culturally responsive nursing care – Flashcards

demographic changes

discuss the meaning of the medical regimen with the client

"please let me know if I do anything that is not acceptable in your culture"

Interprets and validates beliefs of a client with African-American heritage

Centered on the client's cultural perspectives Integrates the client's values and beliefs into the plan of care Develop self-awareness of his or her own culture, attitudes, and beliefs Examine the biases and assumptions he or she holds about different cultures Gain knowledge and skills to create an environment where trust can be developed Nurse must respond to client's needs not vice versa

Culture Subculture Bicultural Diversity Race Ethnicity Nationality Religion Ethnocentrism Prejudice Racism Discrimination Generalizations Stereotyping

Inadequate access to care Substandard quality of care United States Department of Health and Human Services (USDHHS) Houses the Office of Minority Health The Centers for Disease Control and Prevention (CDC) National Center on Minority Health and Health Disparities (NCMHD) Racial and Ethnic Approaches to Community Health Across the United States (REACH U.S.)

Acculturation Assimilation

desire awareness knowledge skills encounters

Magico-religious health belief Health and illness are controlled by supernatural forces May believe that illness a result of "being bad" or opposing God's will Getting well is also dependent on God's will Some cultures believe magic can cause illness

Life is controlled by physical and biomechanical processes manipulated by humans Illness is caused by germs, bacteria, or a breakdown of the body Belief that pills, treatments, or surgery will cure

Forces of nature must be maintained in balance or harmony Human life is one aspect of nature When the natural balance is disturbed then illness results

*Beliefs and practices relating to illness prevention and healing that derive from cultural traditions rather than modern medicine *Thought to be more humanistic than biomedical health care Consultation and treatment takes place in the community *May be less expensive than scientific or biomedical care *Frequently includes ritual practice on the part of the healer or the client *More comfortable and less frightening to the client

Cultural variation 1. Verbal communication 2. Nonverbal communication 3. paraverbal -- how you say what you say

**Vocabulary, grammatical structure, voice qualities, intonation, rhythm, speed, pronunciation, and silence **Initiating communication influenced by cultural values **Interaction between people who speak different languages become difficult ---Translator converts written material from one language to another --- Interpreter transforms the message expressed in a source language into its equivalent

Meaning to the client Meaning in the client's culture Use of Silence Touch Eye movement Facial expressions Body posture

Developing Self-awareness Identify his or her own cultural, beliefs, and assumptions

Spend time with client and convey genuine desire to learn their values and beliefs Address by last names Introduce yourself by full name Be authentic and honest about the culture Use language that is culturally sensitive What does the client think about his or her health problem, illness, and treatment Ask anything you do not understand Show respect for clients values, beliefs, and practices Show respect for the clients support people Obtain client's trust

Depicts the questions to ask Designed to enhance the process Determine identification with traditional cultural heritage **Heritage consistent Acculturated into the dominant culture of the modern society in which they reside **Heritage inconsistent

NANDA focused on care provided in the United States Based on European-centric cultural beliefs Provide adequate care to client's of any culture Consider how culture influences his or her response to health conditions

Steps are involved in the process that leads to the development of cultural competence *Become aware of own cultural heritage *Become aware of the client's heritage and health traditions *Become aware of adaptations the client made to live in another culture Steps are involved in the process that leads to the development of cultural competence *Form a nursing plan with the client that incorporates cultural beliefs regarding the maintenance, protection, and restoration of health

Cultural preservation and maintenance Cultural accommodation and negotiation If client chooses to follow only cultural practices the nurse and the client must adjust the clients goals

Client's cultural perspectives Actual clients outcomes compared with the goals and expected outcomes If not achieved, must carefully consider whether the client's belief system has been adequately included as an influencing factor