Cultural Competence Chapter 9

1
Cultural CompetenceChapter 9

• West Coast University
• NURS 204

2
Culture and Healthcare

• Culture
• Worldview

3
Cultural Competence

• The capacity of nurses or health service delivery
  systems to effectively understand and plan for
  the needs of a culturally diverse client or group

4
Cultural Terms

• Ethnicity
• Ethnocentrism
• Cultural Sensitivity

5
Cultural Brokering

• The nurse-as-culture-broker serves as a bridge
  between the client and the providers in the
  health care system by stepping in, or
  intervening, to facilitate the acquisition of
  effective heath care.

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Strategies for Cultural Competence

• Self-awareness
• Learning
• Identifying health care issues

7
Studies

• Prevalence measures
• Incidence measures

8
Risk Factors

• Ethnicity/race
• Diet
• Alcohol/drug use
• Health and healing practices
• Religious or spiritual beliefs
• Time orientation
• Migration

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Natural History of Disorder

• The natural history of disorder refers to the
  course of disorder over time in the absence of
  intervention.

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Stage of Susceptibility

• During this stage, the groundwork has been laid
  by the presence of risk factors that favor the
  occurrence of disorder.

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Stage of Presymptomatic Disorder

• During this stage, there is no apparent disorder,
  but pathological changes have started to occur.

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Stage of Clinical Disorder

• This stage is characterized by recognizable signs
  and symptoms of disorder.

13
Stage of Disability

• Some disorders leave residual impairment or
  disability of short or long duration.

14
Epidemiologic Principles

• Psychiatric epidemiology is the study of the
  distribution and determinants of mental disorders
  in human populations.