NSG 360-INTEGRATED NURSING PRACTICE AND DECISION-
MAKING ASSESSMENT
Cultural competence - answers✔✔Having awareness of ones own culture identity and views
about difference, and the ability to learn and build on the varying cultural and community
norms
Ethnocentrism - answers✔✔The belief that ones own cultural values, beliefs, and behaviours
are the best and preferred and most superior
Cultural bias - answers✔✔Belief that values of a certain culture must guide the situation or
decision
Trends that increase the urgency to address culturally sensitive health care - answers✔✔1.
Diversity is more visible and more frequently encountered
2. Widening gaps in health outcomes for various cultural groups
Health Disparities - answers✔✔The lower quality care provided to minority population even
when access related factors are controlled
What is the first step towards cultural competence - answers✔✔Increasing awareness
Race - answers✔✔The physical characteristics such as hair colour, skin colour, body proportions.
It denotes superiority and inferiority
,Cultural racism - answers✔✔Prejudice by those with power against another racial, religious, or
social group, demeaning their culture and at times attempting to change it, substitute it, or
eradicate it
Marginalization - answers✔✔Process through which persons are peripheralized on the basis of
their identities, associations, experiences, and their environments
Marginalized groups in Canada - answers✔✔Immigrants, Refugees, Aboriginal, Homeless
Minority - answers✔✔Being disadvantaged, underprivileged, decimated against, exploited, or
disempowered in governing structures
Ethnicity - answers✔✔Refers to a social group having a common national or cultural tradition
Culture - answers✔✔Any group of people where there are common values and ways of thinking
and acting that differ from those of another group
5 Essential elements of cultural competence - answers✔✔1. Valuing cultural diversity
2. Having the capacity for cultural self-assessment
3. Being conscious of the dynamics when cultures interact
4. Having institutionalized cultural knowledge
5. Developing adaptations in service delivery that reflect an understanding of cultural diversity
The assumption of cultural competence - answers✔✔That competence transforms knowledge
and understanding into effective health care responses and interventions
,Levels of cultural competence - answers✔✔1. Individual
2. Organizational
3. System level
4. Team level
Individual level of cultural competence - answers✔✔Underlying theme that health care
providers need to understand the issues and apply the knowledge in order to enhance their
own practice and help develop the profession
Organizational level of cultural competence - answers✔✔Focuses on systems within the health
care delivery processes and emphasizes the need for organizational change by zeroing in on
organizational structure, governance, policy, and programs.
Goal of organizational level of cultural competence - answers✔✔To increase access and capacity
System level of cultural competence - answers✔✔Beyond health care organization. Focusses on
recruiting minority students to health professionals and examining curriculum content
Team level of cultural competence - answers✔✔Creating an environment that promotes healthy
dialogue on differences by setting up mechanisms in the care process allowing the exchange of
diverse viewpoints and knowledge
Cultural blindness - answers✔✔Don't think diversity matters (blind to it)
Cultural destructiveness - answers✔✔Any action that negates, disparages, or purges cultural
practices different from their own
, Cultural precompetence - answers✔✔The realization of weakness in working with other
cultures
Cultural incapacity - answers✔✔Unintentional cultural destructiveness with a paternal attitude
towards other groups
Cultural proficiency - answers✔✔Cultures are held in high esteem. Constant development of
new approaches and seeking to add to knowledge base
Everyday racism - answers✔✔Reflected in unconscious assumptions and practices that
systematically exclude individuals from particular events
Multiculturalism - answers✔✔A condition in which many cultures coexist in society and
maintain their cultural differences
Phases of multiculturalism - answers✔✔1. cultural preservation
2. Group relations
3. Anti-racisms
4. Integration
Phase 1 of multiculturalism - answers✔✔Cultural preservation - Support for cultural activities
and for language and heritage education
Phase 2 of multiculturalism - answers✔✔Group relations - Recognition that multiculturalism
belonged to everyone, there was an increased call for cultural sensitivity and those in the
mainstream were encourages and understand and respect the diverse cultural groups.
