Culture and Healthcare: Week 1 -4 Notes/Study Guide
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Questions and Answers

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?

  • 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?

  • 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?

<p>Stereotypes about cultural groups. (D)</p> Signup and view all the answers

What is the traditional notion of culture largely comprised of?

<p>Thoughts, actions, and institutions of groups. (A)</p> Signup and view all the answers

In the study of culture, what is meant by culture as 'luggage'?

<p>It signifies the ideas and values passed from one generation to another. (D)</p> Signup and view all the answers

How does the descriptive approach to culture differ from the rules approach?

<p>It emphasizes the collective traits of a society. (D)</p> Signup and view all the answers

What is a critical distinction made between cultural humility and cultural competence?

<p>Cultural humility is focused on lifelong learning rather than achieving a definitive skill set. (B)</p> Signup and view all the answers

What does cultural humility emphasize compared to cultural competence?

<p>A dynamic and lifelong process of self-reflection. (B)</p> Signup and view all the answers

Which component is crucial for cultural humility in healthcare?

<p>Critical self-reflection and lifelong learning. (B)</p> Signup and view all the answers

How should healthcare providers view their relationship with patients according to cultural humility?

<p>As a dynamic, equal partnership. (D)</p> Signup and view all the answers

What is a significant challenge in defining culture in health research?

<p>Ignoring the influence of geographic contexts. (D)</p> Signup and view all the answers

Which of the following is a characteristic of culture as defined in health research?

<p>Culture is a shared, dynamic framework. (D)</p> Signup and view all the answers

What major implication does cultural humility have for healthcare training?

<p>It requires incorporating social and cultural dimensions of care. (C)</p> Signup and view all the answers

What factor does cultural humility demand healthcare organizations to address?

<p>Dismantling institutional racism and structural barriers. (A)</p> Signup and view all the answers

What does cultural dissonance in healthcare signify?

<p>Conflict between cultural frameworks leading to health issues. (A)</p> Signup and view all the answers

What should researchers avoid when operationalizing culture in health studies?

<p>Using simplistic proxies like race or ethnicity. (B)</p> Signup and view all the answers

How does cultural humility influence patient-centered care?

<p>It enhances trust and collaboration with patients. (D)</p> Signup and view all the answers

What is the focus of current health research practices critiqued for lacking depth?

<p>Prioritizing individual factors over systemic issues. (B)</p> Signup and view all the answers

In what way is culture characterized in health research according to the provided content?

<p>As an implicit and evolving framework. (B)</p> Signup and view all the answers

What aspect of cultural humility contrasts sharply with traditional views of cultural competence?

<p>Cultural humility fosters ongoing learning and self-critique. (B)</p> Signup and view all the answers

How is culture often misrepresented in health research methodologies?

<p>Using broad, inflexible categories. (D)</p> Signup and view all the answers

Which of the following best defines health as described in the content?

<p>A state of balance within the person and their environment. (D)</p> Signup and view all the answers

What is acculturation in the context of cultural transmission?

<p>Learning and practicing new cultural norms while retaining original cultural elements. (D)</p> Signup and view all the answers

What does cultural competency involve?

<p>Understanding and addressing the total context of the patient’s situation. (B)</p> Signup and view all the answers

In the context of health inequities, it is important to address which of the following?

<p>Systemic forces and historical contexts. (D)</p> Signup and view all the answers

What is the main focus of the National Standards for Culturally and Linguistically Appropriate Services (CLAS)?

<p>To ensure healthcare providers meet patients’ cultural and linguistic needs. (A)</p> Signup and view all the answers

Which of the following best illustrates the concept of cultural continuity?

<p>The evolution of cultural knowledge while retaining core elements. (A)</p> Signup and view all the answers

How does the concept of 'vantage' relate to culture?

<p>It refers to the perspective from which culture is interpreted and understood. (C)</p> Signup and view all the answers

Which of the following is a characteristic of health disparities as mentioned in the content?

<p>They are influenced by systemic racism and access to healthcare. (D)</p> Signup and view all the answers

What does the concept of healing encompass?

