1
Q
what is the impact of dominant culture (8)
A
- loss of language
- disruption of spiritual beliefs
- loss of traditional values and customs
- loss of identity
- systemic racism & homophobia
- influencing school curricula
- exclusion from roles in society
- inequity to access support & care
2
Q
what does personhood include
A
- cognitive capacities
- relational capacities
3
Q
what is included as cognitive capacities (7)
A
- consciousness/self awafreness
- morality
- rationality/reasoning
- agency
- capacity to communicate
- possessing rights/responsibilities
- achievement of full potential
4
Q
what is meant by relational capacities
A
- social relationships
5
Q
what is resilience
A
- the maintenance of positive adjustment under challenging life circumstances
6
Q
what are protective factors r/t resilience
A
- variables that assist in managing stressors related to risk
7
Q
what are risk factors r/t resilience
A
- vulnerability factors
- variables that cause stress or risk
8
Q
what are examples of risk factors r/t resilience
A
- domestic violence
- chronic diseases (CHF, COPD, diabetes)
- work place harassment
9
Q
what are examples of protective factors in resilience
A
- family support
- community services
- access to health services
- medical plan
- ability to self manage
- proactive workplace policies
- support of colleagues
10
Q
what is the competency clinicians should have r/t cultural safety
A
- adapts practice in response to the spiritial beliefs and cultural practices of clients
11
Q
what is the competency professionals should have r/t cultural safety
A
- takes action to support culturally safe practice enviro
12
Q
what is the competency educators should have r/t cultural safety
A
- selects, develops, and uses relevant teachinig & learning theories and strategies to address diverse clients & contexts, including lifespan, family, and cultural considerations
13
Q
what is the competency scholars should have r/t cultural safety
A
- engages in self reflection to interact from a place of cultural humility & create culturally safe enviro where clients perceive respect for their unique health care practices & preferences
14
Q
what are the 4 steps leading to cultural safety
A
- cultural awareness
- cultural sensitivity
- cultural competency
- cultural safety
15
Q
what is cultural awareness
A
- self-examination & in-depth exploration of one’s own beliefs & values as they influence behavior
16
Q
what is cultural sensitivity
A
- being able to reflect on the influence of one’s own culture on practice, and to appreciate, respect, and value cultural diversity
17
Q
what is cultural competency
A
- an ongoing process rather than an outcome
- a culturally competent HCP is aware of his or her own cultural identity and views on different cultures & is sensitive to & accepting of clients differing views
18
Q
what is cultural safety
A
- an outcome based on respectful engagement that recognizes & strives to address power imbalances inherent in the healthcare syste
19
Q
what does cultural safety result in
A
- an enviro free of racism & discrimination
- where people feel safe receiving health care
20
Q
what is cultural humility
A
- process of self reflection to understand personal & systemic biases & to develop and maintain respectful processes and relationships based on mutual trust
- involves humbly acknowledging oneself as a learner when it comes to understanding another’s experiences
21
Q
cultural safety & humility are both
A
- ongoing processes
- not outcomes
22
Q
what are 3 categories of factors that support resilience
A
- individual factors
- family-lvl factors
- community-lvl
23
Q
what are individual factors that support resilience
A
- strong self efficacy
- positive attitude
- history of success
- social competence
- sense of purpose
- strong social connection
24
Q
what are family lvl factors that support resilience
A
- coherent response to crisis (role modelling)
- social supports
- stability
- effective parenting
- responsibilities outside the house
25
what are community-lvl factors that support resilience
- control over policies
- collaboration & cooperation
- citizen participation in community
- volunteerism
26
what is leininger's sunrise model
- recognizes connection of behavior to culture
27
what is the transcultural assessment model
a model that allows HCP to get social estimations on pts to allow them to provide culturally diverse care
28
what are the 6 cultural dimensions included in the transcultural assessment model
- communication
- space
- social organization
- time
- enviro control
- biological variation
29
describe communication in the transcultural model
- means by which culture is transmitted and preserved
| - includes verbal and non-verbal
30
describe space in the transcultural assessment model
- distance between individuals when they interact
| - includes 4 zones of interpersonal spcae
31
what are the 4 zones of interpersonal space
- personal
- intimate
- social and consultative
- public
32
describe social organization in the transcultural assessment model
- manner in which a cultural group organizes itself around the family group
33
describe time in the transcultural assessment model
- cultural groups (and individuals) can be past, present, or future orientated
- this is often an important aspect of interpersonal communication
34
describe enviro control in the transcultural assessment model
- ability of the person to control nature & to plan and direct factors that affect them
- impact of other factors on one's enviro
35
describe biological variations in the transcultural assessment model
- generally the genetic variations that exists between groups of people
- often attributed to race but is not directly connected to or caused by these physical characteristics
36
what are 7 barriers to culturally responsive care
- ethnocentrism
- bias
- stereotyping
- prejudice
- racism
- cultural blindness
- culture shock
37
what is cultural blindness
- a denial of diversity and the inability to recognize the uniqueness of individual clients
38
what is culture shock
- the feeling of helplessness, discomfort, and disorientation experienced by an individual attempting to understand or effectively adapt to another cultural group that differs in practices, values, and beliefs
- results from the anxiety caused by losing familiar sights, sounds, and behaviors
39
define ethnocentrism
- belief that your culture is superior to others
40
define reconciliation
- establishing & maintaining a mutualy respectful relationship between indigenous and non-indigenous individuals
- includes awareness of the past, acknowledging harm ,and action to change behavior
41
what is a con to reconciliation
- silences people bc it is seen as in the past
42
what are the calls to action (TRC)
- calls to action made to redress the legacy of residential schools and
advance the process of Canadian reconciliation
43
what are the TRC r/t to health aimed at
- recognized and implement health care rights
- close gaps in health outcomes
- address distinct health needs
- calls the gvmt to acknowledge that the current state of aboriginal health in canada is a direct result of previous gvmt policies, residential schools
44
what are some examples of TRC r/t health
- medical & nursing schools in canada requied to take a course dealing w aboriginal health issue, indigenous teachings
- increase the # of aboriginal HCP
- use of healing practices in treatment for aboriginal pts
- provide sustainable funding
- see doc for more
45
what is future time orientation
- an individual's subjective view of the future & ability to orient oneself toward that future thru thoughts, plans, attitudes, motivations, feelings, and perceptions
- make choices in the present in hope of favorable outcomes in the future
46
what are the benefits of high FTO
- less risk taking behavior
- greater well-being& life satisfaction
- lower addictive behaviors
- improved academic achievement
- enhanced goal directed behavior
- less likely to smoke & abuse other substances
- consider consequences of behaviors
47
what is pessimism
- present/past time orientation
48
what are the cons of pessimism-
- increased vulnerability for involvement in problem health-related behavior
- reduced thoughts about the consequences of present behavior
49
what can cause disrupted FTO
- frequent disruptions to stability & control in life
| - erratic, unpredictable situations, where security is threatened
50
how does instability of life cause disrupted FTO
- youth adapt & cope by limiting their thoughts of the future
51
define resilience
- psychological, emotional, and societal assets that aid in overcoming challenges
- maintenance of positive adjustment under challenging life circumstances
52
what are the 4 essential growth needs for young people
- belonging
- mastery
- independence
- generosity
53
what are the 3 secrets of resilient people (ted talk)
- understand that shit happens, terrible things happen to anyone
- appraise situations to focus on the things they can change & things they cannot
- tune in to the good
54
what are 3 factors that support resilience
- individual
- family lvl
- community lvl
