health literacy - ANSW the degree to which individuals have the capacity to obtain,
process, and understand basic health information and services needed to make
appropriate health decisions
Short Assessment of Health Literacy - Spanish and English (SAHL-S & E) - ANSW an
instrument consisting of comparable tests in English and Spanish, with good reliability
and validity in both languages
Rapid Estimate of Adult Literacy in Medicine (REALM) - ANSW is a seven-item word
recognition test to provide clinicians with a valid quick assessment of patient health
literacy. The REALM-SF has been validated and field-tested in diverse research
settings
Cultural Considerations When Providing Care - ANSW health beliefs and practices
faith-based influences and special rituals
language and communication
parenting styles and family roles
sources of support beyond the family
dietary practices
cultural awareness - ANSW is the process of conducting a self-examination of one's
own biases toward other cultures and the in-depth exploration of one's cultural and
professional background.
Essential to healing and building trust in the nurse-patient relationship. It also involves
being aware of the existence of documented racism and other "isms" in health care
delivery
Populations with health disparities (low socioeconomic groups-immigrants) have what?
- ANSW higher incidence or increased morbidity and mortality
Cultural competence - ANSW able to take care of patients from different cultures and
effectively provide holistic care.
First stop when providing patient centered culturally competent care, it is important to?
- ANSW be aware of your own biases and attitudes
LEARN - ANSW Listen
Explain
Acknowledge
Recommend
Negotiate
, LEARN Pneumonic: Listen - ANSW Listen with empathy and understanding to the
person's perception of the situation
LEARN Pneumonic: Elicit/Explain - ANSW Elicit culturally relevant information and
explain your perception of the situation
LEARN Pneumonic: Acknowledge - ANSW Acknowledge the other person's strengths
rather than pointing out their deficits
LEARN Pneumonic: Recommendations - ANSW Recommend options/alternatives and
respect the person and their choices
LEARN Pneumonic: Negotiate - ANSW a treatment plan that is agreed upon,
considering that it is beneficial to incorporate selected aspects of the patient's culture
Language barriers - ANSW provide an interpreter, and make sure you are looking at
the patient when speaking
examples of vulnerable populations - ANSW elderly (65+)
immigrants
low income
those w/out high school diploma/GED
people w/ chronic illness
health disparities - ANSW preventable differences in the burden of disease, injury,
violence, or opportunities to achieve optimal health that are experienced by socially
disadvantaged populations
-Access to healthcare
-transportation
-financial issues
-health literacy
Nursing care delivery models - ANSW team nursing, total patient care, primary
nursing, case management
team nursing - ANSW method of nursing care in which a nurse acts as a leader of a
group of people giving care
primary nursing - ANSW a method of nursing care in which the registered nurse
provides much of the daily care to residents
total patient care - ANSW Registered nurse works directly with patient, family, and
health care team members.
RN is responsible for patients during shift of care, although care can be delegated.