Race
A social construct
- no base in biology
- ideology that refers to a range of immutable and distinct biological traits between groups of people
Racism
A set of false beliefs That one racial group is superior to another; protrudes the idea of a races based biological differences
Radicalization
The social process by which racial categories are constructed as real, different, and unequal in waves that have social, economic, and political consequences
Critical Race Theory (CRT)
- critiques how social construction of race and insitutionilized racism perpetuate a racial system the relegates people of color to the bottom tiers; recognizes intersectionality
Whiteness
- constellation of process and practice such as basic rights, values, beliefs, perspectives and experiences said to be shared by all, but only consistently afforded to white people
Systemic racism
- involvement of whole systems
- political, legal, economic, health, education, justice
Structural racism
- role of structures such as laws, policies, institutional practices, entrenched norms
Racism and radicalization effect on health
- Helsinki inequalities among racial minorities are pronounced, persistent and persuasive
- adverse health outcomes are associated with discrimination
Eurocentrism
- worldview that is centered on western civilization
- healthcare services in Canada are predominantly Eurocentric
Examples of eurocentism in healthcare
- time
- room size
Indigenous people of Canada consist of
- First Nations
- Métis
- Inuit
Visible minorities
- persons, other than aboriginal peoples, who are non Canadian in race of non white in color
Province with most immigrants
Ontario
The “healthy immigrant” effect
- immigrants have better health and lower mortality rates initially than Canadians
- less like to have chronic diseases or conditions or disabilities
- health status declines after they spend time in Canada
Factors that negatively effect immigrant health in Canada
- change in healthcare practices
- stress
- climate
- food
- social exclusion and racism
Cultural beliefs and health
- health and illness are social constructs
- euro Canadians biomedical model is seen as superior
- cultural beliefs and values impact understanding of health and illness
Cultural copentencty
- the ability to conduct professional work in a way that is consistent with the expectations which members of distinctive cultures regard appropriate amongst themselves
- grounded in critical reflection and action
- provide culturally safe, and effective care in partnership with individuals, families, and communities living health experience
- takes into account the social and political dimensions of care
Cultural safety
- determined form the patients ; communities perspective
- considers the social, political, and historical contexts
- requires practitioners to be self reflective
Cultural awareness
Acknowledgement of differences
Cultural sensitivity
- recognizing the need to respect cultural differences
Anti racism
Reducing power differences between minority and dominate groups
Trauma and violence informed care
- recognizes the historical impacts and root causes of inter generational trauma
Cultural humility
Based on
- self reflexivity
- approbation of expertise on their life
- establishing power balances relationship with patient,
- lifelong dedication to learning
Intrapersonal and interpersonal approach (patient centered care)
Humble disposition
- counterbalances authority and improves commutation in quality of care
