Cultural Competency: a Quantitative Analysis of Cultural ...
Cultural Competency Improving Care Creating Change.
-
Upload
bernadette-davidson -
Category
Documents
-
view
215 -
download
0
Transcript of Cultural Competency Improving Care Creating Change.
![Page 1: Cultural Competency Improving Care Creating Change.](https://reader036.fdocuments.in/reader036/viewer/2022082710/56649e495503460f94b3d3db/html5/thumbnails/1.jpg)
Cultural Competency
Improving Care
Creating Change
![Page 2: Cultural Competency Improving Care Creating Change.](https://reader036.fdocuments.in/reader036/viewer/2022082710/56649e495503460f94b3d3db/html5/thumbnails/2.jpg)
Influence of Culture
Definition first~
Historical: Culture is social heritage, or tradition that is passed on to future generations.
Behavioral: Culture is shared, learned human behavior, a way of life.
Normative: Culture is ideals, values, or rules for living
![Page 3: Cultural Competency Improving Care Creating Change.](https://reader036.fdocuments.in/reader036/viewer/2022082710/56649e495503460f94b3d3db/html5/thumbnails/3.jpg)
Influence of Culture
Functional: Culture is the way humans solve problems of adapting to the environment or living together.Mental: Culture is a complex of ideas, or learned habits.Structural: Culture consists of patterned and interrelated ideas, symbols, or behaviors.Symbolic: Culture is based on arbitrary assigned meanings that are shared by a society
![Page 4: Cultural Competency Improving Care Creating Change.](https://reader036.fdocuments.in/reader036/viewer/2022082710/56649e495503460f94b3d3db/html5/thumbnails/4.jpg)
Aspects of Culture in Human Behavior
This is what we see first, that is after we get past the dress and food!
This information is shared among the group. You may not always know the “whys” of your observations.
This behavior has sustained generations!
![Page 5: Cultural Competency Improving Care Creating Change.](https://reader036.fdocuments.in/reader036/viewer/2022082710/56649e495503460f94b3d3db/html5/thumbnails/5.jpg)
Our cross-cultural experiences At first contact: We may recognize the extreme contrasts We may have emotional reactions We may be perplexed by some behaviors We may make negative attributions We may become entrenched in our own
values
![Page 6: Cultural Competency Improving Care Creating Change.](https://reader036.fdocuments.in/reader036/viewer/2022082710/56649e495503460f94b3d3db/html5/thumbnails/6.jpg)
Theoretical Concept for Understanding Culture
The value of a theory is to explain and predict.
Theories abound
Individualism and Collectivism
![Page 7: Cultural Competency Improving Care Creating Change.](https://reader036.fdocuments.in/reader036/viewer/2022082710/56649e495503460f94b3d3db/html5/thumbnails/7.jpg)
Individualism v. Collectivism
Autonomy Competition Independent self Ego-focused Confrontation OK Dependence avoiding Success via self In/out group fluid
In group harmony Cooperation Interdependent self Shared emotions
(shame) Confrontation not OK Group achievement In/out group boundary
strong
![Page 8: Cultural Competency Improving Care Creating Change.](https://reader036.fdocuments.in/reader036/viewer/2022082710/56649e495503460f94b3d3db/html5/thumbnails/8.jpg)
Culture and Health
Complex concepts do not have exactly the same meaning in all cultures.US: “Good Health” may include absence of harmful bacteria and/or chemical imbalances.China: “Good Health” may involve Yin and Yang and health is achieved when harmony present.
![Page 9: Cultural Competency Improving Care Creating Change.](https://reader036.fdocuments.in/reader036/viewer/2022082710/56649e495503460f94b3d3db/html5/thumbnails/9.jpg)
Culture Specific Concepts
People learn to express their symptoms of distress in ways acceptable to others in their culture.
![Page 10: Cultural Competency Improving Care Creating Change.](https://reader036.fdocuments.in/reader036/viewer/2022082710/56649e495503460f94b3d3db/html5/thumbnails/10.jpg)
Culture General Concepts
These may include subjective feelings of well-being, adequate energy to perform tasks, appropriate sexual activity and/or expressions of support from others.
