Foundations - Caring in Nursing, Cultural Care, and Ethics and Values

Caring Assessment tool

Measures patients’ perceptions of caring

Providing Presence

person to person encounter conveying a closeness and sense of caring

Nursing Presence

the connectedness between a nurse and a patient

strengthens your ability to provide effective patient-centered care

Knowing the patient

the core of clinical decision making and patient-centered care

elements of knowing the patient

continuity of care

clinical expertise

factors of knowing the patient

time

continuity of care

teamwork of the nursing staff

trust

experience

spiritual health

is achieved when a person can find a balance between values, goals, and belief symptoms

spirituality

offers a sense of intrapersonal, interpersonal, and transpersonal connectedness

culture

learned and shared beliefs, values, norms, and traditions of a particular group, which guide our thinking, decisions, and actions

unconcious bias

we are unaware of, happens outside of our control

influenced by our personal background, cultural environment, and personal experiences

culturally congruent care

emphasizes the need to provide care based on an individual’s cultural beliefs, practices, and values

cultural competence

professional health care must be culturally sensitive and appropriate to meet the multifaceted health care needs of each person, family, and community

health disparity

health differences linked closely with social, economical, and/or environmental disadvantages

social determinants of health

the aspects of the non-medical conditions in which people are born, grow, live, work, and age that affect health functioning and quality of life outcomes

marginalized groups

are more likely to have poor health outcomes and die earlier

illness

the way in which individuals and families react to disease

culture affects how an individual defines its meaning

disease

malfunctioning of biological or psychological processes

core measures

evidence-based standards of care intendedto reduce health disparities

cultural awareness

self-examination of one’s biases toward other cultures and an in-depth of exploration of one’s own cultural and professional background

cultural knowledge

learning or becoming educated about the beliefs and values of other cultures and diverse ethnic groups

cultural skill

the ability to conduct a cultural assessment of a patient to collect relevant cultural data about a patient’s presenting problem, as well as accurately conducting a culturally based physical assessment

cultural encounter

communicate in a way that generates a wide variety of responses

to validate, refine, or modify existing values, beliefs, and practices about a cultural group

Cultural desire

motivation to engage patients so that you understand them from a cultural perspective

beneficence

taking positive actions to help others

prioritizes the patient’s best interest over self-interest, nursing as a service-focused profession

nonmaleficence

avoiding harm

ethical practice involves both doing good and an equal commitment to do no harm

justice

fairness and the distribution of resources

ex: distribution of hospital locations and services and organ transplants

fidelity

faithfulness or the agreement to keep promises and follow policies or advocating for improvements when needed

code of ethics

set of guiding principles that all members of a professin accept

code of ethics for nursing

advocacy

responsibility

accountability

confidentiality

value

deeply held belief about the worth of an idea, attitude, custom, or object that affects choices and behaviors

values clarification

distinguish between value, fact, and opinion