Public Sector Equality Duty Overview

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Questions and Answers

What is a key component of implementing culturally competent care?

  • Respecting patients' cultural and religious beliefs (correct)
  • Limiting the use of medical interpreters
  • Standardizing treatment plans for all patients
  • Using technical jargon to communicate effectively

Which strategy is suggested for promoting cultural competence within healthcare organizations?

  • Reducing training opportunities for staff
  • Limiting workforce diversity
  • Allocating resources for interpreters (correct)
  • Focusing solely on legal compliance

How can healthcare organizations enhance patient outcomes according to the provided content?

  • By mandating uniform treatment plans
  • By fostering a diverse and inclusive workforce (correct)
  • By implementing one-time cultural training programs
  • By ignoring patient demographic data

What should healthcare providers analyze to improve culturally competent care?

<p>Patient demographics to identify underserved populations (B)</p> Signup and view all the answers

What is defined as a shared system of meaning that influences individuals' perceptions?

<p>Culture (D)</p> Signup and view all the answers

What is a significant cultural expectation faced by Korean immigrant women caregivers?

<p>Caring for their parents-in-law (A)</p> Signup and view all the answers

Which of the following is NOT mentioned as a challenge faced by Korean immigrant caregivers?

<p>Access to mental health resources (B)</p> Signup and view all the answers

Which coping strategy do Korean immigrant women utilize to manage caregiving duties?

<p>Seeking support from family and friends (B)</p> Signup and view all the answers

What is one of the implications highlighted by the study regarding support services?

<p>Healthcare providers should consider cultural contexts (D)</p> Signup and view all the answers

What method was used to gather data in this study?

<p>In-depth interviews with caregivers (B)</p> Signup and view all the answers

Which component is NOT part of cultural competence in nursing?

<p>Knowledge of popular medications (B)</p> Signup and view all the answers

What strategy can help nurses develop cultural competence?

<p>Seeking cultural education and training (A)</p> Signup and view all the answers

Effective communication in cross-cultural settings involves which of the following?

<p>Active listening and being mindful of nonverbal cues (C)</p> Signup and view all the answers

What is a significant health disparity faced by Black African women in the UK?

<p>Mortality rate four times higher than White women (A)</p> Signup and view all the answers

Which group is reported to experience poorer mental health outcomes in Britain?

<p>Gypsies, Travellers, and Roma (D)</p> Signup and view all the answers

What does the concept of intersectionality primarily emphasize?

<p>The interaction of multiple social identities (A)</p> Signup and view all the answers

How much more likely are Black African women to be detained under mental health legislation compared to White British women?

<p>Seven times more likely (B)</p> Signup and view all the answers

Which skill is NOT mentioned as important for practitioners when engaging with service users?

<p>Prioritizing clinical rules over user beliefs (D)</p> Signup and view all the answers

In the context of intersectionality, which of the following factors is considered critical in shaping an individual's experience?

<p>Multiple overlapping identities (C)</p> Signup and view all the answers

What must practitioners provide to improve outcomes for individuals with diverse backgrounds?

<p>Access to relevant religious and spiritual leaders (A)</p> Signup and view all the answers

Which is a recommended practice for clinicians to enhance understanding of their patients' perspectives?

<p>Exploring the explanatory model of the patient (A)</p> Signup and view all the answers

Which barrier is a concern for practitioners when addressing mental health within diverse communities?

<p>Lack of time (A)</p> Signup and view all the answers

What is a significant service user barrier affecting BAME communities in accessing mental health services?

<p>Language difficulties (C)</p> Signup and view all the answers

What contributes to the perception of mental health services as culturally insensitive?

<p>Personal experiences of diverse patients (B)</p> Signup and view all the answers

Which term refers to the expression of gender through behavior, clothing, and appearance?

<p>Gender expression (B)</p> Signup and view all the answers

Which of the following aspects is NOT considered a barrier for service users from BAME communities?

