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Copyright © 2012 Wolters Kluwer Health | Lippincott Williams & Wilkins
Chapter 9:
Cultural Diversity and Values
Copyright © 2012 Wolters Kluwer Health | Lippincott Williams & Wilkins
Chapter Highlights
• Culture in community settings
• Cross-cultural nursing
• Cultural competence and related concepts
• How culture affects health
• Cultural health assessment
Copyright © 2012 Wolters Kluwer Health | Lippincott Williams & Wilkins
Question
Is the following statement True or False?
Culture is static, private, and inherited.
Copyright © 2012 Wolters Kluwer Health | Lippincott Williams & Wilkins
Answer
False
Rationale: Culture is dynamic, shared, and learned.
Copyright © 2012 Wolters Kluwer Health | Lippincott Williams & Wilkins
Culture and Nursing
• Culture—knowledge, values, practices, customs and
beliefs of a group
• Properties of culture
– Dynamic, not static
– Shared, not private
– Learned, not inherited
Copyright © 2012 Wolters Kluwer Health | Lippincott Williams & Wilkins
Question
Is the following statement True or False?
Cultural competence is an attitude of openness to,
respect for, and curiosity about different cultural values
and traditions, and ideally includes a broader critical
analysis of power relations affecting health disparities.
Copyright © 2012 Wolters Kluwer Health | Lippincott Williams & Wilkins
Answer
True
Rationale: Cultural competence is an attitude of
openness to, respect for, and curiosity about different
cultural values and traditions, and ideally includes a
broader critical analysis of power relations affecting
health disparities. For community health nurses it
necessitates familiarizing oneself with cultures that are
represented in the communities they serve.
Copyright © 2012 Wolters Kluwer Health | Lippincott Williams & Wilkins
Cross-cultural Nursing
• Cross-cultural or transcultural nursing—any nursing
encounter in which the client and nurse are from different
cultures
• Cultural competence—considering cultural aspects of
health, illness, and treatment for each client or
community, as well as doing so at each stage of the
nursing process
Copyright © 2012 Wolters Kluwer Health | Lippincott Williams & Wilkins
Question
Is the following statement True or False?
Advocates for groups that have been sociopolitically
marginalized promote “cultural safety,”the ideal of
considering cultural aspects of groups while working
against assimilationism and repression.
Copyright © 2012 Wolters Kluwer Health | Lippincott Williams & Wilkins
Answer
True
Rationale: Advocates for groups that have been
sociopolitically marginalized promote “cultural safety,”
the ideal of considering cultural aspects of groups while
working against assimilationism and repression.
Copyright © 2012 Wolters Kluwer Health | Lippincott Williams & Wilkins
Institutional Cultural Competence
• For community and public health agencies to be culturally
competent, they must
– Have a defined set of values and principles and
demonstrate behaviors, attitudes, policies, and
structures that enable them to work effectively cross-
culturally.
Copyright © 2012 Wolters Kluwer Health | Lippincott Williams & Wilkins
Institutional Cultural Competence (cont.)
• Have the capacity to
– Value diversity
– Conduct self-assessment
– Manage the dynamics of difference
– Acquire and institutionalize cultural knowledge
– Adapt to diversity and the cultural contexts of the
communities they serve
• Incorporate this capacity in all aspects of policy making,
administration, practice, and service delivery, as well as
involve systematically consumers, key stakeholders, and
communities.
Copyright © 2012 Wolters Kluwer Health | Lippincott Williams & Wilkins
Question
Is the following statement True or False?
Cultural humility is an acknowledgment that our own
beliefs are inherently better than those of our clients.
Copyright © 2012 Wolters Kluwer Health | Lippincott Williams & Wilkins
Answer
False
Rationale: Cultural humility is an acknowledgment that
everyone’s views are culturally influenced, that our own
are not inherently better than those of our clients, and
that our clients can teach us.
Copyright © 2012 Wolters Kluwer Health | Lippincott Williams & Wilkins
Principles of Cultural Competence
• Cultural safety—providing culturally appropriate health
services to disadvantaged groups while stressing dignity
and avoiding institutional racism, assimilationism, and
repressive practices
• Cultural humility
– Ask open-ended questions about beliefs and practices
of the client and family.
