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Terms in this set (85)
Kleinman explanatory Eliciting the patient's (explanatory) model gives the
Model physician knowledge of the beliefs the patient holds about
his illness, the personal and social meaning he attaches to
his disorder, his expectations about what will happen to him
and what the doctor will do, and his own therapeutic goals
Cultural competence Cultural competence is defined as "a dynamic, fluid,
continuous process whereby an individual, system or health
care agency find meaningful and useful care delivery
strategies based on knowledge of the cultural heritage,
beliefs, attitudes, and behavior of those to whom they
render care"
Cultural Awareness :Self-examination of one's own prejudices and biases toward
other cultures. An in-depth exploration of one's own
cultural/ethnic background.
Cultural humility A lifelong commitment to self-evaluation and
selfcritiques, redressing the power of imbalances in the
patient- physician dynamic, developing mutually.
Beneficial relationships.
Obtaining a sound educational foundation concerning the
various worldviews of differences cultures. Obtaining
Cultural Knowledge
knowledge regarding biological variations, disease and
health conditions and variation in drug metabolism.
,Cultural Skill: Ability to collect culturally relevant data regarding the
client's health history and presenting problem. Ability to
conduct culturally based physician assessments. Conducting
these assessments in a culturally sensitive manner.
Cultural Desire Motivation of the healthcare provider to "want" to engage in
the process of cultural competence, characteristics of
compassion, authenticity, humility, openness, availability, and
flexibility, commi tment and passion to caring, regardless of
conflict.
ethnicity as "the aggregate of cultural practices, social influences,
religious pursuits, and racial characteristics shaping the
distinctive identity of community"
Cultural competence in Care is designed for the specific client.
nursing consists of four Care is based on the uniqueness of the person's culture
principles. and includes cultural norms and values. Care includes self-
employment strategies to facilitate client decision making
to improve health behaviors. Care is provided with
sensitivity and is based on the cultural uniqueness of
clients.
What do you call your problem?
What do you think caused your problem?
The APN may also use the Why do you think it started when it did?
Kleinman Explanatory What does your sickness do to you?
Model of Illness (1978). What do you fear most about your sickness?
Below are the questions What are the chief problems your sickness has caused you?
that can be utilized. What kind of treatment do you think you should receive?
What is the most important result you hope to receive from the
treatment?
, According to Giger and communication (verbal and nonverbal);
Davidhizer (2000), although personal space; social organization; time
perception; environmental control; and
cultures differ, they all have
biological variations.
the same basic organizing
factors that must be
assessed in order to provide
care for culturally diverse
patients.
These factors include
The National Center for
Cultural Competence (NCCC)
provides national leadership
and contributes to the body
of knowledge on cultural and
linguistic competency within
systems and organizations.
Major emphasis is placed on
translating evidence into
policy and practice for
programs and personnel
concerned with health and
mental healthcare delivery,
administration, education,
and advocacy.
The NCCC uses four major Web-based technical assistance, (2) knowledge development and
approaches to fulfill its dissemination, (3) supporting a community of learners, and (4)
mission, including collaboration and partnerships with diverse groups.