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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
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Culture
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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)
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Cultural Competence
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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
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Cultural Awareness
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strong discomfort after moving to a new country, new geographic area, or into a hospital
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Culture shock
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(is not race) the sense of identity one has based on common ancestry & national religious tribal, linguistic, or cultural origins
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Ethnicity
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Classification based on shared biological characteristics, genetic markers, or features
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Race
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insider or native perspective
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emic worldview
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outsiders perspective
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etic worldview
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Socialization into one's primary culture as a child
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enculturation
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The process of adapting to and adopting a new culture
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acculturation
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when an individual gradually adopts and incorporates the characteristics of the dominant culture
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Biculturalism
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occurs when an individual rejects a new culture because experience with a new or different culture is extremely negative
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cultural backlash
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comparative study of cultures to understand similarities and differences across human groups
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transcultural nursing
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care that fits the persons valued life patterns and set of meanings
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culturally congruent care
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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
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culturally competent care
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hexes, spells, magic, evil, illness from being bad, may need healer in addition
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Magico-religious
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germs, bacteria, expect surgery, pill treatment
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scientific (biomedical)
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balance or harmony in nature to be maintained: medicine wheel, yin & yang, hot-cold theory
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Holistic health belief
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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
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Hmong refugees
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performs the ritual to retrieve the client's soul
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shaman
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attribute illness to natural, impersonal, and bilogical forces that cause alteration in the equilibrium of the human body. emphasizes heat, cold, massage and surgery
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Naturalistic Practitioners
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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
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Personalistic Practitioners
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view pregnancy as hot state so they encourage cold foods such as milk and milk products, yogurt, sour foods, and vegetables
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Hindus
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non western cultures view postparte and the vulnerability of the mother to cold,mothers refuse showers and prefer sponge baths
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non western culture
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gather significant information from the client that will enable the nurse to implement culturally congruent care
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Goal of cultural assessment
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spirits are dead ancestors or forces external to the person
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Hmong animist
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when they refrain from electrical appliances
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sabbath
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include meat, fish, fresh fruit, vegetables, eggs, milk, and cheese
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Halal foods for muslims
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comes from animals slaughtered during a prayer ritual
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Halal meat
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animals with fangs, pork products, gelatin products, and alcohol
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Haram, prohibited foods
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fasting during the daylight hours for 28 days
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Ramadan
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retain and/or preserve relevant care values so that clients maintain their well being, recover from illness, or face handicaps and/or death
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Cultural Care preservation or maintenance
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Adapt or negotiate with others for a beneficial or satisfying health outcome
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Cultural Care accommodation or negotiation
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Reorder, change, or greatly modify clients lifestyles for a new, different, and beneficial health care pattern,
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Cultural Care repatterning or restructuring
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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
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Spirituality
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1. It is a unifying theme in people's lives
2. It is a state of being |
Two characteristics of spirituality
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the belief that there is a force outside of and greater than the person
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Self Transcendence
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provide the foundation for truth
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Beliefs and Values
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often used when making difficult decisions
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Inner strength
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foster calm, postive, and peaceful feelings despite life experiences of chaos, fear and uncertainty
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Inner peace and harmony
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individuals who either do not believe in the existence of God.
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Atheist
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believe that there is no known ultimate reality
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agnostic
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supports the transcedent relationship between a person and God or some other higher power
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Vertical dimension of spiritual well being
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describes positive relationship and connections people have with others
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Horizontal dimension of well being
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relationship with a divinity, higher power, authority, or spirit that incorporates a reasoning faith (belief) and trusting faith (action)
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Faith
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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
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Religion
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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
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Hope
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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
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Spiritual Distress
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B- Belief System
E- Ethics and Values L- Lifestyle I- Involvement in a spiritual community E- Education F- Future Events |
Belief assessment tool
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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
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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
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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
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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
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Cultural Skill
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Communication
Orientation Nutrition Family Relationship Health Beliefs Education Religion |
CONFHER
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The act of directly interacting with clients from culturally diverse backgrounds
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Cultural Encounters
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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
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Nursing Diagnoses Related to Spirituality
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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
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Planning
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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
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Interventions
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characteristics that show a person's ability to experience and integrate meanin and purpose in life through connectedness with self and others
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Readiness for enhanced spiritual well being
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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.
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Spiritual distress and risk for spiritual distress
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