Societal and Cultural Influences in Healthcare
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Questions and Answers

What is the primary focus of multiculturalism in society?

  • To promote economic growth through cultural uniformity
  • To manage cultural diversity emphasizing tolerance and respect (correct)
  • To eliminate historical cultural distinctions among groups
  • To enforce a single cultural identity across all citizens
  • Which act was enacted to protect the rights of citizens in Canada and supports multiculturalism?

  • Canadian Charter of Rights and Freedoms Act
  • Canadian Human Rights Act
  • Official Languages Act
  • Canadian Multiculturalism Act (correct)
  • Which aspect is NOT considered a part of cultural complexity?

  • Marginalization
  • Race
  • Cultural sensitivity
  • Physical perception (correct)
  • How does culture, according to the provided information, primarily interact with other factors?

    <p>It is dynamically shaped by historical and social contexts</p> Signup and view all the answers

    Which term best relates to the promotion of cultural pride and identity among diverse groups?

    <p>Cultural sensitivity</p> Signup and view all the answers

    What was the main aim of the Truth and Reconciliation Commission (TRC) established in 2008?

    <p>To document the history and impacts of the residential school system</p> Signup and view all the answers

    Which aspects are included in the multiple contexts of culture?

    <p>Historical, sociopolitical, material/economic, physical, and linguistic/discursive</p> Signup and view all the answers

    What is a critical component of relational practice?

    <p>Conscious participation using relational skills</p> Signup and view all the answers

    What does reflexivity involve in personal and professional growth?

    <p>Questioning your own contexts and assumptions</p> Signup and view all the answers

    Which call to action specifically focuses on health care rights of Indigenous peoples?

    <p>#18</p> Signup and view all the answers

    What is the primary purpose of cultural safety in health care?

    <p>To enhance cultural competence and humility among providers</p> Signup and view all the answers

    What is emphasized in the practitioner skill set according to the key messages and themes?

    <p>Active collaboration and continuous improvement</p> Signup and view all the answers

    Which of the following is part of the recommendations for individuals in embracing diversity?

    <p>Self-awareness to appreciate diversity in individuals</p> Signup and view all the answers

    What is a primary goal of developing communication skills in culturally diverse settings?

    <p>To attain cultural competence in individuals.</p> Signup and view all the answers

    What does the anticipated outcome involve in a workforce composed of culturally competent nurses?

    <p>Valuing each person's contribution and maximizing potential.</p> Signup and view all the answers

    Which recommendation focuses on the recruitment aspect of a diverse nursing workforce?

    <p>Recruiting a diverse nursing workforce.</p> Signup and view all the answers

    What challenge is highlighted regarding the experience of racism within nursing?

    <p>Lack of training for educators.</p> Signup and view all the answers

    How can assertive communication be beneficial in a culturally diverse setting?

    <p>It can aid in addressing offensive comments.</p> Signup and view all the answers

    What does Bill 168 focus on in the workplace?

    <p>Preventing and addressing workplace violence.</p> Signup and view all the answers

    What is essential for providing cultural safety in nursing?

    <p>Practicing both cultural competence and humility.</p> Signup and view all the answers

    What characterizes the complex nature of culture as mentioned in the summary?

    <p>No two individuals sharing identical cultural contexts.</p> Signup and view all the answers

    Study Notes

    Societal and Cultural Influences

    • Societal and cultural influences significantly impact healthcare and the workplace.
    • Current and historical social and cultural issues affect healthcare environments.
    • Various workplace issues, based on social and cultural factors, impact the working environment.
    • Professional and regulatory bodies play a role in supporting social and cultural issues within healthcare professions.
    • Attitudes toward healthcare, especially Indigenous Peoples, are crucial to understand.
    • Strategies for addressing these issues, and creating positive change, need to be identified and implemented.

    Multiculturalism

    • All citizens maintain their cultural identities, take pride in their ancestry, and have a sense of belonging (Government of Canada, 2019a).
    • Public policy aims to manage cultural diversity in multi-ethnic societies by emphasizing tolerance and respect for cultural diversity (Srivastava, 2007, p. 323).

