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Diversity in Health and Illness The following terms have been defined to help you in the development of CULTURALCOMPETENCY. They are the “bricks” that comprise the steps that must be climbed in the process of developing CULTURALCOMPETENCY. They are the language of CULTURALCARE. Aberglaubish or aberglobin—The traditional German term for the “evil eye.” Access—Gaining entry […]

Rush Hour Institutional and provider clogs Ruts When cruising along, the unexpected hits and it is often difficult to break free Speed Limits Analogous to Institutional and Professional restraints—do not go too fast or too slow or you are in trouble and everyone is behind you Tolls Expensive—pay for books, travel, objects, admissions, tools Unexpected

  Nursing Leadership and Management homework ■ CULTURALCOMPETENCY You’ll know you are on the road to CULTURALCOMPETENCY when you under- stand that: ■ even when you are a part of a group, social or professional, you are a person who has your own HERITAGE—your own culture, ethnicity, and religion; No Signs Road twists and turns

Lights Slow, and controls the progress CULTURALCOMPETENCE ■ 351 CULTURALCARE is the term I have coined to express all that is inherent in this text. Countless conflicts in the health care delivery arenas are predi- cated on cultural misunderstandings. Although many of these misunder- standings are related to universal situations, such as verbal and nonverbal

The Journey to CULTURALCOMPETENCE Collisions Head-ons—meeting dense cultural conflicts and barriers—can be fatal Rear-enders—come at you from behind to sabotage efforts Fender benders—slips and blunders Side swipes—minor, but hurtful frustrations Conditions Culture + Climate—Social/Institutional attitudes Weather (rain, snow, fog, sun)—Heritage—Race/Ethnicity/ Religion/Socialization Curves The unknown—inability to anticipate the real responses, verbal vs. nonverbal Destination Physical, Mental,

Nephritis, nephrotic/syndrome and nephrosis The health care provider should be aware of the complex issues that surround the delivery of health care from the patient’s viewpoint. Calling the medical society for the name of a physician (because a “family member has a health problem”) and visiting and comparing the services rendered in an urban and

Influenza and pneumonia the health care provider. Each person comes from a unique culture and a unique socialization process. The health care provider must be sensitive to his or her own perceptions of health and illness and the practices he or she employs. Even though the perceptions of most health professionals are based on a

Diabetes mellitus ■ explore his or her own cultural identity and heritage and confront biases and stereotypes; ■ develop an awareness and understanding of the complexities of the modern health care delivery system—its philosophy and problems, biases, and stereotypes; CULTURALCOMPETENCE ■ 347 ■ develop a keen awareness of the socialization process that brings the provider

Why is there a difference between curing and HEALING? The major focus of this book has been on the provider’s and the patient’s differing perceptions of health/HEALTH and illness/ILLNESS. These differences may account for the health care provider’s misconception that services are used inappropriately and that people do not care about their health. What to

Why must they know the difference between “hot” and “cold” and yin and yang? The perplexing questions— ■ Why must health care deliverers—nurses, physicians, public health and social workers, and other health care professionals—study culture, ethnicity, religion, and become culturally competent? ■ Why must they know the difference between “hot” and “cold” and yin and