Outline for the dayWhat is culture .. for you ?Competence .. The challenge !Defining cultural competenceThe Fanon Care approachHow are we doing ?
Exercise 1 Who am I ?Pairs – 5 mins. eachExplain… who am I,Explain… what is my cultureFeedback to larger group
Common responses (1)Lack of knowledge - resulting in aninability to recognize the differencesSelf-protection/denial - leading toan attitude that these differences arenot significant, or that our commonhumanity transcends our differences
Common responses (2)Fear of the unknown or the new -because it is challenging and perhapsintimidating to get to understand somethingthat is new, that does not fit into ones worldviewFeeling of pressure due to timeconstraints - which can lead to feelingrushed and unable to look in depth at anindividual patients needs
Exercise 2 small groups1. How do you react when confronted with a "new"patient situation that does not fit your expectations?Does the situation provoke feelings of anxiety anddiscomfort? Are you able to assess what is goingon within yourself as well as within the patient?2. Do you have strategies to use to gain clarification ofa puzzling situation, and to enhance both your ownand your service users understanding?3. Are you able to support and help service users tounderstand that they are impacted by the samefactors as you, regarding cultural differences inbeliefs, expectations, behaviours?
Knowledge / Awareness / Sensitivity The idea of more effective cross-culturalcapabilities is captured in many termssimilar to cultural competence. Culturalknowledge, cultural awareness, andcultural sensitivity all convey the idea ofimproving cross-cultural capacity, asillustrated in the following definitions:
…KnowledgeCultural Knowledge: Familiarizationwith selected cultural characteristics,history, values, belief systems, andbehaviours of the members of anotherethnic group
…AwarenessCultural Awareness developing sensitivityand understanding of another ethnic group. This usually involves internal changes interms of attitudes and values. Awarenessand sensitivity also refer to the qualities ofopenness and flexibility that people developin relation to others. Cultural awareness mustbe supplemented with cultural knowledge
…SensitivityCultural Sensitivity Knowing thatcultural differences as well assimilarities exist, without assigningvalues, i.e., better or worse, right orwrong, to those cultural differences
Culture … a definitionculture is the integrated pattern ofhuman behaviour that includesthoughts, communications, actions,customs, beliefs, values, andinstitutions of racial, ethnic, religious, orsocial groups
Competence … a definitioncompetence is having the capacity tofunction in a particular way: the capacityto function within the context ofculturally integrated patterns of humanbehaviour defined by a group
The cultural CompetencecontinuumCultural destructivenessCultural incapacityCultural BlindnessCultural pre-competenceCultural CompetencyCultural proficiency