RATED A+
✔✔cultural Incompetence (insensitivity) - ✔✔•Culture-specific illness
•Breakdown of communication
•Non-compliance
•Stress
•Hopelessness
•Fearful patient
✔✔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.
•Enable the families and social networks of patients to serve as backup support.
✔✔Para-language variations - ✔✔•Voice volume
•Tone
•Intonations
•Willingness to share thoughts and feelings
✔✔•Non-verbal communications - ✔✔•Eye contact
•Facial expressions
•Rough, spatial distancing
•Acceptable greetings
✔✔Reduce personal prejudice - ✔✔•Promote respect
•Never make assumptions about other individuals or their beliefs. Ask questions about
cultural practices in a professional and thoughtful manner, if necessary.
•Find out what the patient knows about health problems and treatments. Show respect
for the patient's support group, whether it is composed of family, friends, religious
leaders, etc.
•Understand where men and women fit in the patient's society. In some cultures, the
oldest male is the decision-maker for the rest of the family, even with regards to
treatment decisions.
✔✔Family roles and organization - ✔✔Family and gender roles influence the plan of
care
Childbearing practices
Developmental tasks of children and adolescents
Roles of the aged and extended family
Views toward alternate lifestyles
✔✔•Views toward alternate lifestyles - ✔✔•Single parenting
•Sexual orientation
•Childless marriages
, •Divorce
✔✔Workforce issues - ✔✔•Affects autonomy
•Acculturation
•Assimilation
•Gender roles
•Communication styles
•Individualism
•Healthcare practices from country of origin
✔✔High risk behaviors - ✔✔•Tobacco
•Alcohol
•Recreational drugs
•Sedentary life style
•Non-use of safety measures (seat-belts, car-seats, helmets)
•High risk sexual practices
✔✔Nutrition - ✔✔•Meaning of food
•Access to food
•Quality food choices
•Ritualistic food observations
•Taboos
•How food is used
(During illness, For health promotion and wellness )
✔✔Pregnancy and childbearing practices - ✔✔•Fertility practices
•Methods of birth control
•Perception of the pregnancy
•Prescriptive
•Restrictive
•Taboo practices
•Pregnancy
•Birthing
postpartem
✔✔Death rituals - ✔✔•How do the individual and the culture view death?
•Rituals to prepare the body
•Services for burial or cremation
•Bereavement behaviors
✔✔Health Care Disparities - ✔✔•Differences in incidence of health care problems
among minority racial/ethnic groups when compared with white majority
•Contributing factors - socioeconomic status, individual discrimination, access to care,
language barriers.