Culturally-Centered Care: Family Case Management

Describe the cultural competence cycle

*1. Cultural awareness:* -both of self & others *2. Cultural knowledge:* -willingness to learn more about the "tip of the iceberg" language, norms and beliefs *3. Cultural sensitivity:* -resulting in a culturally competent encounter (p.78) -identifying potential barriers and building trust and respect, deeper dive into knowledge and caring *4. Cultural competence:* -highest level of practice where one puts all the knowledge, skills and attitudes together to advocate for potential changes in quality care and social or health inequalities

What is the Transcultural Assessment Model?

*Assumes all cultures have six phenomena:* -communication -space -social organization -time orientation -environmental control -biologic diversity

What is case management?

*Coordinating and providing individualized health care services without disruption* *The nurse follows a patient through different levels of care to assist and ease transitioning from acute care to the home* *Coordination & collaboration* *Communication* *Legal, financial, and ethical responsibilities* *Services include...* -focused supervision -follow up -referrals -advocating for resources and materials

What is cultural diversity?

*Degree of variation that is represented among groups, based on lifestyle, ethnicity, race and interests across place and place of origin across time* (Table 5-1, p. 70)

What is culturally competent nursing care?

*Nurses who are knowledgeable about cultural perspectives committed to change* *Highly skilled and constructive (builds bridges, not walls)* *RESPECT* *VALUE DIVERSITY (cultural desire, page 77)* *CULTURALLY CONGRUENT BEHAVIORS, PRACTICE ATTITUES, AND POLICIES*

What is culture?

Beliefs, values, and preferences widely held that guide actions and are learned and transmitted across generations Culture guides our thinking, doing, and being and becomes patterned expressions of who we are We are shaped and defined by our cultural background... but it is hard for us to identify what our culture even is *The family is the primary unit of cultural and behavioral transmission!!*

Describe communication

Communication provides the means by which people connect, as the meeting point of all thoughts and relationships among people. Communication is the primary means by which culture is learned, transmitted, and preserved. Both verbal and nonverbal communication are learned in one's culture. *Communication can be the most significant problem in working with families from diverse cultural backgrounds!!!*

What is ethnicity?

Shared feeling of personhood among a group of individuals For example, race, religion, national or regional origin

What is race?

Social classification based on external markers in group identity The US census bureau not allows people to choose more than 1 race

Give an overview of a cultural nursing assessment

Systematic way to identify the beliefs, values, meanings and behaviors of people while considering their history. Doing a cultural assessment can help us individualize and provide patient-centered care and avoid making cultural assumptions or stereotypes While cultures don't act or behave the same, one can systematically organize concepts of different cultures using communication, space, social organization, time, environmental control, and biological variations