Transcultural Nursing Final

What is included in a nursing cultural self-assessment

systematic way to identify the beliefs, values, meanings, and behaviors of people while considering their history, life experiences, and social and physical environments

Cisgender

term used when gender identity and/or expression aligns with the sex assigned at birth

Acculturation

the adoption of the behavior patterns of the surrounding culture

Culturally competent care

the process of acquiring specific knowledge, skills, and attitudes to provide culturally congruent care

language context

the situation in which language is used, including the immediate environment of the speaker and listener and past experiences that each brings to the situation.

Primary role of nurse in caring for patients at the end of their life

to make sure the patients wishes are honored, and that the patient remains as comfortable as possible

Discrimination

unjustifiable negative behavior toward a group and its members

strategies to teach how to alter a culturally specific diet

work closely with the patient to understand what is a part of their diet. Provide patient teaching to the patient in the importance of altering their diet.

methods to expand cultural competency in nursing

-Perform a cultural competence self- assessment - Improve communication and language barriers -directly engage in cross-cultural interactions with patients - Undergo training and continue to learn

stereotype

A generalized belief about a group of people

agender

A person who identifies self as without gender

bigender

A person whose gender identity is a combination of male and female

cultural adoption

Adopting a culture as your own

Describe the prevalence of obesity in America and why it is deemed an epidemic

America's obesity problem is 30% higher than other countries. 30% of adults are overweight or obese. Obesity is linked to premature death in 1/4 people.

appropriate and inappropriate responses to a stated cultural or religious belief that is not congruent with your own

Appropriate: Remain nonjudgmental and open minded, listen for spiritual cues, demonstrate respect for spiritual and cultural practices, consult with other health professionals as needed, can use a spiritual assessment. Inappropriate: don't force your own beliefs on patient, don't disrespect patient's religion, don't forbid them from practicing in the health care setting such as hospital

Ethnocentrism

Belief in the superiority of one's nation or ethnic group.

Racism

Belief that race is the primary determinant of human traits and capacities and that racial differences produce an inherent superiority of a particular race.

Barriers that impoverished individuals face when interacting the health care system. What is the impact?

Cost of health care is significant. Transportation to a facility can be challenging. Affording Medications are a barrier. Forces tough decisions between health/wellbeing and financial stability.

demigender

Someone who has/experiences a partial connection to one or more genders

Describe how religion is a component of culturally competent care and how it can impact a patient's health status

Spirituality is a significant dimension of both the person giving and the person receiving care, which ultimately influences patient outcomes. Impact: patient's that have religious or spiritual associations tend to have better health outcomes due to less anxiety, depression, and better coping skills. Some religions or spiritualities may impact certain health/ medical related decisions (Ex. Jehovah's witness won't accept blood transfusions)

Barriers that transgender patients face when trying obtain quality health care

The biggest barrier is the lack of providers who are sufficiently knowledgeable on the topic. Other barriers include financial barriers, discrimination, lack of cultural competence by providers, health system barriers, and socioeconomic barriers

cultural beliefs

The predominant beliefs in a culture about right and wrong, what is most important in life, and how life should be lived. May also include beliefs about where and how life originated and what happens after death.

Trans man

To refer to a person who was assigned female at birth and lives and/or identifies as a man

Trans woman

To refer to a person who was assigned male at birth and lives and/or identifies as a woman

Cultural Imposition

When one person imposes his or her beliefs, values, and practices on another because he or she believe his or her ideals are superior

When is the most appropriate time to obtain an interpreter during an interaction?

When the patient does not speak the same language and right away as the appointment/ interaction starts

cultural language

a language that is learned by many members of other speech communities for the sake of access to the culture of which it is the vehicle

Genderqueer

a person who does not subscribe to conventional gender distinctions but identifies with neither, both, or a combination of male and female genders.

linguistic style

a person's characteristic way of speaking

Centrism

a way of looking at the world from the point of view of one's own country or region

cultural adaptation

adjusting to a translation based on the cultural environment of the target language

two-spirit

an additional gender identity in many Native North American cultures; often thought to have special spiritual powers

Describe the stigma that surrounds mental health in the LGBTQIA culture and its history

being LGBTQIA is not a "mental disorder" - LGBTQ people face stigma and discrimination when accessing healthcare - LGBTQ individuals may have less social support

Culturally congruent care

care that fits a person's life patterns, values, and system of meaning

Describe the obesity epidemic and its effect on children along with factors that play into the role of its current state.

childhood obesity is associated with serious morbidities, including a higher incidence of asthma, sleep apnea, orthopedic problems, insulin resistance, and abnormal lipid levels. Factors that play a role are: child feeding, family, gender roles, food, healthy child appearance, physical activity, sedentary activity, food cost, and environment.

Describe socioeconomic class and how they impact someone's health

definition: the social standing or class of an individual or group and is often measured as a combination of education, income, and occupation. Impacts on health: chronic stress, access to health care, environmental exposure, and health behavior

nonbinary

describes any gender identity which does not fit the male and female binary. (androgynous, neutral, agender...)

Heterosexism

discrimination or prejudice against homosexuals on the assumption that heterosexuality is the normal sexual orientation

Homophobia

dislike of or prejudice against homosexual people.

Ethnicity vs. Race

ethnicity: Identity with a group of people that share distinct physical and mental traits as a product of common heredity and cultural traditions. race: Identity with a group of people descended from a common ancestor.

Underlying causes of obesity in America

genetics, diet, metabolism, level of activity, physiological and psychological triggers, cortisol, insulin, and glucose

Bicultural

having an identity that includes aspects of two different cultures

Define the purpose of the cultural competency staircase model

it is a self-assessment tool to assist student nurses and practicing nurses in assessing their personal level or degree of cultural competency

Factors that can impact the ability of a nurse to provide culturally competent care

nurse's own predispositions/ stigmas towards a culture

Describe the nutritional deficiencies (and the effects) that can occur during pregnancy for those who live in poverty.

nutritional deficiencies can include: iodine, iron, folate, calcium, and zinc. These can cause anemia, pre-eclampsia, hemorrhage, and death in mothers. They can lead to still birth, low birth weight, wasting, and developmental delays in children

gender fluid

people who perceive gender as more of a continuum and not limited to two mutually exclusive categories

prejudice

preconceived opinion that is not based on reason or actual experience

Purpose of CLAS standards

provides a framework to deliver services to that are culturally and linguistically appropriate and respectful, and that respond to patients' cultural health beliefs, preferences and communication needs. (Culturally and Linguistically Appropriate Standards)

Culturally Harmonizing Care

providing culturally competent and culturally congruent care