Cultural Diversity and Patient Centered Care – Flashcards

1. provide patient centered care making the patient the center of care 2. work in inter-professional teams communication and collaboration 3. employ evidence based practice research 4. apply quality improvement safety 5. Utilize informatics technology

Independent , non-profit organization which reviews and advises on health and health care related issues Research and evidence-based recommendations to 'decision makers' and the public

-American Association of Colleges of Nursing -Develop quality and safety competencies -Identified key training and information to improve their curricula -Core competencies -Identifies knowledge, skills and attitudes (KSA's) necessary for new nurses to ensure quality and safety in delivery of care -Promotes the importance of Patient Centered Care -Patient as active participant in care

understand that there are many dimensions to patient centered care Knowledge of strategies to empower families Knowledge of pain and suffering Knowledge of how culture and ethnicity affects the patient and his/her values

Provide nursing care with sensitivity to the individual patient The ability to understand patient values and preferences and communicate these to the health care team Assess your own communication skills

Value seeing the situation "through the patient's eyes" Recognize own attitudes about working with patients from different cultural, ethnic, and social backgrounds Recognize own values Respect patient beliefs and practices Value active partnership with patient

began in the late 1950s. Nursing teams are composed of staff members with different skill levels assigned to defined groups of patients depending on skill level of care needed by the patient. RN serves as team leader

began in the 1970s. Primary nursing provides an identified nurse for every patient during the patient's hospital stay, with the aim of consistent, comprehensive care. Primary nurses retain accountability for care outcomes 24 hours a day

began in late 1980s To improve cost-effectiveness of patient care Allows nurse to oversee a patient's care and manage the delivery of services from all health care disciplines throughout a patient's illness Critical path as an interdisciplinary collaboration showing will provide care in a given time frame to achieve outcomes

late 1970s, used recently Patient's right to individualized care through multidisciplinary team of professionals Patient's needs have priority over institution's needs. Nurses must be flexible and respectful and negotiate with patient in the delivery of healthcare.

Holistic care that recognizes an individual's preferences, values and needs, and respects the patient or designee as a full partner in providing compassionate, coordinated, age and culturally appropriate, safe and effective care

1.patients preferences 2.emotional support 3.physical comfort 4.information and education 5.continuity and transition 6.coordination of care 7.access to care 8.family and friends

-Based on a continuous health care relationship -Personalized to patients needs and values -Cultural diversity -Shared power and responsibility with patient/caregiver -Open communication and access of information -Reach out to those who do seek care on their own -Underserved populations -Preventive health care and Health promotion

The nurse as patient advocate supports and tends to patients' needs through advocacy, protecting patients' rights, and ensuring high-quality treatment. ensures patients' best interests are met.

Active in respecting patient and patient rights Non-judgmental Support patient and family education Empowerment through knowledge Patient satisfaction Nurse need knowledge of what patients want and what the think the outcomes should be Patient participation in health care decisions

Listen to the patient Work with the patient Meet patient care needs Focus of the relationship is the patient Patient expects the nurse is competent and has special knowledge and expertise

Patient/family/community accepts shared responsibility for healthcare Health promotion and education Preventive care How do we reach those who do not reach out for health care Health fairs/community events Health screenings

Collaboration of care Continuity of care Evidence based practice Patient/family as active participants in care Care customized to patient needs and values Access to own records Shared planning Goal in care

A pattern of learned behavior and values that are reinforced through social interactions Culture is shared by members of a particular group and transmitted from one generation to another. Culture can exert considerable influence over meanings attached to health and illness. The Transcultural Nursing Society was started in 1988 to address this educational need for nurses.

personality characteristics dependence and independence coping ability resourcefulness (Refers to the use of cognitive skills that minimize the negative effects of thoughts) Resilience (Defined as a successful adaptation despite challenging or threatening circumstances (Humphreys, 2001) Spirituality Defined as belief in a higher power, interconnectedness among living beings, and an awareness of life's purpose and meaning. Religion differs from spirituality Spiritual beliefs may have psychological, medical, and financial benefits that are scientifically proven

Past experiences Stereotyping Communication difficulties Misperceptions about personal space Differing values and role expectations Ethnopharmacologic considerations (People of different ethnic groups respond differently to medications.)

CCN must understand patients' cultural background to be able to Understand their behavior to prevent any conflicts between nursing roles and family/patient goals Have the appropriate plan for patient Facilitate communication Establish an effective nurse-patient relationship

a nurse's knowledge about cultural influences that she/he can use to plan appropriate approaches to a patient's needs Without cultural competence, nursing care can be compromised

Inclination to view one's own cultural group as the standard by which to judge the value of other cultural groups Identify the ways personal beliefs and expectations can influence care, thereby recognizing and eliminating prejudices.