What is cultural competence?
ability to understand, appreciate, and work with people from cultures other than your own
What are the four cultural components of cultural competence?
-awareness
-knowledge
-skill
-encounter
What ethnicity has a significantly higher infant mortality rate compared to the US rate?
non-hispanic black
What is the indication for higher IMR in non-hispanic blacks?
cumulative impact of systemic racism and chronic stress
What is the indication for lower than average hispanic IMR?
-healthy immigrant effect
-low maternal smoking
What is the indication for significantly lower than average asian IMR?
favorable SES
What are key ways for reducing health disparities and increasing cultural competency?
-standardized guidelines
-communication
Define spirituality
a journey that takes place over time and involves the accumulation of life experiences and understanding