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

Health Disparities and Culturally Competent

CareChapter 2 Overview

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

Determinants of Health

2

Fig. 2-1. Determinants of health.


Health Disparities Factors and Conditions Leading to Health DisparitiesRace, ethnicity, and culture

Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc. 3

Health Disparities

4

Fig. 2-2. Percent of adults (based on ethnicity) in the United States who have no regular doctor.


Health Disparities Factors and Conditions Leading to Health Disparities, continuedGeographic location Income, education, and occupation

5Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc.

Health Disparities Factors and Conditions Leading to Health Disparities, continuedGenderAge Health care provider attitude


Health Disparities

7

Fig. 2-3. Older Asian women are especially at risk for health disparities.


Health Disparities Impact of Health Disparities on Health


Culture

9

Table 2-2. Basic Characteristics of Culture.


Culture

10

Fig. 2-4. Members of this family share a common heritage.


Cultural Competence


Cultural Diversity in the Health Care Workplace

12

Fig. 2-5. Nurses working together in a multicultural health care environment.


Cultural Diversity in the Health Care Workplace

13

Fig. 2-6. Co-workers from different cultures communicate with verbal and nonverbal cues.


Cultural Factors Affecting Health and Health Care

Folk HealersSpirituality and ReligionCross-Cultural Communication



Family Roles and Relationships

15

Fig. 2-7. Family roles and relationships differ from one culture to another.



Personal SpaceTouchNutritionImmigrants and Immigration



17

Fig. 2-8. Recently arrived immigrants participate in a common American pastime.



MedicationsPsychologic Factors


Nursing Management:Reducing Health Disparities

and Increasing Cultural Competency

Nurse’s Self-AssessmentPatient Assessment




Nursing ImplementationAdvocacy




21

Fig. 2-9. A Navajo nurse instructs a Navajo patient.




Nursing Implementation, continuedStandardized guidelinesCommunication


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

Documents

affiliate of elsevier

health disparities factors

determinants of health

health disparitiesrace

health care workplace

health carefamily roles

cultural factors

cultural diversity