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culture
learned, shared, transmitted knowledge of values, beliefs, lifeways of a particular group
culturally congruent care
patient-centered care
implicit bias
unconcious attitudes that kead to unintentional discriminatory behavior
how to combat implicit bias
identify biases, combat them
mindfulness
taking time to calm thoughts/ feelings
emotional regulation
reflect on gut feeling/ any negative reactions; intentionally resond w/ empathy/ compassion
habit replacement
develop a “toolkit” to break bad habits
stereotype replacements
commit to recognizing bias/ replacing in future encounters
individuation
seek to see patients as outside of stigmitized groups
conuterstereotypic imgaing
identify members of group who counter the stereotype
perspective taking
purposefully/ empathetically think about patient’s experience
partnership building
frame clinical encounter as if you’re equal partners
increase opprtunity for contact
develop relationships w/ members of the group
cultural rooting
process of evaluating your own cultural identity
positionality
the way that a person’s social identity influences how they understand, interpret, intract w/ the world
social determinants of health
conditions/ environment where people are born, lie, work, play, worship, and age that affect a wide range of health, functioning, and quality of life
upstream thinking
identify/ understand SDH so you can help patients who are in need beforehand
econonomic stability
impacts available resources
education access/ quality
higher education, longer life
healthcare access/ quality
most people lack access
neighborhood/ built environment
impacts almost everything
social/ community context
how people’s relationships/ interactions impact health
culture of medicine
hospital policies, workplace benefits, guides of professional conduct
dehumanization of healthcare
treating healthcare owrkers as objects/ tools rather as people
glamorization of healthcare
treating healthcare work as more positive than it really is
patterns of patient adoption
CC nurses focus primarily on the patient
patterns “armor” display
CC nurses use different methods of self protection
patterns of despondency
observed a state of deep sadness, low spirits, and complete hopelessness as a response to the CC environment
patterns of teamwork
essential for CCU functioning
patterns of non-support
lack of support from physicians/ management
burn out symptoms
mental/physical exhaustion, mental distance from job, cynicism about job, reduced efficacy in the workplace
how to address burnout
mental health. physical activity, proessional skill building