1. NURS 2210 Roles II Nancy Pares, RN, MSN

2.  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

3.  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

4.  Become aware of your own heritage  Become aware of client culture as described by the client  Know of adaptations client made to live in N. America  Form a culturally congruent care plan

5.  Technology  Religion  Philosophy  Social  Culture  Political  education

6.  Madeline Leininger ◦ Sunrise model  Stresses the importance of providing culturally congruent care  Ex: bringing culturally appropriate foods in hospital  Culture care accommodation  Professional actions to satisfy healthy outcomes  Ex: negotiating with client to see curandero and MD  Culture care restructuring  Professional activities to help clients change behaviors toward healthier life patterns  Ex: if client refuses traditional Western medicine—use massage, music, etc…..then negotiate for meds if required.

7.  Aculturation  Cultural blindness  Cultural imposition  Cultural taboos  ethnocentrism

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

10.  Nuclear  Extended  Attenuated  Incipient  Blended

11.  Folk medicine  Biologic effects  Food preferences

12.  Cultural Assessment ◦ Systematic appraisal of beliefs, values and practices  Cultural considerations: (see Osborne special features section –back of text)

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

14.  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

15.  Self awareness  Non judgmental approach  Client education  Nurse must view client as part of health team