The Theory of Cultural Brokering Cultural brokering is a concept that has been part of history since cultures first started interacting with each other (Goode, 2004). Jezewski (1995) described cultural brokering as the act of connecting, mediating or linking groups of people with different cultural backgrounds, with the underlying purpose of resolving conflict or instilling positive change. A cultural broker, as described by Jezewski (1995), is a mediator or liaison who advocates on behalf of the group or individual they are representing. The concept of cultural brokering has not however, always been present within the world of health care. Goode (2004), notes that it was not until the 1960s that the concept of cultural brokering began to be reviewed and implemented within the health care industry. Within the health care context, Wegner (1995) defines cultural brokering as an intervention through which professionals use cultural and health science knowledge and skills to negotiate with the patients and health care system. Wegner (1995) …show more content…
It is called the Cultural Broker Project and is being employed to encourage the use of cultural brokering within health care to increase access to and enhance delivery of truly cultural competent care (Goode, 2004). The NHSC realizes the significance cultural brokering can have on effective health care delivery within the cultural diverse industry (Goode, 2004). The program aims to promote cultural brokering in order to help eliminate racial and ethnical disparities within health care settings (Goode, 2004). It also looks to define what makes a good cultural broker and provide guidance and support to anyone wanting to know more about how to implement effective cultural brokering (Goode,
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
Two cultural competencies in this care, are negotiations, to allow and expand our outlook to see different options and different approaches and action, by adapting practice skills to fit cultural context of the client. Dr. Brown should have thought about different options of treatment and medications instead of just continuing the care treating physician was pursuing because the circumstances might have been different and adapting practice skills to fit the cultural context of Arturo and his mother.
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
Cobb, Torry Grantham, DHSc, MPH,M.H.S., P.A.-C. (2010). STRATEGIES FOR PROVIDING CULTURAL COMPETENT HEALTH CARE FOR HMONG AMERICANS. Journal of Cultural Diversity, 17(3), 79-83. Retrieved from http://search.proquest.com.ezp-01.lirn.net/docview/750318474?accountid=158556
Culturally competent cares in the medical field can make a huge difference in the satisfaction and the healing of patients who are guests in the facilities that we will be at. In central Minnesota we have the privilege of having many different cultures in a small area. With many people immigrating here from their homeland it is important, as health care professionals, to have an understanding of the many different beliefs and traditions that we may come across in our personal and professional lives.
Perez, M. A. & Luquis, R.R. (2009). Cultural competence in health education and health promotion. Jossey-Bass: San Francisco, CA.
Going to a different country or area of the world can open up anybody’s eyes to see that culture makes a huge impact on the understanding and practices of healthcare that seem to be so common to other areas of the world. When a person lives in one country their whole life, that person may not realize how different the life they live is from someone in a foreign country. If a person is going to receive treatment from someone with a different cultural background, they should be expected to get treatment to respects their own culture. Massachusetts College of Pharmacy and Health Sciences having such a diverse variety of students has their own cultural competency definition that states “effectively and comfortably communicate across cultures with patients of differing backgrounds, taking into account aspects of trust in order to adopt mutually acceptable objectives and measures”. In the book Dancing Skeletons: Life and Death in West Africa by Katherine Dettwyler, the issue of culture and healthcare are greatly prevalent. Katherine Dettwyler herself goes to West Africa as an anthropologist and her horizons are broadened when during her research she comes in contact with how much culture has an impact on healthcare and everyday life.
...cilitate cultural competency. The presentation should be tailored to the specific population or cultural groups which the health care providers serve; it should award continuing education credits and should provide written material including relevant online resources.
Adversity is commonplace for black youth in the inner city. In Patterson’s The Cultural Matrix, there are a plethora of examples that express these various facets of hardship and differentiate the institutional blockades from the cultural obstacles.
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...
research on healthcare practices in a culturally diverse setting has established the importance of cultural awareness, competence, and diversity for healthcare workers.
..., 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.
There is a lack of conceptual clarity with cultural competence in the field and the research community. Cultural competence is seen as encompassing only racial and ethnic differences, and omitting other population groups who are ethnically and racially similar to providers, but are stigmatized or discriminated against, who are different in other identities, and have some differences in their health care needs that have resulted in health disparities. (Agency for Healthcare Research and Quality,
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
It is increasingly clear that media and culture today are of central importance to the maintenance and reproduction of contemporary societies. Cultures expose society to different personalities, provide models, which display various forms of societal life and cultivate various ways to introduce people into dominant forms of thought and action. These are the types of activities integrate people into society and create our public sphere. Media and technology surround our society; engrained into the fabric of our existence so much so, that it has become hard to find an aspect of life not influenced by its effects. For this reason, media controllers, wield extreme power and influence over the lives of everyday people. Although, they increasingly continue to feed the audience trash, despite their authority as the creator of our social/cultural interactions, and justify their actions by calling themselves industries. Reducing themselves to just businesses whose sole purpose is to create a profit. This admittance of what they feel to be their true purpose however does not hinder their control and power but instead adds to it. Creating a need for there to be some way to analyze and discuss whether they are using their position and power wisely. Filling this void, scholars have theorized ways for individuals to be critical of the media that they intake. One of these critical theories is the “Culture Industry” theory. Using Cultural Theory, as well as other complementary neo Marxist theories, it is possible to determine how Stacy Peralta, once urban youth culture advocate, became incorporated into the superstructure through media use, thus making him a tool for the continued commoditization of society, and a youth marketer for industries l...