Acknowledging the differences in culture in a clinical setting a fairly new concept. As recent as the 1980s ideas like cultural sensitivity were not discussed.
In 198***, ***
Thirty years later we have made definite strides in our attempts create a culturally competent profession
Culture is defined as the shared traditions, beliefs, customs, history, folklore, and institutions of a group of people (***).None of us can escape that we develop as part of a specific culture. The culture or environment we were raised in determines how we relate to ourselves and the rules for interacting with others. These rules are passed down from one generation to the next and create a mindset that is largely unconscious. Consequently, becoming aware of cultural differences often requires a conscious choice on our part to learn and expand our knowledge of ourselves and others.
Cultural diversity and related terms have evolved over the last thirty years. Response to culture can be defined in a spectrum of cultural response from cultural awareness, through cultural sensitivity and cultural humility, to cultural competence. The meaning for these words is assigned by the corresponding progression along that spectrum.
Cultural awareness is the observation that there are differences among different people, groups, or societies based on dissimilar histories, values, beliefs, and behaviors.
As cultural awareness evolves a cultural sensitivity or understanding develops. It becomes more obvious that there are practices within persons or systems that do not recognize the need for culturally specific practices in healthcare.
"Cultural sensitivity" is knowing that differences exist between cultures, but not assigning values to the differences (be...
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...ake it possible for communication between cultures at all levels of ***
When you recognize, respect, and value all cultures and integrate those values into the personal and organizational, and global healthcare systems, culturally competent healthcare will be provided to meet the needs of diverse groups.
In conclusion, cultural diversity is reality. I had the fortune of being a nurse during the transition to a culturally aware profession. I was able to observe the acknowledgement of patients, who in the past, had to contend with culturally insensitive care finally receive culturally competent care.
Creating cultural competency means changing how people think, the way they communicate, and their basic responses to cultural issues. It is essential that we continue to broaden our awareness and make choices that reflect our knowledge and respect of all diversity.
Douglas, Rosenkoetter, Pacquiao, Callister, Hattar-Pollara, Lauderdale, Milstead, Nardi, & Purnell (2014) outline ten guidelines for implementing culturally competent care; knowledge of cultures, education and training in culturally competent care, critical reflection, cross-cultural communication, culturally competent practice, cultural competence in health care systems and organizations, patient advocacy and empowerment, multicultural workforce, cross-cultural leadership, and evidence-based practice and research. One specific suggestion I will incorporate is to engage in critical reflection. This is mentioned both by Douglas, et al. (2014) and Trentham, et al. (2007) as an important part of cultural competency. I will do this by looking at my own culture, beliefs, and values and examining how they affect my actions. I will use this information to better inform my day to day practice when working with patients with a different culture than my
Cultural competency is a very significant necessity in health care today and the lack of it in leadership and in the health workforce, is quite pressing. The lack of cultural competency can bring about dire consequences such as racial and ethnic disparities in health care. It may not be the sole reason for these disparities, but it certainly places a significant role. A patient and health care provider relationship is very significant and can make or break the quality of care that is given. The lack of cultural competency leads to poor communication which then leads to those of diverse backgrounds to feel either unheard or just plain misunderstood. As an East African
Being culturally aware and knowledgeable is a must when working in any type of healthcare field. In our society today, we have an array of different cultures and making patients feel comfortable and at easy is our primary goal. Diversity training is something that is a must for each healthcare professional and should be the basis of our healthcare education.
Cultural Competence is important for many reasons. First, it can help develop culturally sensitive practices which can in turn help reduce barriers that affect treatment in health care settings. Second, it can help build understanding, which is critical in competence, in order wards knowing whom the person recognizes as a health care professional and whom they views as traditional healer, can aid the development of trust and improve the individual’s investment and participation in treatment. Third, our population in the United States is not only growing quickly but also changing, cultural competence will allow us as educators and healthcare workers keep up wi...
..., p.261) With this knowledge of the culture that one works in, the health care worker can better see the differences with the cultures of the patients that they are taking care of. Hopefully this understanding will lead to less conflict and better healing.
