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22 Cards in this Set

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What is culture
knowledge, belief, art, morals, law, custom, and any other capablities, and habits aquired by man as a member of society; passed down from generation to generation
It is learned, shared and ever changing
what culture is not
it isn't predictable necesarilly logic and is not a set of traits
It can not be assumed or one cannot make an assumption
Culturally Sensitive Nursing Care
assessment cues
religion
native language
strong food prefrences
characteristc body adornments
communicatiln style
*All nurses must respect religion, hopitals are trying to accomadate for food prefrences* STILL VALUE OWN CULTURE
Madeleine Leininger: Three Concepts Involved in Providing Care
1. Folk Systems: culturally based acts
2. Professional Systems: actions based on formal preperation (rituals)
3. Nursing: Cultural care; preservation, accommodation, repatterning- allow them to use as much culture as they can without harming themselves
Religous Beliefs and Practices
Christian science: ulikely to use medical means to prolong life.

Jehovah Witnesses: donation of body parts (after death) is unacceptable

Seven Day Adventists: avoidance of drugs until they are absolutly necessary
Islam Death Related rituals
same sex family member prepared body for burial
muslims turn body towards mecca
organ donation prohibited
all body parts must be given appropriate burial
autopsy prohibited
African American Muslims
prohibited from: alcoholic beverages, pork, cornbread, collards
Communication: African American
touching ones hair is offensive
indirect eye contact while listening
direct eye contact during speaking
distinction between arguing and fighting
use of expression ""you people" is pejorative and racist
Communication: European Americans
Making eye contact
getting to hte point quickly
Relative distance between speakers
Public behavior
Southern Europe: hand holding, hugging, kissing, warmth
Communication: Hispanic
hissing to get attention
touching during conversations
avoidng eye contact
lengthly greetings
children hugging
Latio- American Health
Curando: folk healer (supernatural rituals)
No time schedule
Treatments: Massage, hot/cold theory, diet, rest, practical
Chinese Culture
patience and respectful of old
patience should always be demonstarted
speak slowly and quietly
grandmother= block of family
Asian Health Practices
Yin and Yang:
balance of energy
ill is a disturbance
foods, medicnes, herbs are classifed according to hot/cold properties
Filipino Culture
strong sense of destiny
reluctant to complain about pain
Native Americans
generally reserved
do not engage in small talk
comfortable w. silence
share foods and drinks
formal heirarchy
concept of time is casual
serious problem w. alcoholism and substance abuse
do not volunteer information...usually just yes or no
Native American Heath
rituals are important
shaman: dr, leader of ceremonly
crystale gazing (diagnosis)
sing and perform-healing ceremonies
medicines come from plants or roots
Patients ask for cermones w. shaman half hour before, in private
US Indian Health Service
working with healer
confer w. physician about hospitilzation (persistant)
patients leavig hospital for healing cermony
ethnocentrism
making of ones own view the focal point for decisions
stereotyping
fixed idea of person or goup
prejudice
pre-conceived idea that can be negative before facts known
subcultures
system of patterns and meanings of a small group; has shared characteristics of a larger culture; has chracteristics that ate unique speech patterns, dress, gestures, food, religion
Culture Belief System
Interrelated:
cultural competence
cultural awareness
cultural knowledge
cultural skills
cultural encounters
cultural desires