Chapter 9

Cultural Diversity in Health Care

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Learning Outcomes

Evaluate the use of concepts and principles of acculturation, culture, cultural diversity, and cultural sensitivity in leading and managing situations.

Analyze differences between cross-cultural, transcultural, multicultural, and intracultural concepts and cultural marginality.

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Cultural Diversity

Two perspectives to think about: Patients Workforce

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Goals to Promote These Perspectives:

Enhancing efforts to increase the recruitment, retention, and subsequent graduation of minority nurses

Promoting leadership development for minority nurses

Developing a practice environment that promotes diversity

Promoting the preparation of all nurses so that culturally competent care can be provided

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Effective Leaders

Shape the culture of an organization.

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National and Global Directives

The ANA Code of Ethics for Nurses with Interpretive Statements, Provision 8. The ANA Code of Ethics for Nurses with

Interpretive Statements, Provision 8 states, “The nurse collaborates with other health professionals and the public in promoting community, national, and international efforts to meet health needs”

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Accessibility as Another Challenge

Linked to social strata Patient Protection and Affordable Care Act of

2010

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How Does Diversity Impact Nurse Educators?

National League for Nursing (2005) Core Competencies of Nurse Educators with Task Statements Competencies 1, 2, and 4.

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Core Competencies of Nurse Educators with Task Statements

Competency 1 – Facilitate Learning

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Core Competencies of Nurse Educators with Task Statements (Cont.)

Competency 2 – Facilitate Learner Development and Socialization

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Core Competencies of Nurse Educators with Task Statements (Cont.)

Competency 4 – Participate in Curriculum Design and Evaluation of Program Outcomes

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Health Disparities

Causes in Health Care Related to? Examples

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How Does This Affect Healthcare Providers?

Effectively manage and treat disease processes.

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What Are the True Benefits?

Greater productivity!!

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What is Culture?

Ethnic background Socioeconomic status Family rituals

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Inherent Characteristics of Culture

Develops over time Members learn it and share it Essential for survival Difficult to change

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Cultural Diversity

Range of differences

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Cultural Sensitivity

Affective behaviors

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Acculturation

Adapting

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Assimilation

Change

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Managerial and Leadership Relevance

Positive outcomes for entire team!

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Failure to Address Cultural Diversity?

Negative Outcomes for the Team!

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Individual and Societal Factors

Foster respect for differences.

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How Do You Foster the Respect?

Multiculturalism Cross-culturalism Transculturalism

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Dealing Effectively with Cultural Diversity

Leaders and Managers Long-term vision Financial commitment Healthcare-provider commitment

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Tools to Help Clarify Diversity

Mentoring Continuing Education Internet

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The Big Picture!

Understanding is key…and appreciation!

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