<p>Restoring harmony to body, mind, and spirit holistically. (B)</p> Signup and view all the answers

What is the significance of the 'dandelion' visual metaphor in relation to cultural competency?

<p>It symbolizes cultural factors with each seed signifying a different aspect. (B)</p> Signup and view all the answers

Which approach is essential when learning about the health practices of individuals from different cultures?

<p>Understanding both your own and others’ cultural heritages. (B)</p> Signup and view all the answers

What distinguishes society from culture based on the content?

<p>Society is a structured organization of people; culture consists of shared meanings and understandings. (B)</p> Signup and view all the answers

What is a central element of the Cultural Emergent Perspective?

<p>Culture is learned, localized, patterned, and adaptive. (D)</p> Signup and view all the answers

Which statement regarding stereotypes is accurate?

<p>Stereotypes are generalizations that can lead to biases. (B)</p> Signup and view all the answers

What best describes cultural change in relation to health outcomes?

<p>It is the continuous evolution of cultural practices that may impact health outcomes. (D)</p> Signup and view all the answers

Which of the following most accurately defines 'illness'?

<p>A socially constructed experience related to being unwell. (C)</p> Signup and view all the answers

What does the Hot-Cold System of Health Maintenance signify?

<p>A widespread folk medical system that categorizes health issues into hot and cold conditions. (D)</p> Signup and view all the answers

How can community-based participatory research (CBPR) enhance health interventions?

<p>Through collaboration with local communities for culturally sensitive health programs. (C)</p> Signup and view all the answers

Why is it essential to acknowledge cultural perceptions in healthcare?

<p>They can create challenges when patient and practitioner perspectives clash. (C)</p> Signup and view all the answers

What concept illustrates the relationship between cultural beliefs and perceptions of disability?

<p>Culture of disability, which denotes shared beliefs and experiences about disability. (A)</p> Signup and view all the answers

Which best encapsulates the concept of health disparities?

<p>Variations in health outcomes influenced by social and economic factors. (B)</p> Signup and view all the answers

What is the primary purpose of the Health Belief Model?

<p>To explain how individuals perceive health and engage in preventive actions. (A)</p> Signup and view all the answers

What characterizes the transition through the stages of illness?

<p>It includes multiple interactions and adaptations related to one's health. (B)</p> Signup and view all the answers

How does cultural knowledge influence health behaviors?

<p>It shapes shared beliefs, values, and norms regarding health practices. (C)</p> Signup and view all the answers

Which statement best describes the role of communication styles in healthcare interactions?

<p>Differing styles can lead to misunderstandings and treatment challenges. (B)</p> Signup and view all the answers

Which factor contributes to the legitimization of the sick role in society?

<p>Validation and diagnosis by healthcare providers. (B)</p> Signup and view all the answers

What does the term 'culture-bound syndromes' refer to?

<p>Health conditions linked to specific cultural beliefs and practices. (B)</p> Signup and view all the answers

What is a significant goal of Healthy People 2020?

<p>To promote health equity and eliminate health disparities. (B)</p> Signup and view all the answers

Flashcards

Culture

The total of socially inherited traits of a human group, including customs and beliefs.

Descriptive Approach

Identifies specific traits/material goods of a society; not holistic.

Rules Approach

Assumes culture is a cognitive model of reality, not a list of behaviors.

Cultural Competency

The ability to understand a patient’s cultural context and reduce bias in healthcare.

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Cultural Humility

An approach emphasizing flexibility, self-reflection, and lifelong learning in cultural interactions.

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Health Disparities

Differences in health outcomes linked to social, economic, and environmental factors.

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Ethnography

A research method focused on understanding cultures through direct observation and interaction.

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Cultural Humility vs Cultural Competence

Cultural humility challenges and refines cultural competence by emphasizing ongoing learning and relationship-building.

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Lifelong Learning

Continual evaluation of one's own beliefs and values through self-reflection.

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Power Imbalances

The inherent power dynamics in provider-patient relationships.

