NURS 2210 Roles II Nancy Pares, RN, MSN

 Cultural diversity ◦ Skin color, religion, geography ◦ Confront self deception, bias and acknowledge one’s own cultural influences  Cultural competent care ◦ Effective individualized care that demonstrates respect, personal rights, preferences, beliefs and practices of the client ◦ Dynamic process the requires sensitivity and cultural specific care

 Learned from birth thru language  Shared by members of the same cultural group  Influenced by conditions related to environmental and technical factors and availability of resources  Dynamic and ever changing

 Madeline Leininger ◦ Sunrise model pg 130 of Brunner ◦ Stresses the importance of providing culturally congruent care ◦ Culture care accommodation  Professional actions to satisfy healthy outcomes ◦ Culture care restructuring  Professional activities to help clients change behaviors toward healthier life patterns

 Aculturation  Cultural blindness  Cultural imposition  Cultural taboos

 Space and distance  communication  Time  Social organization  Environmental control  Biological variations

 Folk medicine ◦ Table on pg 102 Daniels  Biologic effects ◦ Table on pg 103 Daniels  Food preferences ◦ Table on pg 103

 Cultural Assessment ◦ Systematic appraisal of beliefs, values and practices  See chart 8-3 pg 131—questions to ask  Cultural assessment interview guide-  Daniels pg 106

Culturally inappropriate/biases  Noncompliance  Impaired verbal communication  Impaired social interaction  Deficient knowledge  Disturbed thought processes  Powerlessness

 Nurses need to know ◦ Cultural group perspectives on life processes ◦ How the culture defines health ◦ How the culture maintains health ◦ Use of healers ◦ Own influence

 Self awareness  Non judgmental approach  Client education ◦ See strategies pg 108  Nurse must view client as part of health team