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Cultural safety
Respect for cultural identity
Power imbalances
self reflection and continuous improvement
all three of these premises works together to help remove the barriers of “power” and “authority” and promote equities
cultural competence
is an ongoing process, not an outcome process of respecting, accepting and applying knowledge and skills appropriate to the client interaction without allowing a nurse’s personal beliefs to influence the client’s differing views
ex) cultural diet, attitudes towards pain, beliefs about dying, modesty, eye contact, closeness and physical contact
Application of cultural competence to nursing
use cultural brokerage
know if there ares specific risk factors for a given cultural population, understand that these risk factors are due to SDoH
be willing to learn the clients healing practices
two eyed seeing, seeing the strengths of western and indigenous culture
be aware of their culture, values, beliefs, and practices to guide them in delivering culturally appropriate care
Oppression
socially constructed disadvantages due to people’s body, ethnicity, race, gender, sex, religion, nationality, disability, sexuality, and class
cycle of oppression
Racism
not race, it creates biological consequences and different health outcomes
Diversity
encompassing a range of characteristics including but not limited to race, ethnicity, culture, socioeconomic status, gender, sexual orientation, disability
intersectionality
approach to understanding how systems of inequities such as sexism, racism, and ableism, interact with each other to produce complex patterns of privilege and oppression
The result is not additive, being on the same of side of two coins does not mean that one is twice as privileged or twice as oppressed = it creates a new and complex pattern of advantage and disadvantage
Jordan’s Principle