Understanding Cultural Differences and Their Affect on Medical Treatment BY : Tami Buswell, Janelle...
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CULTURAL COMPETENCE IN HEALTH CARE Understanding Cultural Differences and Their Affect on Medical Treatment BY : Tami Buswell, Janelle Steiner, Annie Foster, Katie Brim, Mary Anderson, and Lorna DeFreest
Understanding Cultural Differences and Their Affect on Medical Treatment BY : Tami Buswell, Janelle Steiner, Annie Foster, Katie Brim, Mary Anderson,
Understanding Cultural Differences and Their Affect on Medical
Treatment BY : Tami Buswell, Janelle Steiner, Annie Foster, Katie
Brim, Mary Anderson, and Lorna DeFreest
Slide 3
Cultural Competence is: The ability to appreciate the cultures
and customs of people from around the world that affect the way
they interact with others. But, Culture is not only ethnic, racial
or religious. Age and gender, as well as regional and national
differences should be considered.
Slide 4
People who: Are recent immigrants to the mainland United States
Who live in ethnic enclaves Who prefer to use their native tongue
Who were educated in their country of origin Who migrate back and
forth to the country of origin Who are in constant contact with
older individuals
Slide 5
Examples Different Cultural Traditions: Japanese, Chinese and
Korean patients show respect by showing agreement. East Indians
indicate acceptance or approval through silence. An up and down nod
may not indicate agreement, but rather the exact opposite Russian
patients may offer you a small gift of food or chocolate. It is
rude not to accept it Muslims abstain from food and drink from dawn
to sunset during Ramadan, a sacred month in usually September or
October. Instructions to take medication with meals may be
problematic during this time.
Slide 6
Improving the cultural competence of a healthcare organization
increases the likelihood that the staff can relate to the diverse
patient population. Lessens miscommunication between patients and
providers. Heightens provider and staff sensitivity to the values,
beliefs, and health-related practices of patients. All of this, in
turn, leads to greater acceptance among patients and their health
care provider, to improving accuracy of diagnoses and
interventions, and to better patient adherence to prescribed
treatment regimens.
Slide 7
Barriers in culturally Competent Care: Lack of diversity in
health cares leadership and workforce Systems of care poorly
designed to meet the needs of diverse patient populations Poor
communication between providers and patients of different racial,
ethnic, or cultural backgrounds. Issues that arise with cultural
competence: Viewing patients as members of cultural groups
(stereotypes) rather than individuals with unique experiences and
perspectives can lead to inappropriate assumptions about their
beliefs and behaviors Solution: Ask direct questions! Example: Are
there any traditions or customs that might impact the care I
provide for you? or Do you understand your diagnosis?
Slide 8
Patients primarily value: Positive engagement Information and
involvement Compassionate, kind and respectful treatment The
negotiated involvement of their family.
Slide 9
If we dont have at the table people of color and the diverse
populations we serve, you can be sure that policymaking and program
design are also going to be exclusionary as welland were going to
continue to have disparities if we dont start increasing diversity
in the health professions. CEO, Public Hospital Several studies
have pointed to links between the racial and ethnic diversity of
the health care workforce and health care quality, but minorities
are underrepresented in the health care workforce.,
Slide 10
KAISER PERMANENTE (SAN FRANCISCO): Established a department of
multicultural services that provides on- site interpreters for
patients in all languages, with internal staffing capability in 14
different languages and dialects. A Chinese interpreter call center
is also available to help Chinese- speaking patients make
appointments, obtain medical advice, and navigate the health care
system. A translation unit assures that written materials and signs
are translated into the necessary languages. A cultural diversity
advisory board was also established for oversight and consultation.
WHITE MEMORIAL MEDICAL CENTER FAMILY PRACTICE RESIDENCY PROGRAM/LOS
ANGELES: Family Practice Residency Program enabled several faculty
members, including a director of behavioral sciences, a manager of
cross-cultural training, and a director of research and evaluation,
to devote time specifically to cultural competence training. A
medical fellowship position was also established with part-time
clinical and supervisory responsibilities to provide a practical,
clinical emphasis to the curriculum.
Slide 11
Listen with sympathy and understanding to the patients
perception of the problem Explain your perceptions of the problem
Acknowledge and discuss the differences and similarities Recommend
treatment Negotiate agreement
Slide 12
Combining knowledge of Culture Respect and Assessment of others
world views Sensitivity to cultural differences Provides care with
Humility in the health care system
Slide 13
Respect for patients as individuals Engagement of patients as
partners Effective communication of illness models and treatment
goals Holistic consideration of the socio-cultural context and
consequences of patients illness experience
Slide 14
We are of course a nation of differences. Those differences
dont make us weak. Theyre the source of our strength. Jimmy Carter
Diversity is not about how we differ. Diversity is about embracing
one anothers uniqueness. Ola Joseph Cant we all just get
along?
Slide 15
Cultural competence translates into better patient care and
less legal risk. Contemporary OB/GYN 51.3 (2006): 24. Health
Reference Center Academic. Web. 11 Sept. 2010 What do
non-English-speaking patients value in acute care? Cultural
competency from the patients perspective: a qualitative study
Garrett, P.W; Dickson, H; Whelan, A: Ethnicity & Health, Nov
2008, Vol. 13 Issue 5, p479-496, 18p, 3 Ethnic and Cultural
Diversity: Challenges and Opportunities for Health Law Hendriks,
Aart 1 S European Journal of Health Law; Sep 2008, Vol. 15 Issue 3,
p285-295, 11p Cultural competence in health care: emerging
frameworks and practical approaches Joseph R. Betancourt:
Massachusetts General HospitalHarvard Medical School: Alexander R.
Green and J. Emilio Carrillo: New York Presbyterian HospitalWeill
Medical College of Cornell University field report (2002) A CRASH
course in cultural competence for nurses Broome, B; McGuinness,T:
Urologic Nursing, Aug 2007, Vol. 27 Issue 4, p292-304 Developing
cultural competence in health care health care settings Ahmann, E;
Pediatric Nursing, Mar-Apr 2002, Vol. 28 Issue 2, p133-137 The
COA360: A tool for assessing the cultural competency of healthcare
organizations LaVeist, T; Richardson, W and N: National Institute
of Healthcare Management Foundation. Web. 20 Sept. 2010 Achieving
cultural competence: the challenge for clients and healthcare
workers in a multicultural society. Bonder, B; Martin, L; Miracle,
A: Workforce issues in a changing society, Spring 2001, p35-42
