What are the 5 interlocking components of cultural care?
How can disparities in health care best be described?
Populations with health disparities have a significantly increased incidence of disease or increased morbidity and mortality when compared to the health status of the general population.
Which groups are most affected by health disparities?
Racial and ethnical minority populations
What is the goal of Healthy People 2020?
Increasing life expectancy, quality of life, and eliminating disparities in health status of people from diverse racial, ethnic, and cultural backgrounds.
What is race?
Limited to common biological characteristics shared by a group of people such as skin color.
What is ethnicity?
Shared identity related to social and cultural heritage such as values, language, geographical space and racial characteristics.
How is cultural competency described?
The process of acquiring specific knowledge, skills, and attitudes to ensure delivery of culturally congruent care.
Check yourself at the door
What is an example of cultural awareness?
An in-depth self-examination of one's own background, recognizing biases, prejudice, and assumptions about other people.
What is an example of cultural knowledge?
Obtaining sufficient comparative knowledge of diverse groups, including their indigenous values, health beliefs, care practices, worldview, and bicultural ecology.
What is an example of cultural skills?
Ability to assess social, cultural, and biophysical factors influencing treatment and care of patients.
What is an example of cultural encounters?
Engaging in cross-cultural interactions that provide learning of other cultures and opportunities for effective intercultural communication development.
What is an example of cultural desire?
The motivation and communication to caring that moves and individual to learn from others, accept the role as learner, be open and accepting of cultural differences,and build on cultural similarities.
How is ethnohistory explained?
Significant historical experiences of a particular group.
Ethnohistory is based on experiences that a person has gone through, what is a good example of that?
Someone who is frugal because of their experiences with the Great Depression.
Why would a nurse benefit from including knowledge of ethnohistory into caring for a patient?
By knowing what the patient has been through in their life could give a greater insight as to how they think and what care would be best for that particular patient.
What is the proper procedure when utilizing an interpreter?
Provide language assistance free of charge to all patients with limited English at all points of contact.
Notify patients verbally & written of their rights for an interpreter.
Use the patients family as interpreter only if the patient requests it.
How can nurses intervene to achieve culturally congruent care?
After the nurse knows what the patient believes its putting that knowledge into practice.
What is culturally competent care?
Aquiring specific knowledge, know where to gather the beliefs of that culture.
How does a nurse achieve the skill of thinking critically?
This type of thinking comes from experience, commitment, and active curiosity towards learning. Critical thinking and the nurse are interwoven. Only the RN may access and utilize critical judgement.
In the role of social hierarchy, what is the role of women?
Some cultures consult the women during illnesses and care of women and children.
What is the role of the men in social hierarchy?
They are the financial supporter and major decision makers.
Why is self-reflection utilized?
To clarify concepts by thinking back or recalling situations in order to learn from the experiences.
How do concept maps improve clinical decision making?
When you have a patient with multiple nursing diagnoses or collaborative problems. It is to better synthesis relevant data about a patient including assessment data, nursing diagnoses, health needs, interventions, and evaluations.
What are the components of a critical thinking model for clinical decision making?
Critical thinking competencies
Components of a critical thinker
How do professional standards influence a nurses clinical decisions?
Refers to ethical criteria for nursing judgments, evidence-based criteria used for evaluation, and criteria for professional responsibility. This promotes the highest level of quality nursing care.
Components of the assessment phase of the nursing process
What is the problem-oriented approach of data collection?
Focus on the patients presenting situation and begin with problematic areas such as incisional pain or limited understanding of postoperative recovery.
Patients verbal description of their health problem...only the patient provides.
Observations or measurements of a patients health status.
What are the components of the health history?
Physical and developmental
Explain data validation
Assessment data is the comparison of data with another source to determine data accuracy.
Explain data interpretation
Assessment information critically, you determine the presence of abnormal findings, recognize that further observations are needed to clarify information to begin to identify patients health problems.
How can culture best be described?
Integrated patterns of human behavior that include the language, thoughts, communications, actions, customs, beliefs, values and institutions of racial, ethnic, religious, or social groups.