Annual diversity 4 2010
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Annual diversity 4 2010

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Annual diversity 4 2010 Annual diversity 4 2010 Presentation Transcript

  • DIVERSITY CULTURAL COMPETENCE IN HEALTH CARE
  • How many cultures??
    • It is estimated that at least 2,500 cultures and subcultures coexist on our planet and each is striving to protect and preserve their way of life.
    • Many people live in a different country from where the culture originated
    • We can’t assume we understand someone’s culture based on their race, or origin
  • What is Cultural Competence?
    • Cultural competence means the ability to provide care and service to culturally diverse people.
    • The principles that provide the basis for cultural competence include:
    • CARING
    • RESPECT
    • COMPASSION
    • SINCERITY
  • Who Does Our Community Include? Examples from the year 2000 Dallas Census to illustrate our diversity.
  • In our community:
    • The Dallas County Census in 2000 reported that men and women are almost exactly each 50% of the population.
    • In Dallas, 8.1% of the population is age 65 or older.
    • Approximately 20% are Black or African American; 30% Hispanic or Latino; 44% Anglo, and 4% Asian.
  • More from the Census!
    • The average household size in Dallas is 2.5 people.
    • About 9% are single mothers, raising children alone.
    • About 18% of people all ages have some form of disability.
  • What Do the Numbers Mean?
    • Expect to see many different cultures at work, among your co-workers and customers
    • Do not assume you understand someone’s culture
    • Ask questions to gain insight into how someone’s culture affects their needs
    • Do not impose your cultural values on others
  • Key Health Care Topics with Cultural Significance
    • Medication
    • Communication
    • Death
    • Dying, and care of the deceased
    • Use of herbs
    • Spirituality
    • Mental health
    • Meaning of disease
    • Folk and faith healers
    • The family’s role in caring for the ill
    • Choice of a family member to communicate
    • Diet/nutrition
  • Cultural Competence in Action
    • Listen and understand your patient’s and family’s cultural and religious point of view.
    • There are no fixed “do this” or “don’t do that” simply because of a person’s ethnicity, culture or religion.
    • See the next slide for examples.
  • Cultural Competence in Action
    • Traditional Hindu care of the dying:
    • The family may wish to sing, pray and read to the dying
    • The family may wish to have the deceased untouched for a time.
    • Traditional Islam care of the dying:
    • Upon death, the family may wish to designate someone to do a ritual wash.
    • Generally, the deceased is not left alone before burial.
  • THE BASICS
    • ACKNOWLEDGE others’ culture and differences
    • ASK whether the patient has a preferred way to communicate
    • BE SURE your patient has translation services.
    • DON’T make assumptions about the patient’s culture/race/identity
    • DON’T discriminate in your care or concern, based on race, age, gender, ethnicity, religion, or sexual orientation.
  • Where and when does cultural competence matter?
    • With coworkers
    • With patients
    • With patients’ families and visitors
    • With other visitors to the hospital
    • Especially at key moments, such as birth and death
  • What’s Not OK:
    • Slurs about a patient, coworker or anyone, related to their ethnicity, race, age, religion, gender or sexual orientation.
    • Off-color jokes
    • Showing preference among employees based on ethnicity, race, age, religion, gender, or sexual orientation.
  • It’s all about Respect:
    • Show the respect you want in the way you treat others
    • Create a caring, supportive community in every aspect of your work
    • Don’t let words get in the way of communicating!
    • Treat each person you come in contact with as a special, unique person that you are going to help
    • You don’t have to share other’s values, except when it comes to showing everyone respect
  • Our Goals:
    • Mutual respect
    • Recognition and appreciation of diversity among us and our patients
    • Patient care that acknowledges the importance of the individual’s culture
  • RESOURCES
    • Education Department at the University Hospitals: 214.645.1140
    • Office of Equal Opportunity & Minority Affairs at UT Southwestern Medical Center: 214.648.4344