Podcast
Questions and Answers
What is the primary focus of the 'rules approach' in understanding culture?
What is the primary focus of the 'rules approach' in understanding culture?
- It defines culture in terms of individual behavior.
- It categorizes the physical traits of a society.
- It understands culture as a cognitive model of reality. (correct)
- It emphasizes the historical aspects of cultural development.
Which of the following is a characteristic of cultural humility?
Which of the following is a characteristic of cultural humility?
- Self-reflections and commitment to lifelong learning. (correct)
- A rigid adherence to established stereotypes.
- A focus on developing a checklist of cultural traits.
- An emphasis on one's own cultural superiority.
Why is culture challenging to define in healthcare?
Why is culture challenging to define in healthcare?
- Culture is static and does not change over time.
- Culture is only related to ethnic groups.
- There are many overlapping definitions and components. (correct)
- Culture is solely based on physical traits.
According to the notes, what does cultural competence risk reinforcing?
According to the notes, what does cultural competence risk reinforcing?
What is the traditional notion of culture largely comprised of?
What is the traditional notion of culture largely comprised of?
In the study of culture, what is meant by culture as 'luggage'?
In the study of culture, what is meant by culture as 'luggage'?
How does the descriptive approach to culture differ from the rules approach?
How does the descriptive approach to culture differ from the rules approach?
What is a critical distinction made between cultural humility and cultural competence?
What is a critical distinction made between cultural humility and cultural competence?
What does cultural humility emphasize compared to cultural competence?
What does cultural humility emphasize compared to cultural competence?
Which component is crucial for cultural humility in healthcare?
Which component is crucial for cultural humility in healthcare?
How should healthcare providers view their relationship with patients according to cultural humility?
How should healthcare providers view their relationship with patients according to cultural humility?
What is a significant challenge in defining culture in health research?
What is a significant challenge in defining culture in health research?
Which of the following is a characteristic of culture as defined in health research?
Which of the following is a characteristic of culture as defined in health research?
What major implication does cultural humility have for healthcare training?
What major implication does cultural humility have for healthcare training?
What factor does cultural humility demand healthcare organizations to address?
What factor does cultural humility demand healthcare organizations to address?
What does cultural dissonance in healthcare signify?
What does cultural dissonance in healthcare signify?
What should researchers avoid when operationalizing culture in health studies?
What should researchers avoid when operationalizing culture in health studies?
How does cultural humility influence patient-centered care?
How does cultural humility influence patient-centered care?
What is the focus of current health research practices critiqued for lacking depth?
What is the focus of current health research practices critiqued for lacking depth?
In what way is culture characterized in health research according to the provided content?
In what way is culture characterized in health research according to the provided content?
What aspect of cultural humility contrasts sharply with traditional views of cultural competence?
What aspect of cultural humility contrasts sharply with traditional views of cultural competence?
How is culture often misrepresented in health research methodologies?
How is culture often misrepresented in health research methodologies?
Which of the following best defines health as described in the content?
Which of the following best defines health as described in the content?
What is acculturation in the context of cultural transmission?
What is acculturation in the context of cultural transmission?
What does cultural competency involve?
What does cultural competency involve?
In the context of health inequities, it is important to address which of the following?
In the context of health inequities, it is important to address which of the following?
What is the main focus of the National Standards for Culturally and Linguistically Appropriate Services (CLAS)?
What is the main focus of the National Standards for Culturally and Linguistically Appropriate Services (CLAS)?
Which of the following best illustrates the concept of cultural continuity?
Which of the following best illustrates the concept of cultural continuity?
How does the concept of 'vantage' relate to culture?
How does the concept of 'vantage' relate to culture?
Which of the following is a characteristic of health disparities as mentioned in the content?
Which of the following is a characteristic of health disparities as mentioned in the content?
What does the concept of healing encompass?
What does the concept of healing encompass?
What is the significance of the 'dandelion' visual metaphor in relation to cultural competency?
What is the significance of the 'dandelion' visual metaphor in relation to cultural competency?
Which approach is essential when learning about the health practices of individuals from different cultures?
Which approach is essential when learning about the health practices of individuals from different cultures?
What distinguishes society from culture based on the content?
What distinguishes society from culture based on the content?
What is a central element of the Cultural Emergent Perspective?
What is a central element of the Cultural Emergent Perspective?
Which statement regarding stereotypes is accurate?
Which statement regarding stereotypes is accurate?
What best describes cultural change in relation to health outcomes?
What best describes cultural change in relation to health outcomes?
Which of the following most accurately defines 'illness'?
Which of the following most accurately defines 'illness'?
What does the Hot-Cold System of Health Maintenance signify?