<p>High levels of community support (B)</p> Signup and view all the answers

What mental health issues have a strong correlation with sexual minority youth compared to heterosexual youth?

<p>Severe depressive and anxiety symptoms (D)</p> Signup and view all the answers

Which of the following factors is identified as a reason for mental health inequalities among LGBTQ+ individuals?

<p>Heteronormative cultural beliefs (C)</p> Signup and view all the answers

What percentage of individuals in relationships within the LGBTQ+ community experienced domestic abuse?

<p>28% (D)</p> Signup and view all the answers

What is the focus of the Minority Stress Theory in relation to mental health?

<p>The impact of intersecting identities on mental health (D)</p> Signup and view all the answers

Which of the following is a potential outcome of violence experienced by transgender individuals?

<p>Suicidal thoughts and attempts (D)</p> Signup and view all the answers

Which type of research is emphasized as necessary for understanding LGBTQ+ mental health?

<p>High-quality population-based research (D)</p> Signup and view all the answers

What common mental health conditions are generally reported among gender minorities?

<p>Anxiety and depression (D)</p> Signup and view all the answers

What is a proposed method for preventing mental health inequalities in the LGBTQ+ community?

<p>Address systemic discrimination and stigma (D)</p> Signup and view all the answers

What term describes individuals whose gender identity matches the sex assigned at birth?

<p>Cisgender (B)</p> Signup and view all the answers

Which of the following constitutes a social transition for transgender individuals?

<p>Change of name (D)</p> Signup and view all the answers

How can sexual orientation be defined?

<p>Influenced by culture and personal experiences (D)</p> Signup and view all the answers

What does the acronym SGM stand for in relation to identity?

<p>Sexual and Gender Minorities (A)</p> Signup and view all the answers

What is a common misconception about sexual and gender identity labels?

<p>Labels can vary and may change over time. (B)</p> Signup and view all the answers

What does the term 'queer' signify within the context of gender and sexual identity?

<p>An umbrella term to encompass various identities. (B)</p> Signup and view all the answers

Which of the following constructs does the Klein Sexual Orientation Grid assess?

<p>All dimensions of sexuality including attraction and behavior (D)</p> Signup and view all the answers

What percentage of the UK population aged 16+ identified as heterosexual or straight according to the UK Census 2021?

<p>92.5% - 93.4% (C)</p> Signup and view all the answers

What is a primary role of medical interpreters in culturally competent care?

<p>Facilitating better communication between healthcare providers and patients who speak different languages (A)</p> Signup and view all the answers

Which of the following is NOT a way healthcare organizations can support culturally competent care?

<p>Recruiting healthcare professionals solely based on their language skills (D)</p> Signup and view all the answers

What is an essential aspect of respecting patients' cultural beliefs in treatment plans?

<p>Encouraging open dialogue about their beliefs and potential conflicts with proposed treatments (C)</p> Signup and view all the answers

What is one of the benefits of forming committees to promote cultural awareness in healthcare settings?

<p>To encourage the sharing of cultural knowledge and improve patient care (B)</p> Signup and view all the answers

Which approach can healthcare organizations take to analyze underserved populations effectively?

<p>Use patient demographics to identify groups lacking access to services (B)</p> Signup and view all the answers

What is one of the key requirements of the Public Sector Equality Duty?

<p>Foster good relations between those with and without protected characteristics (B)</p> Signup and view all the answers

Which action is necessary to advance equality of opportunity for individuals with protected characteristics?

<p>Encouraging participation in public life where it's disproportionately low (D)</p> Signup and view all the answers

Which of the following is NOT a protected characteristic under the Equality Act 2010?

<p>Weight (D)</p> Signup and view all the answers

What does the compliance with the Public Sector Equality Duty involve?

<p>Taking steps to account for disabilities (B)</p> Signup and view all the answers

What must public authorities consider when making decisions according to the Public Sector Equality Duty?