– Ask about traditions.
Copyright © 2012 Wolters Kluwer Health | Lippincott Williams & Wilkins
Question
Is the following statement True or False?
Ethnocentrism can be defined as an assumption that
everyone shares your cultural values, or an opinion that
your culture is superior to others.
Copyright © 2012 Wolters Kluwer Health | Lippincott Williams & Wilkins
Answer
True
Rationale: Ethnocentrism can be defined as an
assumption that everyone shares your cultural values, or
an opinion that your culture is superior to others.
Copyright © 2012 Wolters Kluwer Health | Lippincott Williams & Wilkins
Principles of Cultural Competence
• Ethnocentrism—the assumption that others believe and
behave as the dominant culture does, or the belief that
the dominant culture is superior to others
Copyright © 2012 Wolters Kluwer Health | Lippincott Williams & Wilkins
Subculture
• Subculture—a group sharing some practices, language
or other characteristics in common, within a larger
society that does not share those characteristics
• Race
Copyright © 2012 Wolters Kluwer Health | Lippincott Williams & Wilkins
Western Biomedicine as “Cultured”
• The first imperative of cultural competence is to be
competent in one’s own cultural heritage. The nurses
should ask themselves the following questions:
– Where are my ancestors and current family from?
– What traditions and health beliefs did I explicitly
inherit and what more subtle assumptions were
implicitly handed down to me?
• This concept is important to keep in mind as nurses
approach their clients, especially those who come from
cultures different from their own.
Copyright © 2012 Wolters Kluwer Health | Lippincott Williams & Wilkins
Aspects of Culture Directly Affecting
Health and Health Care
• Attribution of illness
• Diet
• Verbal communication
• Nonverbal communication
– Eye contact
– Personal space
– Style of communication
Copyright © 2012 Wolters Kluwer Health | Lippincott Williams & Wilkins
Aspects of Culture Directly Affecting
Health and Health Care (cont.)
• Time orientation
• Roles
• Religion
• Folk medicine
Copyright © 2012 Wolters Kluwer Health | Lippincott Williams & Wilkins
Cultural Health Assessment
• Individual clinicians
• Health care organizations

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Chapter 09 ppt

  • 1. Copyright © 2012 Wolters Kluwer Health | Lippincott Williams & Wilkins Chapter 9: Cultural Diversity and Values
  • 2. Copyright © 2012 Wolters Kluwer Health | Lippincott Williams & Wilkins Chapter Highlights • Culture in community settings • Cross-cultural nursing • Cultural competence and related concepts • How culture affects health • Cultural health assessment
  • 3. Copyright © 2012 Wolters Kluwer Health | Lippincott Williams & Wilkins Question Is the following statement True or False? Culture is static, private, and inherited.
  • 4. Copyright © 2012 Wolters Kluwer Health | Lippincott Williams & Wilkins Answer False Rationale: Culture is dynamic, shared, and learned.
  • 5. Copyright © 2012 Wolters Kluwer Health | Lippincott Williams & Wilkins Culture and Nursing • Culture—knowledge, values, practices, customs and beliefs of a group • Properties of culture – Dynamic, not static – Shared, not private – Learned, not inherited
  • 6. Copyright © 2012 Wolters Kluwer Health | Lippincott Williams & Wilkins Question Is the following statement True or False? Cultural competence is an attitude of openness to, respect for, and curiosity about different cultural values and traditions, and ideally includes a broader critical analysis of power relations affecting health disparities.
  • 7. Copyright © 2012 Wolters Kluwer Health | Lippincott Williams & Wilkins Answer True Rationale: Cultural competence is an attitude of openness to, respect for, and curiosity about different cultural values and traditions, and ideally includes a broader critical analysis of power relations affecting health disparities. For community health nurses it necessitates familiarizing oneself with cultures that are represented in the communities they serve.
  • 8. Copyright © 2012 Wolters Kluwer Health | Lippincott Williams & Wilkins Cross-cultural Nursing • Cross-cultural or transcultural nursing—any nursing encounter in which the client and nurse are from different cultures • Cultural competence—considering cultural aspects of health, illness, and treatment for each client or community, as well as doing so at each stage of the nursing process
  • 9. Copyright © 2012 Wolters Kluwer Health | Lippincott Williams & Wilkins Question Is the following statement True or False? Advocates for groups that have been sociopolitically marginalized promote “cultural safety,”the ideal of considering cultural aspects of groups while working against assimilationism and repression.