What does the Hot-Cold System of Health Maintenance signify?
How can community-based participatory research (CBPR) enhance health interventions?
How can community-based participatory research (CBPR) enhance health interventions?
Why is it essential to acknowledge cultural perceptions in healthcare?
Why is it essential to acknowledge cultural perceptions in healthcare?
What concept illustrates the relationship between cultural beliefs and perceptions of disability?
What concept illustrates the relationship between cultural beliefs and perceptions of disability?
Which best encapsulates the concept of health disparities?
Which best encapsulates the concept of health disparities?
What is the primary purpose of the Health Belief Model?
What is the primary purpose of the Health Belief Model?
What characterizes the transition through the stages of illness?
What characterizes the transition through the stages of illness?
How does cultural knowledge influence health behaviors?
How does cultural knowledge influence health behaviors?
Which statement best describes the role of communication styles in healthcare interactions?
Which statement best describes the role of communication styles in healthcare interactions?
Which factor contributes to the legitimization of the sick role in society?
Which factor contributes to the legitimization of the sick role in society?
What does the term 'culture-bound syndromes' refer to?
What does the term 'culture-bound syndromes' refer to?
What is a significant goal of Healthy People 2020?
What is a significant goal of Healthy People 2020?
Flashcards
Culture
Culture
The total of socially inherited traits of a human group, including customs and beliefs.
Descriptive Approach
Descriptive Approach
Identifies specific traits/material goods of a society; not holistic.
Rules Approach
Rules Approach
Assumes culture is a cognitive model of reality, not a list of behaviors.
Cultural Competency
Cultural Competency
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Cultural Humility
Cultural Humility
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Health Disparities
Health Disparities
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Ethnography
Ethnography
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Cultural Humility vs Cultural Competence
Cultural Humility vs Cultural Competence
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Lifelong Learning
Lifelong Learning
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Power Imbalances
Power Imbalances
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Institutional Accountability
Institutional Accountability
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Patient-Centered Care
Patient-Centered Care
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Shift in Mindset
Shift in Mindset
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Oversimplified Measures
Oversimplified Measures
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Dynamic Nature of Culture
Dynamic Nature of Culture
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Cultural Dissonance
Cultural Dissonance
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Codifying Norms
Codifying Norms
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Intra-group Heterogeneity
Intra-group Heterogeneity
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Cultural Framework
Cultural Framework
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Community Engagement
Community Engagement
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Cultural Knowledge
Cultural Knowledge
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Cultural Practice
Cultural Practice
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Cultural Change
Cultural Change
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Community-Based Participatory Research (CBPR)
Community-Based Participatory Research (CBPR)
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Disease vs. Illness
Disease vs. Illness
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Culture-Bound Syndromes
Culture-Bound Syndromes
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Hot-Cold System of Health Maintenance
Hot-Cold System of Health Maintenance
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Perceived Susceptibility
Perceived Susceptibility
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Health Belief Model
Health Belief Model
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Stages of Illness
Stages of Illness
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Health-Illness Continuum
Health-Illness Continuum
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Sick Role
Sick Role
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Explanatory Models
Explanatory Models
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World Health Organization (WHO) Definition of Health
World Health Organization (WHO) Definition of Health
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Health
Health
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Illness
Illness
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Healing
Healing
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Acculturation
Acculturation
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Enculturation
Enculturation
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Culturally and Linguistically Appropriate Services (CLAS)
Culturally and Linguistically Appropriate Services (CLAS)
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Racism
Racism
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Society vs. Culture
Society vs. Culture
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Ascribed Status
Ascribed Status
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Achieved Status
Achieved Status
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Cultural Continuity
Cultural Continuity
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Value Orientation
Value Orientation
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Study Notes
Culture and Healthcare: Week 1 Notes
- Culture Defined: Spector and Fejos define culture as "the total of socially inherited characteristics of a human group, encompassing everything a generation can convey to the next." It's the non-physical traits passed down.
- Descriptive vs. Rules Approach: The descriptive approach identifies characteristics of a group, while the rules approach focuses on the cognitive model underlying those traits. Describing an entire culture is difficult. The rules approach emphasizes the cultural perspective.
- Healthcare Definitions of Culture: Diverse definitions exist, highlighting culture as shared, learned, and self-expressive. Examples include a definition from the Office of Minority Health, and one citing Bates & Edwards.
Cultural Competence & Humility
- Cultural Competency: Involves understanding the full context of a patient's situation, going beyond stereotypes and biases. (refers to CLAS guidelines).
- Cultural Humility: A lifelong process of self-reflection, acknowledging power imbalances and striving for partnerships with patients and communities. It's about learning how to ask questions, to show humility and flexibility in interactions.