<p>Active consideration of equality issues (C)</p> Signup and view all the answers

Which of the following is NOT a step involved in fostering good relations?

<p>Encouraging competition among groups (A)</p> Signup and view all the answers

What is a significant requirement for public authorities in terms of discrimination under the Public Sector Equality Duty?

<p>To eliminate discrimination, harassment, and victimisation (A)</p> Signup and view all the answers

Which element is a primary focus of culturally competent nursing care as highlighted in the related study?

<p>Understanding the cultural aspects of caregiving (A)</p> Signup and view all the answers

What is the principle of beneficence in healthcare?

<p>Conveying benefits and helping patients pursue their interests. (D)</p> Signup and view all the answers

Which type of bias is characterized by unconscious, automatic judgments?

<p>Implicit bias (B)</p> Signup and view all the answers

Why is it important for healthcare professionals to acknowledge their biases?

<p>To treat patients as individuals without interference from their own bias. (D)</p> Signup and view all the answers

What does the A in the A.C.T. model stand for in addressing unconscious bias?

<p>Acknowledge (A)</p> Signup and view all the answers

Which of the following factors is linked to a higher risk of poor mental wellbeing?

<p>Experience of discrimination (C)</p> Signup and view all the answers

What is meant by non-maleficence in healthcare practice?

<p>Avoiding harm to patients through action or inaction. (A)</p> Signup and view all the answers

What is one of the strong indicators of mental health issues among sexual minorities?

<p>Self-harm (B)</p> Signup and view all the answers

How should mental health services respond to the implications of living in a multicultural society?

<p>By ensuring equal access and understanding diverse experiences. (B)</p> Signup and view all the answers

Which of the following is stated as a common mental health issue among gender minorities?

<p>Suicidal thoughts (B)</p> Signup and view all the answers

What mental health issue is likely correlated with discrimination in various contexts?

<p>Higher risk of developing mental health problems (B)</p> Signup and view all the answers

What is a key factor contributing to mental health inequalities among LGBTQ+ individuals?

<p>Systemic stigma and discrimination (C)</p> Signup and view all the answers

Which concept explains the impact of intersecting identities on mental health?

<p>Intersectionality (A)</p> Signup and view all the answers

What percentage of transgender individuals reported experiences of hate crime?

<p>41% (A)</p> Signup and view all the answers

Which of the following is NOT a reported effect of minority stress according to existing research?

<p>High energy levels (C)</p> Signup and view all the answers

What term describes individuals who do not identify as heterosexual and/or cisgender?

<p>Sexual Minorities (C)</p> Signup and view all the answers

What is the primary focus of the Klein Sexual Orientation Grid?

<p>Sexual Constructs (D)</p> Signup and view all the answers

Which of the following is a common misconception regarding sexuality and gender identities?

<p>Cisgender individuals face no identity challenges. (A), All people whose gender identity differs from birth are transgender. (B), People only choose one label for their identity. (C)</p> Signup and view all the answers

Which term is used as an umbrella term to encompass various gender and sexual identities?

<p>Queer (D)</p> Signup and view all the answers

How should research address questions about sex and gender assigned at birth?

<p>Only ask if it is necessary. (C)</p> Signup and view all the answers

Which aspect does sexuality NOT directly influence regarding a person's identity?

<p>Gender Expression (D)</p> Signup and view all the answers

What is a defining feature of social transition for transgender individuals?

<p>Change of name (A)</p> Signup and view all the answers

What percentage of the UK population aged 16 and over identified as heterosexual or straight according to the UK Census 2021?

<p>92.5% - 93.4% (B)</p> Signup and view all the answers

What is a primary challenge faced by Korean immigrant women caregivers in the United States?

<p>Balancing work and family responsibilities (B)</p> Signup and view all the answers

Which coping strategy do Korean immigrant women commonly use to deal with caregiving pressures?

<p>Utilizing community resources (A)</p> Signup and view all the answers

What implication does the study suggest regarding support services for Korean immigrant caregivers?

