Interprofessional Practice and Cultural Humility Flashcards

These flashcards cover key vocabulary and concepts regarding cultural humility, clinical ethics, and interprofessional practice in healthcare as discussed in chapters 7 through 13.

Cultural Humility

A concept that most directly supports current interprofessional practice standards in communication sciences and disorders by enhancing collaboration and clinical decision making.

Conflict in 'War'

A characterization of the collision between two legitimate but fundamentally different systems of understanding illness and healing.

Effective Clinical Practice

The integration of evidence-based practice with cultural humility, ethical reasoning, collaborative communication, and respect for family values.

Communication Improvement Strategies

The use of trained medical interpreters and the elicitation of the family's explanatory model of illness.

Ethical Tension of Removal

The conflict between beneficence, nonmaleficence, and respect for family autonomy demonstrated by the decision to remove Leah from her family.

Culturally Responsive Family Centered Practice

The action of exploring family beliefs about a disorder, collaborating in treatment planning, and incorporating culturally appropriate supports.

Treatment Adherence

A principle influenced by health literacy, communication, and cultural context, as illustrated by complex medication regimens.

Systematic Barriers

Communication challenges that contribute to health disparities as described in the healthcare system.

Government Property (Ethical Tension)

The conflict between the state's responsibility to protect children and a family's autonomy in making healthcare decisions.

Provider-Family Relationship Improvements

Associated primarily with increased efforts toward mutual respect and collaboration despite differences.

Hmong Refugee Healthcare Challenges

Difficulties navigating the American healthcare system because cultural worldviews regarding illness, authority, and healing differ substantially from Western medicine.

Foster Care Placement (Cultural Outcome)

An action that ultimately failed to resolve the underlying cultural conflict between Leah's family and her healthcare providers.

why did lia’s physicians become frustrated with her treatment plan?

they believed the medication regimen was not being followed consistently

what did the author suggest was necessary for improving relationships between healthcare providers and Hmong families?

mutual respect and efforts to understand each other’s perspectives

according to chapter five, what was one factor that contributed to differing expectations between the medical staff and Lia’s family?

different beliefs about health, illness, and appropriate caregiving

why did the Hmong family initially have difficulty understanding the medical recommendations for Lia’s treatment?

They spoke little English and had limited access to qualified interpreters

the book suggests that cultural beliefs about illness can dictate

how patients interpret symptoms and respond to medical treatment

chapters 4-6 emphasize that one of the greatest barriers to effective healthcare is

differences in cultural beliefs and communication between providers and patients

one lesson from these chapters is that healthcare providers should

build trust through respectful communication and active listening

in the Lee families culture, the most frequent cause of illness was

loss of soul

cultural humility

a lifelong commitment to self-evaluation and learning

cultural competence

ability to work effectively across cultures

person- and family-centered care

focuses on collaboration with individuals and families

medical vs. social models

medical model emphasizes deficits: social model emphasizes content and participation

ethical principles

autonomy, beneficence, nonmaleficence, justice, fidelity, integrity

dynamic assessment

test-teach-retest format, focuses on learning potential

static assessment

traditional testing format (standardized tests)

disproportionality

over/underrepresentation of certain groups in sped

linguistic bias

when tests do not account for language variation

use of interpreters is best practice when working with multilingual families t/f

true

code switching

alternating between two languages or dialects

health disparities

differences in health outcomes due to systematic inequities

structural racism

system-level processes creating unequal success

social determinants of health

external factors influencing health: housing, income, education

bias

implicit or explicit prejudice in decision making

interdisciplinary communication

working with professionals across fields

inclusive education

ensuring students with disabilities are educated with peers

culturally responsive practice

incorporates students’ cultural backgrounds into care

family engagement

involving families in decision-making

intervention planning

goal setting with the individual/family; strengths-based approach

culture

A shared system of beliefs, values, norms, and practices that shape how individuals perceive the world and behave within it

the lens through which we see the world!

in csd - influences not only communication styles but also help-seeking behaviors, attitudes toward disability, and perceptions of therapy

identity

one’s sense of self, encompassing race, ethnicity, language, gender, socioeconomic status, religion, and disability

key components of cultural humility

lifelong learning and critical self-reflection, recognizing and challenging power imbalances, institutional accountability, and client-as-expert model

barriers in clinical practice

structural, cultural-linguistic, and institutional/systematic

structural barriers

transportation, scheduling, insurance, lack of interpreters

cultural-linguistic barriers

different norms, values, and communication styles

institutional/systematic barriers

racism, ableism, linguistic bias in assessments

implicit bias

unconscious attitudes or stereotypes that affect decisions

explicit bias

conscious, intentional beliefs about social groups

healthy people 2030

A US federal initiative developed by the office of disease, prevention and health promotion. It sets evidence based national objectives to improve health and well-being over the next decade. A major emphasis is placed on eliminating health disparities and achieving health equity.

equity vs. equality

equity is to value everyone equally and give each person what they need to succeed (give the boy a tall enough box to see over the fence)

equality is to give everyone the same thing (same size box)

social determinants of health

Conditions in the environments where people are born, live, learn, work, play, and age that affect health, functioning, and quality of life outcomes. The key domains of social determinants of health include economic stability, education access and quality, healthcare access and quality, neighborhood and built environment, and social and community context.