Unit II-C Diversity in Nursing

care that fits a person's life patterns, values, and system of meaning

understand how the patient’s religious values will affect their willingness to receive care

is there some type of hierarchy in the family? (matriarchy, patriarchy); make sure to include family

valuing each patient’s unique needs improves the overall safety & quality of care helps to eliminate health disparities

recommendations must involve the patient

Negotiate a treatment plan, considering that it is beneficial to incorporate selected aspects of the patient's culture

how a particular cultural group organizes self around particular units within society (ex. family, religion groups, etc)

what is the highest % of culture in Kern Country being 54.6%?

does patient understand illness: ask questions, help them understand

Explain your perception of the problem

staples with every meal (ex. rice with every meal); can affect diet

Defined as the enabling of health care providers to deliver services that are respectful of & responsive to all

socialization into primary culture as child, what did you grow up with (ex. pre-school)

Important to know cultures diet, common health beliefs, common diseases

what are some sociocultural barriers to health care?

Focus on cultural competency, health literacy, and patient & family-centered care (focus on needs)

process in which the individual adapts to the host’s (ex. 20 years in US, came from different country)

insider perspective

a comparative study of cultures to understand their similarities and differences

Listen to the patient’s perception of the problem; be non-judgemental; use encouraging comments "tell me more"

everybody's experiences are different

Why are minority groups more likely to have poor health & die at an earlier age?

when gathering date that will allow nurse to give culturally congruent care:

knock on door, ask permission of touching things in their room, step away after care, know limits

identify any health risks given the patient's cultural history (ex. patient from Africa risk for HIV)

when an individual or group transitions from one culture & develops traits of another (ex. staring nursing school)

The US is a very diverse mix of cultures

research & policy model for studying the complexities of people's lives & experiences ex. privilege & oppression

what is the highest % of culture in the US being 60.1%?

identify with more than one social group or culture

avoid stereotyping (ex. don't assume all elderly have dementia)

STDs, respiratory illnesses, COPD, diabetes, high BP are prevalent in Kern County

comparative study of cultures to understand their similarities & differences

holding one's own way of life as superior to those around them (bias & prejudice), acting on these is discrimination

sign in for different language, what the health care workers look like

evidence-based practice to help health care providers consider patient's unique cultural perspectives & safe care

outsider perspective

patient & provider need to collaborate on understanding, being mutually agreeable

A system of advantages and disadvantages tied to our membership in social groups ex. not having access to health care

plays a major role in how people live life (ex. birth, death, rights, health & illness priority, dietary needs)

conditions in which people are born, grow, live, work, & age that affect health functioning & quality of life outcomes

Respecting a patient’s health beliefs & understanding the effect of the patient’s beliefs on health care delivery

Cultural background affects ALL dimensions of a person’s health

care that fits a person’s life patterns, values, and system of meaning

don't need it for all conversations; do hand gestures; for legal info use translator

Overall health of US has improved but which groups are more likely to have poor health & death at an earlier age?

what are my biases/prejudices (ex. what do you think about homelessness, elderly)

some people are present oriented & some are future oriented (planning, not totally engaged) ex. appointments, meds

conditions in which people are born, grow, live, work and age, money, power, & resources

type of health difference that is closely linked with social, economic, and/or environmental disadvantage

knowledge of client's country (nutrition, communication, health patterns, language barrier, religious convictions, etc)

culturally congruent care (care that fits a person’s life patterns, values, and system of meaning)

through experiences we develop skills (open-minded, ask questions, communicate, watch others)

norms, values, traditions, ethnicity, race, nationality, language, gender, sex orientation, location, class, immigration

understand not everyone sees care the same way (ex. patient may not want to get out of bed but we think about mobility)

start with acculturation (adjusting) and lead to assimilation (conform) (ex. learning language to fluently speaking)

ex. judging pain level on pain circumstance

enabling of health care providers to deliver services that are respectful & responsive to health beliefs & culture

don't all hold health to highest level

Acknowledge not only the differences between the two perceptions of the problem but also similarities

involve and think about culture being apart of disease

are you using any alternatives that _ suggested & were they helpful (can interfere with western medicine) ex. herbs

use own values/lifestyles as the absolute guide when working with patients & families; interpret others behaviors

survey whether or not patient is satisfied with care culturally

Culture groups share values and ways of thinking and acting that are different from those outside the group.

what is the highest % of culture in California being 39.4%?