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Psychosocial Ch14Wk4

Cultural Competence in Psychiatric Nursing

QuestionAnswer
Culture Internal and external manifestation of a person’s, group’s, or community’s learned and shared values, beliefs, and norms that are used to help individuals function in life and understand and interpret life occurrences
Cultural Competence Process whereby the nurse proficiently develops cultural awareness, knowledge, and skills to promote effective and quality health care for patients
Barriers to Culturally Competent Care Definition of health Miscommunication—primary problem Lack of knowledge about culture (own and patient’s) Failure to assess patient’s cultural perspective Differences between nurse’s and patient’s cultural worldviews
Unnatural causes believe that voodoo or spirit or “evil eye” causes mental illness
Scientific causes objective explanation for the cause of mental illness
Analytic Western civilization (western medicine)
Relational grounded in spirituality; significance w/ relationships of individuals (African, Hispanics, Arabic)
Community idea that the community's needs are more important than the individual's need (Asian; Polynesian)
Ecologic r/t interconnectedness – the circle of life – humans have a responsibility to take care of the earth (Native America)
Broken heart native american
Susto lost soul (hispanic)
Mal ojo evil eye (african; jamaican; carribean)
Culture-bound syndromes usually respects traditional healer intervention; broken heart, Susto, Mal ojo
Psychotic symptoms Amok, Ghost sickness, Spells
Amok Loasian
Ghost sickness Native American
Spells r/t evil eye - African
Common alternative therapies acupuncture, acupressure, nutritional therapies, coining
Coining moxibustion, cupping (looks like abuse) – believed to restore balance; Bring heat to skin surface to restore balance
Nutritional therapy Various hot or cold foods to restore equilibrium
Acupuncture and Acupressure Meridians stimulated to restore balance
ethnopharmacology meds act differently in individuals from different cultures.
Cultural preservation acknowledging the value and accepting the client's cultural belief
Cultural negotiation working w/ client to try culturally acceptable techniques
Cultural repatterning ability for nurse to incorporate cultural preservation in the care plan
Cultural elements Communication, orientation, nutrition, family relationships, health beliefs, education, spirituality and religion, and biologic or physiologic elements
Created by: MarieG
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