Copyright 2002, Delmar, A division of Thomson Learning Chapter 5 Cultural Assessment

Copyright 2002, Delmar, A division of Thomson Learning Competencies Assess own cultural values, beliefs, and behaviors. Identify potential areas of cultural conflict between the values and customs of patients and their families and those of health care providers.

Copyright 2002, Delmar, A division of Thomson Learning Competencies Identify increased health risks and genetic traits, and disorders prevalent in selected ethnic, racial, and population groups. Describe the process for providing culturally competent nursing care.

Copyright 2002, Delmar, A division of Thomson Learning Racial, Ethnic, and Cultural Diversity Trend toward increased racial, ethnic, and cultural diversity is expected to continue into the 21st century

Copyright 2002, Delmar, A division of Thomson Learning (continues) Culturally Competent Nursing Care Identify cultural values and beliefs of patients and families. Recognize normal behaviors of different cultural groups and their response to health and illness.

Copyright 2002, Delmar, A division of Thomson Learning Culturally Competent Nursing Care Identify ethnic variations on racial growth patterns. Use cultural relativism ethic to guide practice. Ultimate goal is to plan and implement culturally sensitive nursing care.

Copyright 2002, Delmar, A division of Thomson Learning (continues) Key Terms: Culture Cultural diversity Acculturation Cultural relativism Ethnocentrism

Copyright 2002, Delmar, A division of Thomson Learning Key Terms: Culture Bilingualism Multiculturalism Culture identity Culture shock Enculturated

Copyright 2002, Delmar, A division of Thomson Learning (continues) Culturally Competent Assessments Culture Subculture Racial group  Race Ethnic group  Ethnic identity

Copyright 2002, Delmar, A division of Thomson Learning (continues) Culturally Competent Assessments Minority group Cultural values Cultural norms Value orientations  Time  Human nature  Activity  Relational  People to nature

Copyright 2002, Delmar, A division of Thomson Learning Culturally Competent Assessments Beliefs Cultural beliefs  Folk illness  Scientific illness  Personalistic illness  Self-care practices

Copyright 2002, Delmar, A division of Thomson Learning (continues) Evaluating the Potential Physical or Psychological Harm from a Health Practice A practice would not be considered harmful if the following conditions are met:  Practice is sanctioned by that culture.  Practice is within the limits of deviations that are acceptable in that culture.

Copyright 2002, Delmar, A division of Thomson Learning (continues) Evaluating the Potential Physical or Psychological Harm from a Health Practice  Practice is important for the acceptance of the patient as a member of the culture.  The patient perceives that the practice is appropriate in this situation.

Copyright 2002, Delmar, A division of Thomson Learning Evaluating the Potential Physical or Psychological Harm from a Health Practice  The intent of the health care provider is consistent with the cultural rules that govern the practice.

Copyright 2002, Delmar, A division of Thomson Learning Customs and Rituals Difference between customs and cultural rituals Communication patterns Cultural meaning of symptoms Language barriers Family and kinship relations

Copyright 2002, Delmar, A division of Thomson Learning (continues) Tips for Overcoming Language Barriers Speak slowly and distinctly Use gestures or pictures Avoid clichés, jargon, and value- laden terms Avoid defensive or offensive body language

Copyright 2002, Delmar, A division of Thomson Learning Tips for Overcoming Language Barriers Obtain feedback to confirm accurate understanding Provide reading material written in the appropriate language Use an interpreter Speak to the patient, rather than the interpreter Use the same interpreter for each interaction (if possible)