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Cultural values describe preferred ways of behaving or thinking that are sustained
over time and used to govern a cultural groups actions and decisions.
Diversity
Belief systems: influence decisions and actions regarding healthcare
Differ in every culture
Passed on from generation
May be rooted in religious faith or practices
Can affect the course and outcome of illness
Can present barriers to necessary care
Vulnerable populations: groups of people in our culture at great risk for diseases and
reduced life span.
Older in age
Living in poverty
Homeless
Abusive relationships (Women)
Mentally ill
Chronically ill
Children (Foster)
Immigration status
These groups face multiple challenges statistically poorer outcomes and shorter life
spans and can be from any culture, ethnicity, age, or gender (more likely women).
Social Differences:
Jewish kosher diet, circumcision on the eighth day, death ritual
Asian: Direct eye contact may be sign of disrespect
Islamic: females with female providers, birth ritual, death ritual, dietary rules (no
pork), talking to the same sex could be disrespectful, male figure may make all the
decisions
Remember: Always ask the patient What are your values and beliefs about
healthcare?
What are some things I can do to make you
comfortable?
Be adaptable and provide complimentary therapy (any diverse array of practices,
therapies, and supplements that are not considered part of conventional or
traditional medicine that are used in addition to conventional treatments).
Note any practices that are contraindicated
Ethnocentrism is bad because its the belief that your culture is dominant than all
others.
Social justice: a framework to explore the complexities surrounding the variety of
factors that impact diverse and vulnerable populations. Allow to follow code of
ethics to promote equitable distribution of resources.
In summary: To overcome barriers to multiculturalism, a RN must have a deep
understanding of vulnerable clients who are impacted by racism, sexism, classism,
and heterosexism.
Sources of Diversity (Practice issues):
Gender: Male, Female, intersex, transgender/transsexual
Issues: stereotyping, gender roles, gender inequities, understanding the differences
in responses between genders, sexism (gender bias)
Race: Very complex, defined by physical attributes linked to continents of origin like
Asia, Europe, Africa.
Issues: Racism which is the oppression of a group of people based on perceived
race, in policy it could reflect rules that benefit one racial group over another.
Age: Children and older adults which they have to depend on other people for
nutrition, health care, transportation and personal safety.
Issues: Ageism which is discrimination against older adults, Older adults are less
likely to be fluent in the latest technologies.