NURS 2210 Roles II
Nancy Pares, RN, MSN
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Cultural diversity
◦ Skin color, religion, geography
◦ Confront self deception, bias and acknowledge
one’s own cultural influences
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Cultural competent care
◦ Effective individualized care that demonstrates
respect, personal rights, preferences, beliefs and
practices of the client
◦ Dynamic process the requires sensitivity and
cultural specific care
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Learned from birth thru language
Shared by members of the same cultural
group
Influenced by conditions related to
environmental and technical factors and
availability of resources
Dynamic and ever changing
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Become aware of your own heritage
Become aware of client culture as described
by the client
Know of adaptations client made to live in N.
America
Form a culturally congruent care plan
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Technology
Religion
Philosophy
Social
Culture
Political
education
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Madeline Leininger
◦ Sunrise model
 Stresses the importance of providing culturally
congruent care
 Ex: bringing culturally appropriate foods in hospital
 Culture care accommodation
 Professional actions to satisfy healthy outcomes
 Ex: negotiating with client to see curandero and MD
 Culture care restructuring
 Professional activities to help clients change behaviors
toward healthier life patterns
 Ex: if client refuses traditional Western medicine—use
massage, music, etc…..then negotiate for meds if required.
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Aculturation
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Cultural blindness
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Cultural imposition
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Cultural taboos
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ethnocentrism
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Space and distance
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communication
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Time
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Social organization
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Environmental control
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Biological variations
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Nuclear
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Extended
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Attenuated
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Incipient
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Blended
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Folk medicine
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Biologic effects
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Food preferences
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Cultural Assessment
◦ Systematic appraisal of beliefs, values and
practices
 Cultural considerations: (see Osborne
special features section –back of text)
Culturally inappropriate/biases
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Noncompliance
Impaired verbal communication
Impaired social interaction
Deficient knowledge
Disturbed thought processes
Powerlessness
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Nurses need to know
◦ Cultural group perspectives on life
processes
◦ How the culture defines health
◦ How the culture maintains health
◦ Use of healers
◦ Own influence
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Self awareness
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Non judgmental approach
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Client education
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Nurse must view client as part of health team