click below
click below
Normal Size Small Size show me how
FOUNDATIONS 1204
EXAM 3 - Alison Miles
Question | Answer |
---|---|
two theorists re: caring in nursing | Jean Watson and Swanson |
Jean Watson's theory of caring | focus on individuals and meaning for their quality of life; caring involves sensitivity, respect, and high moral and ethical commitment; places care before cure; emphasis on nurse-patient relationship |
Swanson's theory of caring | a nurturing way of relating to a valued other toward whom one feels a personal sense of commitment and responsibility; a central nursing phenomenon |
Madeleine Leininger | defines caring as: essential for well-being, health, growth, survival, and facing handicap or death (*transcultural perspective, *direct care, *indirect skills) |
person-to-person encounters conveying caring | eye contact, body language, tone of voice, listening, a positive and encouraging attitude |
comforting | provides both an emotional and physical calm; the use of touch |
touch | used as a comforting approach to reach out and communicate support; involves contact and non-contact |
listening / knowing the patient: | knowing the patient is the core of clinical decision making; more than just collecting data |
listening | conveys full attention and interest, creates trust and communication, not a task, reacing out to another, can be difficult at times, |
listening | a central aspect of nursing practice that develops in the everyday practical work of patient care |
spiritual caring | when a person finds a balance between life values, goals and belief systems and those of others (own spirituality; not necessarily "religious") |
family care | individuals experience life through relationships; family is important resource; caring does not occur in isolation from a patient's family |
ethnicity | shared identity related to social and cultural heritage such as values, language, geographical space and racial characteristics |
race | common biological characteristics shared by group of people, such as skin color |
variant culture patterns | aka: subcultures |
cultural awareness | gaining in-depth awareness of one's own background, stereotypes, biases, prejudices, and assumptions about other people |
cultural knowledge | obtaining knowledge of oter cultres; gaining sensitivity to, respect for, and appreciation of differences |
cultural skills | developing cultural skills such as communication, cultural assessment, and cultrally competent care |
cultural encounters | engaging in cross-cultural interactions, refining intercultural communication skills, gaining in-depth understanding of others and avoiding stereotypes, and cultural conflict management |
cultural competence | process in which health care professional continually strives to achieve the ability and availability to work effectively with individuals, families, and communities |
emic worldview | insider or native perspective (of my culture) |
etic worldview | outsider's perspective (of another culture) |
culture | integrated patterns of human behavior that include language, thoughts, communication, actions, customs, beliefs, and values |
illness | personal, interpersonal, and cultural reaction to disease |
disease | malfunctioning or maladaptation |
chinese and southeast asian cultural healers | herbalist, acupuncturist, fortune teller, shaman |
asian indian cultural healers | ayurvedic practitioner, homeopath |
native american cultural healers | shaman |
african american cultural healers | old lady, spiritualist, voodoo practitioners, hougan (male), mambo (female) |
hispanic cultural healers | lay midwives, herbalist, bonesetters, spiritualist |
influences on patients and health care practitioners | bias, prejudice, cultural imposition, stereotypes |
4 ways nurses can be culturally competent | cultural awareness; cultural knowledge; cultural skills; cultural encounters |
challenges of performing cultural assessment | to assess the inside or emic perspective; building relationships |
cultural assessment | systematic and comprehensive examination of cultural care values, beliefs, and practices of individuals, families, and communities |
components of cultural assessment |