ATI Nursing Fundamentals eBook Ch 35 Cultural and Spiritual Nursing Care – Flashcards
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What is culture?
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A collection of learned, adaptive, and socially and intergenerationally transmitted behaviors, values, beliefs, and customs that form the context from which a group interprets the human experience.
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Describe Culture
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Culture evolves over time and is shared by members of a group who have similar needs and life experiences.
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The components of culture include?
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●language ●communication style ●traditions ●religions ●art ●music ●dress ●health beliefs and health practices
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Components of culture can be shared by?
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members of an ethnic, racial, social, or religious group.
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What is ethnicity?
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A collection of learned, adaptive, and socially and intergenerationally transmitted behaviors, values, beliefs, and customs that form the context from which a group interprets the human experience.
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Medically speaking, what does culture influence?
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●health beliefs ●health practices; ●manifestations of, responses to, and treatment of illness or injury.
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What does Culturally responsive nursing care involve?
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the delivery of care that transcends cultural boundaries and considers a client's culture
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Define Culturally sensitive
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It means that nurses are knowledgeable about the cultures prevalent in their area of practice.
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Define Culturally appropriate
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It means that nurses apply their knowledge of a client's culture to their care delivery.
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Define Culturally competent
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It means that nurses understand and address the entire cultural context of each client within the realm of the care they deliver.
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What does Culturally responsive nursing care improve?
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●communication ●fosters mutual respect ●promotes sensitive and effective care ●increases adherence with the treatment plan as clients' and families' needs are met.
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What should Culturally responsive nursing care encourage for the client?
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decision‑making by introducing self‑empowerment strategies.
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What is a key prerequisite to the delivery of culturally responsive nursing care?
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Cultural imposition
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What is Cultural imposition?
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the nurses' understanding and awareness of their own culture and any cultural biases that might affect care delivery.
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What does it mean to provide culturally competent care?
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That Nurses should accommodate each client's cultural beliefs and values whenever possible, unless they are in direct conflict with essential health practices.
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Define Ethnocentrism
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the belief that one's culture is superior to others. Ethnocentric ideas interfere with the provision of cultural nursing care.
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What does Spirituality imply?
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connectedness.
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What is Intrapersonal Spirituality?
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Spirituality within one's self
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What is Interpersonal Spirituality
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Spirituality with others and the environment
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What is Transpersonal Spirituality
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Spirituality with an unseen higher power
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What is Faith?
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a belief in something or a relationship with a higher power. Faith can be defined by a culture or a religion.
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Define Hope
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a concept that includes anticipation and optimism and provides comfort during times of crisis.
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What is religion?
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a system of beliefs practiced outwardly to express one's spirituality.
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Name the 4 C's of Culture (by Slavin, Galanti, and Kuo (2012).) (4 questions to ask the patient)
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● What do you call the problem you are having now? ● How do you cope with the problem? ● What are your concerns regarding the problem? ● What do you think caused the problem?
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Name some examples of good probing questions to ask a client?
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● When did the problem start? ● What does the illness do to you? How does it work? ● What makes it better or worse? ● How severe is the illness?
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Name some examples of good probing questions to ask a client?
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● What treatments have you tried? How do you think it should be treated? ● What are the chief problems the illness has caused you? ● What do you fear most about the illness When did the problem start? ● What does the illness do to you? How does it work?
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Name some examples of good probing questions to ask a client?
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● What makes it better or worse? ● How severe is the illness? ● What treatments have you tried? How do you think it should be treated? ● What are the chief problems the illness has caused you? ● What do you fear most about the illness?
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What are some methods for accessing culture?
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●Observation--Study the client and his environment for examples of cultural relevance. ●Interview--Use therapeutic communication techniques, open-ended questions and paraphrasing. ●Participation--Become involved in culturally related activities outside of the health care setting.
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Name some population demographics (review census data).
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●Number of members in a practice area ●Average educational and economic levels ●Typical occupations ●Commonly practiced religious spiritual beliefs ●Prevalence of illnesses/health issues ●Most commonly held health, wellness, illness, and death beliefs ●Social organization
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To show respect for Family patterns and gender roles:
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Communicate with and include the person who has the authority to make decisions in the family.
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Three components spiritual assessment:
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●Primary: self‑reflection (nurses) on personal beliefs and spirituality ●Initial: identifying the client's religion, if any ●Focused: ongoing, as nurses identify the clients at risk for spiritual distress
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PATIENT‑CENTERED CARE in regard to PAIN
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● Recognize that how clients react to, display, and relieve pain varies by culture. ● Use an alternative to the pain scale (0 to 10) because it might not appropriately reflect pain for all cultures. ● Explore religious beliefs that influence the meaning of pain.
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Why use caution with nonverbal communication?
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because it can have a different meaning for the client than for the nurse.
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What is repatterning?
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Changing one's lifestyle for a new and beneficial one
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How to repattern with consideration of clients' cultural beliefs and values?
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● Attempt to repattern that belief to one that is compatible with health promotion, when a cultural value or behavior hinders a client's health and wellness. ● Plan and implement appropriate interventions, with knowledge of cultural differences and respect for the client and family.
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1. A nurse is using an interpreter to communicate with a client. What are three actions the nurse should use when communicating with a client and his family?
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●Asking the family one question at a time will promote effective communication between the family and the nurse/interpreter. ●Using lay terms will promote effective communication between the family and the nurse/interpreter. ●Not interrupting will promote effective communication between the family and the nurse/interpreter.
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2. A nurse is caring for a client who shares the nurse's religious background. What should the nurse anticipate?
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Members of any particular religion should be assessed for individual feelings and ideas.
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3. A nurse is caring for a client who is crying while reading from his devotional book. Name an intervention the nurse should take?
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Provide quiet times for these moments. Do not: ●Contact the hospital's spiritual services. ●Ask him what is making him cry. ●Turn on the television for a distraction.
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4. A nurse is planning care for a client who is a devout Muslim and is 3 days postoperative following a hip arthroplasty. The client is scheduled for two physical therapy sessions today. Give an example of a statement made by the nurse that indicates culturally appropriate care to the client?
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●"I will discuss the daily schedule with the client to make sure the client will have time for prayer." Devout Muslims pray five times per day. Without proper awareness and planning, the client can refuse necessary treatments, such as physical therapy, if adequate prayer times are not planned for and incorporated into the client's day.
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5. A nurse is caring for a client who is a Jehovah's Witness and is scheduled for surgery as a result of a motor vehicle crash. The surgeon tells the client that a blood transfusion is essential. The client tells the nurse that based on his religious values and mandates, he cannot receive a blood transfusion. What is a reasonable response the nurse could make?
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●"Let's discuss the necessity for a blood transfusion with your religious and spiritual leaders and come to a reasonable solution."
