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32 Cards in this Set

  • Front
  • Back

Diversity definition

Variety and differences of attributes among, between, and within groups

Multiculturalism

Integration of practices of diversity, tolerance, and respect for multiple ways of know and being

Culture

Background/heritage, world-view

How do nurses look at culture?

Determinant of ind/family/community health, component of a holistic health assessment, influences SDoH

Early challenges for immigrants

Unemployment, lack of meaningful employment, access to healthcare, lack of social supports

Later challenges for immigrants (4+ years)

Employment (new education may be needed), language

Acculturation

Cultural change that results from contact between autonomous groups

Assimilation

Absorption into a new culture, but still hold onto own culture

Integration

Integrating into new culture but still holding onto own beliefs and values

Deculturation

Loss of identity and feelings related to previous culture

Stages of cultural adjustment

Honeymoon, hostility, humour, home

Cultural imposition

Tendency for HCP to impose beliefs, practices, and values of other cultures because they believe that their own ideas are superior

Ethnocentrism

Belief that one's own ideas, beliefs, and practices are the best

Cultural sensitivity

Knowing there are differences with culture and respecting those differences

3 types of domestic violence

Situational couple violence


Coercive control


Violent resistance

Evidence informed practice

Conscious and explicit use of current best evidence in making care decisions




Uses patient preferences, own knowledge and experience, research evidence, health care practices, etc.

Definition of mortality

Death rate

Morbidity

Rate of illness

Prevalence

Specific status of disease at one point in time

Incidence

Identification of new cases over time

Evolution of Canadian healthcare (4 dates)

1947: Sask legislated Medicare


1962: Sask legislated publicly funded medical insurance


1968: National Medicare Insurance Act


1984: The Canada Health Act

5 pillars of Canadian healthcare

Publicly administered


Comprehensive


Universal


Portable


Accessible



The Canada Health Act

Ensures Canadians have access to healthcare regardless of financial abilities/where they live


Healthcare is a right


Upholds social justice, equity, community



8 steps to health promotion policy development

Describe the problem


Address readiness for policy development


Develop goals


Identify decision maker and influencers


Build support for the policy


Write/revise the policy


Implement the policy


Evaluate and monitor the policy

RNAO recommendations (4)

Poverty


Environmental protection


Nursing care


Medicare



Health education

Learning experiences based on theories that provide the opportunity to acquire information and skills needed to make quality health decisions

Client centered learning

Shift from expert role to client partnership and collaboration

Health literacy

Ability to access, understand, evaluate and communicate information as a way to promote, maintain, and improve health

LEARNS model

Listen to client, collaborate


Adopt intentional approach to every encounter


Reinforce health literacy


Name new knowledge via teach back


Strengthen self management via community links

Health belief model

Considers pts value of health, perceived susceptibility, perceived seriousness, risk factors to disease, benefits of health action, and perceived barriers

Social learning/cognitive theory

Based on sources self efficacy




1. Mastery experiences


2. Vicarious experiences


3. Social/verbal persuasion


4. Somatic responses

Transtheoretical model of change

Stages of changes




1. Precontemplation


2. Contemplation


3. Planning/preparation


4. Action


5. Maintenance


6. Relapse