Nursing Level I

  1. Values
    • extension of a person's beliefs about the world and an attitude towards life
    • formed over time through a series of life experiences
    • reflected in person's hopes, dreams, desires, goals, and ambitions
  2. Right & Wrong: Values
    • Right-loyalty, sense of duty
    • Wrong-abuse of authority, dishonesty
  3. Bias
    • subjective point of view
    • preconceived opinion about someone or something
    • favorable or unfavorable
  4. Prejudice
    • preformed judement even more unreasoning than bias
    • usually implies an unfavorable opinion
  5. Stereotyping
    • assuming all members of a group (usually cultural or ethnic) are alike
    • may be positive or negative
    • frequently the outcome of racism
  6. Why we must understand culture
    • to avoid misunderstandings from a lack of knowledge
    • everyone is born into a culture
    • to avoid being ethnocentric - ugly american
  7. Culture
    • thoughts, communications, actions, customs, beliefs, values, and institutions of racial, religious, or social groups
    • socially transmitted knowledge, behavioral patterns, values, beliefs, norms, and lifestyles of a particular group that guides their worldview and decision-making
  8. Characteristics of Culture
    • enculturation
    • cultural identity
    • communicated by groups of people
    • survival of the culture
  9. Enculturation
    culture is learned and taught
  10. Cultural Identity
    culture is shared
  11. Communicated by groups of people
    Culture is social in nature
  12. Survival of Culture
    Culture is dynamic, adaptive, ever-changing: occurs slowly in response to the needs of the group
  13. Elements of Culture
    • Social Organization
    • Customs & Traditions
    • Language is the cornerstone of culture
  14. Transcultural Nursing
    • comparative study of cultures to understand similarites and differences across human groups
    • acknowledgement & acceptance of cultural differences
    • Understanding of culturally specific responses to illness
    • Goal to being culturally responsive in care
    • required to provide safe and effective care within the context of the client's culture
  15. Cultural Concepts
    • culturally responsive care
    • fits the persons valued life patterns and set of meanings
    • sometimes different from the values and meanings of the professional health care system
  16. Culturally Competent Care
    • requires specific knowledge,skills, and attitudes that ensure delivery of culturally responsive care
    • 5 interlocking components: cultural awareness, knowledge, skill, encounters, desire
  17. Cultural Awareness
    self-examination of one's own biases & prejudices
  18. Cultural Knowledge
    obtaining sufficient knowledge of diverse groups
  19. Cultural Skills
    Assessment of cultural factors that influence therapy and care
  20. Cultural Encounters
    cross cultural interactions provide learning of other cultures
  21. Cultural Desire
    motivation to be open and accepting of cultural differences
  22. Health Transition Model
    holistic, complex and incorporates the balance between the mind, body & spirit
  23. Ethnocentrism
    • assumption of cultural superiority
    • inability to accept other cultures' ways of organizing reality
    • can result in stereotyping or oppression
  24. Cultural Imposition
    • have a cultural ignorance or blindness about other cultures
    • use their own values and lifestyle as a guide when dealing with other cultures
  25. Cultural Sensitivity
    knowing that cultural differences as well as similarities exist, without assigning values (right or wrong; better or worse) to those cultural differences
  26. Nutritional Patterns
    religious beliefs in client's dietary practices, food preparation and served, cultural behaviors infant nutrition
  27. Communication
    language, eye contact, criticism, use of silence
  28. Time orientation
    future oriented, present or past oriented
  29. Space orientation
    the individual, the body, environment and objects in the environment
  30. Ethnic Heritage
    ask clients about the condition or situation that brought them to the US and how they feel they are adjusting
  31. Biocultural History
    identify health risks related to sociocultural and biologic history
  32. Culturally Sensitive Care Considerations
    • Nonjudgemental approach
    • Acting without biases, preconceptions, stereotypes
    • Avoid prejudices: people see what they expect to see
    • Accept people as they are, do not evaluate client's moral values
  33. Spirituality
    an awareness of one's inner self and a sense of cnnection to a higher being, nature, or to some purpose greater than oneself
  34. Personal Spiritual Health
    depends upon balance of physical, psychological, sociological, cultural, developmental, and spiritual factors
  35. Faith
    gives purpose and meaning to an individuals life
  36. Religion
    assoociate with "state of doing"
  37. Hope
    when a person has the attitude of something to live for and look forward to, hope is present
Card Set
Nursing Level I
Culture & Spirituality