health disparities and culturally competent care chapter 2 overview copyright © 2011, 2007 by...
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Health Disparities and Culturally Competent
CareChapter 2 Overview
Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc.
Determinants of Health
2
Fig. 2-1. Determinants of health.
Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc.
Health Disparities Factors and Conditions Leading to Health DisparitiesRace, ethnicity, and culture
Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc. 3
Health Disparities
4
Fig. 2-2. Percent of adults (based on ethnicity) in the United States who have no regular doctor.
Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc.
Health Disparities Factors and Conditions Leading to Health Disparities, continuedGeographic location Income, education, and occupation
5Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc.
Health Disparities Factors and Conditions Leading to Health Disparities, continuedGenderAge Health care provider attitude
6Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc.
Health Disparities
7
Fig. 2-3. Older Asian women are especially at risk for health disparities.
Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc.
Health Disparities Impact of Health Disparities on Health
8Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc.
Culture
9
Table 2-2. Basic Characteristics of Culture.
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Culture
10
Fig. 2-4. Members of this family share a common heritage.
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Cultural Competence
11Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc.
Cultural Diversity in the Health Care Workplace
12
Fig. 2-5. Nurses working together in a multicultural health care environment.
Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc.
Cultural Diversity in the Health Care Workplace
13
Fig. 2-6. Co-workers from different cultures communicate with verbal and nonverbal cues.
Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc.
Cultural Factors Affecting Health and Health Care
Folk HealersSpirituality and ReligionCross-Cultural Communication
14Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc.
Cultural Factors Affecting Health and Health Care
Family Roles and Relationships
15
Fig. 2-7. Family roles and relationships differ from one culture to another.
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Cultural Factors Affecting Health and Health Care
Personal SpaceTouchNutritionImmigrants and Immigration
16Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc.
Cultural Factors Affecting Health and Health Care
17
Fig. 2-8. Recently arrived immigrants participate in a common American pastime.
Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc.
Cultural Factors Affecting Health and Health Care
MedicationsPsychologic Factors
18Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc.
Nursing Management:Reducing Health Disparities
and Increasing Cultural Competency
Nurse’s Self-AssessmentPatient Assessment
19Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc.
Nursing Management:Reducing Health Disparities
and Increasing Cultural Competency
Nursing ImplementationAdvocacy
20Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc.
Nursing Management:Reducing Health Disparities
and Increasing Cultural Competency
21
Fig. 2-9. A Navajo nurse instructs a Navajo patient.
Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc.
Nursing Management:Reducing Health Disparities
and Increasing Cultural Competency
Nursing Implementation, continuedStandardized guidelinesCommunication
22Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc.
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