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Lecture

NUR1 220 Lecture Notes - Ethnocentrism


Department
Nursing
Course Code
NUR1 220
Professor
Sonya Laszlo

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How Values Affect the Mutual Goal Setting
Process with Multiproblem Families
Assumptions are often made in clinical settings goal setting without
input from clients.
MUTUAL GOAL SETTING (King)
Assumptions King cited:
- Perception of nurse and of client influence the interaction
process
- Goals, needs and values of nurse and client influence the
interaction process
- Individuals have a right in knowledge about themselves
- Individuals have a right to participate to decisions that
influence their life, their health, and community services they
utilise
- Health professionals have a responsibility to share information
that helps individuals make informed decisions about their
health care
- By collaborating and communication = they identify specific
goals, problems, and concerns
- Nurse must:
o understand values and how values differ
o Respect for others’ values
o Develop philosophy/pragmatic views of mutual goal
setting - effective
o Learning when and how to work within a mutual goal
setting context
VALUES and ETHNOCENTRICITY
- Decisions people make = based on their values (which are
shaped by culture)
- Ethnocentrism:
o Superiority of our own values
o Marlow’s Concept of Self-actualizing - doesn’t take into
account the economic barriers
o Dreher says that: “Erikson’s ‘integrity vs despair’
developmental task of the elderly is based on middle-
class values and does not take into account that some
elderly people have a better chance of achieving
integrity because of social and economic advantage. “
Some classes have advantages over others that
helps make it easier for them to go through life,
transitions, and death
Seen in her discussion of Kühler-Ross’
models of the stages of grief/response
in which certain classes have certain
aspects of life that give them better
advantages to make decisions and to
cope
- Majorities within a society impose their values on minorities
o Eg. Education directed towards white, middle class
culture and language used
RESPECT:
- Have the ability to determine what is best for you
o Trust in the client that they know what is best for them
o You are the learner
- By respecting the client, you will gain their trust and they may
share their perspective.
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