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Cultural competence can often be an insidious expression, and we all take part in the debate based on our background as well as our personal perspectives. Henceforth, this is a complicated subject - do not believe it if you are told it is simple! Even the word/term itself is complex. Cultural safety, cultural competence, cultural capacity, cultural humility? These terms are used interchangeably around the world and for the purposes of this essay I will use cultural competence to ensure some form of consistency. Is cultural competence merely the transfer of cultural facts to a person of another culture? In my modest opinion, it is much more than that. The study of cultures is the objective scientific examination of another culture, the discovery …show more content…
Everyone comes from a culture and as such cultural neutrality does not exist. Therefore, we cannot eradicate our values, our beliefs, our achievements. The more you are aware of your own culture, values, beliefs and influence on your worldview and actions; the more you can view the cultural differences of others as opportunities to learn. Furthermore, cultural competence begins with an understanding of how culture and cultural differences affect almost all human interactions. Cultural competence is about working together effectively, and gestures matter. Are you able to predict how your values and beliefs can, without your own intent, harm others and then avoid imposing your point of view? Can you consider the interaction in the perspective of your patients/clients? By being realistic, in the therapist-patient relationship, the therapist is the person who seems to have the power role. Hence, the patient/client who seems to have less power is the one who assesses your cultural competence. Do your patients feel that you are giving them a sense of cultural security? Often, the lack of cultural security is perceived as a lack of power by the patient. The imposition on others of your own culture and values is also a matter of power, and this is one of the most critical aspects of critical
“Cultural competence is the ability to engage in actions or create conditions that maximize the optimal development of client and client systems” (Sue & Sue, 2013, p. 49). Multicultural competence includes a counselor to be aware of his or her biases, knowledge of the culture they are evaluating, and skills to evaluate a client with various backgrounds (Sue & Sue, 2013). Client assessment involves gathering information pertaining to the client’s condition. Making a culturally responsive diagnosis involves using the DSM-IV-TR axis (Hays, 2008). Following the axis backwards is ideal to discovering the client’s diagnosis, understanding the client’s ADDRESSING outline will help to come to a closer resolution for a diagnosis.
Although, even if the therapist is from the same cultural background this can still be hard to counsel these clients because of different traditions, language dialects, family values, and ancestry. This does not mean that the therapist cannot help these clients, but this could hinder the therapist and client relationship if brought up in an entire different environment. For instance, you can have two individuals from the same cultural background and family values, but these individuals live in an entirely different environment or learned different family values and belief system. When working with a diverse client, it is very important to monitor your own culturally beliefs and be willing to work with the client no matter if you have any biases or prejudice towards them. Some of the strategies that could be helpful in these situations include, (a) treat the client the same way you would like to be treated, (b) research some information about the clients background and, (c) beware of your own cultural biases and prejudices when counseling minorities if your unaware of their backgrounds.
Let’s begin with what is the Culture? It is defined as “the shared knowledge and schemes created by a set of people for perceiving, interpreting, expressing, and responding to the social realities around them" Lederach, J.P. (1995). Now let’s understand what cultural competence is. It can be defined as “the ability to honor and respect the beliefs, language, interpersonal styles, and behaviors of individuals and families receiving services, as well as staff who are
Culture can be defined as behaviors exhibited by certain racial, religious, social or ethnic groups. Some factors in which culture may vary include: family structure, education, and socioeconomic status (Kodjo, 2009). Some may think cultural competence is something that has an end point, however, when the big picture is seen, it is a learning process and journey. From the writer’s perspective, the client-therapist relationship can be challenging. Culturally competent therapists must realize that behaviors are shaped by an individual’s culture. Many changes are taking place within the United States cultural makeup. Therapists and healthcare professionals are being challenged to provide effective and sensitive care for patients and their families. This type of culturally sensitive care requires the professional to be open and seek understanding in the patients diverse belief systems (Kodjo, 2009).
I realize that understanding of the culture that the people I work with are the key to successful intervention and outcome. Being sensitive to individual’s culture and acquire adequate knowledge about their cultural background enhance the productivity of the interaction I may have with a client that could be family, individual, community or organization. Understanding of one’s cultural background could also prevent and minimize employing biases which potentially harm the clients I work with. In view of this, I have learned that before I engaged in any activities with individual or group I should take the time to understand the cultural backroad of the person to get insight on what is acceptable and not in that culture. Furthermore, I have learned to identify and utilize one’s strength as a tool to aid the change processes the client and I desire for. Due to the dynamic nature of people’s culture updating myself to the emerging changes in a different culture would be one of the area of continued learning I am focusing. For instance, in the contemporary US society, I can see how the immigration brought several people with diverse culture to the US general population structure. Considering this I have been convinced to be knowledgeable and culturally competent to effectively address the needs of people I will work with in different setting.
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...
Diversity has become more prevalent in today’s counseling community. With diversity comes culture and the competency of multiculturalism. Culture can be referred to as having values, beliefs, and behaviors shared by a group of people. It can also be referred to by different variables such as age, gender, socioeconomic status. There are many facets to culture that one may not realize. People’s cultural backgrounds impact how they think, feel, and behave. Understanding these factors can help modify the needs of members in a group setting. As an aspiring counselor, it is important for me to understand how my cultural background not only impacts my ability in working with a diverse range of people, but specific attitudes and beliefs can also enhance or interfere my ability to work within a group dynamic.
Cultural competencies are the area I need to most improve. What works best for me is, to assess the patient of a different nationally first if working day shift or last if working night shift, which depends of their acuity. What I have learned in that Hispanic men view pain as a sign of weakness, so patient education is very important. Iranian men are very family oriented, you will find generations of men at the male patient bedside, so early assessment and medication administration is very important, because every on will have different questions as it relates to what you are doing to the patient as his nurse.
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 has evolved into more than a discrete skill set; it also requires an ongoing self-evaluation on the part of the practitioner (SAMHSA, 2014). Differences will always exist in the view of human nature, but at the core of humanity, exists a similarity that creates a core of cohesion that must be foundation on which therapeutic treatment can be built upon. As cultural belief continues to evolve over time, the understanding of these changes as seen in others and within the therapists own belief systems must be evaluated, processed and understood. Through this process, there will be no reason one human can not help another human to live a better life through a process of compassionate healing based on the sensitivity and understanding of individual beliefs. Humanity will continue to change and evolve, the hopes of successful therapy is found in encouraging change that supports a multicultural and diverse
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
Seeking to position lower socioeconomic status above racial/ethnic biases or vice versa is irresponsible to the goal of eliminating healthcare delivery differences at large. Both these are realities of a group of people who are not receiving the same level of care from the healthcare professionals although they exist within one of the most resource rich countries in the world, the United States. According to House & Williams (2000), “racism restricts and truncates socioeconomic attainment” (page, 106). This alone will hinder good health and spur on disparities as racism reduces the level of education and income as well as the prospect of better jobs. Blacksher (2008) cites the nation’s institutionalized racism as one of the leading factors
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
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.