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29 Cards in this Set

  • Front
  • Back

Professional nurses must possess ______________,___________ is critical to developing sensitivity to differences while supporting a sense of cultural humility rather than superiority over others.

self-awareness. Self-awareness

Define Cultural humility

It occurs when a healthcare provider recognizes that her personal cultural values are not superior over the cultural values of others, thus preventing the provider from taking an authoritative stance or engaging in abuse of power.

Define Culture

= patterns of behavior and thinking that people living in social groups learn, develop, and share.

Define Diversity

an array of differences among individuals,groups and communities

Define Ethnicity

shared identity related to social and cultural heritage such as languages, geographical space and racial characteristics

Ethnocentricity =

holding your own way of life as superior to others

If a patient wants something unusual that is not standard for the nurse, what should the nurse do?

Everyculture deserves the respect and dignity that they are representing. A nursemay require permission from higher levels in the chain of command but thosesteps should be taken to deflect diversity.

Here are some different types of cultures


  • Those from places outside the United States
  • Each hospital has its own culture
  • Each nursing unit has its own culture
  • Each shift has its own culture
  • Each class has its own culture
  • ICU nurses are a culture, just as ER nurses, ORnurses are as well

If you are struggling to communicate with a person due to cultural and diversity differences what are the nursing implications?


  • Use therapeutic communication skills. Identify translation and interpreter resources in your organization.
  • Common Language


  • Understand that availability of health care for vulnerable populations may be difficult
  • Availability of resources

Recognize cultural and group differences among healthcare providers and seek to advocate for vulnerable populations.


Refer clients in need of additional resources to social services and nonprofit service agencies.

Understand the verbalization of pain and preferred comfort measures may differ across cultural groups and gender roles

Reaction to pain may range from stoicism to hysterics. Nurses must assess and accept a variety of client responses to pain and provide a myriad of interventions that include opioids, nonopioids, adjunct therapy, and complementary and alternative methods for reducing pain and increasing comfort.

How sexuality and diversity correlate with sexual orientation, homophobia, heterosexism

Assist in advocating for LGBT healthcare needs and access.


Recognize same sex partners as family and client support.

What are the 12 standards of culturally competent nursing care

  1. Social justice
  2. Critical reflection
  3. Knowledge of cultures
  4. Culturally competent practice
  5. Cultural competence in healthcare systems and organizations
  6. Client advocacy and empowerment
  7. Multicultural workforce
  8. Education and training in culturally competent care
  9. Cross-cultural leadership
  10. Cross-cultural communication
  11. Policy development
  12. Evidence-based practice and research

Basic characteristics of cultural competencies

Competency 1- Apply knowledge of social and cultural factors that affect nursing and health care across multiple contexts


Competency 2- Use relevant data sources and best evidence inproviding culturually competent care.


Competency 3- Promote achievement of safe and quality outcomes of care for diverse populations.


Competency 4- Advocate for social justice, including commitment to the health of vulnerable pupulations and the elimination of health disparities.


Competency 5- Participate in continuous cultural competence development.

When do you incorporate culture?

into the initial nursing assessment

areas of assessment include


  • use of herbal supplements and alternative therapies, such as acupuncture
  • Cultural practices related to food preparation or practices at specific times of day or during the week
  • Health beliefs and prefrences to for care, such as sehther ornot women prefer to be examined by a female nurse


list of questions for patients who speak languages other than English or who speak a minimal amount of English?


  • What language do you speak? Do you speak any English?
  • How long have you lived hear?
  • Describe the illness or problem that brings you here today.
  • What do you think caused your problem?
  • When did it start?
  • Why do you think it started when it did?
  • What does your sickness do to you?
  • How severe is your sickness?
  • What do you fear about your sickness?
  • What kind of treatment do you think you need?
  • Are there any religious practices we need to know about?
  • Who is your family?
  • Who makes decisions most of the time?
  • Who can you go to for help when you need it?


What are complementary therapies?

refers to any of a divers array of practices, therapies, and supplements that are not considered part of conventional or traditional medicine that are used in addition to conventional treatments.

What are alternative therapies?

is a term used to describe us of these diverse therapies instead of conventional therapies

Hispanic traditions-

use of hot and cold foods,


curandero (spanish or native healer like a witch doctor or shaman)---Hispanic moms believe they should not breath through their mouths because it will make the uterus rise….they also are often vocal during their labor

NativeAmerican traditions



  • herbs
  • sweat lodges
  • healers
  • medicine man

Jehovah’sWitnesses


use no blood products

Complementary andalternative treatments ----



  • acupuncture
  • oils
  • delivering babies in the water

Spirituality

belief in reincarnation(Buddhists)


praying 5 times a day (Muslims)


avoid beef (Hindus),


Kosher meals (Jewish)

Who beileve in reincarnation?

Buddhists



Which religion believe they must pray 5 times a day according to notes?

Muslims

who avoids beef?

Hindus

who eats Kosher meals?

Jewish

Sexual orientation

gay, lesbian, transsexual, bisexual ----- allow their expression and accept them for who they are while they are a patient