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34 Cards in this Set

  • Front
  • Back
______% of CNM's provide care for vulnerable populations.
Define vulnerable
99
Poor, uninsured, or immigrant
Illness and health are inextricably linked to
the cultural and social context of an individual's indentity and community.
What is culture
framework made up of values, mores, practices, that guide our behavior
What is cultural competence?
A set of behaviors, attitudes, and policies that enable an individual to function effectively with culturally diverse clients.
What is the challenge with cultural competence?
To identify the strengths that are inherent in diversity, and integrate these aspects into primary care education, counseling, and intervention
As a provider with cultural competence, I need to ask myself
Am I ready to accept and value the cultural differences that make up the populations I serve?
? are more likely to experience reproductive cancers, substance abuse, depression, and suicide?

What percentage?

Are they likely to seek preventive health care?
lesbians

11%

Yes
Failure to acknowledge a woman's cultural system
cultural destructiveness
If cultural insensitivity is observed in a colleague
Confront it in a sensitive manner
Cultural Incapacity
A biased, authoritarian system that lacks the capacity to facilitate growth
Cultural Blindness
The "We are all human" approach is used where there is no difference in how services are provided
Cultural pre-competence
Cultural sensitivity-desire and attempt to deliver services in a respectful way
Cultural Competence
Acceptance of and respect for cultural norms, patterns, beliefs, and differences. Midwife and agency are on the same page of effective communication
Cultural Proficiency
Motivation towards add to the knowledge base of the culturally competent practice, cultural therapeutic approaches, and hiring staff who are specialist in cultural competence
To become a culturally competent healthcare provider I have to have
an accurate knowledge of my own cultural roots, beliefs, and behaviors.
How is culture formed?
Shaped by historical, social, and economic events
Define ethnocentrism
viewing alien cultures with disfavor -inherent superiority with one's own culture
Bigotry
intolerance to those who do not hold the same opinion
Racism
Belief in the superiority of a particular race
Carrying out systematic discrimination through major institutions
Societal Racism
Receiving benefits through institutions by being white unintentionally
Institutional Racism
Institutions Rewarding and penalizing who they see fit -exclusion of black members from positions of control and leadership
Privilege
a right, favor, advantage, immunity given to one group and withheld from another
Internalized oppression
a person of color accepts the definition that the system of white supremacy has created
Stereotype
an attempt to reduce those we don't understand into one easily identifiable being. Can be positive or negative
According to Jane Cioffi, the specific modes of action for culturally congruent care are
preservation (prayer mats)
accommodation (Modifying baths chinese women)
and repatterning (alteration of behavior chinese mothers)
The first interface between midwife and client can affect
it has the potential to influence future use of the health service
Race is
biological
skin color
hair
Ethnicity
group that shares certain cultural characteristics. (Hispanic or Latino)
Greatest reproductive disparities
preterm birth, infant mortality, and maternal mortality
Define disparities
differences in incidence or prevalence of disease
or morbidity or mortality
or in the way a person is treated
cultural relativism
the concept that a person's beliefs and behaviors should be understood in the context of their culture
Acculturation
The process for adopting the practices of another group
Emic perspective
Describing your own culture
Etic perspective
describing another culture