Annual diversity 4 2010

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Annual diversity 4 2010

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

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