Health Disparities and Culturally Competent Care Chapter 2 Overview Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc.

Determinants of Health 2 Fig Determinants of health. Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc.

Health Disparities Factors and Conditions Leading to Health Disparities  Race, ethnicity, and culture Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc. 3

Health Disparities 4 Fig Percent of adults (based on ethnicity) in the United States who have no regular doctor. Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc.

Health Disparities Factors and Conditions Leading to Health Disparities, continued  Geographic location  Income, education, and occupation 5 Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc.

Health Disparities Factors and Conditions Leading to Health Disparities, continued  Gender  Age  Health care provider attitude 6 Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc.

Health Disparities 7 Fig Older Asian women are especially at risk for health disparities. Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc.

Health Disparities Impact of Health Disparities on Health 8 Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc.

Culture 9 Table 2-2. Basic Characteristics of Culture. Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc.

Culture 10 Fig Members of this family share a common heritage. Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc.

Cultural Competence 11 Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc.

Cultural Diversity in the Health Care Workplace 12 Fig Nurses working together in a multicultural health care environment. Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc.

Cultural Diversity in the Health Care Workplace 13 Fig Co-workers from different cultures communicate with verbal and nonverbal cues. Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc.

Cultural Factors Affecting Health and Health Care Folk Healers Spirituality and Religion Cross-Cultural Communication 14 Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc.

Cultural Factors Affecting Health and Health Care Family Roles and Relationships 15 Fig Family roles and relationships differ from one culture to another. Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc.

Cultural Factors Affecting Health and Health Care Personal Space Touch Nutrition Immigrants and Immigration 16 Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc.

Cultural Factors Affecting Health and Health Care 17 Fig Recently arrived immigrants participate in a common American pastime. Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc.

Cultural Factors Affecting Health and Health Care Medications Psychologic Factors 18 Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc.

Nursing Management: Reducing Health Disparities and Increasing Cultural Competency Nurse’s Self-Assessment Patient Assessment 19 Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc.

Nursing Management: Reducing Health Disparities and Increasing Cultural Competency Nursing Implementation  Advocacy 20 Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc.

Nursing Management: Reducing Health Disparities and Increasing Cultural Competency 21 Fig A Navajo nurse instructs a Navajo patient. Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc.

Nursing Management: Reducing Health Disparities and Increasing Cultural Competency Nursing Implementation, continued  Standardized guidelines  Communication 22 Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc.