Outline for the day What is culture .. for you ? Competence .. The challenge ! Defining cultural competence The Fanon Care approach How are we doing ?
Exercise 1 Who am I ? Pairs – 5 mins. each Explain… who am I, Explain… what is my culture Feedback to larger group
Common responses (1) Lack of knowledge - resulting in an inability to recognize the differences Self-protection/denial - leading to an attitude that these differences are not significant, or that our common humanity transcends our differences
Common responses (2) Fear of the unknown or the new - because it is challenging and perhaps intimidating to get to understand something that is new, that does not fit into ones world view Feeling of pressure due to time constraints - which can lead to feeling rushed and unable to look in depth at an individual patients needs
Exercise 2 small groups 1. How do you react when confronted with a "new" patient situation that does not fit your expectations? Does the situation provoke feelings of anxiety and discomfort? Are you able to assess what is going on within yourself as well as within the patient? 2. Do you have strategies to use to gain clarification of a puzzling situation, and to enhance both your own and your service users understanding? 3. Are you able to support and help service users to understand that they are impacted by the same factors as you, regarding cultural differences in beliefs, expectations, behaviours?
Knowledge / Awareness / Sensitivity The idea of more effective cross-cultural capabilities is captured in many terms similar to cultural competence. Cultural knowledge, cultural awareness, and cultural sensitivity all convey the idea of improving cross-cultural capacity, as illustrated in the following definitions:
…Knowledge Cultural Knowledge: Familiarization with selected cultural characteristics, history, values, belief systems, and behaviours of the members of another ethnic group
…Awareness Cultural Awareness developing sensitivity and understanding of another ethnic group. This usually involves internal changes in terms of attitudes and values. Awareness and sensitivity also refer to the qualities of openness and flexibility that people develop in relation to others. Cultural awareness must be supplemented with cultural knowledge
…Sensitivity Cultural Sensitivity Knowing that cultural differences as well as similarities exist, without assigning values, i.e., better or worse, right or wrong, to those cultural differences
Culture … a definition culture is the integrated pattern of human behaviour that includes thoughts, communications, actions, customs, beliefs, values, and institutions of racial, ethnic, religious, or social groups
Competence … a definition competence is having the capacity to function in a particular way: the capacity to function within the context of culturally integrated patterns of human behaviour defined by a group
The cultural Competencecontinuum Cultural destructiveness Cultural incapacity Cultural Blindness Cultural pre-competence Cultural Competency Cultural proficiency