The American Academy of Family Physicians website defines cultural competence as:
“A set of congruent behaviors, attitudes and policies that come together as a system, agency or among professionals and enable that system, agency or those professionals to work effectively in cross-cultural situations. The word "culture" is used because it implies the integrated pattern of human thoughts, communications, actions, customs, beliefs, values and institutions of a racial, ethnic, religious or social group. The word competence is used because it implies having a capacity to function effectively.”
Campinha-Bacote constructed a model that depicts cultural competence into five different areas: cultural awareness, cultural knowledge, cultural skill, cultural encounter, and cultural desire. When working as a healthcare professional, one needs to strive for cultural competence by mastering each of these areas.
To begin my journey on mastering each area of cultural competence, I need to first assess my placement in each of the five categories. A very important area is cultural awareness. This involves conducting self-examination of any biases that I may have towards a certain culture. I am guilty of having such biases. While I do not have many biases, it is important that I work through each one and realize that biases are not facts. I am a Caucasian female who grew up in the suburbs of Detroit. I attended a private school from kindergarten until my sophomore year of college. My school was not very diverse. Once I started working, I was able to meet a few more people of different cultures. All of my professions have been in the suburbs, and the majority of people have been Caucasian. Eastern Michigan University is very diverse. I am glad that I am finally able to experience such an environment.
Cultural knowledge is when a health care professional seeks information regarding different cultures and ethnic groups. They look at the differences that one culture/ethnic group may have regarding treatment of an illness, health conditions, and biological variations. I have yet to do any personal research in this area. I have learned about some of these differences in a few of the nursing classes this past year and a half. I know that this is a detrimental area of nursing, especially since our country is becom...
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...nts who have been of a different culture and I am willing to care for many more.
By reviewing my position in each of the areas in the model, I realize that I do not yet fit into the expectations. I believe that I am on my way to achieving cultural competence. I still need to work on cultural awareness. I need to conduct a further self-examination to be sure I understand each of my biases. I need to start researching to improve my cultural knowledge. My cultural skill needs to improve in the aspect of becoming more comfortable in conducting a cultural assessment. I engage in conversations, and in friendships with people of other culture (cultural encounter) and enjoy becoming culturally aware and knowledgeable (cultural desire).
This guide is very appropriate for the nursing field. I believe that I am culturally competent enough to work in a health care profession. I will continue to improve in each category. Everyday is a new day. I will be exposed to people of many backgrounds. I need to be ready and willing to adapt so that each person will feel equally comfortable and will receive equivalent healthcare.
http://www.aafp.org/fpm/20001000/58cult.html#2 October 6, 2004
Cultural Competence is a substantiated body of knowledge based of cultural “values held by a particular cultural group and the ability to cohesively adapt to individualized skills that fit the cultural context, thus, increasing relationships between employees, managements, and stakeholders, including patience and research subjects. Cultural competency is critical to reducing disparities and improving access to high-quality services, respectful of and responsive to the needs of diverse working conditions and individualized characteristics. The main focus emphasizes the understanding of cultural competence provide internal resources with skills and perceptions to thoroughly comprehend ones cultural attitude, increase the ability to multicultural diversity, and the ability to effectively interact with other cultures (Shelley Taylor, 2006, pp. 382-383), which is absent within the case study of Joe and Jill. Essentially speaking, principles of cultural competence are acknowledgement to the importance of culture in people's lives, respect for cultural differences, an...
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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...