<p>Culturally sensitive support services are necessary (B)</p> Signup and view all the answers

Which of the following is NOT a component of cultural competence in nursing?

<p>Personal healthcare experience (D)</p> Signup and view all the answers

What is a key aspect of developing cultural competence according to the provided content?

<p>Engaging in self-reflection (C)</p> Signup and view all the answers

Which language-related challenge is particularly significant for Korean immigrant women caregivers?

<p>Understanding medical jargon (D)</p> Signup and view all the answers

How can healthcare providers effectively support Korean immigrant caregivers according to the findings?

<p>By acknowledging and addressing cultural context (D)</p> Signup and view all the answers

Which factor does the research identify as crucial for understanding the experiences of Korean immigrant caregivers?

<p>Cultural expectations within their family (B)</p> Signup and view all the answers

Flashcards

Korean immigrant caregiver challenges

Korean immigrant women caring for parents-in-law face difficulties like language barriers, unfamiliar healthcare systems, balancing work/family, and family relationships issues.

Cultural expectations (caregiving)

Traditional Korean norms often pressure women to care for parents-in-law.

Coping strategies (caregivers)

Korean immigrant caregivers use family/friends, community resources, and cultural adaptation to manage caregiving responsibilities.

Cultural competence in nursing

Nursing skills to understand and work effectively with diverse cultural groups, containing awareness, attitudes, cultural knowledge and cross-cultural skills.

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Cultural Competence (4 Components)

Understanding cultural worldview, attitudes towards differences, knowledge of practices and worldview, along with cross-cultural skillsets.

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Cultural self-reflection (nursing)

Nurses examine their own cultural biases and beliefs to better interact with diverse patients.

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Developing cultural competence (strategies)

Nurses can improve cultural competence through self-reflection, continuous education, and building cultural knowledge.

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Cultural knowledge (nursing)

Gaining understanding of different cultures' beliefs and healthcare practices.

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Cultural Competence in Healthcare

Providing care that is sensitive to and respects a patient's cultural background, beliefs, and practices.

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Medical Interpreters

Trained professionals who facilitate communication between healthcare providers and patients who don't speak the same language.

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Culturally Diverse Workforce

A healthcare team with members from various cultural backgrounds, promoting understanding of different needs and perspectives.

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Cultural Competence Training

Programs designed to educate healthcare providers about cultural sensitivity and effective communication in diverse settings.

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Cultural Awareness Measures

Strategies implemented by healthcare organizations to promote an understanding and respect of diverse cultures, and to address cultural disparity.

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Intersectionality

Understanding how different aspects of a person's identity, like race, gender, and sexual orientation, interact and influence their experiences.

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Gender Identity

A person's internal sense of their own gender, which may or may not align with the sex assigned at birth.

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Gender Expression

The way a person expresses their gender through appearance, behavior, and other outward signs.

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Transgender

Describes someone whose gender identity differs from the sex they were assigned at birth.

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LGBTQ+ Mental Health Inequalities

The higher rates of mental health problems experienced by LGBTQ+ people compared to the general population.

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Ethnic Minorities Health Disparities

Ethnic minorities often experience poorer health, limited access to healthcare, and worse health outcomes compared to their white counterparts.

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Mental Health Disparities

Ethnic minorities, especially Black African women and Gypsy/Traveller communities, are disproportionately detained under mental health legislation and experience higher rates of mental health issues.

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Practitioner's Cultural Competence

Skills healthcare professionals need to effectively work with diverse patients, including self-awareness, sensitivity to cultural beliefs, and active listening.

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Cultural Sensitivity & Religious Beliefs

Healthcare professionals should be respectful of patients' religious and spiritual values, avoiding judgments and incorporating these beliefs into care.

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Explanatory Model

Understanding the patient's perspective on their illness, including their beliefs about its cause, treatment, and desired outcomes.

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Taking Risks & Curiosity

Healthcare professionals should actively engage with patients, ask open-ended questions, and show genuine curiosity about their experiences.

