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60 Cards in this Set

  • Front
  • Back
Includes knowledge, beliefs, art, morals, laws, customs, and any other capabilities and habits acquired by man as a member of society
Culture
Ongoing process in which the healthcare professional continuously strives to achieve the ability and availability to work effectively within the cultural context of the patient (individual, family, community)
Cultural Competence
The deliberate self examination and indepth exploration of our personal backgrounds, biases, stereotypes, prejudices and assumptions that we hold about individuals who are different from us
Cultural Awareness
strong discomfort after moving to a new country, new geographic area, or into a hospital
Culture shock
(is not race) the sense of identity one has based on common ancestry & national religious tribal, linguistic, or cultural origins
Ethnicity
Classification based on shared biological characteristics, genetic markers, or features
Race
insider or native perspective
emic worldview
outsiders perspective
etic worldview
Socialization into one's primary culture as a child
enculturation
The process of adapting to and adopting a new culture
acculturation
when an individual gradually adopts and incorporates the characteristics of the dominant culture
Biculturalism
occurs when an individual rejects a new culture because experience with a new or different culture is extremely negative
cultural backlash
comparative study of cultures to understand similarities and differences across human groups
transcultural nursing
care that fits the persons valued life patterns and set of meanings
culturally congruent care
ability of a nurse to bridge cultural gaps in caring, work with cultural differences, and enable clients and families to achieve meaningful and supportive caring
culturally competent care
hexes, spells, magic, evil, illness from being bad, may need healer in addition
Magico-religious
germs, bacteria, expect surgery, pill treatment
scientific (biomedical)
balance or harmony in nature to be maintained: medicine wheel, yin & yang, hot-cold theory
Holistic health belief
group of people who originated from the mountainous regions of laos believe that epilepsy or seizure disorder is caused by the wondering of the soul
Hmong refugees
performs the ritual to retrieve the client's soul
shaman
attribute illness to natural, impersonal, and bilogical forces that cause alteration in the equilibrium of the human body. emphasizes heat, cold, massage and surgery
Naturalistic Practitioners
an external agent, which can be human, or non human, causes health and illness. emphasize the importance of human relationship with others, both living, and deceased and with their deities
Personalistic Practitioners
view pregnancy as hot state so they encourage cold foods such as milk and milk products, yogurt, sour foods, and vegetables
Hindus
non western cultures view postparte and the vulnerability of the mother to cold,mothers refuse showers and prefer sponge baths
non western culture
gather significant information from the client that will enable the nurse to implement culturally congruent care
Goal of cultural assessment
spirits are dead ancestors or forces external to the person
Hmong animist
when they refrain from electrical appliances
sabbath
include meat, fish, fresh fruit, vegetables, eggs, milk, and cheese
Halal foods for muslims
comes from animals slaughtered during a prayer ritual
Halal meat
animals with fangs, pork products, gelatin products, and alcohol
Haram, prohibited foods
fasting during the daylight hours for 28 days
Ramadan
retain and/or preserve relevant care values so that clients maintain their well being, recover from illness, or face handicaps and/or death
Cultural Care preservation or maintenance
Adapt or negotiate with others for a beneficial or satisfying health outcome
Cultural Care accommodation or negotiation
Reorder, change, or greatly modify clients lifestyles for a new, different, and beneficial health care pattern,
Cultural Care repatterning or restructuring
defined as an awareness of one's inner self and a sense of connection to a higher being, nature, or to some purpose greater than oneself
Spirituality
1. It is a unifying theme in people's lives

2. It is a state of being
Two characteristics of spirituality
the belief that there is a force outside of and greater than the person
Self Transcendence
provide the foundation for truth
Beliefs and Values
often used when making difficult decisions
Inner strength
foster calm, postive, and peaceful feelings despite life experiences of chaos, fear and uncertainty
Inner peace and harmony
individuals who either do not believe in the existence of God.
Atheist
believe that there is no known ultimate reality
agnostic
supports the transcedent relationship between a person and God or some other higher power
Vertical dimension of spiritual well being
describes positive relationship and connections people have with others
Horizontal dimension of well being
relationship with a divinity, higher power, authority, or spirit that incorporates a reasoning faith (belief) and trusting faith (action)
Faith
is associated with the "state of doing" or a specific system of practices associated with a particular denomination, sect, or form of worship. Refers to the system of organized beliefs and worship that a person practices to outwardly express spirituality
Religion
an attitude of something to live for and look forward to. provides comfort while people endure life threatening situations, hardships, and other personal challenges, is associated with faith
Hope
impaired ability to experience and integrate meaning and purpose in life through connectedness with self, others, art, music, literature, nature, and/or power greater than oneself
Spiritual Distress
B- Belief System
E- Ethics and Values
L- Lifestyle
I- Involvement in a spiritual community
E- Education
F- Future Events
Belief assessment tool
Orthodox Jew: No pork or shellfish
Muslims: No caffeine or alcohol
Older Catholics: No meat on fridays
Buddhists/ Hindus: may be vegetarian
Food Preperation: Kosher Law
Diet/Nutrition
Islam: month of ramadon, no food & avoid beverages during daylight & may eat after sunset
Jewish: fast on Yom Kippur
Devout Catholics: fast on Good Friday
Fasting
Orthodox and Jewish ment keep head covered with Yamakah
Orthodox Jewish women cover hair
Muslim women may cover their hair depending on country of origin: assign same sex nurses as the pt.
Mormons may wear special undergarments
Hindu women wearing sari
Conservative dress for women
Dress
The ability to collect relevant cultural data regarding the client's presenting problem, as well as accurately performing a culturally based physical assessment in a culturally sensitive manner
Cultural Skill
Communication
Orientation
Nutrition
Family Relationship
Health Beliefs
Education
Religion
CONFHER
The act of directly interacting with clients from culturally diverse backgrounds
Cultural Encounters
Risk for spiritual distress, Spiritual distress, Fear, chronic or situational low self estemm, disturbed sleep pattern, ineffecting coping, decisional conflict, Readiness for enhanced spiritual well being
Nursing Diagnoses Related to Spirituality
Help pt with religious obligations, help pt draw on & use inner resources, Help pt with relationship with supreme being, help pt find meaning, promote a sense of hope, Life Review, provide spiritual resources
Planning
Ask regarding needs, don't assume, inform pt & family of resources & chapel/ meditation room available, respect & ensure safety of client's religious articles, ask another nurse or chaplain if you are uncomfortable with a particular religious practice
Interventions
characteristics that show a person's ability to experience and integrate meanin and purpose in life through connectedness with self and others
Readiness for enhanced spiritual well being
reflect a person's actual or potential dispiritedness (expressing lack of hope, meaning or purpose in life; anger towards God; or verbalizing conflicts about personal beliefs.
Spiritual distress and risk for spiritual distress