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14 Cards in this Set

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What is culturally responsive care?
Care that is centered on:
-patients cultural perspectives and integrates the pts values and beliefs into the plan of care.
Subcultures
composed of people who have a distinct identity and yet are r/t a larger cultural group.

generally shares ethnic origin or physical characteristics with the larger cultural group.

ex: feminists, nurses.
Acculturation
Involuntary process of when people incorporate traits from another culture.

ex: members of the nondominant cultural group are often forced to adopt the new culture to survive.

changes of one's cultural patterns to those of the host society.
HEALTH Traditions Model
predicated on the concept of holistic health and describes what people do from a traditional perspective to MAINTAIN, PROTECT, RESTORE health. (Physical, Mental, Spiritual)
What are the three views of health beliefs and practices?
1.) Magico-Religious health
2.) Scientific
3.) Holistic
Magico-religious health belief
Health & Illness controlled by supernatural forces.

Client may believe that the illness is the result of "being bad" or opposing the creator's will.

"if its God's will, I will recover"
Scientific or biomedical health belief
Based on the belief that life is controlled by physical and biochemical processes that can be manipulated by humans.

client will believe that illness is caused by germs, viruses, bacteria, breakdown of the body.
Thus will expect a pill, t(x) or surgery to cure health issues.
Holistic Health belief
Forces of nature must be maintained in balance or harmony.
Folk medicine
those belief and practices relating to illness prevention and healing that derive from cultural traditions rather than from modern medicine's scientific base.

ex: teas, chicken soup

thought to be more humanistic than biomedical health care.
Healthy People 2020
One of the major goals:
To eliminate health disparities by race, gender, ethnicity, education, income, disability, geographic location, and sexual orientation.

To achieve these goals: Health Resources Services Administration (HRSA) aims to increase the number of underrepresented racial and ethnic groups entering the nursing profession through grants and scholoarships provided by the Nursing Workforce Diversity and Nurse education practice and retention programs.
What are two major factors contributing to health disparities
1.) Inadequate access to care (even when minorities do receive it, the quality and intensity of health care is often poor.

2.) Substandard quality of care: Quality of care is measured on four levels ( effectiveness, client safety, timeliness, patient-centeredness).
AACN
-Apply knowledge : of social and cultural factors that affect nursing and health care

-Use relevant data sources and best evidence in providing culturally competent care.

-Promote achievement: safe and quality outcomes of care for diverse populations

-Advocate for social justice; including commitment to the health of vulnearable populations and the elimination of health disparities.

-Participate in continuous cultural competency development.
Cultural competence
According to Campinha-Bacote: its a lifelong process in which the nurse continously strives to achieve the ability and availability to work effectively within the cultural context of an individual family or group.
AACN: 5 Constructs of Cultural Competence
1.) Cultural Desire: the motivation to "want to"

2.) Cultural Awareness: self-examination of one's own prejudices and biases towards other cultures.

3.) Cultural Knowledge: obtaining a sound educational foundation concerning the various world views of different cultures

4.) Cultural Encounters: engaging in face to face cultural interactions.