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Institutional Accountability

Demand for systemic change in healthcare organizations to support equity.

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Patient-Centered Care

Healthcare that considers patients as active collaborators.

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Shift in Mindset

The transition from cultural competence to cultural humility in healthcare.

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Oversimplified Measures

Using simplistic proxies like race or ethnicity in cultural research.

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Dynamic Nature of Culture

Culture evolves and changes over time, not static.

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Cultural Dissonance

Conflict between different cultural frameworks affecting health.

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Codifying Norms

Establishing shared beliefs and practices in social institutions.

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Intra-group Heterogeneity

Variability within a cultural group, acknowledging differences.

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Cultural Framework

A shared system of meanings that individuals use to interpret reality.

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Community Engagement

Building partnerships with communities to address health inequities.

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Cultural Knowledge

Shared beliefs, values, and norms influencing health behaviors.

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Cultural Practice

How cultural knowledge is enacted in daily life.

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Cultural Change

Evolution of cultural practices impacting health outcomes.

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Community-Based Participatory Research (CBPR)

Collaborative research approach with local communities for health programs.

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Disease vs. Illness

Disease is a biological condition; illness is a socially constructed experience.

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Culture-Bound Syndromes

Illnesses unique to specific cultures or groups.

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Hot-Cold System of Health Maintenance

A widespread folk medical system based on balancing heat and cold.

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Perceived Susceptibility

How vulnerable someone feels to a disease.

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Health Belief Model

Explains how individuals act upon perceived health risks and benefits.

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Stages of Illness

Phases from recognizing symptoms to recovery or death.

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Health-Illness Continuum

The progression from health to severe illness and beyond.

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Sick Role

Society's expectations for individuals who are ill.

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Explanatory Models

How different cultures interpret disease and illness.

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World Health Organization (WHO) Definition of Health

Health is a state of complete physical, mental, and social well-being.

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Health

A state of balance within a person and their environment.

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Illness

An imbalance within a person and their external environment.

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Healing

A holistic process restoring harmony to body, mind, and spirit.

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Acculturation

Adapting to a new culture while keeping elements of the original.

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Enculturation

Learning and adopting the norms of one’s own culture.

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Culturally and Linguistically Appropriate Services (CLAS)

Standards to ensure healthcare meets patients’ cultural needs.

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Racism

A systemic issue affecting health outcomes and access to care.

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Society vs. Culture

Society is structured organization, culture is shared meanings.

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Ascribed Status

Status given at birth like race or gender.

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Achieved Status

Status earned through effort like education or profession.

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Cultural Continuity

Culture evolves but retains core elements over time.

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Value Orientation

Cultural beliefs about prioritizing values in life.

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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.
  • 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

  • Society vs. Culture: Society focuses on structure, while culture is about meaning and understanding.

  • Status and Power: Ascribed status versus achieved status, social roles are deeply influenced by culture.

  • Race vs. Ethnicity: Race is a social construct, ethnicity relates to cultural or national identity. Stereotypes and racism are social issues.

  • 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

  • Culture & Health: Culture impacts how health and illness are perceived and expressed.

  • 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.

  • Culture-bound Syndromes: These illnesses are culturally specific, like Amok, Koro, Susto, and PMDD. However, their validity as separate disorders is subject to debate.

  • Culture in Clinical Interactions: Cultural perceptions differ significantly. Dismissing cultural perspectives can hinder effective treatment.

  • Key Considerations for Practitioners: Recognizing the complex and unique identities of patients, avoiding generalizations, and recognizing patients' multiple cultural influences are essential.

  • Spector Chapter 4: Health and illness are shaped by social determinants; multiple relationships exist across cultures.

  • Defining Health: The perspective of health is explored as including physical, mental, and social well-being, and other variations

  • Health Indicator: Physical, social, psychological, and medical access factors highlight aspects of health beyond the presence or absence of disease.

  • Demographic Disparities: Importance of health indicators from different groups when compared to the general population.

  • Health Belief Model: Explains how individuals perceive health and take preventive actions to promote well-being.

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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.

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