Definition

Cultural Competence

The process whereby the nurse shows proficiency in developing cultural awareness, knowledge, and skills to promote effective health care

What should a nurse do to make sure they are able to provide culturally competent care?

Be aware of their own culture and beliefs

People’s health care actions and beliefs are formulated by which 3 factors?

1. Definition of health

2. Perception in which illness occurs

3. Cultural worldview

Illness can be viewed as resulting from which 3 individual causes?

1. Natural

2. Unnatural

3. Scientific

Definition

Natural Cause

Everyone in the world is interrelated and disruption in the connection (tornado) causes illness

Definition

Unnatural Cause

Outside forces creates illness. Enlists the services of a magician, witch, ghost, or supernatural being to cast a spell or hex on them

Definition

Scientific Cause

Specific, concrete explanation exists for every illness. Most common in western world

Which Worldview?

Values detail to time, individuality, and possessions

Analytic

Which Worldview?

Prefers to learn through hands on and visual resources

Analytic

Which Worldview?

Have specific detail to time, calculations, individuality, and the importance of acquiring material objects

Analytic

Which Worldview?

Being on time for appointments, immediately getting to the purpose of a health visit, and using printed pamphlets and books for education are valued

Analytic

Which Worldview?

Nurse should be extremely accurate and precise for this pt

Analytic

Which Worldview?

Knowledge is through proof that it exists

Analytic

Which Worldview?

Believes in spirituality and the significance of relationship and interactions between and among individuals

Relational

Which Worldview?

Learns best through verbal communication

Relational

Which Worldview?

Prefers to chat before beginning health visit

Relational

Which Worldview?

Desires involvement with relatives, friends, and spiritual/religious advisors during a health visit

Relational

Which Worldview?

Believes community needs and concerns are more important than individual ones

Community

Which Worldview?

Learns best through quiet, respectful communication, meditation, and reading

Community

Which Worldview?

Respectful and polite regarding health care advice

Community

Which Worldview?

May not want to question nurse or doctor on medical advice

Community

Which Worldview?

Believes in interconnectedness between humans and the earth and that individuals have a responsibly to take care of the earth

Ecological

Which Worldview?

Learns best through quiet observation and contemplation. Verbal communication is minimized

Ecological

Which Worldview?

Feels a need to maintain peace and tranquility

Ecological

Which Worldview?

Prefers a quiet restful approach in interaction

Ecological

Which Worldview?

Conversation is respectful concise, and often kept to a minimum

Ecological

Which Worldview?

Believes everyone is good and that there is no evil

Ecological

Which Worldview?

Americans and European-American

Analytical

Which Worldview?

African-American, Latino, Hispanic, or Arabic

Relational

Which Worldview?

Asian, Asian-American, or Polynesian

Community

Which Worldview?

Native-American

Ecological

Definition

Cultur-bound syndromes

Reoccurring patterns of behavior that creates disturbing experiences

How would a Native-American describe depression?

"heart broken" or "having heart pain"

How might a hispanic explain depression?

"My soul was lost"

How might a Malaya or Laos describe psychosis?

"Running amok"

How might a native-american decribe psychosis?

"Ghost sickness"

How might a appalachian-american decribe psychosis?

"Spell"

Alternative Therapy

Uses linear and circular lines throughout the body called meridians

Accupunture or accupressure

Alternative Therapy

Meridians are stimulated to restore balance through the use of needles

Accupuncture

Alternative Therapy

Found to be effective in substance abuse pt

Accupunture and accupressure

Alternative Therapy

Restores balance by bringing heat to the skin surface, which allows toxins or evil spirits from affecting the body area

Skin scraping, coining, moxibustion, cupping

Alternative Therapy

Illness or evil is released from the person’s body when heat is generated within the meridians

Skin scraping, coining, moxibustion, cupping

Alternative Therapy

____ and ____ believe certain liquids foods or medications must be taken in balance to restore health

Hispanics and South Americans

This is the study of pharmacogenetic, pharmacodynamics, and pharmacokinetic influences based on different ethnic, racial, and cultural groups

Ethnopharmacology

True or false?

Individuals react to medications based on their normal biological makeup, environment, mental influences, and cultural influences.

True

Variations in ____ are most often cited as the cause of cross-ethnic differences in response to meds

Metabolism

What 2 cultures are most senstive to the effects of alcohol?

What are the side effects?

1. Asians and native-americans

2. Reddened flush to the neck and face, tachycardia, and burning sensation in the stomach

Most psych meds are metabolised by what system?

P-450 system

Substrates from what 2 cytochromes metabolize more slowly in a certainpercentage of different cultural groups?

1. 2D6

2. 2C19

Definition

Cultural Preservation

The ability to acknowledge, value, and accept a pt cultural beliefs

Definition

Cultural Negotiation

The ability to work within a client’s cultural belief system to develop culturally appropriate interventions

Definition

Cultural Re-patterning

The ability to incorporate cultural preservation and negotiation to identify client needs, develop expected outcomes, and evaluate outcome plans