not from biased, predetermined
criteria.
➢ Health Care Disparities
● as “a particular type of health difference that is
closely linked with social, economic, and/or
environmental disadvantage”
● types of disparities: poor health status, disease risk