- Cultural Humility vs. Competence: Cultural competence is criticized for being too simplistic and potentially essentialist. Cultural humility emphasizes a lifelong commitment to learning, self-reflection, awareness of power imbalances, and collaboration.
Reading 1: Cultural Humility
- Reading Summary: Challenges the concept of "cultural competence" and promotes a culturally humble approach in healthcare. Cultural humility emphasizes self-reflection, learning, and power-sharing with patients.
- Key Concepts: Cultural competence is criticized for the possibility of stereotyping and "mastering" culture. This contrasts with cultural humility, which sees it as an ongoing process of self-reflection and acknowledging power imbalances.
- Components of Cultural Humility: Continuous learning and self-reflection, recognition of power imbalances, and institutional accountability are crucial.
- Applications in Healthcare: Physician training, patient-centered care, and community engagement are all influenced by cultural humility.
Reading 2: The Missing Link in Health Research
- Key Issue: Insufficient and inconsistent definitions of culture in health research hinder progress in addressing health inequities.
- Critique: Current practices often use simplistic measures (like race) without grasping the dynamic and evolving nature of culture. Research also often overlooks the researcher's own cultural biases and societal influences like historical and political context.
- Conceptualizing Culture: Culture is a dynamic framework of schemas used for interpreting reality. It's implicitly learned through interaction and a source of meaning, safety, and belonging. Cultural dissonance can be detrimental.
Reading 3: Cultural Foundations
- Objectives: Develop cultural and linguistic competence, understand cultural heritage, and explore the relationship between culture and health/illness.
- Health and Illness: This framework distinguishes between health as a state of balance, illness signifying an imbalance, and healing leading back to harmony.
- Cultural Competency: Involves understanding a patient's entire cultural background, adapting healthcare delivery to these backgrounds.
- National Standards: CLAS guidelines, established by the Office of Minority Health, emphasize culturally and linguistically appropriate services for patients.
Week 2: Understanding Culture
- Culture Emergent Perspective: The dynamic and context-dependent aspects of culture are highlighted. Culture is learned, localized, and patterned. It expresses values and adapts over time, but persists.
- How Culture is Learned: Observation, interactions, and enculturation (adopting norms) and acculturation (adapting to new cultures) play a key role.
- Five Universal Values (Bondar & Martin, p. 35): People's basic views on human nature, nature, time, activity, and relationships are rooted in basic values shaping cultural beliefs.
- Culture & Social Institutions: Culture shapes social institutions (family, religion, etc.). Status and power, in turn, influence cultural experience.
Week 3: Cultural and Social Distinctions
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Society vs. Culture: Society focuses on structure, while culture is about meaning and understanding.
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Status and Power: Ascribed status versus achieved status, social roles are deeply influenced by culture.
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Race vs. Ethnicity: Race is a social construct, ethnicity relates to cultural or national identity. Stereotypes and racism are social issues.
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Asad & Kay: For health interventions, culture should be viewed as multi-faceted, consisting of knowledge, practice, and continuous change involving understanding community involvement and acknowledging evolution.
Week 4: Culture's Role in Health & Healthcare
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Culture & Health: Culture impacts how health and illness are perceived and expressed.
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Concepts of Disease, Illness, and Sickness: Disease (biological), Illness (social experience of being unwell), and Sickness (personal and cultural experience of un-wellness) are distinct.
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Culture-bound Syndromes: These illnesses are culturally specific, like Amok, Koro, Susto, and PMDD. However, their validity as separate disorders is subject to debate.
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Culture in Clinical Interactions: Cultural perceptions differ significantly. Dismissing cultural perspectives can hinder effective treatment.
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Key Considerations for Practitioners: Recognizing the complex and unique identities of patients, avoiding generalizations, and recognizing patients' multiple cultural influences are essential.
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Spector Chapter 4: Health and illness are shaped by social determinants; multiple relationships exist across cultures.
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Defining Health: The perspective of health is explored as including physical, mental, and social well-being, and other variations
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Health Indicator: Physical, social, psychological, and medical access factors highlight aspects of health beyond the presence or absence of disease.
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Demographic Disparities: Importance of health indicators from different groups when compared to the general population.
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Health Belief Model: Explains how individuals perceive health and take preventive actions to promote well-being.
Studying That Suits You
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Description
This quiz covers key concepts from Week 1 - 4 of the Culture and Healthcare course, focusing on the definitions and approaches to understanding culture in healthcare. Explore cultural competency and humility, alongside diverse definitions and descriptive versus rules approaches to culture. Ideal for students seeking to enhance their cultural awareness in healthcare environments.