chp 9 concise

Cultural Care

  • Key Terms: Acculturation, Assimilation, Culture, Emic, Etic, Implicit Bias, Social Determinants of Health.

Introduction

  • Culture: Beliefs, values, norms shared by a group that guide actions.
  • Unconscious Bias: Influences decisions due to personal backgrounds and experiences.

Culturally Congruent Care

  • Necessitates respect for individual cultural beliefs and practices.
  • Cultural Competence: Providing culturally sensitive and appropriate health care.

World View

  • Development influenced by social contexts and experiences.
  • Avoid stereotyping; consider individuals uniquely.

Health Disparities

  • Defined as health differences linked to social/economic disadvantages.
  • Social Determinants of Health: Conditions affecting health such as education, income, and environment.
  • Marginalized groups often experience poorer health outcomes.

Intersectionality

  • Framework to study life complexities shaped by privilege and oppression.

Racial, Ethnic, and Cultural Identity

  • Acknowledge bias impacts health decisions and treatment.
  • Cultural Identity: Influences symptom interpretation, care-seeking, and adherence to treatment.

Disease and Illness

  • Illness: Individual and family reactions to disease.
  • Disease: Malfunctioning biological or psychological processes.

Constructs of Cultural Competency

  1. Cultural Awareness
  2. Cultural Knowledge
  3. Cultural Skills
  4. Cultural Encounters
  5. Cultural Desire

Cultural Awareness and Knowledge

  • Self-examine biases; learn about diverse cultures.
  • Use storytelling and iceberg analogy to assess cultural context.

Iceberg Analogy Tool

  • Visible: Language, clothing, food.
  • Hidden: Beliefs, values, attitudes, thought patterns.

Cultural Skills

  • Include patient history collection, health literacy assessment, and communication with interpreters.

Cultural Encounter and Desire

  • Cultural Encounter: Engage with patients to understand their cultural context.
  • Cultural Desire: Motivation to understand patients culturally (LEARN model).
  • Example scenario: LEARN acronym (Listen, Explain, Acknowledge, Recommend, Negotiate) illustrates culturally responsive communication.