Cultural Competence
Leininger. Nursing is
a learned profession with a disciplined focused on care phenomena.
Leininger. Health refers to
a state of well-being that is culturally defined and valued by a designated culture.
Health
a state of well-being, that is culturally defined and valued by a designated culture.
Transcultural nursing (Leininger)
a substantive area of study and practice focused on comparative cultural care (caring) values, beliefs, and practices of individuals or groups of similar or different cultures with the goal of providing culture-specific and universal nursing care practices in promoting health or well-being or to help people to face unfavorable human conditions, illness, or death in culturally meaningful ways
Potential causes of cultural conflict
ethnocentrism bias/prejudice discrimination stereotyping cultural imposition cultural ignorance language barriers
Leininger. Culture and social structure dimensions include
factors related to religion, social structure, political/legal concerns, economics, educational patterns, the use of technologies, cultural values, and ethnohistory that influence cultural responses of human beings within a cultural context.
Theory needs to be developed to facilitate _____________nursing practice to achieve quality care.
standardizing
Care is
the provision of what is necessary for the health, welfare, maintenance, and protection of someone
Culture involves the following elements
-personal identification -language -thoughts -communications -actions -customs -beliefs -values -institutions
What 3 cultures make up Canada?
Aboriginal peoples Founding Nations - British, French Foreign-born Canadians - Philippines, etc
Cultural care
Cultural congruent care is defined as those cognitively based assistive, supportive, facilitative, or enabling acts or decisions that are tailor-made to fit with individual, group, or institutional cultural values, beliefs, and lifeways in order to provide or support meaningful, beneficial, and satisfying well-being.
Model for Developing Cultural Competence includes what 4 things?
Cultural: awareness competence knowledge sensitivity
What 6 steps are involved in the continuum of cultural competence?
Cultural: destructiveness incapacity blindness pre-competence competence proficiency
Different types of Aboriginal peoples
First Nations Inuit Metis
4 paths of acculturation experience
Integration (GOAL), assimilation, separation/segregation, marginalization
Theory
a coherent group of general propositions used as principles of explanation.
What can individuals do to obtain cultural competence?
acknowledge cultural differences, understand own culture, engage in self-assessment, acquire cultural knowledge and skills, view behaviour within a cultural context
Leininger. Caring is
an action or activity directed towards providing care
Leininger. Care is to
assist others with real or anticipated needs in an effort to improve a human condition of concern or to face death
Culture
combo of a body of knowledge, belief, and behaviour.
Leininger. Cultural care universality refers to
common care or similar meanings that are evident among many cultures.
Giger & Davidhizar's Transcultural Assessment Model includes what 6 factors?
communication, time, space, social organization, environmental control, and biological variations
Leininger. Cultural care accommodation or negotiation refers to
creative nursing actions that help people of a particular culture adapt to or negotiate with others in the healthcare community in an effort to attain the shared goal of an optimal health outcome for client(s) of a designated culture.
Cultural safety includes
cultural awareness, sensitivity, and competence.
Cultural competence involves what 3 things?
cultural desire, awareness, knowledge, skill, and encounters
What are Aboriginals suffering from?
diseases, social problems, and depression of spirit
Caring is
displaying kindness and concern for others
Theory should be seeking to
improve nursing practice.
Leininger. Culture refers to
learned, shared, and transmitted values, beliefs, norms, and lifeways of a specific ind or group that guide their thinking, decisions, actions, and patterned way of living
Leininger. Cultural care refers to
multiple aspects of culture that influence and enable a person to improve their human cond or to deal with illness or death
Theory must be developed collaboratively with _______ in practice.
nurses
Leininger. Cultural care preservation or maintenance refers to
nursing care activities that help people of particular cultures to retain and use core cultural care values related to healthcare concerns or conditions.
Can aboriginal term for healing
personal and societal recovery from lasting effects of oppression and systematic racism experienced over generations.
Leininger. Cultural care diversity refers to
the differences in meanings, values, or acceptable modes of care within or b/w different groups
Leininger. Worldview refers to
the way people tend to look at the world or universe in creating a personal view of what life is about.
Leininger. Cultural care repatterning or restricting refers to
therapeutic actions taken by culturally competent nurse(s) or family. These actions enable or assist a client to modify personal health behaviors towards beneficial outcomes while respecting the client's cultural values.
Cultural competence is a lifelong learning experience t or f?
true