MAKING ASSESSMENT
Cultural competence - answers✔✔Having awareness of ones own culture identity and views
about difference, and the ability to learn and build on the varying cultural and community
norms
Ethnocentrism - answers✔✔The belief that ones own cultural values, beliefs, and behaviours
are the best and preferred and most superior
Cultural bias - answers✔✔Belief that values of a certain culture must guide the situation or
decision
Trends that increase the urgency to address culturally sensitive health care - answers✔✔1.
Diversity is more visible and more frequently encountered
2. Widening gaps in health outcomes for various cultural groups
Health Disparities - answers✔✔The lower quality care provided to minority population even
when access related factors are controlled
What is the first step towards cultural competence - answers✔✔Increasing awareness
Race - answers✔✔The physical characteristics such as hair colour, skin colour, body proportions.
It denotes superiority and inferiority
,Cultural racism - answers✔✔Prejudice by those with power against another racial, religious, or
social group, demeaning their culture and at times attempting to change it, substitute it, or
eradicate it
Marginalization - answers✔✔Process through which persons are peripheralized on the basis of
their identities, associations, experiences, and their environments
Marginalized groups in Canada - answers✔✔Immigrants, Refugees, Aboriginal, Homeless
Minority - answers✔✔Being disadvantaged, underprivileged, decimated against, exploited, or
disempowered in governing structures
Ethnicity - answers✔✔Refers to a social group having a common national or cultural tradition
Culture - answers✔✔Any group of people where there are common values and ways of thinking
and acting that differ from those of another group
5 Essential elements of cultural competence - answers✔✔1. Valuing cultural diversity
2. Having the capacity for cultural self-assessment
3. Being conscious of the dynamics when cultures interact
4. Having institutionalized cultural knowledge
5. Developing adaptations in service delivery that reflect an understanding of cultural diversity
The assumption of cultural competence - answers✔✔That competence transforms knowledge
and understanding into effective health care responses and interventions
,Levels of cultural competence - answers✔✔1. Individual
2. Organizational
3. System level
4. Team level
Individual level of cultural competence - answers✔✔Underlying theme that health care
providers need to understand the issues and apply the knowledge in order to enhance their
own practice and help develop the profession
Organizational level of cultural competence - answers✔✔Focuses on systems within the health
care delivery processes and emphasizes the need for organizational change by zeroing in on
organizational structure, governance, policy, and programs.
Goal of organizational level of cultural competence - answers✔✔To increase access and capacity
System level of cultural competence - answers✔✔Beyond health care organization. Focusses on
recruiting minority students to health professionals and examining curriculum content
Team level of cultural competence - answers✔✔Creating an environment that promotes healthy
dialogue on differences by setting up mechanisms in the care process allowing the exchange of
diverse viewpoints and knowledge
Cultural blindness - answers✔✔Don't think diversity matters (blind to it)
Cultural destructiveness - answers✔✔Any action that negates, disparages, or purges cultural
practices different from their own
, Cultural precompetence - answers✔✔The realization of weakness in working with other
cultures
Cultural incapacity - answers✔✔Unintentional cultural destructiveness with a paternal attitude
towards other groups
Cultural proficiency - answers✔✔Cultures are held in high esteem. Constant development of
new approaches and seeking to add to knowledge base
Everyday racism - answers✔✔Reflected in unconscious assumptions and practices that
systematically exclude individuals from particular events
Multiculturalism - answers✔✔A condition in which many cultures coexist in society and
maintain their cultural differences
Phases of multiculturalism - answers✔✔1. cultural preservation
2. Group relations
3. Anti-racisms
4. Integration
Phase 1 of multiculturalism - answers✔✔Cultural preservation - Support for cultural activities
and for language and heritage education
Phase 2 of multiculturalism - answers✔✔Group relations - Recognition that multiculturalism
belonged to everyone, there was an increased call for cultural sensitivity and those in the
mainstream were encourages and understand and respect the diverse cultural groups.