“Cultural awareness is the foundation of communication and it involves the ability of standing back from ourselves and becoming aware of our cultural values, beliefs and perceptions (Quappe, 2007). It is important to be aware of what culture your patient is from because than the nurse can give the patient and family the care that is not offensive o their beliefs. Cultural sensitivity Cultural sensitivity is experienced when neutral language–both verbal and nonverbal–is used in a way that reflects sensitivity and appreciation for the diversity of another. It is conveyed when words, phrases, categorizations, etc. are intentionally avoided, especially when referring to any individual who may interpret them as impolite or offensive (Giger, 2006). Being sensitivity to ones cultural is imperative, this allows the patient and or family to feel more comfortable and have their personal beliefs be respected. Different forms of cultural sensitivity include choice of words and language used while talking to a patient, the use of space while communicating, as well as who in the family to talk to and how to address patients and family. Cultural competence is a combination of the skills, knowledge and attitudes that are needed to deliver the proper excellent care to a diverse population. Cultural competence is relevant in order to be able to give
Culturally competent care is care that respects diversity in the patient population, and cultural factors that affect health and health care, such as language, communication styles, attitudes, behaviors, and beliefs. The national CLAS Standards provide the blueprint to implement such appropriate services to improve health care in the United States. The standards cover many areas, such as leadership, workforce, governance; communication and language assistance; organizational engagement, continuous improvement, and accountability. (Agency for Healthcare Research and Quality, 2014).
Cultural competence like so many other social constructs has been defined in various ways. One particular definition as determined by the Office of Minority Health states cultural competence is a set of behaviors, attitudes, and policies that are systematically exercised by health care professionals which enables the ability to effectively work among and within cross-cultural situations (Harris, 2010). Betancourt (2005) implied cultural competence is starting to be seen as a real strategy to help with improving healthcare quality and eliminating the injustices pertaining to healthcare delivery and healthcare access. This appeal is gaining favor from healthcare policy makers, providers, insurers and
A definition of cultural awareness is one’s understanding of not only the physical differences between themselves and people from different regions and backgrounds, but the acknowledgement of variations of attitudes, values, and beliefs.
In order to provide a diverse healthcare environment, all employees in the healthcare system must understand the difference between culture and diversity. Naturally, culture and diversity mean the same thing. Culture, is certain behavioral characteristics that are learned and shared. Diversity is referred to a person who is of different racial background. Considering a population’s diversity and culture together helps establish culture in a healthcare
Cultural proficiency is seeing the difference and responding effectively in a variety of environments. Learning about organizational and individual culture, in which one can effectively interact in a variety of cultural environments (p. 3). In simple terms in which educators are not only able to effectively work with diverse populations, but also believe that diversity adds positive value to the educational enterprise (Landa, 2011, p. 12).
Cultural competence in health care provision refers to the capacity of health care systems to offer good care to patients and accommodate employees, who have diverse beliefs, behaviors, and values to meet their cultural, linguistic, and social needs. It comprises of policies, attitudes, and behaviors that integrate to form a system that can operate efficiently in cross cultural conditions. Healthcare organizations look at cultural competence from two major viewpoints. Firstly, it is a tool to enhance patient care from all backgrounds, social groups, languages, religions, and beliefs. Secondly, it is a tool that strategically attracts potential clients to their organizations and, hence, expands
As a nurse strive to provide culturally sensitive care, they must recognize how their client's and their perceptions are similiar as well as different. Nurse enhance their ability to provide client-centered care by reflecting on how their beliefs and values impact the nurse-patient relationship. To provide appropriate patient care, the nurse must understand her/his culture and that of the nurse profession. Cultural biases can be particularly difficult to identify when the nurse and client are of a similar cultural backgroup. When we recognize and know a culture, we will know what is right for our patient, and thus may impose our own values on the client by assuming our values are their values. Recognizing differences a present an opportunity not only to know the other, but also to help gain a greater sense of self. In this paper, I will explain more about diversity and cultural competence in case study.
Cultural competence can be defined as using the ability of one’s awareness, attitude, knowledge and skill to effectively interact with a patient’s many cultural differences. Madeline Leininger, a pioneer on transcultural nursing describes it this way; “a formal area of study and practice focused on comparative human-care differences and similarities of the beliefs, values and patterned lifeways of cultures to provide culturally congruent, meaningful, and beneficial health care to people” (Barker, 2009, p. 498). The importance of cultural diversity in healthcare allows for the delivery of appropriate cultural autonomy. Showing respect for others will lead to trust between nurse and patient which in turn improves healing and health.
Furthermore, lack of Cultural sensitivity occurs when people generalize the idea that “we are more the same than different” or that a common culture is shared by all races, religious groups, or ethnic groups. Not p...