Where do you find common ground with patients and colleagues?

Prompt:  Lincoln, Ch. 7, 8, & 9
Ch. 7 Reading, no reflective questions
Ch. 8.

  1. Cultural Beliefs and Values
    1. List two beliefs you learned as a child.
    2. Who did you learn them from?
    3. Are they still important to you today?
    4. Have you experienced conflict when your values/beliefs did not match those of another?
    5. Where do you find common ground with patients and colleagues?
  2. Cultural Awareness
    1. What ethnic group, religious group, or generational group do you belong to?
    2. Reflect on some encounter you have had with those who are members of a different group.
    3. Did you experience any biases or prejudices?
    4. How did it feel?
  3. You are admitting an elderly, limited English-speaking woman to your Medical Unit. She is alone. She has few teeth, wears mismatched clothes and smells badly.
    1. What are your immediate thoughts?
    2. Name one or more biases that spontaneously come to mind.
    3. Understanding the concept of cultural humility, how would you approach her?
  4. Cultural competence
    1. What is motivating me to become culturally competent?
    2. What do I want/need to know about other cultures… and where do I find this information?
    3. When I experience cultural encounters, how does it feel and what do I learn?
    4. Whom do I consider a “cultural resource person” in my life?
  5. Communication
    1. Do I speak loudly or softly?
    2. Do I speak quickly or slowly?
    3. Does the tone of my voice match my words, my message?
    4. Does my body language match my words, my message?
    5. Do I use facial expressions and gestures to convey my message?
    6. Is eye contact important to my conversation or do I consider it intrusive?
    7. Is touch an acceptable element of my conversation?
    8. Silence, Am I comfortable with long periods of silence? Do I use it when I do not want to create conflict or I do not agree with another? Is it part of my style?
  6. My use of time, what 2 reflect our view?
    1. Respect and honor ancestors
    2. To be early is to be on time
    3. I am resistant to change
    4. The here and now is most important
    5. Planning for the future is hopeless
    6. My vacation is planned for next year
  7. Time
    1. How are you different from your patient population?
    2. Where do you find common ground?
  8. Spatial Orientation
    1. When you are talking with friends or family, how much distance is between you?
    2. Does gender or age determine space?
    3. What do you do when someone “invades” your personal space?
    4. How are you different from patients and colleagues?
    5. Where do you find common ground with patients and colleagues?
  9. Family
    1. What was the structure of your family when you were growing up?
    2. What was your role and responsibility?
    3. Who was the decision maker?
    4. What was the role of the sick person?
    5. What is the structure of your current family? Is it the same or different from that of your family of origin?
    6. How are you different from your patient population?
    7. Where do you find common ground?
  10. Religion/spirituality
    1. As a child were you part of a religious denomination? Is it the same today?
    2. Is spirituality an influence in your life?
    3. In what ways do religion and/or spirituality affect your health? Illness?
    4. How do your beliefs of religion/spirituality contrast with those of your patients?
    5. Where do you find common ground?
  11. Education
    1. How do you learn best? Narrative, written, hands on?
    2. How many years of schooling do you have?
    3. How does your education and learning style contrast with your patient population?
    4. Where do you find common ground?
  12. Socioeconomic
    1. How would you define your socioeconomic status?
    2. Does it affect your ability to seek healthcare?
    3. What would you do if you could not afford to fill a prescription?
    4. How do your beliefs about money and how it is used contrast with those of your patient population?
    5. Where do you find common ground?
  13. Cultural healthcare practices
    1. Is your primary approach to healthcare, professional? Folk? Or both?
    2. Do you have an internal or external locus of control?
    3. How do you contrast with your patient population?
    4. Where do you find common ground?

Ch. 9

  1. Health and Illness
    1. I know I am health when…
    2. I know I am sick when…
    3. The role of the sick person in our family is….
    4. Some of the ways my family shows care when someone is ill…
  2. As you review the HEALTH Traditions model
    1. How do you maintain your health?
    2. Protect your health?
    3. Restore your health?
    4. How are your responses different from those of your patient population?
    5. Where do you find common ground?
  3. My approach to health is usually…
    1. My approach to health is usually Biomedicine…Personalized medicine…Naturalistic?
    2. My patient population is usually…?
    3. My locus of control is internal or external?
    4. My patient population’s locus of control?

IV.  Match the correct healer to their culture:
1
Curandero
A. Korean
2
Folk Healer
B. Roma
3
Hanui
C. Mexican
4
Hilot
D. Hmong
5
Txiv Neb
E. Euro American
6
Drabarni
F. Afro American
7
Medicine man/women
G. Filipino
8
Physician/Nurse Practitioner
H. Native American
Summary: The purpose of the weekly reflective journal exercises is to allow for analysis, synthesis and evaluation of nursing theory using guided questions. Reflection has been referred to as a process that happens internally, privately or in isolation (Hill & Watson, 2011).  Also a useful definition of reflection has been referred to as the examination of an issue of concern, as a consequence of experience, creating clarity and meaning in terms of self, and which results in a change of perspective ( Boyd & Fales, 1983).

 

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