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Cultural Broker

A person who facilitates communication and understanding between healthcare professionals and patients from different cultural backgrounds.

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Minority Stress

The chronic stress faced by LGBTQ+ individuals due to prejudice, discrimination, and societal stigma. This leads to increased risks for mental health issues.

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Microaggressions

Subtle, everyday acts of discrimination, prejudice, and hostility towards LGBTQ+ individuals. These can contribute to mental health challenges.

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What's the link between mental health and violence against LGBTQ+ people?

Violence against LGBTQ+ individuals, ranging from hate crimes to microaggressions, significantly contributes to higher rates of depression, anxiety, and suicidal thoughts.

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Why is early prevention important for LGBTQ+ mental health?

Early interventions and prevention programs are crucial to address mental health inequalities in LGBTQ+ communities. They aim to decrease stigma, promote inclusive environments, and provide support.

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Universal Interventions

Programs and initiatives that promote positive mental health for everyone, regardless of sexual orientation or gender identity. This can include training teachers, healthcare professionals, and community members.

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Tackling Systemic Stigma

Addressing the root causes of LGBTQ+ mental health inequalities by changing societal norms, policies, and attitudes that promote discrimination and prejudice.

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Why is high-quality research needed for LGBTQ+ mental health?

Robust research with large, representative samples is essential to understand the experiences of LGBTQ+ individuals and to develop effective interventions.

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Cisgender

A person whose gender identity aligns with the sex assigned at birth.

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Sexual Orientation

The way a person identifies their sexual attraction and/or romantic desires.

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LGBTQIA+

An umbrella term representing lesbian, gay, bisexual, transgender, queer/questioning, intersex, asexual and other sexual and gender identities.

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SGM

Sexual and Gender Minorities: People who do not identify as heterosexual and/or cisgender.

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Queer

A term used as an umbrella term for all non-heterosexual and/or non-cisgender identities.

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Transition

Changes made by a transgender person to align their physical or social presentation with their gender identity.

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What are the components of culturally competent care?

Culturally competent care includes using understandable language, providing interpreters, respecting patients' cultural beliefs, recruiting diverse staff, analyzing demographics, and forming committees to promote cultural awareness.

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How can healthcare organizations support cultural competence?

Organizations can support cultural competence by providing training programs, allocating resources for interpreters and culturally appropriate materials, creating a diverse workforce, establishing supportive policies, and offering ongoing professional development opportunities.

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What is the importance of a diverse healthcare workforce?

A diverse workforce ensures a better understanding of diverse patient needs and perspectives, leading to more effective and culturally sensitive care.

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Public Sector Equality Duty

A legal duty requiring public bodies to consider equality in their operations. It aims to eliminate discrimination, advance equality of opportunity, and foster good relations.

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Protected Characteristics

Attributes that are protected from discrimination under the Equality Act 2010. Examples include age, disability, gender reassignment, race, religion, sex, and sexual orientation.

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Advancing Equality of Opportunity

Actions taken to remove or minimize disadvantages faced by people with protected characteristics. This includes meeting their needs and encouraging participation in public life.

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Fostering Good Relations

Promoting understanding and tackling prejudice among people with and without protected characteristics.

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What does the Public Sector Equality Duty require of public bodies?

Public authorities and those exercising public functions must have due regard to eliminating discrimination, advancing equality of opportunity, and fostering good relations between those with protected characteristics and those without.

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How does the Public Sector Equality Duty impact policy development?

This duty requires active consideration of equality issues during policy development and decision-making, not just avoiding discrimination.

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Give examples of 'protected characteristics'.

Examples include age, disability, gender reassignment, pregnancy and maternity, race, religion or belief, sex, and sexual orientation.

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Explain the difference between eliminating discrimination and advancing equality of opportunity.

Eliminating discrimination means stopping unfair treatment based on protected characteristics. Advancing equality of opportunity involves taking steps to remove or minimize disadvantages faced by people with these characteristics.