![Page 11: Cultural Competency Improving Care Creating Change.](https://reader036.fdocuments.in/reader036/viewer/2022082710/56649e495503460f94b3d3db/html5/thumbnails/11.jpg)
Developing cultural sensitivity in health care delivery systems
Modifying behavior so that recommendations are placed into a framework familiar to the patient, and have an opportunity to be successful. This is demonstrating cultural sensitivity.
![Page 12: Cultural Competency Improving Care Creating Change.](https://reader036.fdocuments.in/reader036/viewer/2022082710/56649e495503460f94b3d3db/html5/thumbnails/12.jpg)
Achieving Practical Cultural Competency
Key cultural values that affect care:
Status
Privacy
Fatalism
Emphasis on Individual or Group
Access to Information
![Page 13: Cultural Competency Improving Care Creating Change.](https://reader036.fdocuments.in/reader036/viewer/2022082710/56649e495503460f94b3d3db/html5/thumbnails/13.jpg)
Cultural Competency in Organizations
Cultural destructiveness
Cultural Incapacity
Cultural Blindness
Cultural Pre-competence
Basic Cultural Competence
Advanced Cultural Competence
![Page 14: Cultural Competency Improving Care Creating Change.](https://reader036.fdocuments.in/reader036/viewer/2022082710/56649e495503460f94b3d3db/html5/thumbnails/14.jpg)
Cultural Destructiveness
Examples within an organized system:
Practice of cultural genocide, sub-humanizing patients of color. (Tuskegee Experiment)
Denying clients access to their natural healers.
Medical experiments without their knowledge or consent
![Page 15: Cultural Competency Improving Care Creating Change.](https://reader036.fdocuments.in/reader036/viewer/2022082710/56649e495503460f94b3d3db/html5/thumbnails/15.jpg)
Cultural Incapacity
Not intentionally destructive, but lacks capacity to help diverse clients.
May take a “paternal” posture toward “lesser” races.
Disproportionately applies resources.
Enforces racist policies or maintains stereotypes.
Gives subtle “not welcome” messages.
![Page 16: Cultural Competency Improving Care Creating Change.](https://reader036.fdocuments.in/reader036/viewer/2022082710/56649e495503460f94b3d3db/html5/thumbnails/16.jpg)
Cultural Blindness
While expressing a philosophy of being unbiased,believes that color or culture makes no difference.believes that the helping approaches by dominant culture are universally acceptable and applicable.ignores cultural strengths, encourages assimilation.
![Page 17: Cultural Competency Improving Care Creating Change.](https://reader036.fdocuments.in/reader036/viewer/2022082710/56649e495503460f94b3d3db/html5/thumbnails/17.jpg)
Cultural Pre-Competence
Realizes weakness in serving diverse population and makes attempts at specific improvements.
Explores ways to reach clients.
May feel a false sense of accomplishment that prevents further movement.
May engage in tokenism.
![Page 18: Cultural Competency Improving Care Creating Change.](https://reader036.fdocuments.in/reader036/viewer/2022082710/56649e495503460f94b3d3db/html5/thumbnails/18.jpg)
Basic Cultural Competence
Has acceptance and respect for differences.Engages in continuing self-assessment regarding cultural understanding.Makes adaptations to service models in order to meet client needs.Seeks advice and consultation from client community.
![Page 19: Cultural Competency Improving Care Creating Change.](https://reader036.fdocuments.in/reader036/viewer/2022082710/56649e495503460f94b3d3db/html5/thumbnails/19.jpg)
Advanced Cultural Competence
Holds culture in high esteem
Adds to the knowledge base by continuing research, developing new approaches based on culture.
Hires staff who are specialists in culturally competent practice.
Advocates for systemic cultural competence.
![Page 20: Cultural Competency Improving Care Creating Change.](https://reader036.fdocuments.in/reader036/viewer/2022082710/56649e495503460f94b3d3db/html5/thumbnails/20.jpg)
Competencies and Resources
Understanding culture-general ideas
Understanding culture-specific ideas
Resources for further growth