    Laws Protecting Canadian Rights

    • Official Languages Act (1969)
    • Canadian Charter of Rights and Freedoms Act (1988)
    • Canadian Human Rights Act (1985)
    • Canadian Multiculturalism Act (1988)

    Complexity of Culture

    • Key aspects of cultural complexity include race, ethnicity, cultural sensitivity, diversity, marginalization, and racialization.

    Culture

    • Culture is a dynamic relational process of selectively responding to and integrating historical, social, political, economic, physical, and linguistic structures and processes.
    • This response is contextually and relationally determined, expressed through values, beliefs, attitudes, and practices (Doane & Varcoe, 2015, p. 139).

    Multiple Contexts of Culture

    • Culture is influenced by numerous contexts, including historical, sociopolitical, material/economic, physical, and linguistic/discursive factors (Doane & Varcoe, 2015).

    Truth and Reconciliation Commission (TRC)

    • The TRC was established in 2008 to document and address the impacts of residential schools.
    • In 2015, the TRC released 94 calls to action, with 18 to 24 specifically focusing on health.
    • Key calls to action for health include recognizing and providing health care rights for Indigenous Peoples, improving health care outcomes, recognizing distinct health needs, and promoting cultural competency in healthcare.

    Relational Practice

    • Relational practice is guided by conscious participation with individuals, making use of relational skills like listening, questioning, empathy, mutuality, reciprocity, self-observation, reflection, and sensitivity to emotional contexts (College of Nurses of Ontario, 2018, p. 11).
    • This approach includes intrapersonal, interpersonal, and contextual influences.

    Reflexivity

    • Reflexivity is the ability to understand and question personal contexts, attitudes, values, beliefs, assumptions, and experiences, understanding how these shape perspectives of the individual and others (Landy et al., 2016; Verdonk, 2015).

    Critical Self-Reflection

    • Critical self-reflection involves integrating values, beliefs, attitudes, and emotions during experiences to understand and analyze perspectives (Aronson, 2011) and challenge assumptions (Ng et al., 2015).
    • Ongoing throughout one's career as a nurse is crucial (Song & Stewart, 2012).

    Cultural Safety

    • Cultural safety includes cultural competence, cultural humility, and critical reflexivity.

    Best practice guidelines (RNAO BPG)

    • Embracing Cultural Diversity in Health Care: Developing Cultural Competence.
    • Published in April 2007.

    Cultural Competence Model

    • A conceptual framework for Healthy Work Environments for Nurses.
    • This framework discusses external characteristics, organizational characteristics, group characteristics, and individual characteristics, influencing outcomes.
    • “Linking themes” connect these variables to outcomes related to diversity and culture.

    Key Messages and Themes

    • Practitioner skill set, workforce diversity, systems and supports, decision support systems and practice improvement, education and training, collaboration are key messages and themes in effective culturally competent practices.

    Recommendations: Individual

    • Focuses on self-awareness, communication skills, and new learning to foster cultural competency within individuals.
    • Anticipated outcomes include an open-minded, inclusive, and respectful workforce. Individual members need to promote equity and diversity, actively address barriers, and utilize their potential to overcome obstacles.

    Recommendations: Organizational Context

    • Recommendations address workplace policies, recruitment, retention, and education programs for supporting internationally educated nurses.
    • These practices are designed to create a positive environment that values diversity.

    "There comes a time when silence is betrayal": Racism and Nursing

    • Highlights racism in healthcare settings, including interactions with patients, management, and instances of passive racism.
    • Educators face challenges in training, and specific strategies like creating caring environments, showing curiosity about other cultures, and promoting assertive communication address offensive comments and behaviours.

    Bill 168

    • This bill aims to prevent and address workplace violence including harassment.

    Summary

    • Culture is diverse and complex, with no two people sharing the same cultural experience.
    • Individuals associate with multiple groups, influenced by diverse values and experiences that frequently change over time.
    • Relational practice provides a framework for understanding and addressing individual differences.
    • Cultural safety encompasses practicing both cultural competence and humility.

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    Description

    Explore how societal and cultural influences shape healthcare and workplace dynamics. This quiz covers the impact of historical and current social issues, the role of professional bodies, and strategies for positive change, with a focus on Indigenous Peoples. Delve into the importance of multiculturalism and laws that protect citizens' rights in Canada.

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