  • 10. Copyright © 2012 Wolters Kluwer Health | Lippincott Williams & Wilkins Answer True Rationale: Advocates for groups that have been sociopolitically marginalized promote “cultural safety,” the ideal of considering cultural aspects of groups while working against assimilationism and repression.
  • 11. Copyright © 2012 Wolters Kluwer Health | Lippincott Williams & Wilkins Institutional Cultural Competence • For community and public health agencies to be culturally competent, they must – Have a defined set of values and principles and demonstrate behaviors, attitudes, policies, and structures that enable them to work effectively cross- culturally.
  • 12. Copyright © 2012 Wolters Kluwer Health | Lippincott Williams & Wilkins Institutional Cultural Competence (cont.) • Have the capacity to – Value diversity – Conduct self-assessment – Manage the dynamics of difference – Acquire and institutionalize cultural knowledge – Adapt to diversity and the cultural contexts of the communities they serve • Incorporate this capacity in all aspects of policy making, administration, practice, and service delivery, as well as involve systematically consumers, key stakeholders, and communities.
  • 13. Copyright © 2012 Wolters Kluwer Health | Lippincott Williams & Wilkins Question Is the following statement True or False? Cultural humility is an acknowledgment that our own beliefs are inherently better than those of our clients.
  • 14. Copyright © 2012 Wolters Kluwer Health | Lippincott Williams & Wilkins Answer False Rationale: Cultural humility is an acknowledgment that everyone’s views are culturally influenced, that our own are not inherently better than those of our clients, and that our clients can teach us.
  • 15. Copyright © 2012 Wolters Kluwer Health | Lippincott Williams & Wilkins Principles of Cultural Competence • Cultural safety—providing culturally appropriate health services to disadvantaged groups while stressing dignity and avoiding institutional racism, assimilationism, and repressive practices • Cultural humility – Ask open-ended questions about beliefs and practices of the client and family. – Ask about traditions.
  • 16. Copyright © 2012 Wolters Kluwer Health | Lippincott Williams & Wilkins Question Is the following statement True or False? Ethnocentrism can be defined as an assumption that everyone shares your cultural values, or an opinion that your culture is superior to others.
  • 17. Copyright © 2012 Wolters Kluwer Health | Lippincott Williams & Wilkins Answer True Rationale: Ethnocentrism can be defined as an assumption that everyone shares your cultural values, or an opinion that your culture is superior to others.
  • 18. Copyright © 2012 Wolters Kluwer Health | Lippincott Williams & Wilkins Principles of Cultural Competence • Ethnocentrism—the assumption that others believe and behave as the dominant culture does, or the belief that the dominant culture is superior to others
  • 19. Copyright © 2012 Wolters Kluwer Health | Lippincott Williams & Wilkins Subculture • Subculture—a group sharing some practices, language or other characteristics in common, within a larger society that does not share those characteristics • Race
  • 20. Copyright © 2012 Wolters Kluwer Health | Lippincott Williams & Wilkins Western Biomedicine as “Cultured” • The first imperative of cultural competence is to be competent in one’s own cultural heritage. The nurses should ask themselves the following questions: – Where are my ancestors and current family from? – What traditions and health beliefs did I explicitly inherit and what more subtle assumptions were implicitly handed down to me? • This concept is important to keep in mind as nurses approach their clients, especially those who come from cultures different from their own.
  • 21. Copyright © 2012 Wolters Kluwer Health | Lippincott Williams & Wilkins Aspects of Culture Directly Affecting Health and Health Care • Attribution of illness • Diet • Verbal communication • Nonverbal communication – Eye contact – Personal space – Style of communication
  • 22. Copyright © 2012 Wolters Kluwer Health | Lippincott Williams & Wilkins Aspects of Culture Directly Affecting Health and Health Care (cont.) • Time orientation • Roles • Religion • Folk medicine
  • 23. Copyright © 2012 Wolters Kluwer Health | Lippincott Williams & Wilkins Cultural Health Assessment • Individual clinicians • Health care organizations