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However, there was diversity within my community. I had friends that were Caucasian, Asian, Hispanic, and African American. I saw cultures at a young age that varied from my own. I have had experience working at an Urgent Care center where being Caucasian was the minority in the staff. These experiences have helped me learn about cultures that differ from my own and has helped me grow in knowledge of the customs, traditions, and rituals of these other cultures. I try to be respectful to other cultures and to provide every patient with care that is not offensive to them. This is a continual learning process that I look forward
Cultural competence is defined as "all of the strategies and practices need to work effectively with patients from diverse groups based on an understanding of their beliefs, values, and social milieu"(Dreachslin, Gilbert, & Malone, 2013). The United States currently has "glaring disparities in access to health care and levels of treatment quality experienced by different groups" (Dreachslin, Gilbert, & Malone, 2013). These disparities can be measured through comparison of reference groups to another groups health (Buchbinder & Shanks, 2017). Integrating cultural competence in health care, is meant to address these deficiencies in quality care. An organization that has properly integrated is "vigilant and addresses disparities in
However, cultural competency should always have its ground in health-care, as the world’s population is biting more into multiculturalism; taking for example, the United States as a multicult...
Today’s management in the workforce is composed of all types of people verses thirty years ago when white males held a majority of upper-management positions in companies. These positions are now held by a mixture of ethnic back grounds and women who hold just as many if not more management positions then men. Just by looking at the changes in management demographics shows how important it is for people to understand cultural competency in the workplace. Dr. Roosevelt Thomas Jr. (1999) stated, “Diversity is the collective mixture of whomever we have in our workforce characterized by their differences and similarities” (p.11). Managers and supervisors must understand the characteristics of a diversity mature individual; they also need to be able to articulate the differences between affirmative action, managing diversity, understanding and valuing diversity to build skills that transforms awareness into productive and supportive workplace behaviors.
The self-assessment has demonstrated that I am able to deliver culturally congruent nursing care due to my critical reflection, knowledge of cultures and cross-cultural communication abilities. I am able to avoid prejudices, stereotypes and biases that may hinder the delivery of culturally competent care due to my understanding and respect for different cultures. In addition, I am able to form trustful relationships with clients and understand their personal perceptions towards the available treatment alternatives (Cowen & Moorhead,
Cultural competence has a variety of definitions and, in health care, basically refers to the act of developing an awareness of yourself, your existence, your thoughts, and your environment and making sure that those elements do not unjustly affect the clients you serve (Giger, 2013). In this paper, I will share my total score and what I learned about myself after taking the Cultural Diversity Self Assessment (IllinoisCTE, n.d.), discuss two weaknesses or areas with lower scores, and review two strengths with higher scores. I will reflect on my findings and examine the impact that my strengths and weaknesses may have on my nursing care. In addition, I will discuss improving cultural competence and two strategies
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).
Providing culturally competent care is a vital responsibility of a nurse’s role in healthcare. “Culturally competent care means conveying acceptance of the patient’s health beliefs while sharing information, encouraging self-efficiency, and strengthening the patients coping resources” (Giddens, 2013). Competence is achieved through and ongoing process of understanding another culture and learning to accept and respect the differences.
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.
Miller, Leininger, Leuning, Pacquiao, Andrews, and Ludwig-Beyer, (2008) support that the skill of cultural competency in nursing is the ability to gather relevant cultural data on the presenting problem of the patient. This cultural assessment is defined as a "...
Characteristics can be as diverse as ethnic background, language spoken, gender status, physical appearance, race, and religion to name a few. Migration from various countries is creating a diverse population with different cultures and languages within the United States. Due to these cultural differences and lack of knowledge, disparities are increasing. Studies have shown that both language barriers and lack of cultural customs can hinder the services provided to the patient by the healthcare worker (Renzaho, Romios, Crock, & Sonderlund, 2013). This study provided a positive outcome when communication and cultural mutual understanding took place and patients had a more positive health outcome. It is very important that nurses are diversified in various cultures in order to better care for our patients. According to Mareno and Hart (2014), cultural competency has become one of the core values being taught in nursing programs. Their study showed that the perceived level of cultural awareness and skills among the nurses provided was low. Awareness and knowledge levels increased with higher education. It was highly recommended that self-awareness exercises be incorporated into the nursing course and continued to be addressed during the remaining curriculum until