1. Copyright © 2014 Cengage Learning. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publicly accessible website, in whole or in part. Chapter 09 Cultural Diversity

2. Copyright © 2014 Cengage Learning. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publicly accessible website, in whole or in part. 9:1 Culture, Ethnicity, and Race Health care workers work with and care for many different people Respect individuality Be aware of factors that make each person unique Influence of cultural/ethnic heritage

3. Copyright © 2014 Cengage Learning. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publicly accessible website, in whole or in part. 9:1 Culture, Ethnicity, and Race (continued) Culture – Values, beliefs, attitudes, language, symbols, rituals, behaviors, and customs unique to a particular group of people – Passed from one generation to next – Often defined set of rules – Foundation of behavior, but variances

4. Copyright © 2014 Cengage Learning. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publicly accessible website, in whole or in part. 9:1 Culture, Ethnicity, and Race (continued) Culture is – Learned – Shared – Social in nature – Dynamic and constantly changing

5. Copyright © 2014 Cengage Learning. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publicly accessible website, in whole or in part. 9:1 Culture, Ethnicity, and Race (continued) Ethnicity – Classification of people based on national origin and/or culture – Share common heritage, geographic location, national origin, social customs, language, beliefs – Subgroups within larger ethnic groups

6. Copyright © 2014 Cengage Learning. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publicly accessible website, in whole or in part. 9:1 Culture, Ethnicity, and Race (continued) Ethnic groups include – African American – Asian/Pacific Islander – European American – Hispanic American – Middle Eastern/Arabic American – Native American

7. Copyright © 2014 Cengage Learning. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publicly accessible website, in whole or in part. 9:1 Culture, Ethnicity, and Race (continued) Race is based on physical or biological factors – Color of skin, hair, and eyes – Facial features – Blood type – Bone structure Race cuts across multiple ethnic/cultural groups

8. Copyright © 2014 Cengage Learning. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publicly accessible website, in whole or in part. 9:1 Culture, Ethnicity, and Race (continued) Differences among people resulting from cultural, ethnic, and racial factors are called cultural diversity – Influence a person ’ s behavior Differences exist within ethnic/cultural groups United States is striving to be a “salad bowl”

9. Copyright © 2014 Cengage Learning. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publicly accessible website, in whole or in part. 9:1 Culture, Ethnicity, and Race (continued) Cultural assimilation – Newly arrived group adopts ways of new culture Acculturation – Process of learning the beliefs and behaviors of a dominant culture and assuming some of its characteristics Sensitivity

10. Copyright © 2014 Cengage Learning. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publicly accessible website, in whole or in part. 9:2 Bias, Prejudice, and Stereotyping Bias – Preference that inhibits impartial judgment – Ethnocentricity – Age – Education – Economics – Physical size – Occupation – Sexual preference – Gender

11. Copyright © 2014 Cengage Learning. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publicly accessible website, in whole or in part. 9:2 Bias, Prejudice, and Stereotyping (continued) Prejudice – Strong feeling or belief about a person or subject without reviewing facts or information; often based on fear Stereotyping – Making the assumption that everyone in a group is the same

12. Copyright © 2014 Cengage Learning. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publicly accessible website, in whole or in part. 9:2 Bias, Prejudice, and Stereotyping (continued) Create barriers to effective relationships Health care workers need to avoid acting on feelings and assumptions Consider ways to avoid bias, prejudice, and stereotyping

13. Copyright © 2014 Cengage Learning. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publicly accessible website, in whole or in part. 9:3 Understanding Cultural Diversity Cultural and ethnic beliefs will affect behavior Health care workers need to be aware of these beliefs to meet the physical, social, emotional, and mental needs of individuals Holistic care – Well-being of the whole person

14. Copyright © 2014 Cengage Learning. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publicly accessible website, in whole or in part. Family Organization Nuclear Extended Patriarchal versus matriarchal Recognition and acceptance of family organization is essential in all aspects of the health care field

15. Copyright © 2014 Cengage Learning. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publicly accessible website, in whole or in part. Language English is dominant U.S. language – Many other languages spoken in United States Determine any language needs Find an interpreter if necessary Medical permission form must usually be printed in a patient’s language

16. Copyright © 2014 Cengage Learning. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publicly accessible website, in whole or in part. Personal Space and Touch Personal space or territorial space – Distance people require for comfortable interaction Different cultural norms – Close contact – Distant contact

17. Copyright © 2014 Cengage Learning. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publicly accessible website, in whole or in part. Eye Contact Affected by cultural beliefs May indicate interest, trustworthiness May also be considered rude, hostile, or threatening Be aware of a patient’s comfort level

18. Copyright © 2014 Cengage Learning. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publicly accessible website, in whole or in part. Gestures Used to communicate Gestures differ by culture – Nodding the head for yes and no – Pointing Be aware of a patient’s response to gestures

19. Copyright © 2014 Cengage Learning. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publicly accessible website, in whole or in part. Health Care Beliefs Western biomedical system Beliefs affect responses to health care and understanding of illness/treatment Refer to Table 9-1 in Text for common beliefs Alternative health care

20. Copyright © 2014 Cengage Learning. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publicly accessible website, in whole or in part. Health Care Beliefs (continued) Alternative health care methods – Nutritional – Mind and body control – Energetic touch therapy – Body-movement methods – Spiritual methods

21. Copyright © 2014 Cengage Learning. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publicly accessible website, in whole or in part. Spirituality and Religion Spirituality – Beliefs about self, connections with others, relationship with higher power – Need to find meaning in life Religion – Organized system of belief – Refer to Table 9-2 in Text

22. Copyright © 2014 Cengage Learning. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publicly accessible website, in whole or in part. Spirituality and Religion (continued) Religion (continued) – Monotheists – Polytheists – Atheists – Agnostics

23. Copyright © 2014 Cengage Learning. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publicly accessible website, in whole or in part. 9:4 Respecting Cultural Diversity Regard each individual as unique Everyone adopts beliefs and forms a pattern of behavior based on culture, ethnicity, race, life experiences, spirituality, and religion Health care workers must learn to respect differences among individuals