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Cultural Expectations of Korean Immigrant Caregivers

Due to traditional Korean cultural norms, there is significant pressure on Korean immigrant women to care for their parents-in-law.

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Coping Strategies of Korean Immigrant Caregivers

Korean immigrant caregivers typically use strategies like seeking support from family and friends, utilizing community resources, and adapting to new cultural contexts.

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Self-Reflection for Cultural Competence

Nurses should engage in self-reflection to identify their own biases, assumptions, and cultural beliefs.

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Building Cultural Knowledge for Nursing

To develop cultural competence, nurses should educate themselves about the cultural backgrounds, traditions, beliefs, and healthcare practices of served populations.

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Effective Communication for Cultural Competence

Nurses need to develop cross-cultural communication skills, including active listening, using interpreters when needed, and being mindful of nonverbal cues.

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Ongoing Education for Cultural Competence

Seeking cultural education and training opportunities such as workshops, seminars, and courses on cultural competence and diversity can help nurses develop cultural competence.

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What are the four main principles of medical ethics?

The four main principles of medical ethics are: respect for autonomy, beneficence, non-maleficence, and justice. These principles guide healthcare providers in making ethical decisions and providing patient-centered care.

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What is bias?

Bias refers to a prejudice for or against something or someone, often considered unfair. It can be held by individuals, groups, or institutions.

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What is unconscious bias?

Unconscious bias is a prejudice we are not aware of, often rooted in societal conditioning, that can influence our thoughts and actions.

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What are the steps to address unconscious bias?

Acknowledge the bias, challenge it, train yourself to be aware of it, and actively promote fairness and inclusion.

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What are the implications of unconscious bias for mental health?

Unconscious bias can lead to discrimination, which can negatively impact mental health. This can manifest in unequal access to mental health services and poorer outcomes.

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What is the 'PAUSE' framework?

The 'PAUSE' framework is a strategy to address unconscious bias in real-time situations. It encourages a conscious pause, acknowledging your reactions, considering other interpretations, searching for a productive solution, and then executing your plan.

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What is the 'ACT' framework?

The 'ACT' framework is a proactive approach to address bias by acknowledging it, challenging it, and training yourself to be more aware and inclusive.

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What are the potential consequences of unconscious bias in healthcare?

Unconscious bias in healthcare can result in discriminatory practices, leading to unequal access to care, misdiagnosis, and inappropriate treatment.

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Minority Stress Theory

This theory explains how societal prejudice, discrimination, and stigma create chronic stress for LGBTQ+ individuals, leading to increased mental health risks.

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Early Prevention

Programs and initiatives that aim to address LGBTQ+ mental health inequalities early on, by reducing stigma, promoting inclusion, and providing support to reduce mental health risks.

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High-Quality Research

Research that uses large, representative samples to accurately understand the experiences of LGBTQ+ individuals, leading to effective interventions and policies.

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Study Notes

Public Sector Equality Duty

  • Section 149 of the Equality Act 2010 outlines the Public Sector Equality Duty, requiring public authorities and those exercising public functions to consider equality in their daily operations.
  • Public authorities and those exercising public functions must have due regard to:
    • Eliminating discrimination, harassment, victimization, and other prohibited conduct.
    • Advancing equality of opportunity between those who share a protected characteristic and those who do not.
    • Fostering good relations between those who share a protected characteristic and those who do not.

Advancing Equality of Opportunity

  • Remove or minimise disadvantages related to protected characteristics.
  • Take steps to meet the needs of people with protected characteristics.
  • Encourage participation in public life where it's disproportionately low.

Fostering Good Relations

  • Tackle prejudice.
  • Promote understanding.

Protected Characteristics

  • Age
  • Disability
  • Gender reassignment
  • Pregnancy and maternity
  • Race
  • Religion or belief

Additional Notes

  • Compliance may involve treating some people more favorably, but this doesn't permit other prohibited conduct.
  • Steps must be taken to account for the needs of disabled persons.
  • The duty applies to both direct exercise of functions and outsourced services.

