3209 Culture & Ethnicity
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| combination of prayers, chanting, & herbs to treat illness caused by supernatural factors | a Native American practice of healing
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| old lady "granny midwife" as their healer | an African American practice of healing
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| use of products that restore the balance between yin and yang | a Chinese & Southeast Asian practice of healing
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| Curandero as their healer | a Hispanic practice of healing
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| naturalistic therapies to prevent and treat illness | an Asian Indian practice of healing
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| systematic & comprehensive exam of the cultural care values, beliefs, & practices of ind, families, & communities. goal is to gather significant info from pt that will enable nurse to implement culturally congruent care | cultural assessment
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| aim is to encourage pts to describe values, beliefs, & practices that are significant to their care that health care providers will take for granted unless otherwise covered | aim of asking questions in the cultural assessment
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| knowledge of a pt's country of origin & its history & ecological contexts are significant to health care | ethnic heritage & ethnohistory component of cultural assessment
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| pt's health risks r/t sociocultural & biological history (identify on admission). some distinct health risks are due to the ecological context of the culture | biocultural history component of cultural assessment
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| culture defines the expected roles of its members. cultural groups consist of units of organization defined by kinship, status, & appropriate roles for their members. nuclear family vs collectivistic cultures | social organization component of cultural assessment
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| major influences in the pt's worldview about health & illness, pain & suffering, & life & death. many cultures do not separate religion & spirituality, whereas others have a totally distinct concept of spirituality. | religious & spiritual beliefs component of cultural assessment
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| patterns that reflect core cultural values of society; different cultural groups have distinct linguistic and communication patterns | communication patterns component of cultural assessment
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| past, present, & future time dimensions; important for nurse to understand their pt's _____ ______; info useful in planning day of care, setting up appts for procedures, & helping pt plan self-care activities in the home | time orientation
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| caring expressions integrate the central values of a culture. many integrate religious & spiritual beliefs in caring practices. assessment reveals info about pt's beliefs about illness & meaning of the signs & symptoms | caring beliefs & practices
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| -Respect for/about pt -Concern for/about pt -Attention to detail/anticipation of pt need -Helping/assisting -Active listening -Presence -Understanding -Connectedness -Protection -Touching -Comfort measures | Recurrent caring constructs identified in both Western & non-Western cultures
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| cultures mark transitions to different phases of life by rituals that symbolize cultural values & meanings attached to life passages: pregnancy, childbirth, newborn, postpartum period, grief & loss | Culture & Life Transitions (practices surrounding life events provides view of cultural meanings & expressions relevant to transitions)
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| 1 cultural care preservation/maintenance 2 cultural care accommodation/negotiation 3 cultural care repatterning/restructing **Nurses are able to use any or all of these action modes simultaneously** | 3 nursing decision & action modes to achieve culturally congruent care
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| facilitates culturally congruent communication & intercultural relationships | impression management
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