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Culture
- Shared beliefs
- Values
- Thinking and acting
- Arts
- Customs
- Slow to change, but can
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Cultural competency
- Self-awareness of your culture
- Incorporating patient's cultural beliefs into care
- Ongoing process
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Enculturation
How you learn about your own culture
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Acculturation
- Maintain own culture but try to fit into other cultures
- Acculturation stress - stress caused by trying to fit in
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Assimilation
Decide going to lose your culture and fit into another
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Ethnocentrism
Think your culture is the best
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Western worldview
- See body and mind as separate
- Values individuality
- Direct communication
- Eye contact, respect, attentiveness
- Value personal space
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Eastern worldview
- Combined body and mind
- Family is big source of person's identity
- Value relationships
- Less direct communication
- Less eye contact
- Traditional wisdom
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Indigenous
- Mind, body, spirit, nature viewed as one
- Use different healers, witch doctors, voodoo
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Cultural competency
- Cultural awareness - self-awareness, personal bias, assumptions, need to be aware of own biases and beliefs
- Cultural knowledge - access information
- Cultural skill - culturally sensitive assessment, meaningful communication
- Cultural encounter - necessary to keep developing cultural competency
- Cultural desire - genuiness
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