Guidelines for Implementing Culturally Competent Nursing Care

  • This study focuses on Korean immigrant women caring for their elderly parents-in-law in the US.
  • Cultural expectations: significant pressure to care for parents-in-law.
  • Challenges: language barriers, unfamiliarity with the US healthcare system, balancing work and family, and managing relationships with other family members.
  • Coping strategies: seeking support from family, friends, and community resources.

Key Components of Cultural Competence

  • Awareness of one's own cultural worldview
  • Attitudes toward cultural differences
  • Knowledge of different cultural practices and worldviews
  • Cross-cultural skills

Strategies for developing cultural competence

  • Self-reflection (identifying biases and assumptions).
  • Ongoing education (taking workshops, seminars, and courses on cultural competence).
  • Building cultural knowledge (learning about diverse cultural backgrounds).
  • Effective communication.

Implications

  • The study highlights the need for culturally sensitive support services for Korean immigrant caregivers.
  • Healthcare providers and policymakers should consider the unique cultural context and challenges faced by this group.

Methodology

  • In-depth interviews with Korean immigrant women primary caregivers.
  • Detailed exploration of experiences and perspectives.

Organizational Support

  • Healthcare organizations can support culturally competent care by providing cultural competence training programs, allocating resources for interpreters, creating a diverse workforce, establishing supportive policies, offering ongoing education and professional development.

Culture and Diversity

  • Shared system of meaning that derives from shared rituals, values, and laws.
  • Non-biologically inherited patterns of shared experience and behavior.
  • Includes ethnic groups or nations.
  • Culture varies within groups (social class, geographic location, or generational status).
  • Dynamic- constructed by individuals and used to create self-identity.
  • Diversity refers to a mixture of differences in age, religion, culture, gender, ethnicity, education, within a group of people.
  • An individual/organization providing public services must not treat someone worse for one or more protected characteristics.
  • Examples include: age, disability, gender, religion and belief, and sexual orientation.

Ethics and Morals

  • Ethics are the agreed beliefs about what is right; morals are personal values about what is right or wrong.
  • 4 Universal Ethical Principles (Beauchamp & Childress, 2001) include Respect for autonomy, Beneficence, Non-Maleficence, and Justice.

Bias

  • Bias is a prejudice towards or against a person, group, or thing.
  • Biases may be positive or negative and have negative/positive consequences.
  • Unconscious and conscious bias occur (Kahneman, 2011)

Intersectional

  • Intersectionality: multiple, overlapping identities that interact, creating a unique experience.
  • Layers of identities influence experience of inequality.
  • Individuals may experience inequality in access to, and experience of, and outcomes from service.
  • Mental health problems result from further inequalities

Intersectionality in Mental Health

  • People from ethnic minorities, particularly Black African women, may experience disproportionately higher risks of mental health problems due to discrimination in social and economic contexts.

Practitioner Skills and Barriers

  • Practitioners should listen, engage in dialogue, demonstrate self-awareness, and be sensitive to various identities (e.g. religious). Avoiding dismissing or ignoring spiritual experiences is important.
  • Barriers include time constraints, stepping outside expertise, discomfort with subject of discussion, concerns about imposing beliefs, lack of interest/awareness, lack of training.

Therapy with LGBTQ Populations

  • Terminology related to gender and sexuality (e.g., sex assigned at birth, gender identity, sexual orientation, transition).
  • Data on Mental health issues of LGBTQ+ population showing higher risks for severe depressive/anxiety symptoms amongst LGBTQ+.
  • Intersectionality plays a significant part in the experiences of marginalized groups.

Facilitators of Positive Therapeutic Experience

  • Warmth, empathy, understanding, encouragement, non-judgmental, acknowledgment of sexual orientation, avoiding assumptions about sexuality.

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